Sam 386 unit 6 Assignment Example | Topics and Well Written Essays - 250 words

Sam 386 unit 6 - Assignment Example There is a special set rules that apply to the prosecution of defamation of public figures. In order for a private citizen such a neighbor or a friend to prove defamation against an individual, they only must prove that the individual acted negligently. The concept of negligence means that a â€Å"reasonable person† would not have made or published the defamatory statement. For a public figure, it is much harder to prove defamation since the accused must show â€Å"actual malice† in their statement. The plaintiff must prove that the accused published the statements with knowledge that the statements are untrue or in restless disregard of the truth. This makes the prosecution of defamation of a public figures much harder to proof for the plaintiff in a court of law. For a public figure it is important to recognize these differences in the treatment of defamation cases. Although it may not seem fair for public individuals to be treated differently under the law, a public figure by definition has agreed to have their private lifes scrutinized under the public lens as part of their responsibilities as a public

Medical Law Essay Example | Topics and Well Written Essays - 2750 words

Medical Law - Essay Example Protection and preservation of life is therefore an inherent right. If a person refuses further treatment, or a woman elects her own life over her unborn child or a person’s living will is ambiguous, The objective of this paper is to harmonize the right of a patient to choose over the obligation of the medical practitioner to respect their wishes A. This is the dilemma spawned by 15 year old Adrienne who, enabled by the support and understanding of her parents, refused a third round of kidney transplant and a lifetime regimen of anti-rejection drugs to save her life. The doctors strongly believe that Adrienne should have the surgery and doubts if Adrienne, a minor, had made valid and informed choice considering her parents’ unconditional encouragement to decline further kidney transplantation if Adrienne so desires. The South Hertfordshire Primary Care Trust (Trust for brevity) must strike a balance between the advocacy of doctors to promote and preserve life or to abid e by the patient’s choice to decline further treatment. ... The prognosis, potential risk involved, quality of life after surgery and other consequences of the treatment or lack of it must likewise be laid down for the determination of the patient. It is not sufficient though that the medical practitioner perfunctorily mutter the information, rather it must be ensured that the patient understood the choices available. After giving the potential benefits and risks of the proposed treatment, any choice exercised by the patient must be respected and any treatment must in accordance with the patient’s will and instructions. In arriving at the decision, the patient must display mental competence or intellectual capacity to make informed choices including the consequences if any. Capacity or competence may be gleaned from the questions propounded or views expressed by the patient regarding the treatment (Mental Capacity Act 2005)2. The medical practitioner must be available to answer the questions but nonetheless the advice must be free from biases or prejudice and must not influence the patient one way or the other to undergo surgery or treatment unless it is the explicit desire of the patient (General Medical Council)3. The primordial motivation of a medical practitioner is to promote health for the benefit of the patient under beneficence principle (Hope)1. In the promotion of the patient’s benefit however the medical practitioner must subordinate his professional recommendation if it runs counter with the belief or intention of the patient. Respect to the patient’s instructions should prevail over the expert assessment notwithstanding that without such medical treatment, the patient is exposed to a more serious health problems. In giving medical advice, it is likewise incumbent

