An Analysis of the Los Angeles County Hospital Emergency Room Essay

An Analysis of the Los Angeles County Hospital Emergency Room Learning Team Operations Management Plan The problem of emergency department overcrowding has become an important issue for many emergency departments throughout the city and county of Los Angeles. Patients frequently have to wait hours just to get into the emergency department to be seen by a physician or other healthcare professionals. The problem does not seem to be getting better as times goes on, but indeed studies seem to indicate that the condition is growing worse. At a local Los Angeles County Hospital (King Drew Medical Center) emergency department, we found that the problem is especially severe. Patients are forced to wait as long as 8-12 hours to be seen and treated by physicians. This paper will propose a plan that will help to alleviate this critical problem of emergency department overcrowding and long patients waits for services. Problem Statement There is a nationwide shortage of emergency room space and an increased demand for emergency services. Public health officials, hospital executives, and doctors are increasingly concerned about emergency department ''boarding," because of the potential impact on both patient safety and staff burnout (Kowalczyk, 2005). Our paper will attempt to solve the problem of emergency department overcrowding and long waiting times. We propose to first create a flow chart of present operations from the beginning of the emergency department visit to the discharge or admission of the patient. We believe that the process can be analyzed and changed in a way that improvement can be accomplished by improving efficiency and flow of traffic through the emergency department processes. Null Hypothesis Our study attempts to identify a serious problem at a local Los Angeles County Hospital that appears to have plausible solutions. Looking at other similar hospitals throughout the nation and abroad, it appears that restructuring and appropriate panning may help to alleviate long patients’ waits for services. The null hypothesis states that changes in the processes of triage, registration, evaluation, treatment and disposition will shorten waiting times and improve efficiency (mu= changes in process). The alternative hypothesis states that changing in the process of triage, registration, evaluation, treatment and disposition will not change or improve waiti... ...y will be made and expenses reduced by a more efficient process. References Campbell, A.B. (2003). Strategic planning in health care: Methods and application. Quality Management in Health Care, 1(4), 12-23. Kowalczyk, L.(2005). Hospitals strive to reduce waiting lines for beds. Retrieved April 26, 2005 from the world wide world: http:// www.boston.com/news/education/higher/articles/hospitals ================================================================= Kelton, W. D., R. P. Sadowski, D. A. Sadowski, 2002. Simulation with Arena, Second Edition. New York: McGraw-Hill Higher Education. Joint Commission on Accreditation of Healthcare Organizations. Quality in Healthcare. Retrieved April 26, 2005 from the world wide world: http://www.jcaho.org/qualitycheck/ Los Angeles County Hospital (King Drew Medical Center Emergency Room, 2005). Measures to reduce length of stay in the emergency room. LA: Author. Affinity Data Collection Systems. Retrieved April 26, 2005 from the world wide world: www.affinitydata.com. Wilson, A. (2004). Reduction of ED Queues and Elopement Through the Straight Back Approach. .Retrieved April 26, 2005 from the world wide world: http://tgi@thomasgroup.com/

My Arrest and Rebirth :: Law College Admissions Essays

My Arrest and Rebirth With great embarrassment and pain, I must tell you that I have once been arrested; it was over a fight with my brother Jacob. The police attribute Jake's behavior to chemical dependence; my parents blame it on some unknown incident while he was at school. I don't know, myself; I do know that I returned from Israel to find Jake had taken over my room, as well as anything else in the house he could manipulate or control. The TV, VCR and computer were his absolute domain; I missed a calculus final because he took the car without permission. He refused to engage in any conversation at all with my parents. His "conversations" with me and Sol were primarily a barrage of put-downs and insults. He kept lists of "crimes" other people had committed, for which he sought revenge, by stealing things or just hiding them. Nothing was secure or safe at home; I didn't feel secure or safe there. Home was worse hell than the army had ever been. How can I explain how traumatic this was for me? Imagine being asleep on the sofa (the only bed I had) and being awakened in the middle of the night by the blasting of the TV. If I complained, I would be either ignored or screamed at. If I pretended interest, he would start changing channels, or switch to the stereo. If I called my parents, my "crime" got added to his list for later revenge. I pleaded with my parents to intervene, but they just called me selfish; couldn't I see that I had a sick brother, that I had to "help" him by tolerating his behavior until he magically got well? "Magically" because we couldn't seek any help; that would require letting an "outsider" know We had a problem. After he beat up my brother Sol, my father ordered Jake to leave until he cooled off, the first time he had ever intervened. But Jake called my father's bluff; he disappeared for two weeks. This pattern of violence, abusiveness, drinking and disappearing escalated throughout the summer. After one particularly violent outburst, I finally tried to show my parents that by refusing to deal with Jake's illness, they were hurting Sol and me. I staged a suicide attempt with sugar pills I had placed in an aspirin bottle.

