Cooper Green Hospital and the Community Care Plan Case Study

Cooper Green Hospital and the Community Care Plan - Case Study Example Finally, the expansion of the program has to be driven by an individual other than Dr Max Michael the originator of the program. He he has neither the promotional, organizational or social skills needed to develop a team that can effectively realize the cost benefits to service providers and time and convenience benefits to CCP members. This case presents a series of key issues that, traced backwards, draw out the essential issues. The presenting issue is a lack of revenue: Start-up funds are terminating and the program is not yet self-supporting. The program is not yet self-supporting because it does not have enough paying participants. Therefore, the program needs more members, paying more membership fees to become self-supporting (or, ideally, profitable). The key issue in this case is promotional. One might be tempted to say marketing, but promotional is more accurate. Individuals to not need to be persuaded to buy membership in the Cooper Green Hospitals Community Care Plan (CCP) clinics. The problem is actually much more fundamental. They need to be made aware that the option exists. The case indicates that potential members have not made a choice not to join a CCP but rather, for the most part, were never aware that they had the option, of what the option entailed, an of what the potential benefits were. It is in this sense that the key issue is promotional. The symptoms are financial losses and low membership but the key issue is promotional: The target client group is largely unaware of the availability of the service. They lack the information necessary to say yes to CCP clinic membership. A lack of promotion is also evident on an entirely different level. The employees seem to enjoy working in the CCP environment and be motivated. However, the same cannot be said about their bureaucratic and political masters.

Psychology in Education Essay Example | Topics and Well Written Essays - 2000 words - 1

Psychology in Education - Essay Example Curriculum should be designed in such a way that students could be developed morally, behaviorally, and socially without making compromises on the academic content. This is the only way confident and morally responsible students could be prepared in my instructional setting. As a teacher who is assigned to teach 9th to 12th graders in custody, I could adjust the curriculum content in such a way that it could then address and acknowledge the changing nature and desires of my students without favoring them completely. Wherever educational strategies fail, it happens mainly when the desires and ideas of the students are overlooked completely. To know my students’ interests, I would have their input in the curriculum development. First, I shall decide what topics to teach, then I shall discuss those topics with my students in the very first class, and encourage them to suggest alterations, modifications, and valuable insights so that the topics would occur and flow in a way that t hey find interest in. There would be certain topics that they would like to be taught first and others later. I would organize my chapters accordingly. I would also let them express how they would like their performance to be assessed. I would put a variety of assessment methods in front of them e.g. announced vs unannounced quizzes, oral vs written exams, individual assignments vs group assignments and would also tell them the pros and cons of each.

