‘Mrs Penniman’s character is to some extent a mere caricature’ in Henry James’ ‘Washington Square’

Henry James uses, Lavinia Penniman predominantly for the comic relief derived from her unrealistic romantic scheme, her extensive hyperbole, and deceitfulness. Mrs Penniman is seen as a caricature, a caricature is a humorous illustration that exaggerates or distorts the features of a person to form a visual likeness. Mrs Penniman can be seen as a caricature through her clothing, gestures, language and her manipulation as seen in many chapters throughout the novel. Lavinia Penniman is a sad figure, she is widowed and â€Å"left without children, without fortune† and lives in Dr Sloper's household and is in control of Dr Sloper's daughter, Catherine's education. Many women in the 19th century who like Mrs Penniman weren't married, tended to struggle with life; they struggled to get an income so remained poor and weak and really tended not to have a life. Henry James shows Mrs Penniman to tag along to the Dr's household, possibly for this reason, she originally joined the household temporarily whilst she searched for â€Å"unfurnished lodgings† but she chose to settle † herself with her brother and never went away†. She is in fact described as the † fifth wheel†, she is always there, most often when not needed, always meddling with the outcome of events, she should really be a minor character but she continuously interferes. Mrs Penniman really is seen as a caricature when she is being a meddler, as she so often is. She really interferes with Catherine's relationship between Morris, she arranges dates, â€Å"he is coming a courting† (said to Catherine). In chapter 15 and 16 Mrs Penniman interferes tremendously with Catherine's relationship with Morris, she organises a â€Å"tryst† which is held between her and Morris at an â€Å"oyster salon†. This location is unexpected and very secretive, this all increases the drama of the occasion, making it seem as though what they were doing wasn't allowed and making it all seem rather suspicious, as Mrs Penniman is very unlikely to meet anyone of acquaintance there. At this secret meeting, Mrs Penniman goes against her brother's wishes and attempts to encourage a secret wedding between Catherine and Morris, Morris realises the difficulty of this but Mrs Penniman thinking she is in one of her â€Å"romantic† novels, comes up with ridiculous solutions that would just add to the drama, such as using the â€Å"cemetery† as a location for the wedding. She also makes sure that she is a key figure in it all, as she possibly wants to be the heroine, she does this by inventing roles for herself, and this is done in other occasions as well. Mrs Penniman's character does have comic factors that are crucial for her to be a caricature. This can be seen through her costumes, gestures and through the author's ironic metaphors. Her costumes are flamboyant and in chapter IV she is described as wearing â€Å"more buckles and bangles than ever† showing that she often wears outrages outfits. Like her costumes her language and gestures seem to be hyperbolic and unnecessary, although this could be a ploy to create a larger part in the plot that she would otherwise have. Her continuous use of hyperbolic and melodramatic language makes the character seem to be humorously overdramatic and over the top, this defiantly creates a feeling of her being a caricature. To top this of Henry James uses witty and unusual metaphors that have a hint of irony in them. She chooses these ironic metaphors to make the situation between Morris and Catherine more dramatic than it really is, she reads these ideas in her â€Å"light literature†, and would like the relationship between Catherine and Morris to be like them. This can be seen several time from page 82 to 84, where she uses â€Å"banished†, â€Å"the guilty couple†, â€Å"neutral ground† and â€Å"exciting suspicion†. All these seem to be similar to some of Shakespeare's romantic relationships, such as Romeo and Juliet, where Romeo one of the lovers is â€Å"banished†, the couple is guilty, as they are sworn enemies and they often met on neutral ground, this is an exciting play, due to this which is effectively what Mrs Penniman is attempting to do. To conclude, Mrs Penniman's character is a caricature, her clothes, language and gestures are all hyperbolic and she always attempts to be at the centre of all occasions. She is a sad figure who attempts to manipulate the authors plot to make it more dramatic and like her light literature, her ideas are full of irony and her character in general does seem to posses some humour that would make her a caricature.

Cognitive, Cognitive Behavioral, and Reality Theory Essay

There are many definitions of counseling, but most share the same idea: it is when one person helps another. To me counseling represents one word more than any other: Change. One person is unhappy with some area of their life and wants it to change while the other person helps to facilitate that change. Just as there are many definitions of counseling there are many types of counseling with different philosophies. The foundation of cognitive therapy is that thoughts have the ability to influence individual’s feelings. One’s emotional reaction to a situation can be derived from their explanation of the situation. For instance, one experience the feelings of one heart racing and shortness of breath. If these physical symptoms occurred while one were lying peacefully in ones bed while watching television, the symptoms would more than be recognized to a medical condition, such as a heart attack, leading to fear and anxious emotions. In contrast, if these same physical symptoms occurred while running through the park on a beautiful afternoon, they would not be attributed to a medial ailment, and would likely no lead to fear or anxiety. Different interpretations of the same sensations can lead to entirely different emotions. Congitive therapy suggests that a great deal of our emotions are due out thought process; the way that we perceive or interpret our environment. These thoughts sometimes have a way of being bias or even distorted. Within the scope of cognitive therapy individuals learn to distinguish between their thoughts and feelings. They are also made aware of the way in which their thoughts have and can influence feelings that are not necessarily to their benefit. Therapists also evaluate critically whether clients  Ã¢â‚¬Å"automatic† thoughts and assumptions are accurate or biased. They also work to develop skills to notice, interrupt and correct these biased thoughts independently. Cognitive behavior therapy (CBT) covers numerous therapeutic approaches and is widely used to treat various psychological issues. In general, CBT is short-term and focuses on assisting clients with very specific issues. The treatment process enables clients to identify and change negative or alarming thought patterns that are contributing to or causing destructive behavior. CBT has been studied extensively because the treatment is focused on an extremely specific goal and the outcome can be measured easily (Good). Cognitive behavior therapy can be helpful in treating many mental disorders, but also can be used as a tool to help anyone who is dealing with the stress of everyday life. It is known that the root to most anger problems is stress and not understanding how to cope with stress. As many of life adolescents go through life the problems they are facing are getting bigger. So it is a need to learn techniques to manage these issues. Cognitive behavior therapy can assist with this by allowing the young person to see these situations in a different perspective. â€Å"Cognitive behavior therapy can allow a person to heighten awareness by keeping track of the triggers and the time in which they felt the most stress and how long it took for the triggers and the time in which they felt the most stress and how long it took for the stress to produce anger† (Hart, S. L., & Hart, T.A. (2010). By knowing this information and by changing the way a person is thinking, there are changes in the em otions and behavior pattern. Once an adolescent has learned these techniques it will allow them to cope in a more positive way, without anger. William Glasser developed Reality Therapy; he believed that nearly all human unhappiness is stems by people trying to manage others. He says, â€Å"The only behavior we can control is our own; by the same token, no one can make us do anything we do not want to. It is only when we give up spending our energy trying to force others to conform to our ideas or to keep them from doing the same to us that we are able to live the way we want to.† (William Glasser) In order to change a patient the therapist needs to change what the client is thinking and doing because these behaviors are controllable. One needs to assume personal responsibility for his or her feelings. The Choice theory of Reality therapy challenges the client to accept his or her part in actually creating his or her feelings. The choice theory emphasizes how people think and act therefore we can see that it shares some of the concepts of the cognitive behavior approach. There is always a learning curve when developing a new theory. There is the uncertainty of its efficacy and acceptance. One would believe as these theories continue to evolve and is practiced with clients this will no longer be an issue. I believe if a counselor knows the importance of the spiritual beliefs of the clients they are able to have a thorough understanding of their views and feeling towards the issues in their lives. I also believe that then they are able to help client’s determine that they are loved, accepted and have a purpose. Reference: Counseling and Psychotherapy: Theories and interventions; Third Edition by David Capuzzi and Douglas R. Gross Glass, W. (1997), Choice Theory and Student Success, Education Digest, 63, 3, p.16. 6p Good Therapy (ND). Mindfulness Approaches/Contemplative Approaches. Retrieved August 5, 2013 from http://www.goodtherapy.org/mindfulness-based-approaches-contemplative-approaches.html. Hart, S. L., & Hart, T. A. (2010). The Future of Cognitive Behavioral Interventions within Behavioral Medicine. Journal of Cognitive Psychotherapy, 24(4), 344-353. Howatt, W. (2011). The Human Services Counseling Toolbox. Theory, Development, and Resources. Pgs. 113, 131, 147-150.

