Summary of the “Bigger Piece of the Pie” Free Essays

The quantity of all medical clinics in the nation is declining.â Since 1975, there was a 1/6 less on the all out number of hospitals.â Investor possessed offices is right now on the ascent. We will compose a custom paper test on Outline of the â€Å"Bigger Piece of the Pie† or on the other hand any comparative subject just for you Request Now From the year 1993 it began to spring high until 1997 and afterward there was a steady abatement a while later however it keeps on ascending to the year 2003.â By the finish of 2003, financial specialist claimed emergency clinic involved 16% of the nation’s network hospitals.â Public medical clinics are lessening in numbers just as the not-for benefits which decrease more than 10 %. It is a proceeded with long haul decrease that was killed by the 2002 figure wherein there was a slight increment.â According to spectators it will liable to stay stable in the following coning years or will decay slightly.â This can be clarified by the infeasibility of little medical clinics remarked by the educator and chief of the wellbeing strategy and managerial division for the School of Public Health at the University of Illinois Chicago.â More patients like to go to enormous emergency clinics which were of their driving distance.â Conversion of not-revenue driven emergency clinics to revenue driven medical clinic is additionally outpacing. The greatest components stays an entrance to capital-financial specialist possessed chains have it, while get to is considerably more differed for not for benefit systems.â Many of the wide proportions of acknowledge quality, for example, yearly middle figures for gainfulness and obligation inclusion however the flourishing isn't uniform all through the part regardless of whether many are performing better.â â Investor claimed medical clinics are pressed with awful obligation cost yet they had the option to draw in value and obligation capital.â Private firms were pulled in so as to recapitalize the companies.â Hospitals are likewise in mess in regards to repayment of high business insurance agencies. Because of the high paces of the emergency clinics, the safety net providers were provoked to push for a twofold digit rate increment premiums for employers.â Facing a fourth year of twofold digit premium climbs, organizations have been getting intense this year, pushing significantly more of those expenses back onto their representatives as higher co-installments and other cost-sharing courses of action. Perceiving the confinements of those strategies, the study discovered businesses looking to longer-term arrangements and conceivable government mediation to take off the unwavering increases.â If this proceeds, bosses may drop inclusion and push a greater amount of their expenses to representatives, along these lines making a considerably progressively terrible obligation for the medical clinics. Be that as it may, in the event that they choose to bring down the superior increment, they would not have the option to support the repayments the manner in which the emergency clinics are utilized to.â Meanwhile, the weight is presently developing for not revenue driven medical clinics with respect to noble cause care.â It is a rising issue whether the not-revenue driven medical clinics apply pressure on revenue driven emergency clinics to give good cause care and whether to benefit clinics respond uniquely in contrast to not-revenue driven medical clinics to oversaw care weights and medical clinic rivalry in giving foundation care. These days, a blended proprietorship markets, revenue driven medical clinics give altogether less cause care as not-revenue driven emergency clinics in the market give more. Out of the blue, revenue driven emergency clinics were not more impacted by value rivalry than different medical clinics regarding noble cause care. Having a special job in giving cause care may legitimize proceeding with charge exception for not-revenue driven medical clinics and improve enthusiasm for installment and different approaches concerning transformations to guarantee that not-revenue driven emergency clinics keep on being spoken to in showcase territories. I think the impact of these increments mirrored our today financial climate.â As for the cause care of the not-revenue driven emergency clinics, I wonder if it’s their method of breaking charge and being absolved in paying an enormous sum.  A report by the Internal Revenue Service in July found that not-revenue driven emergency clinics across the nation shift broadly by they way they report and characterize their locale services.â I accept that the absence of consistency and consistency makes it hard to survey the medical clinics consistence with the current law.â I think, the progressions brought by the IRS would make it simpler to analyze medical clinics and furthermore would help guarantee more prominent responsibility. References Crenshaw, A. (2004).â Health Insurance Costs Keep Rising.â Retrieved on February 29, 2008 from http://www.washingtonpost.com/wp-dyn/articles/A8287-2004Sep9.html  Instructions to refer to Summary of the â€Å"Bigger Piece of the Pie†, Papers