Contraction in Smooth Muscle Cells compared to Contraction in Skeletal Essay

Contraction in Smooth Muscle Cells compared to Contraction in Skeletal Muscle Cells - Essay Example In this assignment, based on studies, a comparison has been drawn between the contractions of these two types muscles at the cellular and molecular levels. Before going into this discussion, contraction must be defined. Contraction is defined by activation of the muscle fibers with a demonstrable shortening of the muscle fibers2. The physiological events in relation to muscle contraction have been delineated in great detail, and they reveal that basically, with neural stimulation there occurs a series of molecular events initiated by increase in the cytosolic calcium concentration. In this assignment, these events will be looked at in a greater detail to compare these events between the striated and nonstriated muscles. Each skeletal muscle is made up of a large number of skeletal muscle fibers, which are thin cylindrical multinucleated cells of variable length, which in turn are made up of myofibrils, which are bundles of filamentous structures running along the length of the fiber. While observing skeletal- or cardiac smooth muscle fibers through microscope, a series of light and dark bands perpendicular to the long axis of the fiber are very conspicuous. Actually, each myofibril consists of repeating sarcomeres, and the alignment of these sarcomeres3 between adjacent myofibrils gives rise to these bands in the skeletal muscle. The structural plan of the myofibril is such that the sarcomeres are placed end to end, and this fundamental contractile unit is visible within skeletal and cardiac muscles. On the contrary, smooth muscle cells do not show a banding pattern. Actually, the arrangement of sarcomeres leads to the striated pattern in skeletal and cardiac fibers, and sarcomeres in turn comprise of alternate arrangements of numerous thick and thin filaments in the cytoplasm to give rise to roughly 1-2 micrometer cylindrical bundles. Smooth muscles are abundant mainly in the visceral organs, such as, gut, blood vessels, bladder, and uterus, and they are to serve a particular function. For example, smooth muscles present in the sphincters are designed to maintain a steady contraction for long periods of time and then rapidly relax or in other muscles, they remain constantly activated. To suit these varied functions, the smooth muscles consists of sheets of many small spindle-shaped cells linked together by junctional contacts. Although these serve as mechanical continuity between adjacent spindles, actually, in places there are gap junctions that are designed to provide electrical continuity between cells. Each cell is uninucleated, shorter than striated muscles, and broader than a myofibril. Unlike striated muscle, no cross striations are visible, although they contain the same contractile protein filaments, actin and myosin. It is important to note that their arrangement is irregular in a loose lattice unlike th e regular arrangement of skeletal and smooth muscles. Myosin has been termed as a molecular motor. This consists of two heavy chains and two pairs of light chains. The two terminal ends of the heavy chains create a coil that aggregate in the cell to create the basic unit of a thick filament. The remainder of this molecule juts outward from the thick filament creating the cross-bridge. Thus, these polypeptides combine