Goodwill Industries Essay

Goodwill Industries are organizations for nonprofit making that provide or render employment, community based programs, placement services, and job training to individuals that cannot access proper education, disabled individuals and the unemployed. A huge network of institutions of retail thrift, that works as organizations of nonprofit organizations, sponsor goodwill industries. A large portion of goodwill industries finance is donated items from retail stores. The community’s generous donations of household items and clothing provide the store’s merchandise. Such donations are critical to goodwill industries mission of Colorado Springs, both donating and shopping in their stores, give a hand in supporting programs for workforce development that serve more than 45000 people every year in northwest N. C (Helms, 2001). Goodwill Industries are nonprofit making organizations that render or provide employment, job training, placement services and community based programs to people who have no proper access to education, to those who have a disability, unemployed. Goodwill is sponsored by a massive network of retail thrift institution which also operates as nonprofit organizations. Goodwill Industries works hand in hand with employers to identify other people who qualify for employment opportunities available at any particular time (Helms, 2001). A substantial portion of the financing of Goodwill Industries comes from the sales of donated goods in various stores. Merchandise in this stores is provided via generous donations things such as household items, clothing’s and from different communities. Such donations are critical the mission of Goodwill Industries (Moore, 2001). Goodwill Industries accepts material donations of any kind, such as cars, computers and boats. The common donations include; clothing, shoes, house wares such as dinnerware, pans and pots, kitchen utensils and flatware. Small appliances are also common donations like blenders, toasters, juicers and mixers; bicycles; toys; sporting equipment; books; collectables; furniture; tools; decorations; computers among others (Moore, 2001). Goodwill industries ensure that business operations and community activities are carried on in an environmentally favorable manner. The Industry is dedicated in turning discarded things into useable products, and where they cannot salvage an item; they ensure that thorough recycling methods are utilized (Moore, 2001). Goodwill’s Mission Goodwill industries sell donated goods. The profits generated by the sales fund training opportunities for various those with trouble in finding and keeping jobs. They also train and hire individuals with disabilities. These disabilities can be mental or physical due to lack of previous work experience, housewives re-entering the job market, outdated work skills, senior citizens, and people with limited communication skills (Moore, 2001). Goodwill Industries serve people experiencing barriers in employment and related circumstances. A barrier to employment include development age, disabilities, learning disabilities, single parenthood, lack of education, language barriers, felony history, prolonged absence from the workforce (such as disabled veterans or displaced homemakers), substance abuse, co-occurring disorders, domestic neglect or violence, homelessness, and physical challenges. These Industries serve to intervene for such people and hence contributing to economic development in the long run. The Supported Program for employment is projected for only those with significance of disability. It provides greater comprehensive support to the victims in order to increase their opportunity for being successful on their relevant job (Moore, 2001). Goodwill Industries only accepts only those items that are in excellent shape. For instance if the items include electronics they have to be fully operational. Goodwill Industry does not perform repairing services. In case it accepts non functional items without its knowledge, it contracts a salvage company to clear from its stores non working items such as radios, televisions, microwaves, cameras and similar products working order (Moore, 2001). Goodwill can offer pick up services for organizations, businesses and schools that would be interested to donate: overstock, scratch and dent, office furniture and surplus inventory. Goodwill Industries have created policies help them follow up and keep constant track of all donated items. These policies also aids in preventing frauds. To begin with, any donated goods that are yet to been processed cannot be issued or sold before they reach the relevant retail stores. After they are processed, they are distributed to store randomly (Helms, 2001). Goodwill Industries also provide career solutions for adults via various programs. These programs include, computer classes, forklift certification, job readiness sessions, Microsoft Office Suite classes, security guard training, call center training, janitorial services, counseling and job placement, customer and retail, service basics, and also transitional employment services. Goodwill determines prices of donated items by market value and competitive. However, prices at Goodwill Industries are at least 50 percent less compared to what customers would pay in other retail stores. Any states do not charge taxes on second hand goods an especially clothes which acts as a major advantage for Goodwill Industries (Helms, 2001). These industries offer retail jobs, which include; Retail sales clerks, Administrative, support staff, processors and management Youth services staff, Truck drivers/helpers Rehabilitation program aides, Adult services staff, material handlers and Donation center attendants. These employees enjoy accrued benefit such as health insurance, vacation, Competitive wages, dental insurance, holiday and a retirement plan (Helms, 2001). Goodwill Industries do not hold fundraising events or solicit cash donations, but financial donations are gratefully accepted. Most of these Industries set offer employment with higher opportunities for disabled and those with barriers to employment. Some of the services that the disabled perform include, Light Assembly, sorting, labeling and Packaging. They are also involved in: shrink Wrapping, Mailing, Blister Packing, Craft projects and Stuffing Envelopes (Keeler, 1992). Goodwill Industries strive to ensure that their stores are invariably full of fresh products. Merchandise remains in the retail stores for few weeks, and then it is marked down severally after few weeks. If the item does not sell after a given time, it is transferred to any Clearance Center where it is offered at an amount. If the items still fail to sell in the Clearance Center, they are sold in bulk to third party recyclers or recycled (Moore, 2001). Goodwill Industries make sales online. They have created online bidding sites that require bidders to register online in order to browse, place bid and be able to buy any item that is available for sale. This site normally notify bidders whenever they are outbid on an item and if they have lost or won the auction (Keeler, 1992). All activities of Goodwill and business operations are handled in a manner that they are environmentally friendly. They believe in making useable goods from discarded items, and if an item can’t be salvaged a proper method of recycling is ensured. By so doing, they are able to call themselves upstanding citizens of environment (Helms, 2001). Policy of Goodwill Industries Goodwill industries are dedicated to services delivery in an environment that is conformed to the highest standards of administration accountability, financial management, developmental training, marketing and business. Goodwill industries leadership is committed to the need to detect and prevent fraud, misappropriation of funds, fiscal management and hence maintenance and development of a corporate compliance formal program to ascertain conformance and ongoing monitoring with all regulatory requirements that are legal. Additionally, the organization is dedicated to the maintenance, implementation and establishment of a program of corporate compliance that insists on a number of things (Moore, 2001). Firstly, avoid wrong doings, which can be both unintentional or intentional, and immediate investigation and reporting of questionable practices and activities without any penalty to the party reporting. Secondly, immediate correction of any circumstance that puts the goodwill industries, its staff or leaders, consumers and sources of funding at risk (Moore, 2001). Procedures of Goodwill Industries The operations of goodwill industries entail the following procedures. The board of directors through official declaration, delegates’ general responsibility for the program of Corporate Compliance to the CEO/ President with supervisory responsibilities allocated to the Committee specifically the Finance Committee. The CEO/ Preside will assess the program of the corporate compliance of the Organization and provide regular and periodic reports to the whole Board of Directors and committee on issues relating to the program. The CEO officially delegates to the Administration and Finance Vice President as Officer of the Corporate Compliance. The Officer of Corporate compliance has various responsibilities (Moore, 2001). The first responsibility is providing staff assistance to the Financial Committee and works as the main contact point of the Organization for all issues of corporate compliance, which include coming up with recommendations to the Board of directors, the Committee and CEO/President and regular reporting on activities of compliance (Helms, 2001).. Another responsibility is to monitor, implement and develop – on a consistent and regular basis – the program corporate compliance of the organization, which include all systems and procedures, reporting and investigative processes, auditing, and external and internal monitoring (Helms, 2001). Thirdly, the committee is responsible for monitoring, coordinating and scheduling periodic and regular reviews of areas of risk by competent external and/or internal persons to the organization. These reviews will supplement the yearly audit of the organization’s system of accounting and offer an additional inner measure. This is to make sure that it complies with financial practices and policies that will endure the thorough examination of any regulatory examination or audit. Another responsibility of the committee is that it has unimpeded and directs access to the independent auditors of the organization, legal body on issues that relate to compliance of the organization, board of directors and CEO/president (Helms, 2001). The reports to the Board of directors, the committee and CEO/President will include the following, a summary of all criticisms processed in the previous twelve months in combination with the program of corporate compliance, investigations and allegations. Additionally, a description of all complete corrective accomplishments taken and thirdly, any recommendations to changes in procedures and/or policies of the organization. The summary will consist of incidents of theft of funds of Goodwill and or pattern, product of irregularities in finances, significant irregularities in accounting and/or errors, investigations of media related to ethics and confidentiality breach (Moore, 2001). Committee Formation The Board’s Finance Committee shall be in charge of oversight of all activities of Corporate Compliance. Committee members can also be part of other committees. They should not depend on management and free themselves from any association that would affect the use of their independent decision as members of the Committee. The Committee of such organization shall meet more than two years annually, and as frequent as the situation requires. The committee of goodwill industries shall keep all the meetings’ minutes to document its recommendations and activities (Moore, 2001). Primary Committee’s Goals The committee helps the Board in accomplishing its fiduciary duties relating to financial and legal compliance with applicable policies, industry guidelines laws, and regulatory requirements. Additionally, it is in charge of all practices of auditing reporting and accounting, whose goal is to reveal accurately and properly the financial condition and status of the Organization (Keeler, 1992). Another responsibility of the committee is to oversee the implementation and adoption of procedures and policies that will necessitate for the industry and its workers to comply fully with all relevant polices, regulations and laws. Moreover, it helps the board to fulfill its tasks to stakeholders that relate to integrity and quality of financial reporting, practices of financial reporting, and policies of accounting (Keeler, 1992). Duties of the Committee While the committee carries out its responsibilities and duties, it should ensure that part of its members possess expertise in the financial field. The financial experts must have a general understanding of GAAP and an understanding of statements of finance. Additionally, such persons should have an in depth understanding of preparing, analyzing, auditing, and evaluating statements of finance, which should include a level and depth of complexity of issues of accounting that are usually around six to twenty pages. These pages should be comparable to the complexity and breadth of matters that can rationally be anticipated to be introduced by the financial statements’ registrant (Helms, 2001). The financial experts should be experienced in supervising individuals taking part in these financial activities. Additionally, they should understand internal procedures and controls for financial reporting. Another duty of these experts is to have an understanding of compliance and audit functions. Moreover, they should provide ample opportunity for the external auditors to meet with committee members so that they can receive feedback on their individual compliance evaluations relating to auditing, accounting, financial, regulatory and legal practices (Helms, 2001). The financial experts meet with the financial management and independent auditors at the end of the yearly audit to review results of audit which include any recommendations or comments of the external auditors. Moreover, they evaluate changes in the applicable procedures and policies and standards of accounting. Additionally, they review the outcomes, which is included in the management letter of the independent auditors and response and actions of management to be taken. Another duty involves evaluation of the yearly statements of finance and ensures that the external auditors become satisfied with the disclosure and content and of the statements of finance. Moreover, they are in charge of the compliance program’s implementation connected to business conduct that will make sure that high conduct and ethical standards are complied with and communicated properly to all employees regularly (Moore, 2001). Adequate Documentation Policy The purpose of the policy of documentation is to ensure that all cost, accounting and financial, data based its information on adequate, verifiable and auditable documentation. The policy of all release or disclosure of statements of finance should be stated such that it does not contain false material statement, or leave out a statement of material fact. Additionally, it should reconcile the information of finance presented including the financial results and condition of business operations. Moreover, all financial and cost data should be based on statistical and financial records that can be verified. The data of cost should be relevant to an approved costing method and on accrual accounting basis (Moore, 2001). Goodwill industries prohibit material omissions and misstatements of any data that is arranged on behalf or by the organization. Additionally, presentation of cost, accounting and financial data which is misleading is not acceptable. Moreover, financial data accessible to external reports must follow GAAP. Adequate cost, accounting and financial data should be efficient and effective for the organization’s management, should be reliable in relation to applicable business concepts and should be capable of undergoing auditing. Moreover, adequate cost data must have records which support it so as to gain reimbursement by any government or agencies from which finances are gotten. The prerequisite of adequate information insists that data have sufficient details and be accurate in order to achieve the goals intended (Keeler, 1992). The financial disclosure statement policy has been introduced by goodwill industries to guarantee the integrity of disclosure of financial, annual statement. The objective of financial disclosure integrates integrity, review of any possible variance of interest between affiliates, officers and board of directors and auditor that can affect the independence of auditors (Keeler, 1992). Another objective is to promote professional competency and ethics standards, performing evaluation of a work product of auditors, and ensure capability of auditors. All these goals are intended to validate assessment of management of the performance of the organization, business trends and effects of significant accounting estimates and policies. This is highlighted as the crucial feature of annual disclosure of financial statement. This policy is intended to ensure the truth of documents of corporate finances, highlight the imprecision in all activities of reimbursement and ensure immediate remediation and disclosure of any overpayments identified (Keeler, 1992). The goodwill industries ensure that Ethics Code are adopted and applicable to each and every employee and promotes ethical and honest conduct; averting of variances of interest; timely, fair, accurate and understandable disclosure in the periodic reports of the issuer, and conformance with applicable government regulations and rules. For example, to make sure that the Colorado Springs goodwill industries’ best interests are fulfilled, the organization has introduced a policy of conflict of interest which applies to all employees, officers and directors. Additionally, the committee will oversee entire financial and other types of disclosures as stated under such a policy (Helms, 2001). Good will industries have a legal policy related to search warrants, subpoenas and other investigations. These policies provide assistance relating to how search warrants, subpoenas and other investigations are handled. This legal policy does not take care of investigations or subpoenas, which a worker may receive and which are not directly linked to their Goodwill employment. The purpose of the policy is to ensure that goodwill organizations cooperate with external audits, searches and investigations of the government. In case of an inquiry or a visit from an agency of the government related to legal documents, search warrant and subpoena is received, the CCO (Corporate compliance officer) must be notified. This officer will evaluate the document and ensure that follow up action is undertaken, including the legal CEO Counsel being notified (Moore, 2001). Members of Staff who receive an inquiry or a visit from an agency of the government regarding any Goodwill Industries should direct such a person to the CCO, and must desist from talking about business matters of the Organization with such an individual until and/or unless CCO gives such a directive. Moreover, members of staff served with a subpoena requiring them to testify on a matter linked to their employment must notify the CCO. The CCO will review the subpoena received immediately and ensure that follow up action is undertaken (Moore, 2001). In conclusion, Goodwill industries ensure that any operation that is carried out by such organization is environmentally friendly. Additionally, such industries have financial experts who ensure that the statements of finance of such organizations are not misrepresented. Therefore, goodwill companies ensure that they employ integrity in all their financial and operational activities.