Operation Management Facility Location Layout Marketing Essay

Operation Management Facility Location Layout Marketing Essay Q2. Visit the websites of three major organizations in your region. Find out where their facilities are located. Explain some factors which should be considered while evaluating location options for a facility because globalization has made consumers expect the best products at the lowest prices irrespective of where they are produced. Companies are under competitive pressure to engage in global production and service operations due to the rapid growth of global markets We all know that every organisation goes by the The Four Ps: Price, Product, Promotion and Place. Place refers generally to distribution, i.e., where your customer evaluates and ultimately receives your product or service. While this may not matter much for people who work virtually, or who run a business that drop-ships from a third party, its critical for restaurants, retailers, and even many service businesses. Ironically, while place is often the most permanent of the four Ps, its also often the most overlooked. So, Operations Management takes into consideration Facility location layout to decide on the problem of choosing the right place. Location is about more than just choosing a building. Perhaps for you, opening your business in your own town, or even your part of town, is a given. But consider the big picture: State Income taxes and sales taxes vary greatly from state to state, as do regulatory requirements. Is the state you live in friendly to entrepreneurship? To the specific type of business you want to run? Now might be the time to consider a move if it isnt, or possibly to open your business in a nearby state if you live near a state line. City Rent and other costs, availability of labour, taxes, regulations and government economic incentives can also vary greatly from city to city, even within the same state. Or maybe a small town is the perfect spot for your business. Part of town What kind of commute is involved? Is the part of town consistent with the image for your business? Rent varies greatly according to location. Location relative to streets, parking, and other businesses Do you need to be visible and/or easily accessible to pedestrian and automobile traffic? Will being close to businesses that draw a similar clientele help your business? For example, a sporting goods store or health food store might do very well next to a gym. Type of location Do you need office space, retail or warehouse? Retail is generally the most expensive of the three. There are many factors to consider in choosing the location for your business. While cost is obviously a major consideration, you must also think about your various constituencies. Is your location important to:- You? The space has to work for you, or it wont work. Remember, youre the one has to work there every day. Your customers? It also has to work for your customers, or it wont work. No customers = no business. Your employees? This issue may not be as critical at first, especially if you dont have any employees yet. But the ability to attract and keep good employees will be affected by your location. Strategic partners? While this may not seem like a big issue, the reality is that strategic partnerships happen more easily when the partners are local to each other. Why do you think that certain areas become hubs for certain types of business, such as Silicon Valley for the tech industry? Potential investors or buyers? You may not even be thinking about that yet, but potential investors looking at the long-term value of the business will see location as an important factor. Each of these groups has different concerns about the location: Cost Most obviously, can you afford it? Also, though, consider whether your customers and employees can afford it. For example, is there free parking, or is it expensive? Will higher rent cause you to charge higher prices to your customers? Thats not necessarily a bad thing, but a factor to consider. What about taxes? Income taxes and sales taxes vary greatly from state to state, and if you buy your own property, Convenience Is it easy to find? Is parking close by? Consider your clients. If youre dealing with pregnant mothers and the elderly, they may have a different concept of convenient. Safety This is an increasingly important issue for both customers and employees. Is the parking close by? Well lit? Is there security on the premises? Prestige Would a downtown address add credibility? Will wealthy clients favour a business in their own neighbourhood? Some places even provide virtual offices with prestigious addresses, such as Beverly Hills, Silicon Valley, or Manhattan. Traffic Retailers and restaurants love it, office workers dont. Facility requirements Do you have any special needs, such as high power consumption or specialized wiring? Do you need meeting space, but only occasionally? You might consider a shared office suite (often called executive suites) in that case. Zoning Many cities have very strict zoning requirements. Make sure your business is even allowed there before you sign the lease! A fully informed decision involves a fairly complex matrix of issues. Determine your priorities, keep an open mind about your options, do your research, and get ready to make one of the most important decisions about your business. WHAT IS FACILITY LOCATION LAYOUT? Facility Location is the right location for the manufacturing facility, it will have sufficient access to the customers, workers, transportation, etc. For commercial success, and competitive advantage following are the critical factors. Overall objective of an organization is to satisfy and delight customers with its product and services. Therefore, for an organization it becomes important to have strategy formulated around its manufacturing unit. A manufacturing unit is the place where all inputs such as raw material, equipment, skilled labours, etc. come together and manufacture products for customers. One of the most critical factors determining the success of the manufacturing unit is the location. Factors Influencing Facility Location: If the organization can configure the right location for the manufacturing facility, it will have sufficient access to the customers, workers, transportation, etc. For commercial success, and competitive advantage following are the critical factors: Customer Proximity: Facility locations are selected closer to the customer as to reduce transportation cost and decrease time in reaching the customer. Business Area: Presence of other similar manufacturing units around makes business area conducive for facility establishment. Availability of Skill Labour: Education, experience and skill of available labor are another important, which determines facility location. Free Trade Zone/Agreement: Free-trade zones promote the establishment of manufacturing facility by providing incentives in custom duties and levies. On another hand free trade agreement is among countries providing an incentive to establish business, in particular, country. Suppliers: Continuous and quality supply of the raw materials is another critical factor in determining the location of