Estrogen Signaling Essay Example | Topics and Well Written Essays - 2000 words

Estrogen Signaling - Essay Example Estrogen is one of the significant sex hormones. It has clear physiological jobs, the most significant of which are sexual and conceptive capacities. Other organic jobs remember association for different capacities crediting to the cardiovascular, invulnerable, focal sensory system and musculoskeletal frameworks (Gustafsson, 2003; refered to in Heldring, 2007: 906). The body produces numerous estrogen types, the most powerful of which is 12-beta estradiol or E2. E2, alongside its 2 metabolites estriol and estrone applies different biophysiological impacts in the body (Heldring, 2007). These impacts are intervened through official of the particles of estrogen to explicit estrogen receptors. At present, 2 explicit estrogen receptors have been distinguished and they are ER-alpha and ER-beta. These receptors have a place with class-1 atomic receptors (Petterson and Gustafsson, 2001; refered to in Heldring, 2007: 907). Authoritative of the ligands to these receptors actuates certain compl iance changes in the receptor which thusly prompts a progression of changes in the receptors and at last finishes in the preinitiation complex. The progressions which happen in the receptors are relocation of ER from cytosol to core, dimerisation of the receptor particles, authoritative and associations between dimerised receptor protein and explicit successions of DNA, enrollment of different coregulator proteins worried about the natural activity and furthermore enlistment of different translation factors (Paech, Webb, Kuiper, et al,1997; refered to in Heldring, 2007: 908).

Its Testing Time

Its Testing Time Hello juniors, Not sure if you noticed it or not, but the seniors will be gone soon.   That means that your high schoolbelongs to you now. That also means you should be preparing yourself for the college application process.   I know it can be a little scary. We here at the University of Illinois will work to make the process a little less intimidating by giving you some pointers to help you out.   This blog will help you navigate test scores. Here are some important things to note as you plan the next year: Illinois accepts both the ACT and SAT, so feel free to submit either or both (ACT code 1154 or SAT code 1836).   Test scores must come directly from the testing agency. Note, it takes about three weeks for test scores to arrive and be processed, so be sure to request scores be sent by early October if you’d like to meet the Early Action deadline. Side note: once awarded Early Action status, you will maintain that status even if you submit additional test scores after the Early Action deadline. However, if you do not send any test scores until after the deadline, you not be considered for the Early Action Filing Period. While we do not superscore, it is in your best interest to send all of your test scores. We will look at the highest composite and highest sub-scores regardless of the test date. For example, if you apply to the College of Engineering, the review committee will be focusing on your math and science. Therefore, a higher math sub-score accompanied by a lower composite score may make your application more competitive. It is also important to note that if you have an English sub-score of 32 or higher on file for the ACT or an Evidence-Based Reading and Writing (EBRW) sub-score of 690 on file for the SAT, credit will be given for RHET 105 (Composition I) when you enroll. If you do not send this score, it may result in duplicating credit that you have already earned. Keep in mind that we do not require the ACT writing section, SAT Subject Exams (SAT IIs), or Advanced Placement (AP) scores for admission. If admitted, you will need to have your AP scores sent to Illinois to receive credit.  You can see how we are currently accepting AP credit here. It is easy to monitor your application via your myIllini account. You will be able to check whether we have received your application fee or fee waiver, test scores, and if your application is complete. Please allow at least 10 business days for processing time after you have sent scores. If it has been awhile since you sent your test scores and your myIllini account is saying that we do not have them yet, it is best to contact the testing agency first.  Confirm that your test results were sent to the correct institution; your name was spelled correctly, and date of birth matches what you have listed on your application. If you find out that any of these do not match what we have here at Illinois, please contact the Office of Undergraduate Admissions. Side note: We do not subscribe to the Rush service delivery method. Test scores will not arrive any sooner if you select this option, so please do not request that your test scores be sent this way. The key here is being proactive. If you are interested in applying to Illinois, list us as one of the schools to send your scores to when you take the test (ACT code 1154 or SAT code 1836). This will help you avoid any headaches. If you find yourself needing any help, feel free to reach out. Good luck as you prepare for your exams! Brian Assistant Director, Undergraduate Admissions I'm here to help high school students and their families navigate the college search process. An Illinois alumnus (LAS ’02), I had the honor to play football for the Orange and Blue.

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Internet Pornography, the ACLU, and Congress Essay