Oral Diseases During Pregnancy Health And Social Care Essay

Pregnancy is a delicate status affecting complex physical and physiological alterations. Pregnancy constitutes a particular physiological province characterized by a series of impermanent adaptative alterations in organic structure construction, as the consequence of an increased production of estrogens, Lipo-Lutin, gonadotrophins, and relaxin, among other endocrines. The unwritten pit is besides affected by such endocrinal actions, and may show both transient and irreversible alterations every bit good as alterations that are considered pathological [ 1 ] . Pregnant adult females are peculiarly susceptible to gingival and periodontic disease. In this context, different unwritten lesions are reported to be common during gestation. In consequence, an increased prevalence of dental changes excessively has been documented, including peculiarly cavities and erodings [ 2 ] . The biochemical and hormonal alterations of gestation enhance the hazard. Since the old married womans ‘ narrative of â€Å" the loss of a tooth for every gestation, † unwritten wellness during gestation has long been a focal point of involvement [ 3 ] . Vergnes and Sixou [ 4 ] , in their systematic, a meta-analytic reappraisal of 17 articles concluded that there was a statistically important association between periodontal disease and inauspicious gestation results. Perinatal mortality rates in Pakistan and many other developing states are more than 10-fold greater than in developed states. In a survey on periodontic disease and inauspicious birth results in pregnant Pakistani adult females, it was found that they have high degrees of moderate-to-severe dental disease. It was concluded that spontaneous abortion and neonatal and perinatal deceases increased with the badness of periodontic disease [ 5 ] . Patients, doctors, and tooth doctors are cautious, frequently avoiding intervention of unwritten wellness issues during gestation. This job is compounded by a deficiency of clinical guidelines for the direction of common unwritten conditions in gestation. In the absence of pattern guidelines, fright of medico legal action based on negligent or deficient intervention of unwritten conditions during gestation abounds, but it is mostly baseless [ 6 ] . In add-on to a deficiency of pattern criterions, barriers to dental attention during gestation include unequal dental insurance, relentless myths about the effects of gestation on dental wellness, and concerns for fetal safety during dental intervention [ 7 ] . Common PROBLEMS DURING PREGNANCY Oral lesions: During gestation, the unwritten pit is exposed more frequently to gastric acid that can gnaw dental enamel. Morning illness is a common cause early in gestation ; subsequently, a slack esophageal sphincter and upward force per unit area from the big womb can do or worsen acerb reflux. Patients with terrible purging can hold enamel erodings. Rinsing the oral cavity with a teaspoon of baking sodium carbonate in a cup of H2O or using tooth mousse ( casein phosphopeptide formless Ca phosphate ) on the dentition after purging can neutralize acid. Pregnant adult females should be advised to avoid brushing their dentitions instantly after purging and to utilize a toothbrush with soft bristles when they do brush to cut down the hazard of enamel harm. Fluoride gargle can protect eroded or sensitive dentitions. Dental Cavities: An increased prevalence of dental changes has been documented, including peculiarly cavities ( 99.38 % ) [ 2 ] . Pregnant adult females are at higher hazard of tooth decay for several grounds ; including increased sourness in the unwritten pit, sugary dietetic cravings, and limited attending to unwritten wellness. Untreated dental cavities can take to unwritten abscess and facial cellulitis. Pregnant patients should diminish their hazard of cavities by brushing twice daily with fluoride toothpaste and restricting sugary nutrients. Patients with untreated cavities and associated complications should be referred to a tooth doctor for unequivocal intervention. If the female parent ( infecting individual ) has high salivary mutans streptococci count, transmittal occurs through several day-to-day spit contacts between the kid and the female parent. The acquisition of mutans streptococci is suggested to happen during a distinct age interval: a â€Å" window of infectivity † between 19 and 31 months in which the proportion of kids with MS additions from 25 % to 75 % [ 8 ] . Numerous literatures have stated that both hapless nutrition and low birth weight are risk factors for the development of early childhood cavities ( ECC ) . ECC is an early arising, potentially lay waste toing and deadly signifier of dental cavities. It non merely does dentitions, but consequences in hurting, infection and damage of unwritten map which leads to malnutrition and lessened quality of life. Under- or malnourished babies and babies with low birth weight are at hazard for enamel hypoplasia ( uncomplete formation of enamel ) [ 9 ] . Enamel hypoplasia may do an irregular enamel surface or stain, which can ensue in countries more prone to cavities. Therefore, pregnant female parents should be advised to optimise nutrition during the 3rd trimester and the baby ‘s first twelvemonth, when the enamel is undergoing ripening. Pregnancy Oral Tumor: Pyogenic granuloma ( or pregnancy tumour ) seems to be common in the conceiving female population. Pregnancy unwritten tumours are vascular lesions caused by increased Lipo-Lutin in combination with local thorns and bacteriums. Lesions are typically erythematous, smooth, and lobulated ; they are located chiefly on the gum. The lingua, roof of the mouth, or