manufacturing facility. Environmental Policy: In current globalized world pollution, control is very important, therefore understanding of environmental policy for the facility location is another critical factor. Center of Gravity, Location Strategy: Location Strategy in Operations Management is an important factor to be considered. It is important because it helps in determining the place of manufacture. The place of manufacture needs to have certain qualities of features where manufacturing process takes place hassle-free. It is one such method or strategy which can determine the effectiveness of a location. Firms throughout the world are using the concepts and techniques in Operations Management to address the location decision because location greatly affects both fixed and variable costs. Location has a major impact on the overall risk and profit of the company. For instance, depending on the product and type of production or service taking place, transportation costs alone can total as much as 25% of the products selling price. That is, one-fourth of a firms total revenue may be needed just to cover freight expenses of the raw materials coming in and finished products going out. Other costs that may be influenced by location include taxes, wages, raw material costs and rents. Companies make location decisions relatively infrequently, usually because demand has out-grown the current plants capacity or because of changes in labour productivity, exchange rates, costs or local attitudes. Companies may also relocate their manufacturing or service facilities because of shifts in demographics and customer demand. Location options include Expanding an existing facility instead of moving Maintaining current sites while adding another facility elsewhere and Closing the existing facility and moving to another location. The location decision often depends on the type of business. For industrial location decisions, the strategy is usually minimizing costs, although innovation and creativity may also be critical. For retail and professional service organizations, the strategy focuses on maximizing revenue. Warehouse location strategy, however, may be driven by a combination of cost and speed of delivery. The objective of location strategy is to maximize the benefit of location to the firm. Location and costs: because location is such a significant cost and revenue driver, location often has the power to make or break a companys business strategy. Key multinationals in every major industry, from automobiles to mobile phones, now have or are planning a presence in each of their major markets. Location decisions to support a low cost strategy require particularly careful considerations. Once management is committed to a specific location, many costs are firmly in place and difficult to reduce. For instance, if a new factory location is in a region with high energy costs, even a good management with an outstanding energy strategy is starting at a disadvantage. Management is in similar bind with its human resource strategy if labor in the selected location is expensive, ill-trained or has a poor work ethic. Consequently, hard work to determine an optimal facility location is a good investment. Location and Innovation: When creativity, innovation and research and development investments are critical to the operations strategy, the location criteria may change from a focus on costs. When innovation is the focus, four attributes seem to affect overall competitiveness as well as innovation. The presence of high-quality and specialized inputs such as scientific and technical talent As environment that encourages investment and intense local rivalry. Pressure and insight gained from a sophisticated local market. Local presence of related and supporting industries. A workplace that has carefully arranged its layout will allow for a more effective and efficient workflow and produce its good or services to a high standard. There are three types of workflow layouts that managers can choose from: Process layout: arranged in departments (e.g., hospitals). Product layout: production line (e.g., a car assembly plant). Fixed-position layout: building a large item (e.g., jumbo jet). CONSUMER BEHAVIOUR AND DESIRE: Consumer behaviour refers to the mental and psychological process that goes in the mind of buyer so as to choose one product or service and not the other. In the first stage of buying, the consumer identifies and need and selects a product or service that will satisfy the need. On selecting the product, they estimate amount they are willing to spend on it. Just before buying the product or service, the consumer analyzes the different price on offer. Here are the factors that influence consumer choices: 1. Culture Culture is the way of life of a community or group. In order to fit in a cultural group, a consumer must follow the written and unwritten cultural norms. For instance, for your to fit in an Islamic community, you are cannot consume pork. To fit among the youth in any community, you are expected to dress like them. In other words, cultural norms define what a consumer can or cannot buy. 2. Lifestyle Your lifestyle is generally determined by the amount of money you make. If you make more cash, you are expected to keep to a certain lifestyle. Lifestyle influence consumer behaviour directly by the fact that if you earn less, you cannot afford to buy items which are above your class. On the other hand, if you are from a higher class, you will feel like your class is lowered by consuming cheap products or services. 3. Motivation Motivation is what drives a person to consider one need to be more important that the other. The more important need demands to be satisfied sooner than the others. Motivation is powered by different physiological, biological and social needs. If you are motivated by the need to feel important, you will generally buy products or services that feed this need. 4. Personality Personality is a set of characters that are deeply embedded in a persons mind. Personality differs from person to person and also place and time. Personality determines what you eat, wear, drive or watch. In simple terms, personality determines all your decisions including your attitude towards different products. 5. Age Age influences consumer behaviour in a rather direct way. For instance, the needs of a 6-year old are not similar to those of a teenager. Consumer needs are basic in childhood but become complex in teenage and middle ages. In old age, consumer needs go back to basic. Furthermore, the psychological needs of people at different age groups are different thus the difference in consumer behaviour. 6. Perception Perception is the prevailing popular opinion about a product or service at a particular time. Perceptions change with time. Consumer can have the same need but buy totally different brands due to perception. In the past, mobile phones were only for communication- calling and texts. This perception has since changed; mobile phones have a variety of functions. Perception is also influence by media reports and advertising. Just after the Oil Spill at the Gulf of Mexico, perceptions about BP the oil company were really bad. **************