Internet Porn, the ACLU, and Congress Ashcroft vs. ACLU, 00-1293, deals with a challenge to the Child Online Protection Act (COPA), which Congress passed in 1998. The law, which is the subject of this essay, attempts to protect minors from exposure to Internet pornography by requiring that commercial adult websites containing indecent material that is harmful to minors use age-verification mechanisms such as credit cards or adult identification numbers.(Child) An earlier version of the law -- the 1996 Communications Decency Act -- was struck down as an unconstitutional restriction of free speech when challenged by the ACLU; the 1998 version attempted to address the constitutional concerns by limiting its scope to†¦show more content†¦Beeson argued before the court that if COPA goes into effect, her clients, and others like them, would censor themselves by keeping certain material off the Web. What its effectively going to do is drive a certain category of speech protected for adults from the marketplace of ideas that is the Web, Beeson said. The governments brief claims that COPAs age verification mechanisms are constitutional because they parallel state display laws that require local stores to place pornographic material that is harmful to minors behind blinder racks, in sealed wrappers, in opaque covers or behind the counter -- laws that have been upheld by state and appellate courts. At oral argument, the justices questions focused on how the community standards requirement could apply to the Internet: Would it be possible for a North Carolina jury ... to decide whether a particular pornographic transmission would offend the standards of Las Vegas or New York City? Justice Antonin Scalia asked Solicitor General Theodore Olson. Olson replied that juries should be instructed to use a national standard when evaluating whether online material is harmful to minors. He said that he believed that the statute could be interpreted so that the community addressed is consideredShow MoreRelatedEssay about The Fight Against Child Pornography2339 Words   |  10 Pages     Ã‚  Ã‚  Ã‚   In recent years, pornography has established itself as perhaps the most controversial topic arising out of the use of the Internet. The easy availability of this type of sexually explicit material has caused a panic among government officials, family groups, religious groups and law enforcement bodies and this panic has been perpetuated in the media.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   One of the unique challenges to regulating or settling on the appropriate way to regulate is that there is no concrete definitionRead MoreThe United States Constitution Vs. American Civil Liberties Union798 Words   |  4 PagesAmerican Civil Liberties Union (ACLU) did shed some insight on the laws and how they can be interpreted. This paper will discuss the criminal statute issues, issues with the provisions of the Constitution, and the status of criminal prosecution for transmission of pornography over the internet. With the hopes of having a clearer understanding of Reno v. American Civil Liberties Union. The First Amendment was a key component in Reno v. ACLU. It states that Congress shall make no law abridging theRead MoreCensorship Is Not Limited Repressive Regimes Or Network Television?1522 Words   |  7 Pagesmusic and as students we see the internet being heavily censored in school. The Children’s Internet Protection Act (CIPA) was signed into law in 2000; the law requires any public schools or library to filter any inappropriate content from the computers being used by minors. Since the law has been put in place, schools across America have installed programs that use keywords to designate certain types of websites off-limits to students while using the schools internet server. The problem with theseRead MorePornography and the New Media Essay1220 Words   |  5 PagesPornography and New Media Pornography, depending on how one defines it, has existed for thousands of years in the forms of picture, sculpture, performance, and writing. Over the centuries the advent of new media has broadened the flow of distribution of pornography and erotica to the masses, making it readily accessible. From the printing press, to photography, to film, each new medium has provoked a call for censorship from concerned citizens during the early stages of its existence. PornographyRead More The Urgent Need for Internet Censorship Essay1105 Words   |  5 PagesThe Urgent Need for Internet Censorship       With the increasing popularity of the Internet, especially among children, parents and others have been concerned that young people have easy access to a wide range of pornography available online. They have pointed out that it is a relatively easy maneuver for children to call up salacious material at home or in libraries--simply by searching for key words like porn or sex. The purpose of this paper is to amplify on this subject of the need forRead MoreEssay on BIG Brother and the Internet4373 Words   |  18 PagesBIG Brother and the Internet The Internet invention has most certainly opened many doors for a faster, more efficient educational medium. One can find information about almost everything, discussions range from daily issues to highly academic and scientific issues. It has indeed helped this generation to be much more productive and efficient. The vast web of electronic media that connects us is heralding a new age of communications. New digital networks offer a tremendous potential to empowerRead MoreIn Order To Measure The Legal Realm Of Social Media, It1616 Words   |  7 Pages In order to measure the legal realm of social media, it is first important to understand the amendment that covers the freedom of speech: The First Amendment. The First Amendment specifically states in the United States Constitution, â€Å"Congress shall make no law respecting an establishment of religion, or prohibiting the free exercise thereof; or abridging the freedom of speech, or of the press; or the right of the people peaceab ly to assemble, and to petition the government for a redress of grievancesRead MoreEssay about We Should NOT Censor Internet Pornography1331 Words   |  6 Pages Pornography is an age-old phenomenon that has been under much modern-day scrutiny. With the recent proliferation of online pornography, possible social ramifications of sexually explicit material on uncontrolled mediums have become the subjects of intense debate. Proponents of a liberal approach toward pornography argue that access to online smut is a constitutionally protected freedom and a harmless diversion that serves to satisfy curiosity and relieve sexual tensions.5 Opponents of this viewRead MoreIs Censorship By Government Justified?1497 Words   |  6 Pagesfirst amendment,† Congress might make no law†¦ restricting the free work out†¦ of speech, or of the press. Therefore, any activity that frustrates the media or people from getting data out encroaches upon their rights. Moreover, in cases like national security letters where there is a prevention of recipients letter and are disclosed with the message of getting received by the government and on that censor ship should exhibit but though they are continued doing it.(ACLU, In ACLU). In addition, theRead More Free Speech on the Internet v. United States Constitution Essay1681 Words   |  7 Pages The internet became a very popular and huge way of getting millions of different kinds of materials and information for everyday use in the later 80s early 90s. It became easy for anyone to access millions of different kinds of materials ninety nine percent of which is decent according to our governments standards and one or less percent which is considered to be material the is indecent or harmful to minors.(ABC) These facts maybe deceiving however because there are millions of internet sites