Metabolic Syndrome Assignment Example | Topics and Well Written Essays - 1000 words

Metabolic Syndrome - Assignment Example The most used criteria are those of the NCEP-ATP III, and IDF. According to the research carried out on US residents using the NCEP-ATP III standards, the unadjusted and age-adjusted prevalence of MetS were 21.8% and 23.7%, respectively (Byrne, 2011). Prevalence is higher when using IDF standards than using the NCEP-ATP III standards. For instance, in the comparison of the two organization’s standards, the age-adjusted prevalence of MetS established by NCEP-ATP III was 24.5%, whereas that of IDF was 43.4%. In other words, the prevalence of MetS rises consistently with increasing age unconventionally of sex, from 6.7% in individuals aged 20 to 29 years, to 43.5% for individuals aged 60 to 69 years, and 42% for individual aged 70 years and older (Byrne, 2011). In addition, although there is no postulated information for adolescents and children, the overall prevalence of MetS in these groups is approximated to be 4.2% (6.1% for boys and 2.1 for girls), increasing to 6.8% amongst overweight and 28.7% in obese adolescents. Also, the study indicates that, the prevalence of MetS are similar for men and women, however, higher in black women than men, and lower in white women than men (Codario, 2011). The underlying pathophysiology for MetS is still an issue of concern amongst various professional organizations resulting to inconsistencies in the way MetS is defined. Each definition has its benefit and drawbacks. However, insulin resistance and obesity has been identified to be the key contributing factors. Although insulin resistance is the core cause of glucose and fatty acid tolerance, it does not enlighten the alterations seen in endothelial dysfunction, lipid metabolism, systemic inflammation, blood pressure, and hypercoagulability. Laboratory measurement of insulin resistance is challenging, and, however, researches have indicated fasting insulin levels as a substitute, absence of analyze standardization makes this approach impractical (Awad, 2010). On the other hand, other exponents have suggested that although abdominal obesity may be the key cause of MetS, still insulin resistance occur in up to 15% of non-obese individuals. High free fatty acids can promote hypercholesterolemia, impact endothelial dysfunction, and impair insulin sensitivity, thus encouraging hypertension (Kurian, & Thompson, 2012). Adipose tissue has been denoted to be an active endocrine organ that impacts inflammatory cytokines, generates adipokines, affects insulin resistance, and influence CV risk by playing a role in impaired glucose tolerance, hypertension, and dyslipidemia, thus strengthening the link between inflammatory and obesity (Kurian, & Thompson, 2012). All these approaches have been attributed to the pathophysiology of MetS. However, the question is, â€Å"why is the pathophysiology of metabolic syndrome significant?† Metabolic syndrome raises the individual risk of coronary artery disease (CAD), even beyond CAD caused by high LDL cholester ol alone. This helps the patient and all healthcare providers to take measures of preventing and managing CAD immediately (Preedy, & Watson, 2010). Metabolic syndrome is described by several signs and symptoms. These involve elevated triglycerides, large waist circumferences (abdominal obesity), low levels of HDL, high blood pressure, and high fasting blood glucose. As suggested by NCEP-ATP III, criteria used in diagnosis for metabolic syndrome involve body size, level of blood glucose, individual’

Functions of Uniformed Police Officers Research Paper

Functions of Uniformed Police Officers - Research Paper Example Other authorities are to maintain peace and security in their respective areas. A uniformed police officer performs many functions, such as, traffic control, crime prevention, and implementation of law. In this paper, we will describe crime prevention, which is one of the most important functions of a uniformed police officer. Crime Prevention Lab (2010) states, â€Å"Many crime prevention programs rely heavily on police activity† (p. 85). Crime prevention is an attempt to either prevent the crimes or reduce the level of criminal acts. Reducing the risk of being a victim is the basic objective of crime prevention. Gilling (1997) states, â€Å"Crime prevention incorporates not only the practices of the entire criminal justice system, but also those of many other social and public policies† (p. 2). A uniformed police officer reduces the crime rate and disorderly situations implementing effective crime prevention strategies. Crime prevention is a function, which involves d eploying protective people, prevention policies, and strategies (Hayes, 1997). These strategies are implemented in various judicial and extra judicial settings. It is one of the prime responsibilities of a uniform police officer to take proper measures to reduce the level of crimes in the country because crimes and violence not only make the lives of people insecure but also proves to be a risk for economy of a country. Implementation of crime prevention strategies plays a great role in the successful prevention and reduction of crime levels in a country. Sherman (2002) states, â€Å"Comprehensive crime prevention strategies frequently involve the mobilization of community members to participate actively in planning and implementing prevention activities† (p. 168). These strategies not only help the government in reducing the level of crimes but also help in generating the sense of security in the public living in any specific society. Crime prevention is a skill-based activi ty (Arrington, 2007, p. 27). The ultimate goal of crime prevention is to provide people with trustworthy security by eradicating crimes from the society. In order to achieve the goal of crime prevention, uniform police officers put an end to those specific factors or opportunities, which enable a criminal to get involved in any specific criminal activity. The main goal of crime prevention is not only to secure the lives and properties of the public but also to eliminate those reasons, which act as the root cause for the unlawful activities. It is one of the main goals of uniformed police officers to reduce or remove the opportunities for criminals from the country, and this goal can be achieved by increasing the desire among the public to act as the contributor to the improvement of society. Uniformed police officers create fear of punishment in the minds of criminals in order to prevent them from getting involved in any sort of criminal activity. Fear of punishment cannot be inject ed in the minds of criminals rather it is created by taking such steps, which should practically detain the criminals in order to create a risky environment for criminals. Crime rate in small part of a country puts a negative and fearful impact on whole country. People avoid going to those areas where there is no protection of life and property because security is always the first priority for every individual. It is the major responsibility of the uniformed police officers to apply such crime prevention