buccal mucous membrane may besides be involved. Pregnancy tumours are most common after the first trimester, turn quickly, and typically recede after bringing. Management is normally experimental unless the tumours bleed, interfere with chew, or do non decide after bringing. Lesions surgically removed during gestation are likely to repeat [ 10 ] . Loose ( Mobile ) Teeth: Dentitions can loosen during gestation, even in the absence of gum disease, because of increased degrees of Lipo-Lutin and estrogen impacting the periodontium ( i.e. , the ligaments and bone that support the dentition ) [ 1 ] . For unsophisticated loose dentitions non associated with periodontic disease, doctors should reassure patients that the status is impermanent, and entirely it will non do tooth loss [ 11 ] . Gingivitis: Gingivitis is the most common unwritten disease in gestation in such state of affairss. It is redness of the superficial gum tissue. During gestation, gingivitis is aggravated by fluctuations in estrogen and Lipo-Lutin degrees in combination with alterations in unwritten vegetations and a reduced immune response, therefore cut downing the organic structure ‘s ability to mend and keep gingival tissue [ 12 ] . Thorough unwritten hygiene steps, including tooth brushing and flossing, are recommended. Patients with terrible gingivitis may necessitate professional cleansing and demand to utilize mouth rinses such as chlorhexidine. Periodontal disease: Periodontal disease is a destructive redness of the periodontium impacting many adult females of childbearing age. The procedure involves bacterial infiltration of the periodontium. Toxins produced by the bacteriums stimulate a chronic inflammatory response, and the periodontium is broken down and destroyed, making pockets that become septic. Finally, the dentition loosen. This procedure can bring on perennial bacteraemia, which indirectly triggers the hepatic ague stage response, ensuing in production of cytokines, prostaglandins ( i.e. , PGE2 ) , and interleukins ( i.e. , IL-6, IL-8 ) , all of which can impact gestation [ 13 ] . Elevated degrees of these inflammatory markers have been found in the amnionic fluid of adult females with periodontal disease and preterm birth compared with healthy control patients [ 14 ] . In one survey, research workers found minimum unwritten bacteriums in the amnionic fluid and placenta of adult females with preterm labor and periodontal disease [ 15 ] . It seems likely that this inflammatory cascade entirely prematurely initiates labors due to early uterine contractions. The mechanism is thought to be similar for low birth weight ; the release of PGE2 restricts placental blood flow and causes placental mortification and attendant intrauterine growing limitation [ 16 ] . PRENATAL Guidance Prenatal unwritten wellness reding for parents is an of import factor because infant unwritten wellness begins at this phase. The chief aim is to bring forth consciousness among parents about dental disease, its bar and the agencies to supply a suited environment for the kid to develop. Prospective parents need to cognize that antenatal appraisal and instruction are indispensable to the unwritten wellness of their kid. Prenatal appraisal includes unwritten wellness position of the parent. If the parents are at hazard, the tooth doctor should supply preventative intervention and educate them on good plaque control, followed by Restorations if required and discourse the transmissibility of Mutans streptococci from the female parent to the baby. Parents should be monitored on a regular footing to guarantee effectual unwritten hygiene and dietetic wonts have been established. Improvement of the female parent ‘s unwritten hygiene, diet and the usage of oral cavity rinses can hold a important impact on the kid ‘s cavities rate in the hereafter [ 17 ] . Anticipatory counsel: Anticipatory counsel is the procedure of supplying practical, developmentally appropriate information about kids ‘s wellness to fix parents for the important physical, emotional and psychological mileposts. Anticipatory counsel involves three types of undertakings: ( I ) assemblage information, ( two ) set uping a curative confederation, and ( three ) supplying instruction and counsel. General prevenient counsel for the female parent includes the undermentioned [ 18 ] , [ 19 ] : ( a ) Education refering development and bar of dental disease and besides presentation of unwritten hygiene processs. ( B ) Reding to instil preventative attitudes and motive. ( degree Celsius ) Supplying information to pregnant adult females about gestation gingivitis ( redness of the gum caused by an exacerbated response to dental plaque, related to hormonal alterations during gestation ) . With gingivitis, the gums become inflamed, conceited, sensitive and tend to shed blood. Signs of gingivitis may go apparent in the 2nd trimester and extremum during the 9th month of gestation. ( vitamin D ) Visiting a tooth doctor for an scrutiny and Restoration of all active decay every bit shortly as executable and to diminish opportunities of developing gestation gingivitis. ( vitamin E ) Eating healthy nutrients such as fruits, veggies, grain merchandises ( particularly whole grain ) , and dairy merchandises ( milk, cheese ) during repasts and bites. Limit eating between repasts. ( degree Fahrenheit ) Eating nutrients incorporating merely sugar at mealtimes, and restricting the sum. Frequent ingestion of nutrients high in sugar additions the hazard for tooth decay. In add-on, frequent ingestion of nutrients that easy adhere to the tooth surface, such as dried fruit and confect, increase the hazard for tooth decay. ( g ) Brushing teeth exhaustively twice a twenty-four hours ( after breakfast and before bed ) with fluoridated toothpaste and flossing day-to-day. ( H ) Rinsing every dark with an alcohol-free, nonprescription fluoridated mouth rinse. ( I ) Not smoking coffin nails or masticating baccy. DENTAL PROCEDURES DURING PREGNANCY Every pregnant adult female should be assessed for dental hygiene wonts, unwritten jobs ( e.g. , cavities, gingivitis ) , and entree to dental attention [ 11 ] . Conversely, inauspicious gestation outcomes, such as low birth weight, preterm birth, and pre-eclampsia, occur in adult females who have non received intervention. Good unwritten wellness during gestation is of import to the overall wellness of both anticipant female parents and their babes. Relevant information sing the type of dental intervention that can be undertaken may be summarized as follows [ 18 ] , [ 19 ] : First trimester: It is the most important period for growing of fetus. Merely exigency dental intervention should be undertaken in audience with the patient ‘s doctor when organogenesis is uncomplete. Second and 3rd trimester: Emergency every bit good as elected dental intervention can be provided. The 3rd trimester presents the extra jobs of positional uncomfortableness and the hazard of vein caval compaction. Prop uping a adult female on her left side, shifting frequently, and maintaining visits brief can cut down jobs [ 20 ] . Postponing dental attention until after bringing can be debatable because new female parents are focused on the attention of their neonates and may hold alveolar consonant insurance merely during gestation [ 13 ] . Plaque diet control plans are initiated for female parent throughout gestation. Screening and Prevention: Oral scrutiny should include the dentitions, gums, lingua, roof of the mouth, and mucous membrane. Patients should be counselled to execute everyday brushing and flossing, to avoid inordinate sums of sugary bites and drinks, and to confer with a tooth doctor. Status of and programs for unwritten wellness should be documented. Many tooth doctors are reported to be loath to handle pregnant adult females [ 21 ] . Physicians and tooth doctors can get the better of this state of affairs through instruction, clear communicating, and the development of ongoing collaborative relationships. Doctors can portion information on the safety of dental intervention in gestation with dental co-workers and supply clear referral recommendations. Diagnosis: Dental skiagraphy may be performed in gestation for acute diagnostic intents [ 22 ] . When possible, skiagraphy should be delayed until after the first trimester. Screening skiagraphy should be deferred until after bringing. Modern fast movie, turning away of retakes, and usage of lead aprons and thyroid shields all bound hazard. The teratogenic hazard of radiation exposure from unwritten movies is 1,000 times less than the natural hazard of self-generated abortion or deformity [ 21 ] . Medicines for Dental processs: Local anaesthetics such as Lidocaine ( Xylocaine ) and prilocaine ( Citanest ) mixed with adrenaline are safe for processs when dosed suitably [ 23 ] . Sedatives such as benzodiazepines ( e.g. , Versed ) , lorazepam ( Ativan ) and triazolam ( Halcion ) should be avoided. Azotic oxide is non rated and its usage in gestation is controversial [ 24 ] . Periodontic Therapy: A randomized controlled test of 870 adult females with pregnancy-associated gingivitis found that intervention ( ie, plaque control, grading, and daily rinsing with 0.12 % chlorhexidine ) and care ( ie, unwritten hygiene direction and manual supragingival plaque remotion every 2 to 3 hebdomads until bringing ) significantly reduced the preterm birth or LBW rate [ 25 ] . Renewing Dentistry: Amalgam, a mixture of 50 % metallic quicksilver and other metals, has advantages over other renewing stuffs ; nevertheless, there is concern that quicksilver can be released as vapor, ions, or all right atoms, which can be inhaled or ingested. Surveies and instance studies of amalgam exposure during gestation have non documented any toxicity, including birth defects, neurologic sequelae, self-generated abortions, or decrease in birthrate [ 26 ] . A longitudinal rating of renewing stuffs employed in a minimum renewing intercession attack of 81 high caries-active pregnant adult females demonstrated that extremely syrupy glass ionomer cement applied in a minimum intercession attack provided high-quality preventative and renewing attention. The complex was employed in pits exposed to lower emphasis, such as in the anterior dentitions [ 27 ] . Dental Extraction: Tooth extraction during gestation seems to be a common thing. The many hormonal alterations during gestation cause many pregnant adult females to hold jobs that they did n't hold before they became pregnant. One of the things that happen is that the gum is much more sensitive to annoyance. They swell, become inflamed, turn ruddy, bleed and are frequently painful. These reactions are to the plaque environing the dentition. It is really common to hold gum job around a wisdom tooth and the surrounding gums merely acquire more aggravated while a adult female is pregnant. This is the primary ground that tooth extraction during gestation is non an uncommon experience.A Of class, tooth doctors would prefer to avoid tooth extraction during gestation. However, the best involvements of the kid must be thought of excessively. A female parent that is in changeless hurting while transporting a kid is emphasizing out her organic structure. This is likely non healthy for the kid. A tooth extraction process nowadays is really soft and many patients are non even aware that their tooth has been removed. Root Canal Treatment: Many pregnant adult