Ccot Essay Free Essays

CCOT Essay: China 100 CE-600 CE China’s culture and it’s values have stayed as mostly continuities and few or little changes. The teachings and values of Confucianism that were so strong that they have lasted throughout the centuries of Chinese history and is still well-known today. These values included guidelines on respect. We will write a custom essay sample on Ccot Essay or any similar topic only for you Order Now Chinese civilization during the classical civilization was a patriarchy and with the Confucius teaching which created the outline of how a good family should work like. Patriarchy was continuity for Chinese civilization. Many of Confucius’ beliefs and values will survive and withstand many potential changes to come. One of these changes were Buddhism, which came into China through many different paths such as the Silk Road. The Han Dynasty fell, causing China to go into a three year period of chaos. China’s cultural unity was threatened by the spread of Buddhism, though it was tone of the one ideas that was imported into China before the 20th century. Fortunately for China’s streak of continuity, the three century period of chaos would end which would also revive Confucianism. The rising and falling of dynasties were continuity. Confucianism took China’s social pieces and put them together. Even though China had many changes that took place from 100 C. E. to 600 C. E. , they always evened out culturally. They also remained in their streak of cultural continuity thanks to Confucius and his teachings. One of these continuities was the dynamic cycles, like the Zhou dynasty, the Qin dynasty, and the Han dynasty, because it had lasted throughout the Classical Era. Many things were changing around the time period. The first of these things was that the bureaucratic system. It was becoming more and more corrupt. Peasants and the regular people of China became poor. After germs and disease came, people started to die as well. Then nomads came, and due to the unstable government of China at the time, the army was not able to push them. Therefore, the Han dynasty was overthrown completely. The same sort of overthrowing by nomadic invasions happened in Rome as well. The Germanic invaders came in and broke Rome apart. Rome was then divided into three areas and was never completely revived ever again. After the three century period of chaos, the T’ang dynasty came later, in 618 C. E. to revive Confucianism and the bureaucratic system. During the classical era, the Chinese civilization underwent major governmental change. In China still physically remained strong and united. The reason for this is because China had a very solid social and political system that was based off of Confucianism. The cause of these major radical changes in China’s government is because of the weakened government; the nomadic invasions did not help either. How to cite Ccot Essay, Essay examples