Coprorate Ethics Issues in PSEG and Boeing Essay

Coprorate Ethics Issues in PSEG and Boeing - Essay Example These corporate laws are set by the government and companies but its implementation lies squarely with the employees. According to Nayar (2009), companies must develop trust as it is an essential component which makes customers and shareholders believe in the management. In this paper, I analyse two companies to establish if they have regulations that define their relationships with employees, clients, its suppliers, shareholders and other companies. Public Service Enterprise Group (PSEG) This is a company with its headquarters in Parsippany, New Jersey. It is an energy generating company formed in 1903 by merging services of 400 independently owned fuel and electric supply companies. This was done out of the need to enhance service delivery to the locals through a centrally governed public company. Under the leadership of its Chairman and Chief Executive Officer, Ralph Izzo, the company drafted a strategic document, â€Å"Be an ethics champion†. This document outlines the lev els of integrity that is expected of company employees, it also stresses the need for these workers to internalize these guidelines to create a unified positive image. This was very necessary since it is publicly owned and requires public trust to effectively execute their functions. It also operates a unique business model as it has subsidiary companies which it has to maintain favourable relationships with (Hansen, 2000). In this document, they highlight internal principles which the company adheres to: to promote accountability, the company submits periodic statements of accounts to the shareholders and Securities and Exchange Commission (SEC) who peruse them to establish the company’s financial position. This enhances transparency since the authorities scrutinize these books to see if the company engages in unfair trade practices. To promote harmony with company neighbours, it strives to maintain full compliance with environmental regulations which apply within its locati on. Since PSEG deals in dangerous substances which have adverse environmental effects when mishandled, the company has established efficient safety procedures that ensures employees and close neighbours are exposed to minimal risks in case of a disaster at the plant. During company gatherings for instance, the annual general meeting (AGM), the company management engages the shareholders in talks which address these environmental concerns. This stakeholder involvement ensures that the adopted plan gets input from the entire community; the employees, stockholders and clients then feel they have ownership to PSEG by contributing to decision making (Hansen, 2000). PSEG is a company operating in 5 continents; to maintain good ethical practices in countries with inadequate laws protecting integrity at the workplace is very difficult. The company is thus exposed to numerous unethical practices, especially in countries with weak graft laws. In countries with young democracies or authoritari an rule, there are cases of governments demanding high start up cost prior to setting up of an outlet. This partly or wholly goes to private hands in covert business operations. Due to employee racial diversity, the company is faced with personal cases of racial prejudice; the management has the ethical control unit that solves these differences and issue disciplinary actions where appropriate. Lastly, the company encourages employees to be company

Leadership Style and Approach Essay Example | Topics and Well Written Essays - 1500 words

Leadership Style and Approach - Essay Example Her type of leadership style is democratic. According to scholars and scientists, democratic leaders have certain attributes that include the senior workers in decision-making processes. Democracy facilitates creativity and brainstorming which provides ideas to the whole management process. This type of leadership enhances productivity and satisfaction of both the junior members of management and customers at large. Increase in productivity increase the rate of profit maximization in an organization. Evelyn in her case included her employees in decision-making processes. She also emphasized on workers using their recommended time with customers on the phones lines to satisfy all questions that a customer would have on their products. This type of leadership style can be explained in detail by leadership theories. There are the situational theories that explain that a leader should choose the type of leadership style that suits his/her situation. In most cases, the democratic style of leadership has been proved to obtain the best results. Team members also feel free to express their feelings in case of any new situations. For example in Evelyn’s case, she could spend time with her team members while performing their chores. In case of any problems such as fatigue or rude customers, she would support the members by team members by telling them that she was at the same situation some time but later made it in life. The functional theory explains that a leader should have contingency plans, which are used by the leaders in certain situations (Igbal 2011). Erik Rasmussen Erik Rasmussen on the other hand, has a different type of leadership style. His style consists of two styles namely people-oriented leadership and autocratic type of leadership (Daenzer 2009). He is young, bright and energetic and a no nonsense person when it comes to his areas of supervision. The people-oriented style deals with leaders who are focused in their positions at work and providin g the irrespective results. However, they may do this to the extent of some team members where decisions made by the leader are final. Erik in this case is a graduate and is expected to deliver the expected results. He does not consider the other team members in making decisions. From the case, it is clear that at some point, he deals with cost cutting strategies without considering ideas from the workers. Alternatively, this leadership style without being monitored may be taken too far by leaders who are so much focused on results rather than the welfare of workers and customers. With the autocratic style of leadership, the leaders possess most power and their decisions could be final. In Erik’s case, he seems to have all the powers and his orders are final. He does not care what the previous leaders had put in place to help boost production and profits. However, this style has some advantages such as fast and effective decision-making processes where leaders can make final decisions. On the other hand, team members do not want this type of leadership since their ideas are not included in the decision-making process (Peggy 2006). Evaluation / Judgment Evelyn Gustafson used the

Instructional Coherency and School Improvement Research Paper

Instructional Coherency and School Improvement - Research Paper Example This research will begin with the statement that a compelling schooling system does not depend only on educators who are technically proficient, appropriate school curriculum, and the provision of other associated school facilities. Many kinds of research into the subject of school reforms and improvement have focused on the significance of organizational characteristics, governmental policies, leadership values, and student- teacher learning processes, all of which are considered in the modern times, as important for achieving a high-quality education. A supportive organizational environment, strong leadership, combined with technical reforms within teaching methods and school curriculum, is most likely to be of optimal benefit for the students. In the present efforts to elevate the standards of the high schools in U.S., there have been various forms of reforms, ranging from an increase in course exigency to guaranteeing competency standards of the educators. Some of the schools, on the other hand, have removed the passing grade standard of Ds and focused on simpler courses and vocational tracks to facilitate learning. The various State education departments, in turn, have raised the number of credits necessary for the core content subjects, created a standard for the content, while introducing standardized test patterns. Besides these various reforms brought in to elevate the levels of education in the US, there has been another aspect which has been gaining prominence in the recent times: instructional program coherence.

Cable Wars, Fox News vs MSNBC Term Paper Example | Topics and Well Written Essays - 2500 words

Cable Wars, Fox News vs MSNBC - Term Paper Example There are actually facts and history of how media reportage influenced several nationwide actions and decisions, including the infamous civil war in Rwanda, which was believed to have started as an aftermath of a journalist’s submission on air (Schudson, 2002). In the United States and other advanced countries, the kind of media attention and hype given to politicians have said to go a long way in affecting their political carries greatly. A very popular example can be cited with the role the media played in the election of the first Black person to the position of the president of the United States of America, in the person of Barack Obama. Because of the increasingly noticeable influence of the media, there seem to be a continuous urge among most media houses to be the most noted and post popular when it comes to who has the highest following and thus most influential impact on society. This has created what has come to be known as the cable war. History of Cable News In the United States, Cable news refers to television stations that are dedicated purposely for news broadcast (Shen, 2009). Not until the 1980s, not much was known of media houses in the popularization of news broadcast as a full time journalistic business. But from the early 1980s, the pace set by early television stations that became predominantly focused on news broadcast such as Cable News Network (CNN), brought about the term in its most used sense. With time, there became a more centralized approach to cable news when some television stations started narrowing their focus or definition of news. This means that instead of focusing on news as a general term, there became cable news stations that would look into issues like only business or sports as their specialized area of news broadcast (Sparks, 2007). Apart from CNN, which came in 1980, other equally reputable cable news stations or networks followed such as Financial News Network, which came about in 1981, CNN2 in 1982, and CNBC , which was formed in 1989. It was later that other names suffered, that also came to be considered as powerhouses in cable news stations such as Fox News Channel, MSNBC and ESPNews. Among those who would later come to undertake centralized cable news services were Fox Business Network and Bloomberg Television, which focused predominantly on finance, ESPN, which focused on sports, and The Weather Channel, which does weather news. Today, hardly can anyone talk of cable news without mentioning Al Jazeera America. If the history of the development of cable news is anything to go by, one would say that there remains a bright and competitive future for the industry with more faces to surface with time (Ness, 2006). The Concept of Cable War According to media professor Lance Strate, the issue of cable war between Fox News and MSNBC is more of an ideological war rather than a chaotic media war (Schudson, 2002). What this means is that the two media platforms refuse to agree on the same lev el with it comes to most aspects of political and editorial contents. The height of the war or rivalry was however experienced in the build up to the 2012 General Elections between Democrat Barack Obama and Republican Mitt Romney. Between Fox News and MSNBC, Robbins (2012) sees what was a deliberate attempt to take opposing and biased stands that seemed to favor one political divide against the other. The same

Application for Family Nurse Practioner at UAB Essay

Application for Family Nurse Practioner at UAB - Essay Example The paper tells that it is the researcher’s optimum choice as the college guarantees him highly effective classes online whereby the author can continue his present job while continuing with contact classes. The conditions at my home were not favorable to me to choose a full-time course in the nursing degree with a huge responsibility to provide constant medical and emotional attention to the researcher’s ailing father. It was during those days the author got a clinical assistant’s position in a nursing home on the basis of the researcher’s life science intermediate course and the experience the author had from nursing the researcher’s people at home. The researcher learned that the UAB is fabulous as a center for nursing studies and a perfect platform for his career development through campus selections by different employers. The researcher knows, pursuing graduation in family practice nursing is a big task ahead, and he should be aware of employm ent opportunities thereafter. The researcher has read in several journals and books that the trend of clinical nursing is diverted on many occasions to specifically designed nursing homes which are usually attached to a major hospital. As Choby points out, the professional approach in handling the requirements of patients and their home care becomes an organized labor similar to large hospitals; and as a general tendency, many hospitals offer residential facility for patients unable to remain at home due to severe symptoms or choice of the patient. In the circumstances where hospitals facilitate residence for inpatients, the job of the nurse expands from clinical care to various aspects of patients’ health at home. After the bachelor’s program, the author is really enthusiastic about pursuing the Master’s in palliative care in the family practice nursing in this University.