MP3 File Sharing Hurts America Essay -- Argumentative Persuasive Essay

MP3 File Sharing Hurts America Before the present time of computers and various media player technology, trading music files on the internet was practically unheard of. Today MP3 music files have become file format that is widely â€Å"swapped† over the internet. The problem with trading MP3's is that it violates copyright laws. However, this hasn’t stopped the tens of millions of file sharing software users who continue swap MP3’s. MP3 piracy is a costly business for many companies, and the disadvantages outweigh the advantages of â€Å"P2P† file sharing. File sharing is a costly, illegal practice that hurts not only the consumers, but the artists as well. MP3 is a relatively new form of piracy, only being around for about ten years. The fact that the MP3 format takes up as little as one megabyte for a one minute clip, makes it an attractive storage factor for pirates. And with the CD-R and CD-RW drives, people can convert MP3 files to common CD format, burn to a CD, and play in any CD player, and be listening to a mix of their favorite songs within a half hour of downloading the song. With MP3 players becoming more and more popular options in cars, you can burn MP3 files directly to a CD without converting to a standard audio file and have over six hours of music on a single CD! â€Å"It is estimated that such illegal product costs the music industry more than 300 million dollars a year domestically.† This is why the Recording Industry Association of America (RIAA) is taking a strong stance against MP3 piracy. The damage done to the recording industry in lost profits, increased prices, and lost jobs is overwhelming. In an attempt to put a damper on file swapping, and recapture lost revenue the RIAA has been suing people ... ... released in January that surveyed 1,358 Internet users in late fall found the number of Americans downloading music dropped by half from six months earlier, with 17 million fewer people doing it nationwide. I find that to be an impressive figure. The damage done to the music industry as well as genuine consumers of the music industry is huge. Online pirates are costing the music industry millions and millions of dollars in lost revenue. The chances of these pirates being caught are constantly increasing. Even though the anti-piracy organizations have made considerable progress, their current anti-piracy methods will not completely stop online piracy. Until these organizations can increase copyright protection, and inform the uneducated pirates who believe their points are valid, they will be fighting an up hill battle, no matter how many lawsuits they file.

