HSA 515 Dealing with Fraud Essay

As the Chief Nursing Officer of the state’s biggest Obstetric Health Care Center, this creator is liable for grievances with respect to deceitful conduct in the inside. The reason for this report is to (1) assess how the Healthcare Qui hat influences human services associations, (2) give four instances of Qui Tam cases that exist in an assortment of social insurance associations, (3) devise a methodology for induction into a medicinal services office that maintains the law about the necessary number of Medicare and Medicaid referrals, (4) suggest a corporate uprightness program that will relieve episodes of misrepresentation and evaluate how the proposal will affect issues of multiplication and birth, and (5) Devise an arrangement to secure patient data that consents to every single essential law. Qui Tam (from the Latin expression â€Å"he who sues for the king†) is a notable component utilized by private individual to help the legislature in upholding explicit laws (Ruhnka, Gac, and Boerstler, 2000). The False Claims Act of 1863 is one of the most significant instances of the Qui Tam instrument that was established during the Civil War to indict war profiteers who were discovered cheating the Union Army (Ruhnka, Gac, and Boerstler, 2000). Showalter (2012) states that the informant (otherwise known as relator) records the suit as a sort of â€Å"private lawyer general† in the interest of the legislature in a qui cap case. Assess how the Healthcare Qui cap influences social insurance associations. Medicinal services qui hat influences social insurance associations from numerous points of view. The most well known and badly designed way is budgetary misfortunes. In the event that an association is blamed for qui hat, a suit is documented and if the organization is seen as liable of misrepresentation, they remain to acquire a monetary misfortune due to reimbursing cash to the administration. Ruhnka, Gac, and Boerstler (2000) express that purposefully deceitful exercises, for example, charging for administrations not gave, charging for administrations or hardware that isn't therapeutically fitting, or disregarding unmistakably expressed charging rules are unsatisfactory and ought to be indicted at whatever point they happen. Qui cap impact on medicinal services associations has not been a positive one. Voyage (2003) express that qui hat activities has constrained associations to build up another framework of working rules and strategies all in all called â€Å"compliance programs† bringing about associations paying $600 †700 million every year to an advisor industry to inform them on the complexities with respect to this new period. Medicinal services associations have embraced Federal Sentencing Guidelines as a piece of their consistence programs because of the laws administering Medicare extortion and misuse (Cruise, 2003). Instances of Qui Tam cases that exist in an assortment of medicinal services associations. Medicinal services is on the ascent in the United States. Medicare and Medicaid is the biggest of the administration supported social insurance designs and give human services inclusion to upwards of 95 million Americans, at an expected expense in 2012 of more than $900 billion (Raspanti, n.d.). Raspanti (n.d.) express that the essential purpose behind the ascent in medicinal services cost has been the huge level of extortion submitted against these two significant government human services programs. Raspanti (n.d.) express coming up next are instances of qui cap cases, yet not constrained to: â€Å"Kickbacks: The administrative Anti-Kickback Statute forbids any offer, installment, requesting or receipt of cash, property or compensation to initiate or prize the referral of patients or human services administrations payable by an administration medicinal services program, including Medicare or Medicaid. These inappropriate installments can come in a wide range of structures, including, however not restricted to: referral expenses; finder’s charges; efficiency rewards; limited leases; limited gear rentals; research awards; speaker’s expenses; inordinate remuneration; and free or limited travel or diversion. Theâ offer, installment, sales or receipt of any such monies or compensation can be an infringement of the Federal Anti-Kickback rule, 42 U.S.C.  §1328-7b(b), the Federal False Claims Act, just as different other government and state laws and guidelines. Phantom Patients: The accommodation of a case for social insurance administrations, medicines, symptomatic tests, clinical gadgets or pharmaceuticals gave to a patient who either doesn't exist or who never got the administration or thing charged for in the case. Up-Coding Services: Billing of government and private protection programs is finished utilizing a perplexing arrangement of numerical codes that distinguish the particular technique or administration being performed. These code sets can include: the American Medical Association’s Current Procedural Terminology (â€Å"CPT†) codes; Evaluation and Management (â€Å"E&M†) codes; Healthcare Common Procedure Coding System (â€Å"HCPCS†) codes; and International Classification of Disease (â€Å"ICD-9†) codes. Government social insurance