Friday, October 25, 2019
Identity in a Color-Conscious Society in Invisible Man Essay -- Invisi
Identity in a Color-Conscious Society in Invisible Man                                              Critics generally agree that Ralph Ellison's award winning novel, Invisible Man, is a work of genius, broad in its appeal and universal in its meaning. Its various themes have been stated as: "the geography of hell . . . the real brotherhood of man" (Morris 5), the emergence of Negro personality from the "fixed boundaries of southern life" (Bone 46), and "the search for human and national identity" (Major 17). Rich in symbolism and cleverly interwoven, Invisible Man's linear plot structure, told from the first-person, limited point of view, and framed by the Everyman protagonist from his subterranean home, follows the narrator in his search for identity in a color-conscious society whose constricting social and cultural bigotry produces an accelerated pattern of violence and oppression which attempts to efface the narrator of his individuality, thus assigning him an "invisible" non-identity within America. The underlying force in Invisible Man is the atmosphere of America that begins in the early 1900's of the segregated deep south, and ends in the North's predominately black neighborhood of Harlem during the 1930's.  As critic Marcus Klein states, "Everything in the novel has clarified this point: that the bizarre accident that has led [the Invisible Man] to take up residence in an abandoned coal cellar is no accident at all, that the underworld is his inevitable home, that given the social facts of America, both invisibility and what he calls his 'hibernation' are his permanent condition" (109). Ellison's protagonist, the effaced narrator, is a young African-American male from the segregated deep south, who b... ...iction: New Studies in the Afro-American Novel since 1945.  Ed. A. Robert Lee. London: Vision Press, 1980. 54-73. Klein, Marcus. "Ralph Ellison." After Alienation: American Novels in Mid-Century. Cleveland: World Pub., 1964. 71-146. Langman, F.H. "Reconsidering Invisible Man." The Critical Review. 18 (1976) 114-27. Lieber, Todd M. "Ralph Ellison and the Metaphor of Invisibility in Black Literary Tradition." American Quarterly. Mar. 1972: 86-100. Major, Clarence. American Poetry Review. Nov/Dec. (1973) 17. Margolies, Edward. "History as Blues: Ralph Ellison's Invisible Man" Native Sons: A Critical Study of Twentieth-Century Negro American Authors. Philadelphia: J.B. Lippincott Co., 1968. 127-48.                                       Morris, Wright. "The World Below." The New York Times Book Review 13 Apr.1952: 5. Â
Thursday, October 24, 2019
A sepatate peace
Life passes at a glance what once was the center of your world given time will shrink away till it is barely recognizable to you. So enjoy every moment savor every experience. †. He go away with everything because of the extraordinary kind of person he was. It was quite a compliment to me, as a matter of fact, to have such a person choose me for his best friend†¦ †Chap 2, peg 21 know, if Gene doesn't watch himself he'll become such a person. †¦Between the buildings, elms curved so high that you ceased to remember their height until you looked above the familiar trunks and the lowest umbrellas of leaves and took in the lofty complex they held high above, branches and branches of branches, a world of branches with an†¦ Please note! This is not an example of text written by our writers! Cassiopeia. Com is a database of essays that were collected at open web resources. You can use them at you own risk following the citation rules below.But we recommend you to order a custom plagiarism-free essay written Just for you from one of our writers. Place an order, add your paper details and enjoy the results! You can keep in touch with your writer, check the draft of your paper and send your order for revision for free. If you are hesitating to place an order – Just ask for a quote!