Kraske or jackknife position

IntroductionIn this variation of the prone position, the patient’s head and feet are both lower than the hips. The jackknife position is used most frequently for proctologic procedures. It is also the gold standard in anorectal surgical procedures (Kneedler & Dodge, 1994).PositioningThe patient is either anesthetized supine and turned prone, or is placed in position before spinal anesthetic is administered. The hips are on a pillow or towel directly over the table break and the table is flexed 90Â º, with the head and legs down. The patient’s arms are on arm boards with hands toward the head. The buttocks may be separated by wide tape placed at the level of the anus on both sides and secured to the table. The patient is taken out of the position by first flattening the table and then reversing the order of movements into the prone position. Arms are usually positioned over the head for turning (Bailey & Snyder, 2000).Anesthesia FactorsOne of the most common concerns ab out the prone jack knife position is the safety of the airway during anesthesia. Patients are occasionally placed in lithotomy position rather than the preferred prone jack knife position because of the concern for the airway. While patient safety is a prime concern, there are no reports of the loss of control of airway during repositioning. Although this lack of evidence does not exclude individual episodes, it does indicate that the heightened awareness has probably minimized the risk to the patient to an acceptable level (Jaffe & Samuels, 2004).Patient FactorsIndividual physical limitations of the patients occasionally prevent the use of the jack knife position. Physical factors that would prevent a patient from lying prone on the operating table, such as obesity, pregnancy, and tense ascites, may require the use of a different position. Orthopedic considerations, such as hip and knee joint problems, long leg casts, and kyphosis may be contraindications to this position. In these relatively rare circumstances, consideration should be given to the lateral position.Perhaps the single most important patient factor is the shape of the buttocks (or depth of the gluteal cleft). It was found to be an important factor in determining the patient position and type of anesthesia to be used in the procedure (Spry, 1997).Surgeon FactorsThe primary reason that many surgeons prefer the prone jack knife position is the excellent visibility provided during anorectal procedures. The exposure provided for office procedures, such as excision of thrombosed external hemorrhoids or drainage of abscesses is not equaled by other positions. In the operating room, whether the surgeon is dissecting the rectum off of the prostate or vagina in an abdominoperineal resection or preserving the internal sphincter during a mucosectomy for ulcerative colitis, visibility and lighting are key factors. Since the gluteal cleft is in horizontal rather than a vertical orientation in the prone jack knife position, illumination can be provided with overhead lights rather than headlamps. Similarly, more than one person can visualize the operating field without crowding or being in an awkward body position (Bailey & Snyder, 2000).Physiologic FactorsThe jack knife position has been described as the most precarious of surgical positions. Both respiration and circulation can be most adversely affected. Vital capacity is reduced due to restricted diaphragmatic movement and increased blood volume in the lungs, reducing lung compliance (Kneedler & Dodge, 1994).Careful positioning of patients when they are under anesthesia is crucial. Most surgeons focus on the avoiding damage to peripheral nerves from prolonged pressure when positioning patients. However, an even more significant risk to overall patient well-being can result from the unintended consequences of anesthesia that may affect patient physiology. They include compression of arteries, impairment of venous return, limitation of ventilation, and blood pooling. Many authors have examined the prone jack knife position to assess the potential physiologic impact.There are mixed reports about the cardiac effects of the prone jack knife position. If the patient is improperly positioned, transmitted pressure on the vena cava may cause blood pooling in the lower extremities and result in decreased venous return. In one study, when patients were turned from the supine to the prone position there was a temporary decrease in cardiac index; however, when the patients were placed in the prone jack knife position the cardiac index returned to the level seen in the supine position.There was no change in heart rate, mean arterial pressure, and systemic vascular resistance with change from the supine position to the prone jack-knife position, but there was a decrease in the left ventricular stroke work index and a significant increase in the pulmonary capillary wedge pressure. Overall, the effects of the jack knife positio n were comparable to other surgical positions and were believed to be manageable by experienced anesthesiologists.The effect of posture on pulmonary physiology in general and the specific effect of the prone jack knife position on vital capacity have been examined. When patients in the sitting positing are considered to be baseline, there is a 9% decrease in vital capacity in the supine position, a 12.5% decrease in the jack knife position, and an 18% decrease in the lithotomy position. The reduction in vital capacity is due to obstruction of the movement of the diaphragm and to a lesser extent to the restriction of the anteroposterior movement of the ribs. This modest decrease is tolerated by most patients but merits careful monitoring during conscious sedation and general anesthesia (Bailey & Snyder, 2000).References:Bailey, H. R., & Snyder, M. J. (2000). Ambulatory Anorectal Surgery. New York: Springer.Jaffe, R. A., & Samuels, S. I. (2004). Anesthesiologist's Manual of Surgical P rocedures (3rd ed.). New York: Lippincott Williams & Wilkins.Kneedler, J. A., & Dodge, G. H. (1994). Perioperative Patient Care: The Nursing Perspective (3rd ed.). Sudbury, Massachusetts: Jones and Bartlett Publishers.Spry, C. (1997). Essentials of Perioperative Nursing (2nd ed.). Gaithersburg, Maryland: Jones and Bartlett Publishers.