programs allocate a dollar sum it will pay for every technique code. Up coding happens when a social insurance supplier submits of a case for medicinal services administrations, medicines, indicative tests or things that speak to a more genuine and more costly methodology than that which really was performed. Up coding can be an infringement of the Federal False Claims Act. Packaging and Unbundling: In numerous cases, government social insurance programs have unique repayment rates for gatherings of techniques that are normally performed together, for example, research center tests. One regular sort of misrepresentation has been to â€Å"unbundle† these methods or tests and bill every one independently, which brings about more prominent repayment than the gathering repayment rate. Lawyers in the national qui cap informant practice of Pietragallo Gordon Alfano Bosick and Raspanti effectively spoke to the lead relator in perhaps the biggest instance of â€Å"unbundling† throughout the entire existence of bogus cases prosecution, United States ex rel. Merena v. Smithkline Beecham Clinical Labs, which brought about a recuperation of $328 million for government citizens. Bogus Certification: When doctors, clinics and other medicinal services suppliers submit bills to government social insurance programs they are required to incorporate various significant affirmations, including that the administrations were therapeutically vital, were really performed, and were acted as per every pertinent guideline and guidelines. Furthermore, social insurance organizations, for example, pharmaceutical organizations and drug store benefits directors that give items or administrations to governmentâ health care programs are required to confirm that they are fulfilling all commitments under their agreements with the legislature. One basic kind of extortion has been to misrepresent these confirmations so as to get a social insurance guarantee paid or to get extra business† (Raspanti, n.d.). Stanton (2001) recognizes that in a medicinal services office, with Medicare, each bogus case is viewed as an individual charging whether for a particular clinical thing or administration. Punishments can rise rapidly with suspension or defer installment of future cases for an office on the off chance that it has been blamed for submitting bogus cases (Stanton, 2001). Devise a methodology for entrance into a medicinal services office that maintains the law about the necessary number of Medicare and Medicaid referrals. So as to keep away from medicinal services qui hat, social insurance associations must remain side by side and consistent with Medicare and Medicaid laws. At the point when a patient enters an office for disease or an arrangement, there are steps to follow. At registration, the patient gives protection card and appropriate data to nurture. The attendant enters the data into the framework. The patient trusts that the specialist will survey the ailment to decide the requirements of the patient. â€Å"Physician inputs data into the framework and framework codes the treatment dependent on Medicare or Medicaid conventions; framework affirms and warnings any treatment or drug that isn't permitted; quiet is released and Medicare or Medicaid is charged for administrations rendered by the emergency clinic, doctor, and for medication† (Burnaby, Hass, and O’Reilly, 2011). In the event that for reasons unknown, things charged are addressed or denied, the things are looked into and resubmitted to Medicare or Medicaid for installment. Suggest a corporate respectability program that will alleviate episodes of extortion and evaluate how the proposal will affect issues of propagation and birth. Corporate Integrity Agreements (CIAs) are viewed as fresh opportunities for social insurance associations. By utilizing CIAs, the association maintains a strategic distance from rejection from Medicare, Medicaid, or other Federal human services programs by setting up and actualizing a consistence program for each CIA guidelines and rules (MetricStream, n.d.). Actualizing CIAs is testing and can cause monetary strain; anyway it can â€Å"protect partners and clients from hazard, and manufacture brand value† (MetricStream, n.d.) CIAs are implementedâ for social insurance associations to maintain certain measures and to satisfy the organizations’ missions and objectives. CIAs are generally proposed because of charges of misrepresentation or misuse which are seen as obvious through reviews or self-divulgences; and are drawn up for a time of three to five years and can reach out as long as eight years (MetricStream, n.d.). Ramsey (2002) proposes that a suggested uprightness program ought to incorporate specifications, for example, â€Å"designation of a consistence official and a consistence committee† †to guarantee that the required changes will be made; â€Å"a required set of principles, commanded consistence approaches and procedures† †expressing that the association is focused on following the laws; â€Å"training requirements† †to guarantee that staff and doctors are learned and state-of-the-art on all prerequisites and procedures required by the association, the administration and merchants; â€Å"review and inspecting procedures† â€