Mark Mathabane’s Kaffir Boy Essay Example for Free

Mark Mathabane’s Kaffir Boy Essay Racial Discrimination, has already been a long term phenomenon, in existent in almost all societies in different eras and civilization. The idea of discrimination is inevitable. Considering that such discrimination creates social structure as regards what is expected of everybody in a society and what is due to them. However, sometimes this social structure is abused, beyond its limit. People who belong to a higher status quo would definitely do whatever it takes to keep it. To illustrate, colonizers who had way better technology, combat powers and knowledge as compared to areas being colonized, would come to these new conquests are superiors. They would then take the locals as slaves and ravish on the wealth that they have to offer. In their own place, these locals become discriminated and unwanted. In return, locals would do whatever it takes to associate themselves with the colonizers, by looking like them, being friends with them, working for them, or marrying people of their kind. And it always seems that it is the right thing to do. When the British came to South Africa, this is exactly what happened. Mark Mathabane’s Kaffir Boy, tells a real story of a man who chose to fight a different battle to combat discrimination and inequality. While most of his relatives act as freedom fighters, he came to America to educate himself and to excel in a sport he loves. His success has given so much inspiration. His story as depicted in his book will take us with him as he reveals the horrors of his past. Mark Mathabane lived in a country, wherein racial divide, for most of its early years seemed to be the only thing that defines them. South Africa, a country nestled in the continent of Africa, was once invaded by white colonizers too. And they have proven that they came there to stay. In a country such as South Africa, a nation so unique as compared to other nations in the African continent. South Africa can be considered as diverse in a special way, because it is the only African country that has Caucasians as locals. Originally dominated by black Americans, South Africa is now a melting pot of two cultures. Analysis It had never occurred to me that though the two were different as night and day, as separate as east and -west, they had everything to do with each other; that one could not be without the other (94) This statement from Johannes best explains the struggles of Mathabane. In summary it explains how the two dominant races in South Africa has tried to isolate each group against each other, by means of creating physical division such as creating boundaries and naming certain places as black or white territory. Whites are in a way regarded more superior because they are more literate as well. The government also used formal means to strengthen the divide by creating laws such as prohibiting mix marriages, and creating policies in the education system that seems to favor a specific race. Overall, it was almost the generally accepted norm, to- categorize, discriminate. Kaffir Boy, is a tale about Mark Mathabane’s life growing up in South Africa, just outside of Johannesburg. Mark Mathabane lives in the town of Alexandra during industrial colonialism period with his parents, five sisters and a brother. He talks about how he experienced brutality and starvation from the Peri Urban, an Apartheid police group in South Africa. Growing up very poor, he dreamt of having a better life for him and his family. He often questioned the prejudices happening around him and has decided to take the course of his destiny in his own hands. As a young boy, he struggled with his identity. He wonders which religion he should practice, which country or class he should belong. There is so much craving for autonomy that at a young age he began resenting his parents religious and tribal heritage and eventually decided to leave Africa. Believing that religion, specifically Christianity was used wrongfully by different groups and races, he eventually rejected it. He believes that government used it to claim that God had given whites the divine right to rule over blacks; the black churches misused it by demanding money from Africans who were already destitute; and black churches further misused it by resigning themselves to the idea that this was their lot in life, Gods will for black men and women (36). Mathabane also recalled how apartheid made use of tribalism as form of torture against Africans. He believes that his father, allowed himself to be controlled by superstitions, Relatively mature for his age, he reiterates his independence by doing what he pleases with his life. For Mathabane, the Christian God is bias in favor of the whites and is oblivious to the Africans pain. Although he recognizes its legitimacy as sign of respect for her mothers faith, he still rejects it the way he rejects tribalism and African superstition. For him, submitting to any specific belief or religion is synonymous with compromising his free will. In page 208 of the book he further on states African superstition and tribal culture were not for him. His scorn for his father lay in the fact that his father clung to values which had outlived their usefulness, values which discriminated against him while he attempted to function within the white mans world (208). â€Å"What Mathabane did accept, though it took some trial and error, was his mothers understanding that education would lead him to a better life. Learning English, he decided, was the crucial key to unlocking the doors of the white world (193). The books that white people read led to the power they had over black people (254). Mathabane eventually decided that literacy was a necessary element in the liberation struggle. How can the illiterate function, he wondered, in a world ruled by signs (201) Books had taught him about places where he could be free to think and feel the way I want, instead of the way apartheid wants (254). He then realizes that he needs to make important decisions in order to make his dreams come true. Thinking that South Africa has nothing much to offer, at least for a poor black African boy like him, he decided to try his luck with American Universities. As he begins to plot his future, his tennis abilities begin to progress faster and better. Being an avid fan of Arthur Ashe, he takes his wins and losses as if his own. The achievements of his â€Å"idol† encourages him to do better every single day. From black state competitions, he started joining the more prestigious white state competitions. His participation in white state competitions led to his banning from joining black state competitions. At this point, he feels as if his progress in his craft takes him away from the things he loved the most. Luckily, Mark later on leaves for the United States as a university scholar, through the help of a famous American tennis player and other white donors. Conclusion Deep within me,I knew that I could never really leave South Africa or Alexandra. I was Alexandra, I was South Africa (348). This goes to show that despite of all the successes, the author looks back in his roots. At first, his move out of Africa was just his way of â€Å"escaping† the endless circle of failed dreams and lack of opportunities. But his absence in his country makes him reaffirm his identity, and gives him the opportunity, to finally appreciate what his past has to offer for his present and for his future. This book tells a very dark story filled with pain, sadness and loneliness on most of its chapters, but it also provides a strong foundation for the readers to further understand the plight of the narrator. The journey he took was not only of hope, but rather, a journey of rediscovery. How can the illiterate function, he wondered, in a world ruled by signs (201)? The books had taught him and transported him to places where he could be free to think and feel the way I want, instead of the way apartheid wants (254). Why burn the only thing that taught one to believe in the future, to fight for ones right to live in freedom and dignity? (285). Here reaffirms his conclusion as we experiences Soweto riots, which was triggered by resentment over the governments ruling that African education system be taught it Afrikaans instead of English. Upon witnessing the library burn down he inquired for enlightenment from one of his peers, who mentioned that the burning is for the destruction of all the traces of white oppression in the Bantu Education system. The struggles in his youth, leads him to think that literacy is the key to success. by learning English, he will be given better opportunities, the same as the whites. According to the author, literacy has given the whites so much edge and power over the black Africans. Having an education will somehow even out the playing field. Literacy for Mathabane is so important, that for him this will eventually lead them to be liberated from all their struggles. In the end, we really have no control over our government, over the people around us, and over norms and traditions we grew up with. But we do have full control over our perspective, our feelings and destiny. And this is precisely what Mathabane did. He took charge of his own future. This book inspires me to examine the choices I have made as a young person, at the same time, it makes me wonder whether the previous steps I have taken in life will take me closer to my aspirations or take me farther. But then, it makes me think deeper not just about my ambitions, but what I really want to contribute to my society in the end. This book serves as a wake up call. In a society wherein we are given so much opportunity, it seems as if we are left with no excuses not to excel. Reference: Mark Mathabane, 1998, Kaffir Boy, Simon Schuster Adult Publishing Group