Wednesday, October 23, 2019
Evolution of health care information system Essay
In this paper, we will compare and contrast Skilled Nursing Facilities from 20 years ago to today. Skilled Nursing facilities of today are both similar and different from what they were like two decades ago. Similarities comprise of the organizational structure, including different departments, and the various roles within those departments. The roles of nurses, doctors, administrators, and therapists have not changed much in the last 20 years, and it is still the same hierarchical approach where a top down approach to administration and management is used . The differences outweigh the similarities as many changes have taken place over the years. Most of the changes have been as a result of the advances in information technology in health care. Some of the differences include utilization of information systems such as e-mail for communication, documentation using electronic medical records (EMR), and utilization of advanced medical equipment. Two significant advances in health care information system over the last two decades has been the use of EMR and the advances in medical devices. These two advances have changed how care is being delivered in health care in general and more specifically, in skilled nursing facilities. Two decades ago, majority of documentation was done by hand, often resulting in disjointed, redundant documentation without the ability to extrapolate meaningful data for analytical and benchmarking purposes. By contrast with the current EMR documentation, there is very little duplication of documentation, and internal and external benchmarking is available for quality improvement purposes. Today’s skilled nursing facility is dependent upon computer and information systems to run practically every aspect of the organization. Billing systems, pyxis systems for medication dispensing, minimum data set documentation and transmission to The Centers for Medicare and Medicare Systems are just some examples of the use of computer technology used in nursing facilities of today. Skilled Nursing Facilities using outdated technology, hand- written documentation, and outdated medical equipment will have to adapt to and invest in technology and equipment if they want to stay competitive with the market. Information System in Skilled Nursing Facility of Today The skilled nursing facility that I currently work at is a long-term care facility founded in 2001 and is affiliated with a local nonprofit hospital. This 150-bed state-of-the-art facility has 40 sub-acute beds, 30 dementia beds, and the remainder, are long-term beds. The sub-acute unit has all private rooms. All beds are Medicare and Medicaid certified. This modern facility has electronic medical records and uses internal and external benchmarking data to track and trend data. They use this data to improve clinical and financial outcomes and as a result of this, have been able to improve their financial viability and have a five-star rating on the CMS Nursing Home Compare website. The physicians and nurses can access lab results, and x-ray results online via a secure connection. The admissions department can cost out patients medications and the rehabilitation department, in collaboration with the MDS coordinators can determine reimbursement based on patient needs, prior to the patient being admitted. Data is stored in a data warehouse (server) where it can be mined by authorized personnel only. The advanced medical equipment use has resulted in high level of job satisfaction and resulted in staff retention. Analysis of Data Used: 20 Years Ago to Now Twenty years ago, skilled nursing facilities did not have the ability to collect and analyze data. The need to collect data was there, and some manual data collection was done, but it was impossible to collect significant clinical and financial data and use it for analytical purposes. Fast forward 20years to the present and we now have the ability to have access to significant data that can be used to improve systems and processes for better outcomes. Of significance has been the minimum data set in nursing homes. The Minimum Data Set (MDS) is part of the federally mandated process for clinical assessment of all residents in Medicare and Medicaid certified nursing homes. This process provides a comprehensive assessment of each resident’s functional capabilities and helps nursing home staff identify health problems. Care Area Assessments (CAAs) are part of this process, and provide the foundation upon which a resident’s individual care plan is formulated. MDS assessments are completed for all residents in certified nursing homes, regardless of source of payment for the individual resident. MDS assessments are required for residents on admission to the nursing facility, periodically, and on discharge. All assessments are completed within specific guidelines and time frames. MDS information is transmitted electronically by nursing homes to the national MDS database at CMS. National and regional benchmarking is available through reports and government rates nursing homes based on these benchmarks. Examples of available benchmarking are percentage of restraints used, facility-acquired wounds, infection rates, falls, and decline in activities of daily living. Two Major Technological Advances influencing Health Care Information System (HCIS) Health care information systems are a prerequisite for coordinated, integrated, and evidence-informed health care. Introduction and use of EMR has changed how health care is delivered across the spectrum and will continue to change. It has allowed us to collect clinical data and use it to use evidence-based best practices. It has given the ability to decrease redundancy in documentation and increase patient safety by flagging medications that may be contraindicated if given in combination with another medication. Another major technological advance has been in the area of medical devices and equipment. Advanced medical devices used for diagnosis has helped detect diseases more rapidly and as a result, saved lives. The use of telemedicine is for patients who wish to remain in their homes versus a nursing home have been significant. Nurses can check patients’ vital signs frequently and collaborate with the physician to monitor patients and change treatment as needed before patient becomes acutely ill. This has lessened the need for the patients to be re-hospitalized, hence, better outcome for the patient as well as lesser financial impact. Formally defined, telemedicine is the use of medical information exchanged from one site to another via electronic communications to improve a patient’s clinical health status. Telemedicine includes a growing variety of applications and services using two-way video, e-mail, smart phones, wireless tools, and other forms of telecommunications technology. Conclusion There are some similarities and vast differences between the operations of a long-term care facility of today versus one from 20 years ago, specifically as it relates to information systems and how data was used than in comparison with the way it is used today. Today, every process, and system in a long-term care facility is dependent upon information technology to function. Financial and clinical outcomes are measured and compared with other organizations, both, nationally, and regionally to gauge and improve processes. One major technological advance has been in the area of use of EMR and access to patient information, such as lab results being readily available, enabling providers with quick decision-making ability. Another major technological advance has been in advanced medical equipment and telemedicine, allowing exchange of information for improved patient health status. Future advancement in information technology will change the way health care is delivered and facilities that embrace this change and use it to their advantage will come out ahead. References www. americantelemed. org/learn www. cms. gov www. lse. ac. uk
Tuesday, October 22, 2019
9 preguntas a turistas en control migratorio de EE.UU.
