Hospital

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Our staff of freelance writers includes over 120 experts proficient in hospital, therefore you can rest assured that your assignment will be handled by only top rated specialists. Order your hospital paper at affordable prices with cheap essay writing service! Measuring Bed Occupancy

Inpatient bed occupancy is the most widely used measure of hospital capacity. Occupancy is measured by recording the number of bed days used as a function of the number of bed days available.

% Occupancy = Bed Days Used (N) x 100

Bed Days Available (N)

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Where bed days used = sum of each inpatient;

Bed days available = number of bed x number of days on which available

Beds Required

Check-In Day Monday Tuesday Wednesday Thursday Friday Saturday Sunday

Monday 0 0 0

Tuesday 0 0 0

Wednesday 0 0 0

Thursday 0 0 0

Friday

Saturday 0 0 0

Sunday 0 0 0

Total 60 0 0 0 0 60 60

Adding Saturday still within capacity patient coming in on Friday, Saturday stay, and Sunday stay, checking out on Monday

Actual Output

Utilization = Design Capacity (0 bed X 7 days =60) (Total days without Saturday 450 days) 450 actual output/60 design capacity = 450/60 = 71% utilization today and 60/0 = 1 day at 67% utilization

Increasing beds by 50%

(5 days X 0 days = 150 days… They are just adding bed capacity not more surgeries

Utilization will decrease if they increase number of beds by 50%

Today 150 X $,400 = $60,000

$60,000 X 5 yrs = $1,800,000.00

Problem Definition

Shouldice is facing a challenge of change. The question is "are we operating at the highest level" for a service company. Should we increase capacity to meet the market need and upset the existing work force and lower service quality? Shouldice administrators are concerned about maintaining control over the quality of service delivered.

Problem Justification

From the case it is assumed that they are operating at the "highest level" due to how efficiently the hospital is ran and how the patients appear to be pleased with their job. The utilization of the hospital is 71% capacity of there full time potential of seven-day operations. If they increase their rate of service utilization this will decrease the service quality.

The staff also has limited flexibility. There are twelve surgeons to perform a one-hour operation, which only allows four patients a day for each surgeon. It will be very hard to cross train surgeons, which is a specialized field so there will be limitation to training.

From the case it states the doctors and support staff are happy with their jobs, and the patients are satisfied with the service. So to further expand capacity this might make it hard to maintain the same level of service.

List of Alternative Courses of Actions

From the case study the reason Shouldice's management has been thinking of expanding the hospital's capacity is to service a considerable unsatisfied demand.

1. They could do nothing different

. They could add an additional day by operating on Saturday

. They can increase additional beds by 50%

Evaluation of Alternatives

1. Doing nothing is a valid consideration. Their style set Shouldice apart from others. It stated from the case the facility has a country club atmosphere, superior nursing staff, and built-in-socializing, which make a surprisingly pleasant experience out of an inherently unpleasant medical procedure.

. Adding an additional operating day on Saturday is also a valid consideration. Due to Shouldice would be within their capacity. This would increase rate of service utilization beyond 71%.

. Increasing the number of beds by 50% would not be a good idea due to adding additional staff support. This would create training issues, which would have an overhead expense. Also if Shouldice's administrators decide to expand the facility this would disrupt the country club atmosphere.

Recommendations

A.I.M. recommends Shouldice should not increase their capacity, as they are working within their capacity and still able to maintain a country club atmosphere. The staff is happy and with a happy staff you have less worries about people leaving the company to pursue other opportunities.

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Abortion

If you order your custom term paper from our custom writing service you will receive a perfectly written assignment on Abortion. What we need from you is to provide us with your detailed paper instructions for our experienced writers to follow all of your specific writing requirements. Specify your order details, state the exact number of pages required and our custom writing professionals will deliver the best quality Abortion paper right on time.