Nike Essay Example | Topics and Well Written Essays - 250 words - 2

Nike - Essay Example The question whether Nike should have continued supporting Armstrong after the doping scandal is simple – no. Companies support sports personalities not only because of their achievements, but also because of what they stand for and symbolize – strong spirit, unbreakable will, lots of sacrifices and long hours of training for which they haven’t been paid for. The moment you stop being a symbol of good will and values, you stop being valued yourself. Armstrong deceived his fans, sponsors and everyone that supported him. So in my opinion it is understandable that if you are caught misrepresenting the very core morals and principles you were supposed to guard, you will stop representing the company that stood behind you. Corporations are not only guided by their profits and annual returns – but they also have public responsibilities. Companies want to make money contracting famous faces to represent their brand. But world recognized businesses also give back to communities and social projects. Hence they can’t allow themselves to lose face before their stakeholders and undermine a brand that existed long before Armstrong and will continue to be on the market long after he is

Prenatal Development Essay Example for Free

Prenatal Development Essay Pregnancy occurs when an egg is fertilized by a sperm, and the egg grows inside a womans uterus also called a woman’s womb, and will develop into a baby. In humans, this process takes about 264 days, but the obstetrician will date from the last menstrual period or 280 days which is 40 weeks. There are a number of things that must fall into place in the right order to become pregnant and have a baby. The creation of a human being requires the right environment, the right timing, the right factors, and a great deal of luck. The term intra-uterine pregnancy is used to describe when a fertilized egg is implanted in the uterus and an embryo grows. The length of time of a pregnancy is divided into three sections called trimesters or stages, which is about three months each. Each trimester has particular events and developmental markers. The first trimester or builds the foundation of the different organ systems. The first trimester or stage is the germinal period or the zygotic period. It is the first two weeks of prenatal development. Near the end of the two weeks the single-celled a zygot, developes into a cluster of cells called the embryo. The second stage or trimester is called the embryonic period, which is week three through week eight. In the first month the embryo is usually 1/8th of an inch or . 275 cm long. I weighs about 3 grams. A yolk sac has already formed at this stage. Organs and major systems within the body of the embryo forms during this period. The embryo’s lifeline is the umbilical cord, which provide the embryo nourishment, oxygen, and water from the mother. The umbilical cord also carries away waste. The placenta is also developed, protecting the embryo, by keeping the mother’s blood from mingling with the developing embryo. It also protects the embryo by preventing harmful substances in the mother’s blood from reaching the embryo, such as teratogens. Teratogens are harmful substances that can cause birth defects. By three weeks the baby’s brain cells have started to form, creating a sheet of neural cells that curls and forms a neural tube lined with stem cells. At the top of the neural tube forms a bulge which later consists of the hind brain, mid brain, and fore brain. When the neural tube expands, it creates ventricals and the core of the brain. Ventricals that are filled with ceobraspinal fluid cushions the brain and also provides nutrients to the brain and spinal cord. In the second month, It is about an inch or 2. 5 cm long. It is 8. 7 grams heavy. The head, tail and the umbilical cord are formed and the sex glands are determined. The limbs, toes, fingers, the skeleton and bone cells have also been formed at this stage. A distinctively human appearance develops. Facial features, the main organ systems also take shape. By the end of the eighth week, the structures of the brain, heart, liver, limbs, ears, nose and eyes evolve. This is a most critical period of development. Harmful medications, drugs and alcohol may disturb the processes of development and cause defects or snags in the embryo. The fetal period or trimester is the third month to actual birth of the baby. At this stage the baby is called the fetus with distinctively human features. At the end of the third month the baby can move its arms, legs, mouth and head, although at this moment of time, the movements are uncoordinated and cannot be felt by the mother. The fetus is now one to three inches long and weighs roughly an ounce. The baby can also start using reflexive responses . During the fourth month the mother can feel quickening, which is the baby moving inside the uterus. At five months all brain cells of the baby for birth are developed. During this period the baby has sleep and wake cycles. In the sixth month the fetus’s brain activity is similar to that of a newborn baby. The final two months the fetus usually doubles in weight. The fetus will usually add on about three to four pounds of body fat. This additional body fat will help the newborn baby adjust to different temperatures outside the womb. The closer to birth, the fetus’s growth slows and the actions of the body systems become more regular. At about forty weeks or 280 days, the fetus is ready to emerge in the world. At birth a baby’s brain is only one forth the size of an adult’s brain. The brain will weight at birth less than a pound. After a baby is born the neurons grow in size and continue to develop. A newborn enters the world with a array of physical and sensory capabilities. In the beginning right at birth a baby’s behavior is mostly reflex moves that are to enable his survival in the new world. In conclusion, a baby is a very precious and wonder gift that some women are blessed with. It is very mportant for a new expectant mother to understand the stages of pregnancy. A new mother should research and read all that she can read to gain knowledge of what is going to happen in the months to come. The more knowledge a new mother has is very beneficial for her well being and also to interact with her physician about symptoms and problems if any arise.