I Am The Cheese Essay Example For Students

I Am The Cheese Essay I am the Cheese I am the CheeseBy Robert CormierI am the Cheese is a convincing and whimsical novel. The books significant qualities incorporate the employments of a ground-breaking topic, a charming title, and advanced composing methods. It has three degrees of portrayal that are associated, but then keep the peruser in a changeless mess. Robert Cormier figures out how to make a perplexing, upsetting environment generally of the novel, which fits in well with the subject of the book. He successfully uncovers the subject, which is a disclosure about the lies in our debased society, with the utilization of control and complex composing strategies. The title of the novel is additionally an expansion of the books message, which adds to the force of the story. In I am the Cheese, the fundamental topic of the story manages a powerless, singular young person confronting the Establishment, and standing up to the insidiousness and falsehoods which exists in our general public. It is a tale a bout the battle of the person against a framework where the lines among companion and foe are obscured. An outline of this would be Adams colleague with Mr. Dark and Brint. The peruser can't unmistakably mark these secretive individuals as fortunate or unfortunate. Despite the fact that Adam and his family are under their complete control, very little is thought about who these individuals are, and what are their genuine intentions. This epic uncovered the way that we are encircled by mysteries and lies, and in light of the fact that there are such huge numbers of layers of the real world, we are never certain what is a definitive truth. A circumstance which depicts this emerges when Adams father changes his personality in the wake of finding a connivance, and stays quiet away from Adam to secure him. The exceptional topic ofI Am The Cheese is gradually uncovered through the bewildering story of a bike ride, the meeting tapes, and especially in the last pages in the book. The writer s reason for existing is to get inside every individual peruser and power them to frame their own conclusions on great, insidious, and what is correct or wrong. The peruser would without a doubt leave this book having gained inquiries concerning our reality, how we live in it, and considerations on how degenerate it truly is. The topic of the novel uncovers that for this situation, it's anything but an issue of good against detestable, yet essentially that the cheddar stands alone.Adam is the solitary individual against the intensity of the administration and the criminal organizations, which makes the title of this book is a compelling one, since it restates the subject of the novel. The melody The Farmer in the Dell, which contains the verses from the title, is an important tune for Adam, who regularly thinks back about his dad. Its our tune, he says. I can recall how hed shot in the arm when I was only a child and swing me nearly to the roof, singing(P29) The title of this novel, I am the Cheese, is related intriguingly to the mind boggling story. The sections of the melody are a progression of connections, and similarly, Adam is the toward the end in a progression of connections from composed wrongdoing, to the ruined government, to a low type of presence. Adam has been sedated and is under the total force, both genuinely and truly, of Brint and the strange inst..itution which can choose his destiny. When he is in such a down and out position, what does he truly have left to lose? Indeed, even Adam can acknowledge his fated fate: I know, who I am, who I will consistently be. I am the cheddar. (P217)The astounding title of this book is an augmentation of the temperament in this novel, which is to some degree undecided, because of the movements from a propagating bicycle ride, to confounding, individual flashbacks and apathetic meetings with Brint. The perusers would feel uncomfortable as they follow Adam on his bicycle ride and the meeting tapes, as though a few things didn't appear to be directly in the plot. When we arrive at the peak and the resolution, where we become familiar with the destiny of Adam and his folks, a darkest and most evil climate is imparted through Adams heartbreaking recollections, for example, the demise of his mom. She gazed at him with surprised eyes ye t she was not so much gazing at him since Adam realized the eyes were blind, empty. She was dead, unalterably dead, the information obvious as he lay on the asphalt now.(P207) As the model shows, this is a startling novel which makes the peruser as hesitant to go ahead as the hero seems to be. The completion is a solid aspect of the novel, as it spellbinds the peruser upset and. Reality which lies underneath isn't normal and absolutely not a typical completion in a novel. To make such an exceptional climate in I am the Cheese, the writer utilized an assortment of composing methods. These captivating and incredibly complex techniques help the novel in moving the perusers, and crumbling the differentiation among the real world and visualization. An example of this happens in the end result of the novel. The peruser discovers that the bicycle ride had recently been a fabrication of Adams creative mind, interweaved with impressions from the genuine individuals around him. In a viable an d novel method, the essayist tosses a blinding shadow on a whole book with the last meeting interpretation. Abruptly, the most irrelevant signs meet up, and uncover the insider facts that are covered up underneath. The story is brimming with clear spaces which give concealed implications that meet up like a jigsaw puzzle toward the end. Vulnerabilities, for example, why Adam can't contact Amy, or what Adam is conveying to his dad on his experience, are altogether flawlessly settled. The writers composing strategies, which incorporate flashbacks, give route for elective turns and endings to I am the Cheese. The end could have been totally unique, yet this specific one is amazing since it is unfathomably similar and frightening. Taking everything into account, I am the Cheese is a ground-breaking, one of a kind novel which manages the dismal real factors of life. It gives the peruser thoughts to mull over about our general public, the realities which are kept from us, and the individu al battle against the Establishment. The components which make up this noteworthy story incorporate an unmistakable topic and title, the utilization of enamoring methods, and a perplexing mind-set. Robert Cormier has achieved a dazzling, noteworthy novel, and ensuing perusing will entrance the peruser with new knowledge covered up between the lines.

Leg discussion week

Offers Competitive Proposals Combination of Competitive Procedures when fixed offering isn't fitting Other Competitive Procedures, for example, Selection of hotspots for Architect-Engineer contracts as per the arrangements of 40 U. S. C. 102 Competitive determination of essential and applied research and that piece of improvement not identified with the advancement of a particular framework or equipment acquirement coming about because of a wide office declaration or peer or cientific audit o Use of different honor plans gave by the Administrator of General Services. Decide how government obtainment officials can adjust getting a decent cost with getting a viable outcome †as it were, best worth. Contracting officials need to get an incredible item for an extraordinary price.Best esteem isn't generally the least expensive cost, when you put your proposal on the table you need to really state best worth first before the conveying the offer. Week 2 Discussion 2 â€Å"Specification Overload† Please react to the accompanying: Debate the difficulties to government acquisition officials in completing their Job of composing determinations for everything from interpretation administrations to contender Jets †including the scope of aptitude that would be required to make details in accordance with FAR requirements.Agencies may choose from existing necessities reports, alter or consolidate existing prerequisites records, or make new technique. 1. Archives commanded for use by law. 2. Execution situated reports. 3. Point by point configuration arranged reports. 4. Guidelines, determination and related productions gave by the administration utside the Defense or Federal arrangement for the non-monotonous securing of items.The details may likewise incorporate an ideal agreement grant date and conveyance date, incorporate suggested sources, give transportation, checking, and bundling data, some other appropriate data, for example, unique terms and condition w anted or required by the agreement. The level of data and detail generally mirror the dollar estimation of the acquisition and the idea of the exertion. Redistributing contracts includes the task of specific rights and obligations over an open ervice to a private firm in return for some venture (I. . , time or cash. ) Proscribe a strategy for how full and open rivalry prerequisites can be kept up in the redistributing procedure. In law 10 U. S. C. A 2688 an administration office will pass on utility framework proprietorship to a private element that will be answerable for the activity, upkeep and capitalization of the foundation for an endorsed period and for the arrangement of sage a solid utility administrations to the legislature in return for sensible remunerations.