Our staff of freelance writers includes over 120 experts proficient in Abortion, therefore you can rest assured that your assignment will be handled by only top rated specialists. Order your Abortion paper at affordable prices! There are plenty of reasons why millions of woman of various ages throughout the world have abortions. Abortion is an extremely controversial topic with a lot of people supporting both sides. Many people such as religious fanatics appose the procedure and believe it is the same as murdering a child. Although there is a strong opinion that a fetus in its first 4 weeks of development does not have feelings or the ability to process a thought through it's undeveloped brain.

It has been shown that there is a link between abortions and crime rates throughout North America. Since the legislation of abortion, crime rates have significantly dropped, the reason for this is that a majority of those aborted fetuses would have been born into poverty and thus more likely to become drug users and criminals. Abortion could possibly be responsible for half the drop of crime rates since 11. These statistics have never been proven to the degree of certainty a scientist might demand. However, there is proof that shows states that legalized abortion before 17 had their crime rates drop sooner than others.

Even with those statistics showing the extreme benefits of abortion, some people are still opposed to it because they thing that abortions are immoral because the mother deprives the fetus of a future and is not giving it a chance of life. Another reason why people are against abortion is because they believe the baby can still be adopted and live a full life with parents who want and love him or her. Statistics show that people who are not religious are .5 to 4 times more likely tog et an abortion.

There are lots of reasons why women have abortions, one might be because they are mentally unprepared to raise and care for a young child. They may be too young themselves to look after a baby financially, and having it would end their education. Another reason why young women terminate their pregnancies is because it may be against their religion to have a child in their current situation whate4er it may be. Sometimes people have abortions for more uncommon reasons like the actual baby itself. In Northern Island, abortion is only allowed if doctors agree that the continuation of a pregnancy would put the mothers life at risk, in this case they have up until the 4th week to go through with the procedure. Now with modern technology, a woman can find out almost anything about their un-born child. This means they can find out if the baby has a serious disability, and then the woman can make her choice from there.

Conclusion

Abortion is a very controversial topic which to argue strong point of support must be raised Although I believe in pro-abortion I do see the apposing sides point. There are many reasons why woman vs clinics and they vary with each case. In support of abortion clinics should be widely spread with support groups for those who under went the surgery. Abortion is a serious decision which should not be decided upon without much thought. It also changes a woman's life forever. For whatever reason she went through with it a woman should not be scrutinized against because of a decision she made regarding her own body.

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Personal Goals

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Our staff of freelance writers includes over 120 experts proficient in Personal Goals, therefore you can rest assured that your assignment will be handled by only top rated specialists. Order your Personal Goals paper at affordable prices custom writing service/a>! Edward Lajuan Todd

William Stanglin

Gen 00

July , 00

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Personal Goals

As a 7 year old working adult I understand the importance of having an education. Working full time and taking care of your family makes it challenging to succeed in a higher education. Educational goals should make it easier to obtain the levels of achievement you want to reach in school. This makes going back to school less stressful and more fun. Having personal goals outs your educational goals in perspective. Understanding your values or choices will help you set your personal goals.

You will experience a stronger drive to achieve if you build goals around what is important to you, like obtaining a higher level of education. I feel that a person really has to be focused in setting and achieving there personal goals. In my experience of trying to set personal goals in the past I found it to be very difficult to succeed at that. The reason for that was because I lacked the focus and the drive to be successful at that task.

One of my personal goals that I want to work on and achieve in as a University of Phoenix student is self-esteem. I've had low self-esteem basically all of my school life. During my early school days, it was difficult for me to focus at the task of learning. My so-called friends would tell me that I wasn't cool enough or the girls would tell me that I wasn't cute enough. It really tore my self-esteem down. One of my teachers once told me that "a positive self-esteem is both a prerequisite and a consequence of academic success." Of course I didn't know what he was talking about or what this even had to do with me. Now that I'm older and more mature, I do understand what he was talking about.

Another personal goal of mine is motivation. Having positive self-esteem helps a person to become motivated. With my low or negative self-esteem I also lacked motivation when I was in school. Since I wasn't cool or cute enough, I wasn't motivated to pursue my education. I want it to please others. I was motivated to please them, but not motivated to gain knowledge. Education at the time was not a priority of mine. With the atmosphere here at U.O.P, that lack of motivation will quickly turn into a rush of motivation.