females are concerned about the effects of a root canal process to their fetus. Obstetricians suggest that it is best to avoid exposing the developing babe to any hazards, even if they are minimum. Unfortunately, it is non the same to prorogue a root canal intervention as it is to prorogue a dentition whitening process. If the tooth doctor recommends a root canal during gestation, the hazards are associated with: Pain: Dentition that need root canal therapy are normally accompanied by terrible odontalgia. Continuous hurting during gestation can be a truly nerve-racking status with potentially negative effects to the female parent and fetus. Infection: The conditions when a root canal is recommended during gestation ever affect tooth infection. If the infection is left untreated for a long clip, the infection can distribute throughout the organic structure doing terrible complications. This is a status that will set a gestation into important danger. A safer attack to a root canal intervention during gestation: Obstetricians consider the first trimester as the most important for the development of the fetus. Any non-emergency dental work in the 1st trimester should be postponed until the 2nd trimester, to avoid all possible hazards. If needed the tooth doctor can open an abscessed tooth to let drainage and hurting alleviation, and clean the mush country every bit good as possible. Subsequently, when gestation enters the 2nd trimester, an X ray can be taken to let the completion of the root canal intervention. The same process can be followed for a job during the 3rd trimester ; concluding intervention is postponed until after the birth, if possible. Management of Acute Dental conditions: If mild cellulitis is present, penicillin, Amoxil, and Keflex are sensible first-line antibiotics. Erythromycin base ( non erythromycin estolate, which is associated with cholestatic hepatitis in gestation ) or clindamycin ( Cleocin ) can be used in the type 1 hypersensitivity penicillin-allergic patient. For terrible cellulitis, the patient should be hospitalized and treated with endovenous Mefoxins or clindamycin. To pull off dental hurting, Datril is the drug of pick ; isobutylphenyl propionic acid and limited usage of oxycodone are appropriate [ 11 ] . PREVENTIVE METHODS Although a figure of non-invasive preventative intercessions, traditional wellness instruction remains the gilded criterion for presenting the message to promote parents to subscribe to these preventative intercessions. By â€Å" traditional wellness instruction, † which means advice-giving Sessionss conducted by professionals and/or the airing of information via booklets, postings and media runs. Unfortunately, such attacks are non effectual [ 28 ] . Weinstein & A ; co workers, after biennial consequences of controlled test suggested that motivational interviewing ( MI ) guidance has a positive consequence on kids ‘s dental wellness that is greater than that of traditional wellness instruction [ 29 ] . The antimicrobic intervention ( topical application of Na fluoride ( NaF ) and iodine solution instantly after prophylaxis and 3 and 5 yearss subsequently ) for the pregnant female parent, 6 and 12 months after bringing had greater influence by cut downing the acquisition of MS from the female parent to the kids [ 30 ] . Kohler et Al ( 1994 ) used chlorhexidine ( CHX ) in female parents with a high degree of MS in spit and found that there is a decrease in the MS degree of spit of the female parent and besides had a long-run consequence on the MS colonisation and besides on the cavities experience of the kid [ 31 ] . A 30 month survey to measure the effectivity of a cavities preventative government ( 0.05 % Na fluoride and 0.12 % chlorhexidine oral cavity rinse everyday during 6 months of gestation till 24 months after bringing ) showed promising consequences on utilizing combination of fluoride and chlorhexidine [ 32 ] , [ 33 ] . Fluoride is the most widely known and accepted anti-caries agent available, and chlorhexidine is the most widely used plaque-inhibitory compound33. These agents have wholly different mechanisms of action, and their combined disposal produces a synergic consequence on mutans streptococci [ 33 ] . Xylitol and chlorhexidine lower maternal unwritten bacterial burden and cut down transmittal of bacteriums to babies when used tardily in gestation and/or in the postpartum period. Both topical agents are safe in gestation and during suckling [ 34 ] . Surveies have used different dosing degrees, and the optimum dosage for consistent bar is ill-defined. Long-run usage of high-dose xylitol mastication gums had good effects on plaque pH, and that this consequence was statistically greater when utilizing xylitol masticating gums, both on plaque pH and MS salivary concentration [ 35 ] . Decision Dental intervention is indispensable for optimum unwritten wellness, which extends to pregnancy. Routine dental visits can include the usage of X raies, unwritten prophylaxis, Restorations, interventional interventions like root canal interventions, periodontic surgeries and extractions because utilizing local anesthetics during gestation have non been found to be associated with an increased hazard to the developing fetus. Conversely, inauspicious gestation outcomes, such as low birth weight, preterm birth, and pre-eclampsia, occur in adult females who have non received intervention. However, gestation is a clip when adult females may be more motivated to do healthy alterations. Gynecologists and doctors can turn to maternal unwritten issues, potentially cut downing the hazard of preterm birth and childhood cavities through unwritten disease bar, diagnosing, early direction, and dental referral.