A Review of College Paper

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Why Multi National Corporations Become Successful

There are a variety of reasons why multi-national corporations become successful, and possibly more reasons why they fail. One key aspect of being successful in the international arena of business is the ability to create a successful multinational/cross-cultural teams. Top companies such as Exxon Mobil, Wal-Mart, and GE have mastered the formula of building such teams (DeCarlo, 2013). Our world today has become more and more intertwined and has led to more cross-cultural business teams being created. To build a cross-cultural team, there are many obstacles a company may face. To become as successful in building cross-cultural teams for international business as the companies named previously, it is absolutely necessary to study the differentiation in several key areas. The importance in understanding difference in the areas of Legal and Political views, communication (verbal and non-verbal), and business practices in varying cultural dynamics cannot be understated. It is imperative to have a deeper understanding of each aspect if an organization hopes to create sustainable cross-cultural teams. The first extremely important aspect for MNCs to consider is the legal and political differences the organization will encounter when expanding into new and unfamiliar territories. Obviously any organization successful enough to expand into an MNC should have the resources and foresight to understand the importance of performing their due diligence in these areas. The ability to beShow MoreRelatedContemporary Business Relations929 Words   |  4 Pagesthere are several inherent drawbacks to this process that should ideally be avoided. A prudent analysis of both of these factors indicates that it is more advantageous to become a multi national company that not particularly if one does so in a way that is prudent. The advantages of many successful multi-national companies are multi-fold, and include increasing access to an ever growing customer base as well as to needs pertinent to various parts of the world which is the primary impetus for the decentralizationRead MoreNo Logo1167 Words   |  5 Pagesaddresses the growing massive globalization of corporations into global Goliaths. She makes the claim that such large corporations may even be considered form of multinational government. Klein states that these huge corporations are squeezing out the competition and creating less competition to compete with within the markets, and less of a fight to attract consumers. â€Å"The astronomical growth in the wealth and cultural influence of multi-national corporations over the last fifteen years can arguablyRead MoreThe Key Characteristics Of Servant Leadership981 Words   |  4 Pagesa sense an important part of the company. These employees see the company and their jobs are more than just a paycheck, they invest more into the company, into their work and the quality of their work, which can only help make the company more successful. Servant leadership is an effective style because it creates leaders who deeply care about others, they pay attention to the needs of their followers and help them to grow and reach their potential. In turn, this creates employees who care aboutRead MoreChallenges Managers Face When Companies Go International2578 Words   |  11 PagesExecutive Summary These days, most businesses are set in a global environment, and the various corporations do not just regard their primary market locations or bases, they also have to take the rest of the world into consideration. Thus, many more corporations are going into multi-national business, scattered all over numerous parts of the globe. Usually the major source of concern for multinational companies and their managers is how to maintain high quality, in an ever-changing global economyRead MoreWhy I Want Pursue A Career For Public Relations1684 Words   |  7 Pages My communications career is quickly coming to a close. One item I’ve been gaining interest is how small companies and larger corporations use social media to promote their image. My knowledge about interpersonal communications and my past work experience in management alongside my interest in social media have prepared me for a career in public relations. Every company needs someone to help promote and sell their image, t he job market for public relations specialist is diverse and can lead to greaterRead MoreThe Future Lies With Those Companies Who See The Poor As Their Customers Essay1535 Words   |  7 Pages1.0 Introduction â€Å"The future lies with those companies who see the poor as their customers† -C.K.Prahalad Villages are an integral part of nation. They become even more important in the Asian and African context, where a majority of population is residing in rural areas. For centuries the rural world in India was static as a self sufficient unit of production and consumption, but it is no longer so. The rural setting is changing every day, with the corporateRead MoreThe Consumption Of Bottled Water1716 Words   |  7 Pageswater industry produces a product that is unnecessary and the government should be working on implementing better infrastructure instead of letting corporations fill the void. Global Level Worldwide trends of bottled water are increasing in recent years impacting various regions of the globe. Researchers noticed the links made between obesity problem in the West and increased consumption of soft drinks reinforce the growth of bottled water, therefore, Americans are turning towards bottled waterRead MoreThe Globalization And Ideology Of Apple Inc.1244 Words   |  5 PagesThe Globalization and Ideology of Apple Inc. Brief introduction to Apple In. Apple Inc. is an American high-tech multinational corporation engaged in researching, designing and producing electronic technology products (Wikipedia, 2013). In 2007, the company changed the name from Apple Computer Inc to Apple Inc. headquartered in Cupertino, California (Wikipedia, 2013). The company was established on April 1st, 1976 by Steven Paul Jobs, Stephen Gary Wozniak and Ronald Gerald Wayne (Wikipedia, 2013)Read MoreO Mondo Grande : International Non Perishable Food Distribution Essay1466 Words   |  6 Pagesconsumers. O Mondo Grande, which means The Big World from the Portuguese language., is a Brazilian-American individual company that makes it their business to locate gourmet food items from Africa, Asia, Europe and South America that has developed to become a worldwide leader in the international food distribution at affordable prices. The mission statement of the `company â€Å"bringing the world closer with affordable gourmet foods†. 2. Competitive Forces: Many competitors produce from its central conceptRead MoreShould College Athletes Be Paid?1385 Words   |  6 Pagesand it was created by Theodore Roosevelt. Since then the NCAA has made many changes. The NCAA has become a multibillion dollar industry that makes billions annually off college athletes. Universities also make millions of dollars annually from their athletes. Players also run a huge risk of getting injured. Many will try to argue that a full scholarship is enough for an athlete, and that’s why they should not be paid. People also try to argue that college athletes cannot be considered employees