Types Of Tenders And Tendering Process Construction Essay

Types Of Tenders And Tendering Process Construction Essay A tender can be said as an offer to do work or supply goods at a fixed price. Initiating step of a tendering process in which qualified contractors are invited to submit sealed bids for construction or for supply of specific and clearly defined goods or services during a specified timeframe. The tender process is designed to ensure that the work to be done for client/government is given out in a fair way. For example in Malaysia, there are a number of policies known as procurement policies which guide government of Malaysia on how to make decisions on which tender to accept. Although price is very important in the decision on which tender or bid to accept, it is not the only factor taken into account. Once client/government accepts a tender, it is binding on both parties. This means that the person or company that won the tender has to provide the goods or services in the manner agreed to and at the price offered, and client/government must pay the agreed price at the agreed time. In other words, once accepted, a tender is a binding contract. 2.2 Types of tendering When talk about tendering, it is involved some kind of complicated process and procedure. Before any tendering process can be done, professional team and employer must make sure all necessary tender documents have been prepared, checked and approved. The source of the funding also must have been identified and the project financing put in place. The procedures for subsequent stages should have been established with the express consent of the employer to ensure the tendering process will go smoothly. What types of tendering that employer want to choose is depends on nature of contract, complexity of the construction, expertise needed and several reasons. But usually for the government project all over the world, is tend to make open tender to ensure the procurement and works to be done in fairly manner without prejudice. As the researcher mention before, open tender is one of the types of tendering that commonly used in this world. Actually there are several types of tender including open tender, selective tender, negotiated tender, serial tender and term tendering. 2.2.1 Open tender Open tendering is the main tendering procedures employed by both the government and private sector. The client advertises the tender offer in the local newspaper giving detail and key information of the proposed works and inviting interested contractor to tender. In the legal sense such tender notices constitute invitation to treat, a mere request by the employer for suitable contractor to submit their bids or offers. If the pre-requisite to tendering on the form of possession of the necessary registration has been identified in the tender notice, then the advertisement is directed to only that particular class of the public having the said qualifications. In order to reduce number of enquiries, earnest money is deposited (for private project). Until the receipt of a bone fide tender selected then it will be returned. Although price is very important in the decision on which tender or bid to accept, it is not the only factor taken into account. Client does not bind to accept the lowest or any offer. The advantages and disadvantages of open tender are stated below: Advantages Disadvantages It allows any interested contractor to tender. Therefore it gives opportunity for an unknown contractor to compete for the work. The tender list can be long as too many contractors tendering for one job. Allowing the tender list to be made without bias. Client will obtain the bargain possible. No favouritism in selecting contractors. Uneconomic use of source. Ensuring good competition not obliged to accept any offers. Public accountability may be questioned if the lowest offer is not accepted. Traditional method of tendering, familiar to all sector of the engineering and construction industry. Does not attract reputable and established contractor unless they are forced to, due to lack of work. Selective tender Selective tendering is the one alternatives developed to address the limitations of the open tendering procedure. In this method, a short list of contractor is drawn up and they are invited to submit tenders. The purpose of the elective tendering are to improve the quality of the bids received, to ensure that contractors with the necessary experience and competence are given the opportunity to submit the necessary bids, due to urgency work involved, for specific reasons of the employer, eg security reasons in government projects. etc. and to make the tendering procedure more manageable and less a burden on the parties involved. Such list may be prepared through recommendation from the Clients professional adviser whom have knowledge of the Contractors undertaking the work in the past or advertisement through the newspaper (prequalification). The advantages and disadvantages of the selective tendering are stated below. Advantages Disadvantages Only the competent contactors were invited to tender, then the lowest can be accepted. Reduces the availability of work for other contractors especially new contractors. It reduced the cost of tendering (economic use of resources, reduced tender documentation, shorter tender periods, better management of the tender process, etc.) Tender Price may invariably higher than would have been in open tendering. Greater chance of collusion. Tendering period longer because it involved two distinct stages. Favoritisms may occur in the short listing. Two Stage Selective Tender Two stage selective tendering combined elements of competition and negotiation into a formula where the employer could utilize the contractors expertise at an early stage of the project cycle so as to maximize innovation, ingenuity and quality and simultaneously optimize cost, time and resource input. A contractor is selected competitively early in the design process. The tender documents contain approximately quantities of the major value items. As design and planning proceed, the final tender is developed from cost and priced data supplied with the initial tender. Two stage selective tendering was very popular in developed countries. It was different from selective tendering because has two (2) distinct stages namely: Selection of suitable contractor This involves the selection of a suitable contractor and the establishment of a level of pricing for subsequent negotiations. The objective is to select suitable contractor as early as possible is to work together with the professional team and to establish a level of pricing for subsequent negotiation. The criteria for short listing is normally confined to items such as technical and financial capability, experience in similar works and extent of resources (manpower, plant and equipment). The pricing document should be flexible enough to cater for adjustment of price fluctuation for the period between two stages and the pricing of the second stage. In selecting a suitable candidate, a basis for pricing the subsequent second stage should be established accordingly. Determination of Contract Price Once a suitable contractor is selected, he will work together with the project team start contributing to the pre contract process in his capacity as unbiased but independent construction expert. This contractor will contribute the following: Contribution as a Technical Advisor to the Design Process Practical Skills and Buildability Minimization of Project Delay During this stage, a negotiation to reach an agreement on the final contract price is undertaken and the pre contract process is perfected. If no agreement being reached, the employer has an option to abandon the tendering exercise and re-tender the works using any other tendering procedure. The application of two stage selective tendering might be appropriate where the works are a very complicated nature, where at the time of selection of the contractor, the magnitude of the work may not be known with sufficient certainty and where it is an essential pre-requisite for works to be finished by an early completion date. Table below are some advantages and disadvantage of two stages selective tendering. Advantages Disadvantages Benefit of the contractors expertise in buildability, specialist knowledge in proprietry systems, project scheduling, etc resulting in value for money. Its application requires a high level of familiarity and commitment on the part of employers and contractors. Early commencement of work at site even when the magnitude of the works is not known with sufficient certainty at the time of site possession. Owing to a relatively smaller element of competition, but on the other hand higher negotiations content, the tender process is relatively more expensive and longer than other common procedures. Savings of time due to the overlap of the design and tendering stage. Should the second stage be deadlocked or result in no acceptable agreement being reached, the tender process has to be initiated all over again, albeit, through a different route. This incurs a time and cost penalty to the project as a whole. The procedure utilizes the best aspects of both competition and negotiation to arrive at the most favourable arrangement at an optimum firm price before work commences. This procedures requires a high level of commitment, integrity and good faith on the part of both sides which sadly is usually lacking, hence the apparent failures encountered to date. Since the contractor is part of the project team at a very stage of the project, this results in better communication and information flow. Generally there will be fewer claims and disputes in the post contract award stage due to the contractors involvement at the design / pre contract stage. Experience has shows that the contractor has a clearer understanding of the requirements and a better appreciation of the intricacies of the design and contract documentations. Negotiation Tender Negotiation tendering is extensively used in the engineering and construction industry commencing from tendering till dispute resolutions, i.e. under the styles of pre-contract negotiations and post contract negotiations. Usually with single contractor but may be up to three contractors. Negotiation process involves are as follows: Identification by the employer of a suitable contractor to negotiate with. The contractor can be selected either from the employers own list of preferences or on the advice of the professional team. The contractor being apprised of the workscope. The selected contractor is issued with details such as the scope of work involved, relevant drawings, design and /or information to enable him to appreciate the extents of obligations and the employers actual needs. Some employers prepare and issue to the contractor proper tender documents inclusive of a nominated bills of quantities to assist contractor in pricing the works for the forthcoming negotiations. Negotiations can be applied to the following type of contract: In Partnering type of contracts under the so called win-win formula. Where the employer has a long term business relationship with the contractor. In situations where the parties are in a relationships of holding and subsidiary companies. Where the contractor is involved in the financing of the project. In situations where the employer finds it advantages to employ the same contractor to continue an initial or existing contract for the new works Where there is a pressing need to have a very early start of work on the site and to complete the works on a fast tract basis. In special circumstances e.g. Security reasons, emergencies etc where it is expedient to secure the services of a particular contractor only. Where there is only a single contractor who is the only one available or with ether the special skill or resources to carry out the particular works. The employers resources are either limited or constrained thereby making the use of the other tendering impractical. Advantages Disadvantages Only reputable contractor are invited for negotiation. The cost work is likely higher than competitive tender. The Contractor can contribute his expertise during design stage. Reduces the availability of work for other contractors. Early Commencement of work on site. It shortens the period involved in appointing the contractor. Should the negotiations be deadlock or prove eventually unsuccessful, this causes wastage of valuable resources on both sides and loss of time for the employer, thereby delaying the overall selection of suitable contractor. Reduce risk of failure Best alternatives for the employer to adopt is special circumstances such as emergencies, security reasons and etc. Experience has shows that contracts let out this basis result in fewer disputes and claims during the construction stage. Term Tender Term tendering normally used on major maintenance projects. It may be awarded to a contractor to cover a range of different buildings in different locations. It is often limited to a fixed time scale, although the needs of the client may often require this to be extended. It is like a standing offer to undertake a loosely defined extends of work usually within a fixed time period. The type of work is usually specified and priced in a schedule of rates. The contractor will initially be offered the work to cover a number of different trades usually on the basis of prices contained in a schedule prepared by the client.Where the client supplies the rates for the work, the contractors are given the option of quoting a percentage addition or deduction from these rates depending upon their desire to win the project. The contractor offering the most advantageous percentage to the client will then be awarded the contract. An indication of the amount of work expected over the specified period of time will assist the contractors in the consideration of the percentage to be quoted. 2.3 Conventional Tendering Process As the researcher mentioned before, this chapter will focus on conventional tender while the next chapter will focus on electronic tendering. Therefore readers will see clearly background on conventional tendering and electronic tendering. Conventional tendering process will involve pre-tender stage, tender advertisement stage, closing of tender, tender opening process, tender evaluation process and finally tender award. 2.3.1 Pre-tender Stage At pre-tender stage, when the clients have an idea, client will appoint consultant to discuss further about the project. Consultant will do their job, advising, managing the tender and contract, and also transfer the idea into the drawing. At this stage client and consultants will brainstorming about the scope, time to complete and budget that client willing to allocate. Researcher believes that pre-tender stage is most crucial matter because it will initiate the next step of a project. If the pre-tender stage is failed, the project will not successfully complete. 2.3.2 Tender Advertisement Tender advertisement also called tender notice. The conventional tender notice will advertise in local newspaper. In tender notice, basic requirement should be appearing are: Title of the project. Class of contractor, head and subhead needed. Location, date, and time to obtain the tender document. Fees for tender document. Location, date and time for submission of tender doc. 2.3.3 Closing of Tender In tender notice will mention the time and date of tender closing process. If the contractors fail to submit their bids within specific time and date, it considers the contractors refuse to bid for the tender. At that time also tender validity period is started. At this period, contractors can withdraw back their bids if they are no more interested to fight for the tender. Consultant use this period to make assessment and evaluation each of the offers. 2.3.4 Tender Opening and Evaluation Process Quantity surveyors usually will handle tender opening process. In order to preserve the integrity of the competitive process, it is imperative that the evaluation of proposals is undertaken objectively, consistently and without bias towards particular suppliers.   Tenders are usually evaluated against a pre-determined set of criteria. The evaluation of the tenders shall be prepared the soonest possible after the tender opening. A report prepared by the Quantity Surveyor will describe the findings of the said evaluation and it will be supported by tables and graphs. In the end, the Quantity Surveyor will recommend which tenderer, who in his opinion, is the most suitable to undertake to execute the project. 2.3.5 Tender Award An evaluation team will examine each tender received and make recommendations as to which tender represents best value for money.   Once the contract has been awarded, both the successful and unsuccessful tenderers will be notified. Once the final decision has been made on the tender award, the tender administrator creates the tender results notification which is in letter form, and then sent to all participating contractors.