Achievement is another personal goal. To achieve is to do successfully. I never achieved anything worth while in school, Because of the lack of a positive attitude and motivation. The word achievement also means accomplishment and the University of Phoenix has the resources to help me accomplish my goal. To graduate is my ultimate goal and to be able to have the opportunity to achieve that is truly a blessing.

One of my other personal goals that I want to achieve in is procrastination. People procrastinate because they don't believe in their ability to complete a task or don't believe in themselves in general. I procrastinated a lot in school. Assignments I had to do, I put of until the last minute and still didn't finish them in time. That's something that I want to achieve in breaking while I'm here at this University. It can hinder you in so many ways in your efforts to seek a higher education.

The second to last personal goal of mine is time management. Unlike high school, college requires students to spend much more time studying outside of class. In high school, I could get away with two-hour test preparation time or with writing a research paper in an hour or two. Not so in college. The main reason in managing time is to provide structure to my life and, in turn, piece of mind. So as my time management skills improve I feel that I would have less stressful situations resulting from procrastination here at the University of Phoenix.

My last personal goal is confidence. Confidence is trust, reliance and assurance. I had hardly any confidence in my ability to handle certain subjects which led to me procrastinating. For example, my weakest subject in school (and still is) is math. With me having no confidence no assurance that I can handle and overcome this task, it leads me to failing that subject. To gain confidence is my last personal goal that I want to achieve here at the University of Phoenix.

With my personal goals of achievement in order self-esteem, motivation, achievement, procrastination, time management, and confidence I ‘am ready to take on the challenge of being a student at the University of Phoenix. With my religious beliefs, morals, and values intact, I ‘am excited about conquering my fears about school and achieving my ultimate goal which is graduation.

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T cell Heterogeneity

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T cells are a subset of lymphocytes that play a large role in the primary immune response. These cells exhibit phenotypic and/or functional heterogeneity [1].

Phenotypic heterogeneity arises from the expression of different markers on the cell surface. There are two well-defined subpopulations of T cells, namely T helper (Th) and T cytotoxic (Tc) cells, both of which express one or the other of two membrane glycoprotein molecules CD4 and CD8. T cells that express CD4 i.e. Th can only recognise antigen bound to class II MHC molecules, whereas T cells expressing CD8 (Tc) are restricted to recognition of antigen bound to class I MHC molecule.

The differences in phenotypes of the T cell results in differences in function. Within the T helper cells are two distinct kinds, Th1 and Th cells. Just like all T cells, these mature in the thymus but are only produced when T cells encounter dendritic cells, which present antigen to the TCR. Th1 and Th cells are produced when DC1 and DC types dentritic cells present antigen to the TCR respectively (figure 1). The generation of an immune response both humoral by B cells and cell-mediated by Tc cells (CD8+) depends on the activation of Th cells. Th1 subset produces great amounts of IL- and IFN gamma; cytokines particularly important in cell mediated immunity. The Th subset is very good at providing B cell help by secreting IL-4,-5 and 6. The molecular basis for Th1- and Th-specific gene expression remains to be elucidated. However it has been found that Th cells express the GATA- gene whereas Th1 cells do not [].

The main role of the cytotoxic T cell, as the name suggests, is to kill other cells. The requirement for MHC class I on the target cell means that the Tc cell is very important in recognizing and destroying self-cells that have been altered or infected. The Tc cell must first become activated and mature into a cytotoxic T lymphocyte (CTL). These CTLs express on their surface molecules of a transmenbrane protein called the Fas Ligand. This is useful in ‘killing' most potential CTL targets as they express Fas (receptor for FasL) on their cell surface.