Pesticides A Bee s Nemesis - 865 Words

Pesticides: A Bee’s Nemesis For many years, companies have been making pesticides for farmers to rid themselves from unwanted pests. However, they are also ridding themselves of the bees who are trying to help and protect the crops. Without having the bees pollinating the crops for the farmers, there is nothing for the vegetation to grow in a healthy process. Pesticides have actually been found by beekeepers and researchers, to be one of the causes for the decrease of bees. An entomologist from South Dakota becomes disregarded by his supervisors because they do not want that information getting out, Jonathan Lundgren, a USDA entomologist in Brookings, S.D., said â€Å"in civil service documents that while the agency did not stop publication of the research, supervisors harassed him, tried to stop him from speaking out, and interfered with new projects† (StarTribune). Because these pesticides that are being sold out to farmers, they are doing more harm to the bees than t hey are being beneficial to the crops. As scientists and beekeepers keep on looking into the situation that they are all facing, one conclusion is definite, pesticides do have a lethal effect on the bees. Some symptoms that would lead to a bee’s death would be the weakened immune system, disrupted digestion, and the result of the brain failing. In Science Magazine, an article was written about oh the European countries have been effected by the decrease of bees, â€Å"Confused honey bees huddled trembling outside

Industrial Engineering and Operations Management

Question: Discuss about the Industrial Engineering and Operations Management. Answer: Introduction Hospital workers in Australia are under high pressure to perform their work competently with less income and management skills. Physical discomforts can worsen this demanding condition in the workplace (Maakip et al., 2017). Due to this, the healthcare staffs fall at high probable danger of physical strain which may result to musculoskeletal disorders (MSD). These are serious issues among nurses and some of the factors which cause these problems include, transferring, lifting and reposition of patients. Due to new technologies in the health care and also the economic stresses, there is a great need to check and identify measures to prevent these issues. The article will address the literature on work-related musculoskeletal disorders in hospital in Australia. Coenen, et al. (2017) asserted that manual handling in health centres means moving and supporting any load by an individual by using arms or any form of body effort nurse. Doctor usually uses their efforts in pushing, lifting, moving and also supporting patients in a hospital and it causes lots of risks. Injuries can occur due to lack of skill to handle the patient, working conditions, overexertion and the physical situation of the patient. According to Cruz Dias-Teixeira (2016), awkward positions in hospitals are common issues which patient and also the clinician face in health centres. Squirting and kneeling are ordinary activities which are experienced with the hospital premises. Many clinicians work in awkward positions which can result in static loading of soft tissues. The issues may lead to building up of metabolites which accelerate degeneration and eventually lead to disc herniation as indicated by Awang et al. (2016). When the joints are closer to the end of the range of motion, there is greater stress which is inserted into soft tissue of particular the joint parts for instance nerves, muscles and tendons. Chin et al. (2014) indicated that at times when the prolonged sitting is not a key factor which caused the back pain, the combined exposure to continue sitting in awkward positions has the high probability of increasing the risks. However, the prolonged sitting by medical staffs during their work period fo rms an aggregating for many subjects with LBP. Also, the flexion of the spinal can negatively affect the proprioception, and it is likely to be linked with the LBP. Work-related neck and upper limbs disorders There exists lots of literature which concentrates on the LBP but there few literatures which address the issues of occupational cervicobrachial, shoulder and arm pain. Vieira et al. 2016 found out that the process if handling patients can cause not only LBP but it also causes shoulder, arm pain because it exerts lots of burden on the neck and arms. The upper limbs disorders are caused by repetitive work, sustained force and also the awkward postures (Karwan et al., 2015). All these happen among health workers when they are doing a lot of tasks and poor working conditions in Australian hospitals. The common ULDs among the clinicians are carpal tunnel syndrome, shoulder capsulitis, thoracic outlet and tendinitis (Karwan, et al., 2015). The tension neck syndrome causes lots of pain in the neck which are associated with the discomforts in muscles, spinal vertebrae and nerves. All these pain can also be felt as numbness or even weakness in the arms. Due to prolonged awkward position by h ealth workers such as placing computer mouse too high and also pending over some tasks for a very long time could likely cause lots of stresses in neck muscles and related nerves. According to Sharan et al. 2015, cervical spondylosis is a disorder which causes abnormal wear on bone and also the cartilages of the neck. It is caused to due to the degeneration of the cervical spine which involves the cushioning between the vertebrae of the neck region and also the joints between cervical spine bones. Most occupational risk factors are the manual handling of patients or even any other loads such as equipment and awkward positions. These issues cause symptoms like pains in the neck region, poor neck fitness and also the lots of sensation in shoulders. Mishra, et al. (2015) concluded that the shoulders tendonitis affects the shoulders, and they come in two types; bicep tendinitis which results in pain in the front side of the shoulder and may go beyond to the elbow. Some of the pains can result due to the raising of the arms overhead. These particular can be accelerated by pushing, lifting and pulling the arm above the level of the shoulder. The occupation risk factors which caused the tendinitis among Australian health worker are repetitive shoulder and wrist motions, the prolonged loads which are put in the shoulder and also the sustained hypertension of arms. On the other hand, Dsouza, KU (2016) asserted that the thoracic outlet syndrome involves pain in the shoulder and neck, the tingling and also numbness of fingers. It