Globalization And Its Challenges Marketing Essay

Globalization And Its Challenges Marketing Essay Introduction Globalization is a process of integration and interaction among the people, organizations, and governments of different countries. It is also a process driven by international trade and investment and aided by information technology (Smith Doyle, 2002). This process has significant impact on political systems, on economic development, on culture, on the environment, and on human rights around the world (Smith Doyle, 2002). Globalization is a tool that could help you nurture your business foreign countries (Tapper, 2000). When a company decides to go global, it will often experience an increase in profitability. Nevertheless, not every business will benefit from globalization. Some organizations may experience a healthy growth in global market, but some would have to overcome many challenges before establishing a successful business in a foreign country (Zboch, 2009). Wages, child labor laws and outsourcings effect on sale are salient issues for doing business overseas. Nike is the worldwide global corporation that has its manufacturing factories on contract basis around the world. Although Nike is the global leader in the athletic footwear industry, it has had a great deal of bad publicity due to its labor practice. The scandals involved child labor, slave wages, excessive working hours, forced overtime, and hazardous working conditions. Bad publicity related to Nikes labor practice had ruined its reputation and brand image. Some criticized that Nike did not enforced its code of conduct with the correct procedures. After receiving many complaints of its unethical practice, Phil Knight, the CEO of Nike realized the seriousness of the matter. He visited Nikes contract factories and delivered a variety of speeches regarding his upcoming actions to improve the human right situation (Hobbs, 1998). However, many people doubt his sincerity, and fear that he could not deliver on his promises of providing a healthy environment for workers. Even up until now, Nike still struggling to recover from its negative image as a human rights violator. Would Nike be able to solve this problem in future? Has Nike improved the labor conditions in Asia?    The purpose of this paper is provide an understanding of the various difficulties and complexities companies faces in todays global world. This paper will describe the accusations brought against Nike labor practices and all of the corrections that Nike formulated to produce a healthy and safe working environment effectively. This paper will also provide some recommendations for Nike to improve their performance in future. I. Globalization and Environmental Forces Globalization is commonly understood as the spread of influence of culture, religion language, communication, technology, trade, media, and transportation. That spread of has involved the intertwining of economic and non-economic activity across the borders (Smith Doyle, 2002). Today, many companies move their business operations to foreign countries by going global (for instance, Apple, Coca-Cola and Dell) and they have different reasons for doing business internationally. These reasons include: expand to new markets, diversify business, and increase market shares and brand value. Other reactive or defensive reasons for globalization including trade barriers, customer demands, globalization of competitors, and regulations and restrictions (Okolo, 2008).Reduction of cost is the major reason for companies going to global. Today, production cost has been increasing tremendously in developed countries. Many companies have outsourced its entire production operation to developing countri es or third world, like China, Cambodia, Brazil, India, Vietnam and Indonesia. They believe that production or service offshoring will eventually lower their production, labor and utility costs. However, doing business overseas has its benefits as well as its challenges. Companies may face legal, ethical, and cultural challenges in global business. Since every country appears to have its own law and regulation, companies must understand the standard pay or minimum wage requirement to avoid all conflict of interest. Ethical issues in globalization are those related to environmental protection, and concerning relation between different countries (e.g. industry espionage and hostile take over). When companies operate internationally, most of them are facing great challenges in cultural differences. Cross-cultural issues may arise when people within companies have different culture, language, religion and belief begin working together are not skilled or adept enough to deal with effectively. II. The Athletic Footwear Industry Recent economic crisis has affected the athletic footwear industry. The athletic footwear sales posted a 1.4 percent decline in 2009, and in 2008, sales were down 3.2 percent. (See Appendix A).  Footwear is considered less cyclical than apparel when consumer spending is under pressure. Analysts are expecting the footwear market will continue to grow over the next few years (PRlog press release, 2009). The retailer market of sporting goods is very competitive and highly fragmented. Intense competition will easily drive weak companies out of the market. Thus, many retailers reducing their presence in underperforming markets or restricting store growth in saturated markets. The costs of production have been rising in the U.S since 1990. The rapid rise in production costs has resulted in many U.S companies move theirs manufacturing works to Asia. Countries like Vietnam, Indonesia, and China has become a major outsourcing destination for the U.S. apparel and footwear manufacturers (Locke Siteman, 2001). Nike and Adidas have dominated the global branded athletic footwear markets. Market leader Nike has a significant lead over Adidas in footwear market for the last few years while other competitors like Reebok and New Balance is still lagging behind in the sales. (Locke Siteman, 2001) III. The Globalization of Nike Nike was founded in 1964 by Phil Knight and Bill Bowerman. The company initially was an importer and distributor for Japanese specialty running shoes. The companys profits grew quickly and it opened its first retail shop in California in 1966. While other footwear companies still manufacturing their own shoes in high-cost countries, Knight decided to outsource its shoe production to lower-cost Japanese producers during the 1970s. By the early 1980s, as costs continued to increase in the U.S, Nike closed all its U.S and Japan factories, and it outsourced its production to Korea and Taiwan. When these countries began to develop and the wages increased significantly, Nike urged its suppliers to shift their production to even lower-cost countries like Indonesia, China and Vietnam. The company found that these countries have no protective labor laws and labor union at that time. Moreover, these countries provided huge supplies of cheap labor. By 1992, Nike sourced almost all of its shoe p roduction from Asia. The company has placed its employees at its outsourced factories to help monitor production processes and product quality (Locke Siteman, 2001). Today, Nike has successfully established an intensive network of footwear factories throughout China and Southeast Asia. Nikes operations are divided into three product lines: footwear, apparel and equipment. Their products are manufactured by nearly 600 supplier factories, employing over 800,000 workers in 46 countries around the world (Nike, Inc., 2010). In addition, Nikes sales have grown over 50% since 2005 to and reaching US$19 billion in 2009. (See Appendix B). Footwear is Nikes largest product category, 30% of shoes are sourced from China and Vietnam, 22% from Indonesia, and 6% from Thailand. Nike has manufacturing agreements with independent factories in India and Latin America like Brazil, Mexico and Argentina to produce footwear for sale primarily within those countries (Nike, Inc., 2010). Nike contracted 618 factories to manufacture its products in 2009, only 71 out of its suppliers are producing footwear. Most of these suppliers are located in North Asia. (See Appendix C). In contrast, Nike apparel products are made in 391 factories and the majority of these factories are distributed in Southeast Asia. These differences are due to both to the rules governing international trade in the industries (Locke Siteman, 2001, pg7). In the mid-late 1980s, footwear quotas were eliminated whereas trade in garments is still control by the Multi-fiber Agreement (Locke Siteman, 2001). Nike has also developed and markets footwear and apparel products under the Converse, Umbro Inc., Hurley International, and Cole Haan brand names. The company sells its products through its own retail in over 180 countries worldwide as well as through internet sites (Nike, Inc., 2010). Today, Nike has become the world leader in the design, distribution and marketing of the athletic footwear (Locke Siteman, 2001). The swoosh logo has become one of the most recognized in the world. IV. Nikes Unethical Labor Practices Are you willingly to work more than 70 hours every week, or send your young children to work in a factory? Many of us will not do that, but for many people who want to eat, the obvious answer is Yes.. That is a reality Nike faced when it first started outsourcing the production of sports apparel and shoes to external companies in the third world. There are many controversies over its labor practices in Asia. In the 1980s, Nike was accused of exploiting cheap labor and exposing them to destructive working environments. The company had also faced criticism for use of children to make its sport gears in Pakistan factories. As a result, Nike was labeled as forcing children to slave away in hazardous conditions for below-subsistence wages (Hill, 2009, pg2). In what follow, the paper will provide an overview of the various abuses of which Nike and its suppliers had been criticized in the past decade as well as the problems that the company has confronted. Child Labor in Pakistan Child labor is spread all over Pakistan. Sialkot, a city in Pakistan, is also a centre for the production of export-oriented goods, particularly sporting goods (Locke Siteman, 2001). About 70% of the worlds soccer balls are made in Sialkot and companies like Nike, Addidas, Reebok and Mitre imports soccer balls from this city. In 1990s, Nike contracted for its soccer ball production with SAGA Sports. Both companies benefited with the access to child labor in Pakistan (Haider, 2007). In 1996, Life magazine published an article about child labor that occurring in Pakistan, which included a photo of a young boy sewing a Nike soccer ball. (See Appendix D). This article drew the public attention to all human rights and fundamental freedom. Various activists groups, trade unions and NGOs called for boycotts Nike soccer balls because of using child labor. The Atlanta Agreement has signed by The Sialkot chamber of Commerce with the ILO, UNICEF and several leading sports goods associations to implement a program to stop using child labor in Pakistan (Locke Siteman, 2001). However, the government carries lack of willingness to do anything. Consequently, the same problem still exists in the country and Nike is still importing its soccer balls in million quantities from Pakistan. Slave Labor in Asia More than 80% of Nikes supplier factories are located in Asia. The Asian governments prohibited workers from forming independent unions and set the minimum wage at rock bottom. Labor activists criticized that the workers in Nike factories were being paid below the minimum daily wage. For example, Nikes suppliers paid workers in Indonesia less than US$3 a day (Medea, 1998), and the wage did not meet the basic needs of one individual. In 2006, the Worker Rights Consortium calculated that a livable wage in Indonesia is about US$8 per day (Bose, 2008). Global Exchange, an international human rights organization published a report on working conditions in four Nikes supplier factories in Southern China. The report found that children aged 12 to 13 years old who worked in one of the supplier factories (owned by a Korean company) earned only 10 cents per hour. These children were forced to work up to 17 hours daily and were not allow talking during work. Supplier paid Chinese workers US$1.80 a day that was lower than the Chinese minimum wage of $1.93 for an eight-hour day. The report stated that Nike labor practices had violated Chinese labor law but Nike denied the accusation and claimed that the report incorrectly stated the wages of workers (Locke Siteman, 2001). In Thailand and Vietnam, workers earned even lesser (less than US$1.5 a day) compared to the workers in Indonesia and China. According to Vietnam Labor Watch, a livable wage in Vietnam is about US$3 a day whereas the minimum wage in Thailand is US$4.50 a day (Medea, 1998). Health and Safety Problems in Vietnam IN 1994, the Ernst and Young conducted audits on Nikes contract factories in Vietnam. According to its report, Vietnamese workers at the Tae Kwang Vina factory were often exposed to chemical, 77% of them had serious health and safety problems. Workers with breathing or skin problem had not been transferred to departments free of chemicals and most workers who dealt with dangerous chemicals were not provided personal protective equipment such as masks or gloves (Zboch, 2009). This report revealed that workers were exposed to toluene (a chemical solvent can cause permanent damage to brain, nausea, and skin irritations). Toluene concentration had exceeded 177 times acceptable standards in parts of the factory. This report had tarnished Nikes image since the report came from Ernst and Young, an auditing firms hired by Nike to assess its suppliers factories. In addition, Nike commissioned former Ambassador to the United Nation Andrew Young to assess working conditions in its contract fact ories. In Youngs report, there is no mention of serious health and safety issues in the Tae Kwang Vina factory. This reports had casts doubt on Nikes honesty and commitment to labor and environment standards (Locke Siteman, 2001). Although Indonesia, China, and Vietnam have minimum wage laws on the books, the government of these countries was still allowing Nike to pay wages well below the minimum rate. Nike further circumvented wage laws by paying new employees an apprentice rate for several months into an employees tenure (Turner, 2008). In 1997, more than 10,000 Indonesian and 1,300 Vietnamese Nikes contract factories workers went on strike to protest low and unpaid wage. In 2000, 3,000 Chinese workers from Nikes contract factories protested dangerous working conditions and low wages. All of these protests took place in spite of the fact that these sorts of worker strikes are illegal in these countries (Turner, 2008). In addition to labor protests issues, numerous critics of Nikes practices had created a major public relation problem for the company. (See Appendix E traces the number of negative articles about Nikes practices.) The company has become a target for the anti-globalization and anti-sweatshop mo vements. The Anti-Nike campaign that organized by consumers and human rights groups has raised the awareness about sweatshop labor in third world countries. V. Nikes Response At the beginning, Nike denied all the violations of labor rights and they blamed their suppliers or the host government for its failures of enforcement. The company claimed that workers rights were respected despite the fact that Nike had failed to pay its workers with fair wages as well as to provide a safe working environment. In addition, Nike reluctantly to take responsibility for the labor, health and environmental problems found in its supplier factories. Nike claimed the company does not own these factories; therefore, it has no responsibility towards the workers (Avery, 1999).    In response to the ongoing criticism, Nike formulated its code of conduct for its suppliers. Every supplier must agree to abide this code in order to get a contract. (See Appendix F for the latest version of this code). The Code of Conduct in theory condemns and prohibits child labor, requires that workers be paid fair wage, imposes caps on the days and hours that a worker can be forced to work, prohibits mistreatment or discrimination of workers in any form, and states that factories must implement programs that benefit workers health and safety, and recognizes and respects the workers right to freedom of association (Avery, 1999). In addition, Nike has trained its internal monitoring team to ensure all suppliers comply with its code of conduct. The company has also hired auditing firms to assess and monitor its suppliers regularly. Recommendations The majority challenges Nike has to overcome involved ethical and cultural issues. Even up until now, Nike is still facing allegations and criticism from labor groups and human right about its overseas labor practices. In response to these criticisms, Nike should work closely with its suppliers to improve working conditions and create safe and healthy environments for its workers. Workers should be provided some type of health insurance or protective wear. Nike can offer strong incentive to its suppliers, to ensure they adopt companys code of conduct. Lack of worker awareness of basic code of conduct provisions is a major challenge for the company. Hence, Nike should provide human rights training to workers, to raise their awareness of their rights. Communication problem arose in Nikes overseas factories due to language barrier and little knowledge on cultural. In Vietnam, all factories are owned by Korean and Taiwanese suppliers, thus they may not understand local language and culture. To overcome communication challenges in workplace, Nike should encourage its suppliers to recruit local manager or people in multiple language ability. Furthermore, training program should be provided regularly to both management and workers in order to improve communication between workers and management. The recent suicides of Foxconn workers in China are raising concern about ethical issues in supplier factories. (Foxconn is a key supplier to big tech companies.) In June 2010, a dozen of Chinese workers went on strike over wage violation. The Chinese government has increased the minimum wage due to the strike in many provinces (Kang, 2010). In future, China may not be the most attractive low-cost countries for foreign companies as more and more Chinese workers urge their employer to increase wages. This in turn, may cause a rise in manufacturing wages in China and that would substantially increase Nikes costs of production as most of its products are made in China. Nike can urge its suppliers to relocate their operations to other low cost countries in Latin America without compromising product quality. Nike assures the public that its suppliers pay the countrys minimum wage; however, in many countries minimum wage does not equate a living wage. The Indonesian government has admitted that the minimum wage only covered 70% of the basic needs of one person (Locke Siteman, 2001). Some countries like Vietnam and Indonesia arbitrarily set minimum wage low to lure foreign investments. Being an ethical employer, Nike must ensure every worker is being fairly paid. In addition to providing livable wages, the company should take the long-term cost of image damage into account rather than pursuing low cost strategy. After all, brand name is their greatest asset and Nike should take immediate action to clean up its mess instead of blaming the host governments or its suppliers. The development of a strict monitoring system in its factories overseas is still a challenge for Nike. Nikes factories are controlled by absentee owners, so the company should continue to hire independent firms to do the regular monitoring of the factories. Conclusion Today, more and more companies expand their business by going global. Globalization has brought a culture of free labor. Nikes linger sweatshop stigma is a case in point. The companys worldwide image was tarnished after a wave of public criticism for its labor practices. Many human rights groups felt that Nike was using slave labor as a tool to lower their production costs, and the workers were not receiving proper wages. Moreover, Nike had also been accused of using child labor in its factories and had failed to provide a safe working environment for its workers. In response to these criticisms, Nike formulated its code of conduct that required its suppliers to observe some basic labor and environment standards. The company also expands its internal and external monitoring to keep up with factory base. In summary, most companies may face legal, cultural, and ethical challenges when doing business overseas. These environmental forces are perceived as uncontrollable and could pose cha llenges for your company if they have not been well handed. The case of Nike demonstrated how difficult it could be for company to survive in global business market because of the different culture, laws and regulations of the host country. Therefore, increasing globalization of business is requiring managers to have global perspective and an understanding of the environment forces of the markets in which they operates (Dr C, 2005).