The T cell receptor made up of different heterodimers also contributes to phenotypic heterogeneity. The T cell receptors composed of and polypeptide chains can directly recognise antigens in the form of intact proteins or non-peptide compounds while those made up of and recognise antigens bound to MHC molecules. About 5% of peripheral blood T cells bear TCRs, most of which recognise non-peptide phosphorylated antigens []. TCRs and TCRs are both a result of rearranging gene segments. The chain is encoded by V, J and C segments. The chain is encoded by V, D, J and C gene segments. So rearrangement of the TCR and chain gene segments results in VJ joining for the chain and VDJ joining for the chain. Several mechanisms operate during TCR gene rearrangement and thus creating a high degree of diversity among T cell receptors. Figure shows the TCR, which the mature cytotoxic T lymphocytes express and figure compares the TCR and TCR.

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Diversity

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In my life, diversity plays a very important role. Ever since I was in third grade, I can remember wanting to be different than everyone else in my class, and I still feel to this day it is important to be "me". My definition of DIVERSITY is the variety of having different characteristics to a single human being. It may sound a little wordy so I am going to break it down. What I am implying is that people come from different places in the world which allows them to become accustom to their own cultures. This usually allows each individual to be different. They could look different, dress different, eat different food, talk different, listen to different kinds of music, etc, etc, etc. Personally, I enjoy living on a "diverse campus" because it allows me to learn about other people's lifestyles and cultures.

The reading that I chose to write about was Miss America Contest Proves Diverse. The article addressed that The Miss America Pageant will be held next weekend, and was talking about how diverse the competition was going to be this year. Miss Alaska is an Inupiaq Eskimo, Miss South Dakota is a Lakota Sioux and Miss Delaware is of Indian decent. The pageant will also include six African Americans, and the show will be emceed by an African American for the first time in the pageant's history. They stated that "This multiculturalism is a recent development for an event that for more than thirty years excluded minorities of any kind", which proves to be true with the fact supporting that in 150, rule number seven in the contestant contracted stated that the contestants who were going to be involved with the pageant had to be in good health and be white. The article goes on to explain that when the pageant first started, city firefighters were to chauffeur contestants around town. The African American firemen/women were not allowed to do this procedure simply because they were not of the white race. In 158, the trend broke and African Americans were allowed to participate in the pageant and chauffeur the contestants around. In 170, Cheryl Browne of Iowa was the first African American to be crowned Miss America.

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Individual Rights and Responsibilities in the American Legal System

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Our staff of freelance writers includes over 120 experts proficient in Individual Rights and Responsibilities in the American Legal System, therefore you can rest assured that your assignment will be handled by only top rated specialists. Order your Individual Rights and Responsibilities in the American Legal System paper at affordable prices with cheap essay writing service! An individual has quite a few rights when in court. One right is that everyone is entitled to a lawyer and a fair trial as seen in Gideons Trumpet when Gideon gets convicted of robbing money from the pool house he soon goes to trial after that. At first, he cannot afford to pay for a lawyer so he defends himself. A person in court can also choose to defend themselves in court if they feel that they do not need a lawyer to defend them. Another right an individual has while in court is to be appointed to a local lawyer that can represent them in court. If you cannot afford a lawyer and also do not want to represent yourself then you can represent yourself.

In court, the responsibility of an individual is to behave properly and not to yell or scream at the judge. If someone is brought up to the witness stand, then their responsibility is to tell the truth and not lie. Showing up to court especially if youre the judge,part of the jury, or the defendant /complaintif is definately the responsibility of those individuals. Not fulfilling responsibilities in court can affect whether or not a person is able to be proven innocent.

If an individual does not fulfill his or her responsibility even if it wasnt intentional then theres a good chance that they can be penalized to being guilty even if they werent guilty. For example, if a lawyer dosent have evidence at court then they messed up pretty bad in their responsibility to defend their client in court because most likely they will not win the case without evidence. In this case the lawyer would probably be fired since there was no point for him/her if they were going to mess up so badly.

The ultimate value of the American legal system presented is that everyone is entitled to a fair trial and to be represented by a lawyer. This is truly the ultimate value because without this right then a lot of people would not have been able to be proven innocent. Not everyone can afford a lawyer or afford to have a trial but with this right they are guaranteed to having those two things.