Muhammad Yunus and Grameen Bank

Muhammad Yunus and Grameen Bank were awarded the Nobel Peace Prize for 2006 for their efforts in creating economic and social development for the masses below.The Chairman of the Nobel Committee said in his prize announcement speech that poverty is reduced if large groups of people work towards it, and microfinance is one such method. Muhammad Yunus is one person who had the leadership and the vision and took an initiative to translated those visions into practical action, and benefitted people in Bangladesh and other countries. He established the idea to give loans to poor people who had no financial security. Muhammad Yunus was given the award because he established a model for many other organizations to follow.He had the vision that every man, no matter how poor, has some talent within him that he can pursue for his own economic uplift. This is especially true for the women in the society who deserve to get an equal opportunity to men to acquire the necessary finances to pursue t heir talents. Microcredit is one of the methods that Muhammad Yunus thought could help in the erosion of poverty from the world. (Cozyinhel, 2006)Muhammad Yunus gave a speech about the microfinance revolution. In this video, he talks about how he came up with the idea of microfinance. He explained how when Bangladesh was formed, it faced a lot of problems, economy was sliding down and famines struck too. He was an economics teacher at that time and he felt terrible for not being able to use all that he teaches to help the people of his country. He wanted to remove people from this frustration and agony and the one thing that caught his attention most was the ruthlessness of the money lenders in a small village.He researched into how many people in the village actually went to these money lenders for money and found out how less they borrowed. He realized how entrenched the money lending system was in the roots and this led him to the solution that he came up with. He thought that if he gives the mere amount of money to people from his own pocket, they can return that to the money lender and they will be free. So the basic idea he had in mind was to free the people from the money lenders.He did this initially as a onetime action and later wanted to expand this into a systematic system. He then thought of an idea to go to a bank and ask them to lend that amount to the villagers, which blatantly refused to lend money to the poor people because they were not credit worthy. He then convinced them to allow him to be the guarantor and lend money to the poor.This was agreed upon and he kept growing this system. He is of the opinion that during the entire process, all he did was to struggle against mindsets (Calit2ube, 2007).He was also of the opinion that banking system was unjust because it excluded the poor and the women, so he decided to put his maximum focus on lending money to the women. Again at this point, he faced a struggle of mindset because women themselves were scared and unwilling to take the money and use it to create something. But he said that this was not the voice of the woman but the voice of fear and if worked upon patiently, these fears can be removed. Ultimately, they started lending to women and the impact on the families was much stronger than lending to men.Keeping this in mind, Grameen Bank thus started lending 97% to women only! Grameen Bank was owned by these poor women, who were the shareholders and on the Board of Directors, and it worked for the poor women too. Grameen Bank went to the poor, the women and the rurals. They worked on the philosophy, â€Å"The less you have, the more attractive a borrower you are for the Bank† (Calit2ube, 2007).He thus started a system that was then established all over the world. Muhammad Yunus is of the opinion that poverty is not created by the poor people, it is created by the system, by our mindsets and by our institutions. Microfinance enabled people to change their lives , it gave a mere 15$ to enable people to move away from a begging position to a dignified position.In an interview with Charlie Rose, Muhammad Yunus said that the system was to give money to poor people without collateral and a guarantee. The existing financial system served to only top one third people who have a huge amount of money and lent money to those who had money to give you collateral.They decided to give money to those who have no money to start with. It worked so well and expanded all over the world because there always was a crying need for it and nobody had ever paid attention to it (Rose, 2007). He has a strong conviction that such a system if grown exponentially can eradicate poverty from this world because poverty is artificially sown in the society and once that seed is removed, it can be eliminated.