9 preguntas a turistas en control migratorio de EE.UU. Turistas y personas de negocios que llegan a Estados Unidos pueden esperar que los oficiales de control de paso migratorio de la CBP les pregunten una serie de cosas para decidir si permiten su ingreso al paà s. En el paso migratorio tambià ©n se verifica el pasaporte y la visa o ESTA –en el caso de pertenecer a un paà s del Programa de Exencià ³n de Visados– y se cotejan con el programa TECS de la computadora del oficial migratorio. Adems, se tomarn los datos biomà ©tricos del solicitante a ingresar a Estados Unidos. En este artà culo se informa de cules son las 9 preguntas ms frecuentes en el paso migratorio y cules son las respuestas correctas, asà como quà © puede pasar y cules son los derechos que aplican en la frontera de Estados Unidos (terrestre, marà tima y de aeropuertos). 9 preguntas preguntas frecuentes en el paso migratorio de EE.UU. El oficial de migracià ³n puede preguntar lo que estime conveniente, pero las que se enumeran a continuacià ³n son frecuentes. Una de las ms comunes es preguntar cul es la razà ³n de la visita a Estados Unidos. La respuesta debe ser acorde con el tipo de visa o documento con el que se solicita el ingreso a EE.UU. Asà , si se tiene una de turista B1/B2 o una autorizacià ³n conocida como ESTA, la respuesta es turismo, negocio o atencià ³n mà ©dica. Es absolutamente equivocado contestar que la intencià ³n es buscar trabajo o contraer matrimonio. Otra pregunta frecuente es dà ³nde se va a alojar. Se puede llevar impreso el nombre y direccià ³n del hotel, si ese es el tipo de alojamiento. Si se va a estar viajando, tambià ©n es perfectamente vlido contar cà ³mo se piensa viajar y los planes que se han hecho para reservar alojamiento, aunque no es necesario tener absolutamente todo cerrado ya que puede haber cambios en el caso de, por ejemplo, planear un tour por carretera. En todo caso, tener en consideracià ³n que, en ciertos casos, hay que notificar los cambios de direccià ³n del lugar de estancia. Tambià ©n se pregunta a quià ©n va a visitar. Es absolutamente normal visitar amigos o familiares. Sin embargo, si estos estn en situacià ³n de indocumentados se recomienda no mentir a los oficiales de migracià ³n bajo ninguna circunstancia, pero tampoco crear una situacià ³n difà cil para los amigos o familiares. Tambià ©n se pregunta cunto tiempo se va a quedar. Es fundamental tener claro el tiempo mximo de estancia legal. Si se ingresa con una visa, es posible pedir una extensià ³n o cambio de visa, si se cumplen todos los requisitos. Por el contrario, si se tiene una ESTA, se tiene que salir del paà s antes de los 90 dà as y no es posible, bajo ninguna circunstancia, ampliar ese plazo. Tambià ©n se pregunta cunto dinero se trae y si se tiene algo que declarar. Se trata de no exceder el mximo legal sin declarar y tambià ©n de asegurar de que no se va ser una carga para el gobierno de los Estados Unidos. No hay que llevar mucho dinero en efectivo, ya que se pueden llevar tarjetas de dà ©bito o/y crà ©dito. Otra pregunta clsica es en quà © se trabaja o quà © se estudia. Responder lo mismo que se ha dicho al solicitar la visa. Asimismo, si se llega por avià ³n es habitual que se pregunte desde dà ³nde se vuela. La respuesta correcta es la ciudad desde donde despegà ³ el vuelo pero si se ha hecho escala, se puede contar el viaje completo. Otras preguntas que hay que esperar es si se ha visitado previamente los Estados Unidos. En este punto tener en cuenta las consecuencias de viajes anteriores en los que no se salià ³ a tiempo del paà s, y tambià ©n cunta frecuencia se est ingresando.  ¿Quà © puede pasar a continuacià ³n? Pueden suceder varias situaciones, que dependen de la decisià ³n que tome el oficial migratorio. En la mayorà a de los casos, la persona extranjera ser admitida a Estados Unidos, aunque es posible que debe pasar por una segunda inspeccià ³n, que es lo que popularmente se conoce como el cuarto. Si se ingresà ³ con visa de turista, se puede consultar el I-94 –registro de entrada y de salida– para tener claro cundo se debe salir del paà s o para pedir una extensià ³n de la visa. Tambià ©n es posible que se le permita entrar aunque no tiene los documentos necesarios. En estos casos se dice que se la ha dado un parole. Es decir, se permite el ingreso aunque no se cumplen los requisitos. Por ejemplo, en los casos de peticià ³n de asilo despuà ©s de mostrar miedo creà ble en una entrevista. Tener en cuenta que ya no es posible solicitarlo en la frontera por razà ³n de miedo a las pandillas o violencia domà ©stica y que en estos momentos es habitual que el solicitante de asilo en la frontera espere por meses e incluso aà ±os detenido hasta que se resuelve su caso. Adems, en casos extraordinarios, la persona ser arrestada (aprehendida), como es el caso de que està © buscada por un delito por las autoridades. Y, finalmente, la persona extranjera puede ser regresada al paà s en el que se inicià ³ el viaje. La razà ³n es que se considere que es inadmisible para ingresar a EEUU, que es inelegible para la visa que tiene o para la ESTA, o que los documentos son falsos. Como las situaciones de la prohibicià ³n a ingresar son muy variadas, es importante saber si se coloca un I-275 en la visa, o se realiza una expulsià ³n inmediata o, incluso, se permite al extranjero retirar su peticià ³n de ingreso a EE.UU. Todas esas situaciones tienen consecuencias diferentes a la hora de intentar posteriormente regresar por lo que conviene tener claro quà © realmente pasà ³ y por quà © se denegà ³ la entrada. Derechos en el control migratorio de EE.UU. En los puertos de entrada, conocidos en inglà ©s como POE y que puede ser un aeropuerto, un puerto marà timo o una frontera terrestre, hay que pasar dos controles, primero el migratorio y luego el aduanero. En los POE, que tienen todos consideracià ³n de frontera, no est permitida la asistencia legal de abogados y, en contra de una opinià ³n errà ³nea muy extendida, lo cierto es que no aplican las protecciones de la Constitucià ³n. Por lo tanto, si asà lo consideran necesario, los oficiales de la CBP pueden tener acceso a nuestros telà ©fonos, cmaras, computadoras y otro material digital. Puntos clave El oficial del control migratorio puede preguntar lo que estime convenienteLa visa o la ESTA no garantizan el ingresoEn los puntos migratorios de ingreso a EE.UU. no aplican los derechos constitucionales Este artà culo no es asesorà a legal. Tiene una finalidad exclusivamente informativa.
Monday, October 21, 2019
Industrial Engineer essays
Industrial Engineer essays There are many categories that the career of an industrial engineer can break down in to. Of these are quality-control, time-study, process, plane design or factory layout, production, and documentation engineers. There are also configuration management analyst, tool planner, and vendor equally supervisors. Not all industrial engineers are educated in all these areas specifically, some only specify in one or two areas. They may have the title of operations, systems, or management engineers. Over all, the ordinary industrial engineer works with people, organizations, and businesses. This is what sets them apart from other engineers. They design, improve, and install systems. These systems can be/are systematic, materials, information, and people that supply products or services. Things that they design are/can-be facilities and operation procedures, simplifying workflow but increasing out-put, improving layout of equipment, office systems and other units. They develop and oversee quality control, cost control, inventory control, procurement and distribution programs, work standards, performance measures, and improvement of the work environment. Industrial engineers research products and product applications. They conduct long-range org organization studies, plant location, and system effectiveness studies. They study potential markets, sources of raw materials, labor supply, energy resources, and financing of operations. To get all the many tasks they do done, they use certain types of equipment. These are calculators, measuring devices and stopwatches, and specifications and handbooks. With uses of new technology, they use prints, computer (with access to the World Wide Web), computer-aided manufacturing (CAM) systems, computer-aided design (CAD) systems, and electronic/air gaging test equipment. To have a career as an industrial engineer there needs to be and interest in technical work, ability to pl ...