The Davids of the World :: essays papers

The David's of the World Sometime soon after the year 1430, a bronze statue of David stood in the courtyard of the house of the Medici. The work was commissioned of Donatello by Cosimo d'Medici himself, the founding father of the Republic of Florence. It was the first free-standing, life sized nude since classical victorious athletes of Greece and Rome. But soft, and some how oddly unheroic. And the incongruity of the heads: of hair and shaded by a laurel-crowned peasant's hat; Goliath's tragic, contorted expression, made sharper by the pentagonal helmet and coarse, disheveled beard. Innocence and evil. The weak triumphing over the strong. The city of Florence triumphing over the aggressive dukes of Milan? "David" as a civic-public monument. In the year 1469, Ser Piero from the Tuscan town of Vinci moved to Florence to become a notary. He rented a house on the Piazza San Firenze, not far from the Palazzo Vecchio. His son, who was a mere 17 years old upon their arrival, began and apprenticeship in the Florentine studio of the well known artist, Andrea Verrocchio. At this time, Veracchio was at work on a bronze sculpture of the young David. Might the head of this fine piece be a portrait of the young Leonardo da Vinci? For many years a block of marble lay untouched, tossed aside as unusable, irretrievable evidence of a botched attempt to carve a human form. It was eighteen feet high. A young sculptor, 26 years old, riding high after the enormous success of his figure of the Virgin Mary holding the dead Christ, decided to ask for the piece. The wardens of the city in charge of such things let the artist have it. What did they have to lose? Getting anything out of it was better than nothing. So this young sculptor named Michelangelo measured and calculated. He mad a wax model of David with a sling in his hand. And he worked on his David continuously for some three years, until, a man named Vasari tells us, he brought it to perfect completion. Without letting anyone see it. A century later, a young sculptor, 25 years old, stares into a mirror at his steeled jaw and determined brow. A contemporary source tells us that on this day, perhaps, the mirror is being held by Cardinal Maffeo Berberini while Bernini transfers what he sees in himself to the face of his David.

Public Health Professionals Essay -- Health, Health Services

Identify and describe three reasons why there may be a physician shortage rather than a surplus in the U.S. William & Torrens (2010) provided a table to show the first time since 1965, between 2000 and 2005, there was a slight decrease in the ratio of physicians per 100,000 civilian populations. The three reasons why there is a physician shortage rather than a surplus in the United States is caused first of all by more restrictive elements that have been blunted due to widespread physician and patient dissatisfaction, particularly with limits of choice (Williams & Torrens, page 270). The move away from more efficient forms of organized medical practice commonly means that more physicians will be necessary to deliver the same level of care (Mick, 2004). Physicians and patients seem to prefer choice to efficiency, which will add pressure for more physicians and is the first of several possible factors fueling fears of a new shortage (Williams & Torrens, page 270). The second reason for the physician shortage in the United States is was a larger percentage of women in medical school. Wome n still do a majority of the tasks surrounding the raising of children and maintaining a home, leaving less time available for practice (Williams & Torrens, page 270). This demographic shift with the workforce may produce more pressure for more than fewer physicians (Williams & Torrens, page 270). Third, physician preferences now favor a more â€Å"controllable lifestyle† (Williams & Torrens, page 270). Young physicians today seek career opportunities with weekends off limiting the hours worked per week. These preferences over time will reduce the availability for patient care (Dorsey, Jarjorua, & Rutecki. 2003). Identify and describe three f... ...ion, the emergence of the hospital and hospital systems and their associated ambulatory clinics as the central institution of the health care system, and the large array of post hospitalization treatment venues that include nursing homes, rehabilitation facilitates, hospices, and home health organizations (Williams & Torrens, page 268). Secondly, technological innovation has also lead to increased specialization of health care personnel, primarily during the last 40 year (Williams& Torrens, page 268). This specialization opened the door to several new health care professions. The last role reviewed was health care workers that have gained the largest share of the overall number of allied health positions. They compose of a mere 1 to 2 percent in 1920, but in 2000 they made up over 54 percent (Williams & Torrens, page 268).