results due to the inability of the blood vessels which pass via collarbone and upper ribs to get enough space. High pressure comprises these blood vessels, and it led to symptoms in hands. Cases of workers suffering from the issue in Australian health centers have risen, and there is need to check and offer a remedy to the problem. Most instances indicate that they work for long hours and they work while using awkward positions such as shoulder flexion and raising their hands above their shoulder. Frozen shoulder is another condition which affects health care workers in Australian government. As in indicated by Mishra, et al. (2015 ligaments usually are found in the capsule of shoulder and due to some factors, the bones if shoulder cannot move freely causing the shoulder to froze. Manual handling of goods as well as working in awkward positions causes workers to suffer from the condition. Frozen shoulder condition commences when acute pain deters an individual from freely moving hand, and it can make them unable to do undertakings like reaching behind or over the head. According to Stolt et al. (2016), the gravity and swelling can cause painless swelling in legs can be seen in lower part of the body. Due to prolonged standing and sitting in a laboratory for long hours by health care workers in Australia, such issues tend to arise. However, prolonged standing, particularly in awkward positions and long working hours, aggravate varicose veins among the clinicians due to working in such positions; blood will remain in the vein which leads to swollen and painful veins which are filled with lots of abnormal blood. When blood is pooling, the veins will get enlarged. Measures to prevent MSDs among health worker Due to increased risks which MSDs causes in hospital workers, there is need to keep them from avoiding causing lots of problems. The Australian health department should consider improving their working organisations so that employees will not strain especially in handling laboratory experiments (Mishra, et al., 2015). They should make tables which are scientifically accepted for laboratory processes. They should also train their personnel on the best ways or positions to work from to avoid lots of stress on tissue muscles. Standing for long hours also should be avoided, and seats in operating offices should be provided to counter the issue. The long working hours by medical staff also should be reduced to the standard levels, for instance, eight hours per day to avoid stress which workers go through. All employees should be allowed to use coveralls. The choice of this particular cloth also should be considerable important. Tight coveralls cause friction in skins leading to stress on muscles. The health centers also should ensure that they choose good mechanical equipment which will assist workers to handle heavy goods at ease (Dsouza, KU 2016). However, it is upon each and every employee within the health care centers to choose proper positions and also the right types of equipment which fit them. They should also reduce the number of efforts used through sliding rather than lifting goods. Conclusions MSDs in hospitals lead in causes of disorders among worker. Due to lots of poor handling of goods and even patients, poor or awkward working conditions bring lots of stress to workers. Lower limb disorders and upper limb disorders affect staffs, and they affect their working conditions making them incapable of working efficiently. Cases such as thoracic outlet syndrome involve pain in the shoulder and neck, the tingling and also numbness of fingers. It results due to the inability of the blood vessels which pass via collarbone and upper ribs to get enough space. However, their issues need to prevent such issues to help worker improve their working efficiency. By training staff on proper working postures and positions will help them avoid pains and related disorders. There should not be the use of tight coveralls because they cause friction in skins leading to stress on muscles. The health centers also should ensure that they choose proper mechanical equipment which will assist worker s to handle heavy goods comfortably. References Awang, H., Shahabudin, S. M., Mansor, N. (2016). Return-to-Work Program for Injured Workers Factors of Successful Return to Employment.Asia-Pacific journal of public health,28(8), 694-702. Coenen, P., Gilson, N., Healy, G. N., Dunstan, D. W., Straker, L. M. (2017). A qualitative review of existing national and international occupational safety and health policies relating to occupational sedentary behaviour.Applied Ergonomics,60, 320-333. Cruz, J., Dias-Teixeira, M. (2016). Work-Related Musculoskeletal Disorders Among the Hairdressers: A Pilot Study. InAdvances in Physical Ergonomics and Human Factors(pp. 133-140). Springer International Publishing. Dsouza, S., Mathew, A., KU, D. K. (2016). Work Related Musculoskeletal Disorders in Physiotherapist; Prevalence and Associated Factors: A Review of Literature.International Journal of Health Sciences and Research (IJHSR),6(6), 344-351. Karwan, M. K., Azuhairi, A. A., Hayati, K. S. (2015). Predictors Of Upper Limb Disorders Among A Public University Workers In Malaysia.International Journal of Public Health and Clinical Sciences,2(3), 133-150. Maakip, I., Keegel, T., Oakman, J. (2017). Predictors of musculoskeletal discomfort: A cross-cultural comparison between Malaysian and Australian office workers.Applied Ergonomics,60, 52-57. Mishra, P., Guptaq, M., Singh, N., Shrivastava, K., Singh, P. (2015). An Overview Of Musculoskeletal Disorders Among Oral Health Professionals:.Indian Journal of Comprehensive Dental Care (IJCDC),5(2). Quintero-Duran, M., Paul, G. (2016). Ergonomic assessment of a physical task using two different DHM systems. Rahman, A., Palaneeswaran, E., Kulkarni, A., Zou, P. (2015, March). Musculoskeletal health and safety of aged workers in manual handling works. InIndustrial Engineering and Operations Management (IEOM), 2015 International Conference on(pp. 1-4). IEEE. Sharan, D., Manjula, M., Urmi, D., Ajeesh, P. S. (2014). Effect of yoga on the Myofascial Pain Syndrome of neck.International journal of yoga,7(1), 54. Stolt, M., Suhonen, R., Virolainen, P., Leino-Kilpi, H. (2016). Lower extremity musculoskeletal disorders in nurses: A narrative literature review.Scandinavian Journal of Social Medicine,44(1), 106-115 Vieira, E. R., Svoboda, S., Belniak, A., Brunt, D., Rose-St Prix, C., Roberts, L., da Costa, B. R. (2016). Work-related musculoskeletal disorders among physical therapists: an online survey.Disability and rehabilitation,38(6), 552-557.