Saturday, October 19, 2019
2009 Chrysler Fiat Strategic Alliance
The company had no choice but to look for a partner. During this process, Chrysler explored the possibility of a tie-up with GM, Ford, Volkswagen, Tata Motors, Nissan and Fiat. Eventually Chrysler decided on creating a strategic alliance where Fiat agreed on taking a 20 percent stake in Chrysler. In the next five years, the tie-up may increase Fiat’s ownership of Chrysler to 35 percent. Both companies show compatibility in their product portfolios, global operations, and technology sharing areas. Case ObjectivesThe primary objective of this case is to analyze and discuss Chrysler’s 2009 strategic alliance with Fiat and its current and future prospects. Issues that are at the helm of this tie-up are technology sharing, global integration, quality control, and reorganization of brand portfolios. Students need to look at the intricacies of strategic alliances between two or more companies as well. As of May 2009, Chrysler is going through its Chapter 11 and corporate restructuring in the U. S. The company continues to shrink in terms of its manufacturing and global operations.Suggested Teaching Approach and Student Assignments Since the case is timely, it is recommended that class discussions should be based on the companies’ histories and their evolutionary growth (see Tables 2 and 3). Also important are topics such as strategic alliances, auto industry’s technology platforms, and brand portfolios. The questions included in the case for class discussion will require Web-based and library research on the part of students. It is recommended that the instructors provide a supplementary list of references on the auto industry (see: WardsAuto. om, JDPower. com, Automotive News, Google Search, Business Source Complete, Hoovers. com, Reuters. com, Value Line, Standard Poor’s Industry Surveys, etc. ). This will help students to be fully prepared for the case. Finally, students should be encouraged to visit Chrysler, Fiat, and other auto manufacturers’ Web sites before discussing this case in the classroom. Discussion Questions Answers Question 1. What are your views of the 2009 Chrysler-Fiat strategic alliance and its future prospects in the auto industry? Question 2. Analyze and evaluate Chrysler and Fiat’s strengths and weaknesses before and after their 2009 strategic alliance. Question 3. Compare and contrast Chrysler and Fiat with five other global auto manufacturers (GM, Ford, Toyota, Volkswagen and Daimler) in the areas of global operations and manufacturing issues. Question 4. Analyze Chrysler and Fiat’s brand portfolios in the world auto industry. How do you see both companies revamping and overhauling their brands in the short- (1-2 years) and long-terms (5-6 years). Question 5. What did you learn from the Chrysler-Fiat Strategic Alliance regarding managing multinationals in the changing global business? Case Analysis The Chrysler-Fiat strategic alliance will provide a meaningful opportunity to both companies regarding dealing with survival and expanding their markets in Europe and North America. As of 2009, it is evident that the companies are off to a good start. Both firms have marketable brands in their market segments but lack a collective effort. The case is a good example in the area of cross-border alliances that take place between two or more companies.Since 2008, Fiat has actively sought a partner in North America because of the attraction of the market. This is also attributed to the auto industry’s consolidation, restructuring, and cost-cutting activities. Chrysler and Fiat ended up seeking an alliance because of their compatibility, product portfolios, and markets. In Chrysler’s case, the main motive was to seek a partner who could help strengthen its financial problem regarding new technologies, markets, and quality standards.
Friday, October 18, 2019
Discussion Question Term Paper Example | Topics and Well Written Essays - 500 words - 2
Discussion Question - Term Paper Example tional goals for medium term growth and development, there is the tendency that whiles preparing the pro forma financial statement of the company, the assets and liabilities of the targeted company to be acquired will be factored in the financial statement. According to the generally accepted accounting principles (GAAP), there are several laid down regulations that should guide the preparation of financial statements by companies. Any practices that seem to go contrary to these standards are considered as illegal and unethical. It is for this reason that caution always needs to be taken when deciding on the selection of data for pro forma financial statements. In the first place, it is important for the company to realize that data that will be considered for inclusion would only be those that have been certified by accountants as completed deals. This means that all data that comes from uncompleted transactions should not be considered. What is more, investors must be made aware of the difference between pro forma figures and those derived from the generally accepted accounting principles (GAAP). This means that under no circumstance should investors be deceived to be made to take projected data as actual and existing data. In order to ensure integrity and sanity in the accounting field, several efforts have been made in reference to the introduction of a number of accounting methods. One of such similar software was introduced by Microsoft (Canes, 2004). These are good interventions but analysts have advised that companies should always look into the reliability and accuracy associated with such accounting methods implementing them. This is an advice that holds very much for the present company as a way of ensuring integrity of its data used. Secondly, it is advised that the company publishes and keeps two separate financial statements. One of this should be the pro forma financial statement while the other will be the actual GAAP financial statement. This
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