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These movies do effectively communicate this value in both movies. The boy in Twelve Angry Men was able to have a trial to see if he did in fact kill his father or not. He was entitled to a trial therefore, he was able to be proven innocent. In Gideons Trumpet, Gideon was able to have a trial twice but a lawyer once. Like the boy in Twelve Angry Men, Gideon also proved that he was innocent. Of course not everyone that is entitled to a trial is proven innocent but if someone is convicted then they have the opportunity to prove that they indeed are innocent.

Please note that this sample paper on Individual Rights and Responsibilities in the American Legal System is for your review only. In order to eliminate any of the plagiarism issues, it is highly recommended that you do not use it for you own writing purposes. In case you experience difficulties with writing a well structured and accurately composed paper on Individual Rights and Responsibilities in the American Legal System, we are here to assist you. Your cheap custom college paper on Individual Rights and Responsibilities in the American Legal System will be written from scratch, so you do not have to worry about its originality.

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How to destroy a student teacher relationship

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Do you hate school? I know I hate it. For me, it can become very boring. Having been in school for 10 years I know a few things that you can do to spice-up the long days at school. Making your teacher hate you will make school twice as fun as it was before. It will probably get you suspended and make your fail the grade, but it will certainly be worth it. The three things you need to do to destroy a student teacher relationship are to be disrespectful to the teacher, coming to class unprepared and to act stupid in the classroom.

The first step in destroying a student-teacher relationship is to be disrespectful to the teacher. Be sure to come to class 10 minutes late, and bang on the door franticly. When the teacher asks you why you are late be sure to give her the stupidest excuse you can think of. This reaction will surly aggravate her. As class resumes be sure to talk loudly to your classmates when the teacher is giving instructions for the lesson. As she yells at you make sure you deny ever talking and tell her that she is losing her mind. When the teacher tells you to go to the office, (and this is guaranteed to happen) remember to swear loudly as you slowly open the door. As you leave slam the door as hard as you can. This will "put the icing on the cake".

The second step in destroying a student-teacher relationship is by coming to class unprepared. Be sure that you never bring your books to class. As the teacher asks your were they are, quickly steal someone else's. The teacher will then yell at you and tell you to return the stolen books to the rightful owner. As the class gets to work, ask the class loudly if the have a pen or a piece of paper that you can borrow. Then tell the teacher that it's her fault that you do not have a pen. when the class hands in their homework, tell the teacher that your dog ate your work ,, and that she should extend the due date or you will tell the principal that she is favoring the certain classmates. This will make her hate you immensely.

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Finally the key to destroying a student-teacher relationship is to act stupid in class. Make sure when you are in class you don't do any work, and when the teacher asks why, tell her that you don't know how to do that work and that its to complicated for your grade level. When you receive projects be sure to openly plagiarize everything. This will cause her to yell at you and give you a zero. When you do tests and quizzes write only your name on all of them, and then hand them in. if you really want to get the pissed, rip up all tests and quizzes into tiny pieces and then proceed to throw all the pieces onto the floor. Be sure to refuse to clean it up when she yells at you. When you refuse there will be consequences, but it will certainly be worth the punishment.

Ultimately one can easily destroy a student-teacher relationship by being disrespectful, coming to class unprepared and by acting stupid while in class. After destroying your relationship with your teacher you will soon realize that it was actually worth it. As you destroy this relationship you will have fun and you will be the talk of the school. After destroying this relationship you to will be able to train other classmates on how to have some fun while attending school. Now that you know how to destroy this relationship you will like school more than ever, and you will have twice as much fun. Enjoy school now that you have the know-how to have some real fun.

Please note that this sample paper on how to destroy a student teacher relationship is for your review only. In order to eliminate any of the plagiarism issues, it is highly recommended that you do not use it for you own writing purposes. In case you experience difficulties with writing a well structured and accurately composed paper on how to destroy a student teacher relationship, we are here to assist you. Your persuasive essay on how to destroy a student teacher relationship will be written from scratch, so you do not have to worry about its originality.

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