Management, Personal Relationship and Decision Making Essay

The concept of interpersonal relationships and management involves ideas, taught, and beliefs that are related with social association and affiliations which are employed as approached to marketing, operations, training, management and executive decision (Giddens, 2001). These taught and perceptions constitute different philosophies used by various organizations that create a harmonious place for members and personnel. These beliefs allow the organization’s business to improve. Business improves since personnel performances are able to maximize their potential because people are working perfectly as a team. It is no secret that in order for business to be successful, management plays a very important role (Virine, 2007). Thus, for business to prosper, philosophy in management should be carefully taken into consideration (Virine, 2007).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚     In order to successfully manage an activity or personnel it is important that a manager is strong-willed, determined and possessed the â€Å"drive† needed to achieve the desired goal.   It is significant that a person should do a specific thing really well. In order to achieve this, a fine plan should be accomplished and when the plan is executed it is necessary that the plan is strictly followed. It is also important that the existing plan can adapt to changes that when problems are encountered, it can easily be resolved. Also in managing, it will be fitting to add that it is not enough that a person would know how to do things correctly, but it would be a welcome addition to recognize that a person knows how to things better.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   A person should understand and put into his mind that there are occasions when great just isn’t good enough. He should not settle for less instead strive and work harder to deliver and perform things way beyond what people have expected. He should not be satisfied by saying â€Å"this will already do† and â€Å"this is alright†. He should always work to be the best. Being the best should not be the endpoint that will mark the conclusion of a venture, but it should be a starting point of something that is great. Through sheer innovation one should take something that works, it could be ideas, or various products such as electric appliances, glassware or simple things like papers and plastics, then transform them and improve them to something that is really unexpected. A person should always try to work to achieve excellence.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   However, in order to properly manage things there are other factors that should be taken into account. One major factor is inter-personal relationship. Relationship with others influences the way we manage things our everyday life (Kahneman, 2000). It is because of our relationship to our love ones that we strive to make things better. It is because of these people who are close to us and we hold dearly in our hearts that we struggle in order to create a better living condition. Because of them we â€Å"shoot for the stars† and aim for the best. Furthermore, our relationship in our workplace with fellow personnel and with the manager dictates the success or the failure of an activity. As mentioned before, it is important to achieve a working area that is surrounded by people which are friendly and are always prepared in lending help. Somehow, they can be your family that during the most challenging times in the work one would have somebody to lean on (Lauria, 1964). They would provide you support and the much needed boost during office hours. With someone to call on, personnel can fully utilize their skills and maximize their talents. Workers do not need to be worry of accidents that may happen, since a sense of security and protection is given to them, as a result they become more focused. Also, in return workers and personnel would work doubly harder to showcase their affection to the people who have helped them in work and their gratitude to the organization and their bosses. Another essential issue that arises from the proper managing of things is decision making. Making a sound decision is hard and when at one point an organization has arrived to a decision, it is always certain that not everyone would be pleased, there would always be contentions. Generally, there are no rules that would make a person a good decision –maker (Plous, 1993). There are always risks that are involved and often times these risks impose immense problems that lead to the downfall of what seems a fair decision at the beginning. There are, however things that can help a person in making decision. Information should first be gathered and accumulated about the issue at hand. Careful study and precautions must be done to properly weigh things. In making a decision it is important to first ask who will be affected once the decision is handed out. Then, we should also understand who will benefit and to whom the decision is detrimental. In making a decision, one should decide for the good of majority and sacrifice his own self interest. To be a good decision maker one needs to be self-less. It is a noble act, a supreme sacrifice. A situation that recently took place in my office is the grudge that happens between two of my colleagues. The conflict occurs because of a misunderstanding for the division of labor in the office. Due to the misunderstanding, a part of the job was left undone. When the deadline arrives and portion of their proposal was still incomplete, pressure started to build up and emotions run high. As a result, a dispute between them existed. For a period of one month or so they started not to talk with each other after their proposal was dumped. Since, both are my friends and I am the one who is being caught from their fight I decided to talk to them and invite them to be part of a project that was assigned to me. Although they were hesitant to work with each other, I convinced them telling they are the most trusted person I knew that could help me and the only person which fitted the job. Professional as they are, they put aside their differences, and worked as a real team. With me calling the shots, and making sure everything is carefully attended and no single detail taken for granted we finished an astonishing job with lots of time to spare. We can infer that by setting aside their argument and their pride for a better cause, and giving each other another chance to work a fine output is achieved. They decided to be selfless and put the organization on top of their priority. References Giddens, A. (2001). Sociology. Cambridge: Polity. Kahneman, D. (2000). Choice, Values, Frames. Cambridge: The Unviersity Press. Lauria, A. (1964). Respeto, Relajo and Inter-Personal Relations in Puerto Rico Anthropological Quarterly, Vol. 3 (No. 2). Plous, S. (1993). The Psychology of Judgement and Decision Making New York: McGraw-Hill. Virine, L. (2007). Management Concepts: Vienna.   