U.S. Neutrality in World War I :: essays research papers

When World War I broke out in Europe, Woodrow Wilson announced that the United States would stay out of European affairs and remain neutral. Wilson was aware that the United States had no interest in the matters that did not directly affect the interests of America citizens. He hoped that the United States would remain neutral and continue to trade with warring nations. The American view of neutrality meant we were entitled to safely and freely trade with either side at war as long as it was out in the open seas. The United States hoped to stay out of the way because war was viewed as wasteful, irrational, and immoral. There was no reason for the U.S. to intervene with European affairs. In addition, Wilson was aware of the huge immigrant populations whom have come to the United States just recently from those nations currently at war. Many immigrants, such as the Irish, would not support the war because of their previous hatred toward Great Britain. Great Britain controlled a big portion of the sea during this time and was the first to set up a blockade between the United States and Germany. The United States protested but Britain continued to force American ships to be searched for food, medical supplies, and steel before reaching Germany. Although the United States was against the blockade, it had very little impact on the U.S. economy. With Great Britain going to war, the United States produced enough war-related exports to pull them out of its prewar recession. Although Wilson claimed neutrality, he held sympathetic feelings toward Great Britain. After all, the Americans shared language and culture to the English in contrast to Germany who ruled their nation in a more militaristic manner. Because Wilson did nothing in response to Great Britain’s violation of American neutrality, Germany saw this as an indication of siding with the English. Germany getting desperate with no trade with the U.S., their economy was frantically crumbling. In retaliation, Germany violated the international warfare law by attacking with submarines without warning. Wilson’s response: Germany must stop the blockade or face the consequences. Wilson agrees to reach a deal with Germany after they publish a statement to negotiate even though both France and Great Britain have proclaimed that this war would end with total victory over Germany. Wilson is trapped by his own ultimatum.

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Rudyard Kipling Required literature: Brodey K. , Malgaretti F. Focus on English and American Literature. M. , 2003. Pp. 191-197. Supplementary literature: ?. ?. . . ?. , , 2007. . 230-243. 1. English short-story writer, novelist and poet Kipling was the first Englishman to receive the Nobel Prize for Literature (1907). l His most popular works include â€Å"The Jungle Book† (1894) and the â€Å"Just So Stories† (1902), both children classics though they have attracted adult audiences also.He tried his hand at many sorts of genres: he was a dialect poet, folklorist, adventure novelist, writer of books for children. His books are valuable source of information not only about the 19th century, but about men in general. Born in India in 1865, Kipling was sent to England at the age of six, there to undergo eleven years of formal Victorian education. He returned to India in 1882, and for the next seven years worked as a reporter & soon turned to fiction writing. Speak about Kipling’s biography and its influence upon the creative works by the author. 2.Kipling never wrote by impulse – he had a doctrine and it sounds like â€Å"Art for Morality’s Sake†. He created the fantastic world of his own, very much rooted in reality. Speak about â€Å"Jungle Book† being a mixture of romanticism and realism. 3. Kipling became nationalist saying that English nation is the only that could bring the world to prosperity, to educate all people. But he does not speak about the English only but about the whole of mankind. And he shows some conditions under which a human being can become a man in his poem â€Å"If†. Prove that the author addresses the whole mankind in this poem. . One of his chief works – â€Å"Barrack-Room Ballad† – is a collection of poetry, about the experience of military service in India and other parts of the British Empire. It contains the most famous of Kipling’s dialect poems. There are two sections in this book. What do these two sections comprise? 5. â€Å"The Ballad of East and West† depicts the differences present between the east and west even though uniformity in human nature subsists around the world. In this ballad Kipling also displays his ability to create lifelike characters through â€Å"Kamal† and â€Å"The Colonel’s Son†.Through the use of imagery and witty verse he makes both of these fictional characters come alive. What is the most famous quotation from this ballad and why does it cause misinterpretation? 6. His novel â€Å"Kim† is generally regarded as his best novel. The story, set in India, depicts the adventures of an orphaned son of a sergeant in an Irish regiment. Kim is European, not an India, and he is not a Maugly because his system of values is a mixture of that of European and that of Indian, full of truth and superstitions. Judge the merits of the book. Speak about the philosophy of the book.