Should police officers be allowed to moonlight as private security providers Essay Example

Should police officers be allowed to moonlight as private security providers Essay There are very few professions nowadays that provide financially fulfilling compensation. Not everybody can be a surgeon, lawyer, professional athlete or celebrity: professions that are sure to provide luxurious living. Often times, working men and women have to work multiple jobs to provide for their families, send their kids to school, or simply just to get by in life. Almost every human being on the planet has a right to earn decent wages to get a decent living, even if this means juggling different lines of work. People who hold sensitive public office positions are among the few exceptions. They need to give their full attention to the job at hand.   Included in this exclusive list are the people in the law enforcement field. Police officers should not be allowed to take off duty jobs which conflict with their status as police officers.Being a cop means you have accepted a high profile position with little or no reward. The starting annual income for a police officer in New Yo rk is estimated to be about $ 25,100 (AP, 2007). Plumbers and Sanitation workers make more. Not to demean the other professions but police officers put their lives at risk every time they put on the uniform so they are grossly underpaid. It is sad that they do not earn more, but they still should not be allowed to take on private security positions to earn extra income. Taking on a similar profession without the safeguards that make law enforcement work in the first place, can lead to disastrous repercussions. Therefore, they should not be allowed to moonlight as private security providers.Conflict of interestMost cities throughout the United States have police officers take on private security work when off duty. This could spell conflict of interest on so many levels. A cop’s loyalty is supposed to be to the general public. They are tasked with implementing peace and order in their area of responsibility regardless of race, age, gender or social status. On the other hand, a private security officer’s loyalty is to the individual or corporation that hired him. The Director of the Juvenile Justice Center in Boston, Lisa Thurau-Gray, says that the private police prioritize the interest of their employer more than public safety and rights (Goldstein, 2007). If the interest of public and private employer crossover, it is not surprising for the police officer to be conflicted and confused. As an example, suppose an off duty police officer operates as personal security for a private individual, lets say that the individual is suspected of a crime while in the protection of the off duty officer. Once media learns that a cop is somehow involved, how then is the police officer supposed to position himself to preserve his integrity? When a cop witnesses a crime that requires immediate action like a hostage situation or a bank heist, is he supposed to let it pass because he’s on private security detail? The only definitive answer is that he should n ot have been in the position to choose in the first place.Possible human rights violationState and nationwide laws have provisions that protect citizens from law enforcement violations. Search of ones premises or belongings require a search warrant, arresting a suspect needs a warrant of arrest, questioning suspects must be in the presence of a lawyer. These are just some of the rights afforded to citizens. Nonconformance with any of these requisites is considered a violation under the law. The police department and the arresting officer can be sued for such erroneous misdeeds. This is not necessarily true for private security providers. While off duty as a cop, a private security enforcer does not necessarily need a lawyer to extract information from a suspect. Miranda rights do not need to be enforced. This means that an officer who has internal knowledge of the â€Å"rights and wrongs† of police procedure can work around them on his private time. A situation like this coul d lead to less civil interrogation techniques that could lead to brutality, which might not even fall under the category of police brutality because the officer is technically off-duty. This is not to insinuate that this is normal practice, this situation would surely not be of the common variety, only that the opportunity to take advantage of police protocols presents itself if a public law enforcer is allowed to spend his off-duty hours doing private police work.Paid on the clockSpecial police or private police are paid by the hour. As with other private companies, private security providers want the most of what they pay their employees and try to cut back on unnecessary expenses to save company money. While other companies generate savings by cutting back on supplies, energy consumption, and recycling, private security firms save by cutting back on court appearances and testifying before the judiciary. Police Captain Kenny Mangum and police officer Matt Saylors, while on patrol as private security for Capitol Special Police (CSP), found illegal drugs and handguns in a car of a convicted felon. Despite the potential danger of civilians using drugs and guns, the two off-duty officers did not make the arrest but did call in on-duty police officers to do it. CSP reasons that they are careful in billing clients with time spent testifying and therefore make arrests only when absolutely necessary (Goldstein, 2007). Such a choice has potentially deadly consequences had the driver and his companions decided to use the weapons at their disposal. Had Mangum and Saylors not been allowed to do private security work, they would have undoubtedly proceeded with an immediate arrest since diffusing dangerous situations as quickly as possible is part of the police officer’s job description. This is clearly one instance where the moonlighting sideline got in the way of what would have normally been a routine bust.Perception of a protection racketThe public police popul ation in the United States number to around 700,000 officers (Goldstein, 2007). They are outnumbered by private security police, 5 to 1 (Schneier, 2007). Despite their lack in numbers, it is their sworn duty to protect the citizens as they patrol their areas of their jurisdiction. Now, private subdivisions want the same security. Private suburbs in Maryland and Virginia, among others, have begun to entice police officers to enforce public laws in their areas, presumably for a fee (VIC, 2000). This gives a negative impression to tax payers that certain locations are more protected than others. Public trust is fragile, so even the slightest perception that law enforcement favors those who can pay for it must always be avoided.Separation between private and public policeThe private sector should have the right to protect their interests and hire additional security. It makes sense to try and hire police officers because they are better trained, experienced on the field and are best sui ted for the job. But cops, even off-duty, should not be allowed to moonlight as private security providers. The public needs, demands their full attention. Although they work in shifts with almost no overtime pay, they’re actually much like doctors. They’re always on-call 24-7. Carl Dunde, a police officer with 18 years of experience, said that police officers are never really off-duty (Dunde, 2007).   A cop can go shopping, jogging, or walking their dog, but once a thief comes running, they come running after them, whether it’s in uniform or in their pajamas. A police officer’s work is never done.If law enforcers want to earn more and serve the private sector, they should quit. They can make their services available to the private security institutions and perhaps make a lucrative career out of it. But for the meantime, being a cop is public service. This may sound cheesy but public service is public trust. In order for the people to trust the law, its enforcers must give it their full attention. Crime doesn’t take a day off, it’s another corny line but it’s true, officers of the law shouldn’t either. The only defense the public has is the people enforce the laws of the land. â€Å"To serve and protect†, that’s an officer’s motto. It never said anything about clocking out.