Effects of Technology on Social Groups Essay

The emergence of technology has brought about different social effects. Some have lost while others have gained from the technology. A great part of technology involves working with machines and this has resulted into less human labor and most of the people have been rendered jobless by the machines. This is a negative effect on the social group that was working together since some have to be laid off to give way for the machines. Some people have become wealthier while others have become poor and this has created a gap between the two groups. This has changed the expectations of many people in the social environment (Langdon, 1986). For those who have studied how to work with the machines they are enjoying and getting closer to their social groups. People can easy work from home and this has made working easier. Social groups can work together on the internet and they can even share a network. Most of the technology lies in the computer and through the computer; people can easily talk with all their friends in the social websites. People also find spouses and lost friends on the internet and this is a merit of technology since people keep in touch even when they are far from each other (English-Lueck 1998). In social groups like families, technology has led to breakups of close family ties sine the family members can communicate by sending an email and chatting. They feel that they are close to their relatives even when they are in distant places hence they do not bother to travel home. This has made most of the parents to lose control over their children. This is a way in which technology has created freedom for the young generation (Ruth. 1989). References 1. Ruth Schwartz Cohen, (1989), More work for mother; The Ironies of Household Technology from the open hearth to the Microwave, London, Free Association Books 2. Langdon Winner, (1986), The Whale and the Reactor; A Search for Limits in an Age of High Technology, Chicago, University of Chicago press 3. J. A. English-Lueck, (1998), Technology and Social Change; The effects of family and community retrieved October 31, 2008 from website; http://www. sjsu. edu/depts/anthropology/svcp/SVCPcosa. html

Prophecy of the sisters

Alice and Lila were always close, but after her father's death Alice seemed strange and distant, sneaking around the ameliorate manner. It Is soon realized the two have become enemies due to the prophecy, one good and one evil. The setting and world of the book seemed very realistic and interesting to me, the way the author incorporated literary themes into the unrealistic areas of the book made it hard to put down! The twin sisters are not your typically good versus bad twin, â€Å"only time will tell who is the guardian and who is the gate† (98) which gives it a retain mystery element that gets you captured.You get sucked into this world where what you think you know, Is not what you really know. Is Alice the good twin or Is Lila? While the two are battling to either close the Gate forever or release the beast and all the lost souls from other traveling worlds you you get a taste of good versus evil and you find yourself despising Alice and rooting for Lila, who has â€Å"n ever denied her sister to be careless, self centered, even spiteful, but it never occurred to her before the prophecy that she might actually be cruel. 132) As they discover their true roles in the prophecy that has turned generations of sisters against each other, Lila has a choice to make, save herself or save everyone around her that she loves. As she races to end the prophecy before her sister does the anticipation only builds, despite the unrealistic ideals of the book. I feel that because the book started in a â€Å"normal† or realistic setting and led up to the untangling of the mysterious prophecy it was easier to believe and I often felt I was deciphering the prophecy along with Lila, this kept my interest throughout the whole book. Some real world Ideas that popped out to me while reading the book were how everybody treats you Like your fragile or different after the death of a loved one, especially a parent. (I know about this first hand). Everyone feels as if they owe you an apology, so when Lila and Alice go back to Housewife everyone at school â€Å"avoids eye contact and whispers what could only be about them† (46) until Mrs†¦ Gray speaks for everyone when she tells the girls that she is sorry for their loss.I also noticed how they didn't get in as much trouble as their friends, Impartially Louisa, an Italian orphan who was taken In by another teacher, even though they all left school together. Alice and La got off easier because their father was one of Housewife's biggest beneficiary's. Mrs†¦ Gray did not want them to know this so she tried to cover it up by saying â€Å"her pity for their recent loss was the only thing that kept them from getting a report sent to their aunt Virginia† (56) but the girls knew better.I feel this portrays class differences and the different treatment wealthier people get, or how if you're somebody who has money you often get off easier or get a lesser punishment. All were the ones th at stuck out to me the most. 3. This is personally my favorite genre to read, when I'm upset or stressed I can Just emerge myself in a great science fiction book such as The Prophecy of the Sisters and forget about the world around me for awhile.It is often hard for me to focus in on a book unless it really catches my interest, and I find myself fascinated with science fiction novels about mythology and the fantasy world. I have read many books much like this one, that I actually read a couple years ago and it became one of my personal favorites because many of the elements in it (souls, legends, the dead still being all around us, physics, etc. ) I actually believe in.I forgot the details of the book and I loved it so much the first time I read it I had to reread it again because I thought it would be perfect for this assignment and I will definitely be reading the next three books of the series as soon as possible. I love the way it starts out as a â€Å"normal† book but on ce an old legend (prophecy) is discovered you feel like you're unfolding the mystery and learning the prophecy for yourself as if you are Lila, protecting your family and saving the world room destruction by the lost souls and â€Å"the seven deadly plagues of no return, death, famine, blood, fire, darkness, drought, and ruin. (36) I think focusing more on books of this genre in school would be more beneficial to students and teachers instead of the boring classical novels we're forced to read. If teachers assigned students books they WANT to read, instead of ones they had to, they would get more involved and more students would actually read the books. This would result in overall better test grades which makes teachers and students happy.