AIDS Article

The article is written by a gay man, who lost his first partner to AIDS and dedicated himself to spreading information about HIV prevention and campaigning for governmental attention to the problem in order to save ‘other gay and bisexual men from losing the ones they love’ (Williams, 2006, para. 6).Clark Williams also served as the interim executive director of the Billy DeFrank LGBT Community Center at the moment of the article’s release and as a manager of county’s HIV prevention, counseling, and testing initiatves in 2001-2003.The article reports the LGBT community of Santa Clara County joining other concerned citizens at a meeting where the county’s Board of Supervisors Chair promised to attract additional financial resources to strengthen public health system in the face of accelerating rate of HIV transmission.The focus of the effort should be prevention and early diagnosis. The article recalls the start of HIV/AIDS epidemic that was first reg arded as a rare form of cancer endangering gay and bisexual male New Yorkers. In 2006, the number of Americans who died from AIDS reached 550,000 and continued to grow. Approximately 40,000 citizens are getting infected with HIV every year.Santa Clara County, for its part, has lost 2,000 residents to the disease. More than 2,500 were living with HIV/AIDS; this number might have been considerably higher because one in three citizens having HIV remains undiagnosed. 80 percent of new infections with the virus in Santa Clara County were among gay and bisexual males.Santa Clara County is reported as being ‘near the heart of our nation's HIV/AIDS epidemic’ (Williams, 2006, para. 5). Apart from focusing on the human tragedy of living with HIV diagnosis or loosing a friend, a family member, a colleague, or a neighbor to the disease, the article discusses the problem of HIV/AIDS through the prism of financial burden on the county’s social security system.Lifetime cost of HIV treatment is estimated to be as high as $155,000 per patient. These costs are much higher if the disease is not diagnosed at early stages, which is often the case in Santa Clara County, where patients learn about their HIV status in an emergency room.However, the author notes several positive developments in the field of public health, such as risk reduction counseling to people living with HIV/AIDS and public HIV test counseling locations. Santa Clara County is compared with San Francisco, where HIV test counseling facilities are abundant. In Santa Clara County, there is only one public testing facility, despite the fact that the number of LGBT is over 100,000 in the area.The Billy DeFrank LGBT Community Center is deemed as the most appropriate place to establish another full-time test counseling facility, since it is known for its excellence in providing HIV prevention to at-risk population.One additional testing facility will not solve the problem in the county. It is not onl y LGBT population that is especially affected by the spread of HIV/AIDS. Other vulnerable groups include ethnic minorities, homeless and runaway youth, and drug addicts. Therefore, five part-time testing centers should be opened across Santa Clara County.One of the main strengths of the article is the fact that it is written from an insider’s perspective. Rapport between the author and readers is immediately established when Clark Williams shares his personal tragedy of loosing his loved once to AIDS.However, emotional pathos is not the main component of the writer’s credibility: Williams is a leader of Santa Clara County’s LGBT community, knowledgeable of the actual Status Quo with regard to HIV/AIDS prevention and counseling.