Holy The Firm by Annie Dillard Essay

​â€Å"Death of a Moth† is a short essay from the author, Annie Dillard, called Holy the Firm, and also one of her most personal essay that she’s ever written. It is about the burning moths, her belief in God, and acceptance of her faith to being a writer. She uses the death of the moths to tell us nature’s cycle of life. Everything is the same, human and animal, life and death. In the end, they will all end up like the moth being burned up by candle light. ​In the essay of Annie Dillard, Death of a Moth, she writes about a woman who lives alone on Northern Puget South in Washington State, with one enormous window, one cat, and one spider(2). She has a flashback about two summers ago when she tried to run away from society to read and write her book, To Mountain. She tries to find herself to becoming a writer. She wants to leave the world behind and enjoy herself alongside animal and nature. She sees a moth landing on her candle light and gets burnt. She, then, describes the moth in such realistic ways which remind the readers about nature’s cycle of life. As she looks at the moth, she falls asleep. ​In the essay, the author has mentioned in her class about â€Å"you must go at your life with a broadax† (10). In theory, a broadax is a weapon or a tool used to chop down trees. At this point, Annie wants to explain to her class if you want to be something or get something in your life, you have to be willing to overcome anything to be able to get what you want. Your life is like a battle. When in battle, you need to equip yourself with a broadax, and be prepared to fight and struggle. In addition, it also shows you are willing to hack down at anything standing in your way. In practice, students also face the same situation. They try their best to overcome obstacles teachers give them to be able to pass their classes. ​In â€Å"Death of a Moth† essay, Annie Dillard tells us about nature’s cycle of life. Everything will have the same ending, being born, living for a certain period of time, and then dying. The same as the moths or ephemera stabs by fire. George has mentioned about significance of butterfly to her moths essay by posting his post on bookcritics.org(5). I would say that butterfly is the most beautiful insect I have even known. To be obtaining this beauty, it also has suffered so many miseries. It has to endured ninety months to a year in a cocoon, then it breaks pupa without any help, and transforms to a beautiful butterfly. The pity is it only lives for 3 days or a month, depending on what type it is. From the butterfly example, effort is what we can’t lack in our life. If we live without any obstacles, we will never learn or become stronger like a butterfly’s ability to break cocoon and fly up high. ​It can be seen that Annie Dillard is focusing more about the nature’s cycle life and also, expressing her effort to being a writer. She uses the moths as an example to describe her idea about nature to the readers, which is accept faith and move on with your life. In my own opinion, I would recommend or love to hear the significance of butterfly in her moth essay than reading about the moth being burned by the candle light. It was not a waste of time to write an essay about a moth, but replacing the moth to a more gracious creature like a butterfl y would better capture the audience.