Philosophy of Nursing free essay sample

Philosophy of Nursing Paper Person/ Family Person is the recipient of nursing care, the main center focus of the nursing practice. Person is all the aspects that create an individual from their family structure and their role in that structure to their life knowledge and their beliefs in all the aspects of their world. Person Is not only how someone lives, Its how they adapt and adjust to changes In their life, their self concept and their view and Interpretation of the world around them. Person is individualized and unique to the individual. It is my belief that defining person is the first step that nurses should implement when deciding the individualized and patient specified care of a patient. Person defines what is real and to the client and how they see themselves and the world. Health is ultimate blending of person and environment. It is the result of who you are and how your environment adjusts to your Person. It is promoted and maintained by the nurse in a holistic manner. Health is when a patient is satisfied with his or her wellbeing, can manage those symptoms that exacerbate illness, and have the adaptive abilities to maintain health from the nurses support on health promotion education on managing those environmental factors that affect health. Butts and rich (2011). Being a nurse is a call from God, and it is sometimes said, â€Å"Nurses have healing hands. † Nursing profession is in existence as a requirement to provide care for humans. Caring is a beautiful art known to be the first step in the healing process. Butts and Rich (2011). That being said, it is the nurse’s responsibility to provide compassionate nursing care to patients, families, and communities of all kind in a non judgmental fashion. Separating their personal and professional values will help reinforce this belief. Except in situations where personal values like, â€Å" treat others the way you want to be treated† can help to enhance professional values. In all honesty, the nurse should view the patients as a whole, focusing on the physiological, psychological, and spirituality when providing a comprehensive data collection to treat and maintain wellness. Due to the fact that nurses decided to become a nurse, they are obligated to provide care base on the moral commitment as reflected by the Code of Ethics for Nursing. Butts and Rich (2011). Masters defined nursing as, the â€Å"attention to the full range of human experiences and response to health and illness without restriction to a problem-focused orientation, integration of objective data with an understanding of the subjective experience of the patient, application of scientific knowledge to the process of diagnosis and treatment, and the provision of a caring relationship that facilitate health and healing. † Nurses should be up to date with research and evidence base practice as stated in the in the scope of standard practice for nurses. I am a registered nurse in a long term acute care hospital caring for patients on ventilator, tracheostomy, wounds care, sepsis and IV antibiotic therapy, diabetics on insulin drips, tube feeds, etc. I am a kind of nurse who doesn’t bit around the bush. When it comes to my professional responsibilities, my patients come first. Patients and families satisfaction is my number one priority. The patients are viewed through the holistic approach, addressing their mental, physical, and social needs. And their healing is foster by applying compassion, help, listening, monitoring, mentoring, coaching, teaching, exploring, being present, supporting, touching, intuition, empathy, service, cultural competence, tolerance, acceptance, nurturing, and conflict resolution. Nursing: Scope of Standard of Practice. (2010). I do belief that satisfying the patients and their families results to a huge benefit in the advancement of their healing process. Satisfying patients begins by creating a trustful nurse-patient relationship. Trust has been related to better healthcare outcome. Brodsky-Israeli and Ganz (2010). Regular rounding on patients to check on their basic needs, surroundings for safety, and immediate respond to their call lights decreases patient’s pain and anxiety, increases patients satisfaction and promotes healing. This has been proven to increased discharges, reduced length of stay and of cause reduced cost and readmission. Ciccu-Moore, R. et al (pg, 537, 2013). I do belief in teamwork. Working as a team in collaboration with other healthcare professionals speeds up a patient’s recovery period, and promote cost effective care. Healthcare has become one of the biggest business industries in our capitalist society. Competition with one other is crucial among these organizations. Therefore, providing quality nursing care with the use of scientific and evidence base practice results to a better patient outcome, shorter hospitalization period which subsequently reduces healthcare cost, increased patient referral, as well as increase chances for returning to the organization in the future when needed. Milutinovic et al (2009). I do belief in rules and regulations. Abiding with the organization’s policy and procedures promotes patient’s wellness and also helps the organization to pass join commission inspection which will keep the organization running. I believed in maintaining my professional commitment as a nurse to care for patients of all kind in reflection to the below statement from the Code of Ethics for Nurses; â€Å"The nurse respects the worth, dignity and rights of all human beings irrespective of the nature of the health problem. † Lachman (pg, 114, 2000). The intensions of my professional values and beliefs are to promote cost effective quality nursing care, patient satisfaction, disease prevention and health maintenance, in addition to personal professional growth. Patients comes first and view as a whole using the holistic approach to care for in collaboration with other health care professional to provide satisfaction. These philosophical ideas are related to Virginia Henderson in that she viewed a nurse’s role as stated â€Å"Assisting the individual, sick or well, in the performance of those activities contributing to health or its recovery (or to a peaceful death) that he will perform unaided if he had the necessary strength, will, or knowledge. And to do this in such a way as to help him gain independence as rapidly as possible. † Kearney-Nunnery (pg, 15, 205). She uses her fourteen component of nursing care for a comprehensive data collection in reflection to the holistic approach for the diagnosis and treatment of human responses to actual or potential health problems. Henderson integrated restorative, supportive, and promoting practices with an emphasize on patient independence as standing out. Butts and Rich.(pg, 394, 2011). Learning about philosophy, theory, and conceptual model is like a wakeup call for me, a reminder, influential, and motivational to continuously practicing my professional values and beliefs as stated above. This will not only be of great benefit to my patients, but also to healthcare organizations as to meet up with competitions. This will also give me a personal feeling of satisfaction, as well as respect for the nursing profession in the eyes of other disciplines. What I do know is that, healthcare will continuously be a booming and competitive business in the future. Therefore satisfying the patients will always have a great impact in that competition. Fortunately, my beliefs will not change in that stand point. The fact that nurses will always be available to provide care to their patients as long as humans exist; I have made a decision to extend my nursing knowledge in advance to become an advance practice nurse. References