How to Avoid the Biggest Workplace Distraction

How to Avoid the Biggest Workplace Distraction So many hours in a day, but never enough time to get things done†¦ or so it seems. In reality, the hours that comprise a workday are often plenty of time to complete your tasks. According to CareerBuilder, 4 of the top 5 productivity killers at work are tech-based: email, texting, Internet surfing, and social media. Little moments here and there of checking your phone or browsing on Twitter can add up to hours of wasted time. Your first step? Take one week to carefully log how you spend each and every moment of your day. Then, add up your non-work-related tech time. You might be surprised at how it’s eating away from your work day.Next, aim to cut back. Put your phone on silent or â€Å"Do Not Disturb† mode, only allowing emergency contacts to reach you during work hours. Then, divert yourself from the call of social media. When you find yourself loading up Facebook or Instagram, walk away. Take a super-quick walk around the office to clear your mind and get back o n track. When you sit back down, it’s back to work you go.Of course, most workplaces do come with a barrage of email you are obligated to tackle. Set aside 10 minutes every hour to do nothing but read, sort, and answer email. Unless it’s urgent, don’t answer or read your email until then–focus on completing tasks instead.A combination of poor time management and electronic distraction often suck up your time until you’re left with a pile of uncompleted work. Figure out where your time is going and transform wasted hours into productivity.Your Top 10 Productivity Killers And How To Fix ThemRead More at Fast Company

Case study Q1 and Q2 Example | Topics and Well Written Essays - 750 words

Q1 and Q2 - Case Study Example According to the data on fig.18.1 in this article, the market share between 2000-2012 shows progressive growth which clearly indicates competitive performance. The increase in share price means accumulate working capital of mass magnitude which helps it smoothly manage its widely dispersed market across the world. Besides, share prices are an indicator of investor confidence and general better overall performance. The financial and operation performance of Starbucks in table 18.1 in the article indicates significant upward trend in balance sheet from 2005 towards 2011. The meaning behind this is a strong and large asset base which explains overall desirable performance. Considering the wide geographical dispersion of Starbuck stores, the financial report indicates a sustainable future. Ranking by chain stores and market size put Starbuck ahead of the pack at 10789 followed by Horton with a gap of more than 1000 stores as shown in fig.18.3. It is worth to infer that Starbuck is doing well in the industry in terms of market size, financial gain and global presence. The success of Starbuck has come as result of creative and critical thinking of its management team. In regard to its significantly competitive market environment, strategic measures have put it through an upward growth. Historical background of the firm exhibit is as having started on an unstable ground until Schultz took over as the Chief Executive officer. Survival in the coffee industry has come far for this firm mainly as a result of realizing diversity of human tastes and customer care. At the centre of its success is diversity in its coffee brand. The cultural and economic uniqueness of its global market requires that it differentiate its product to meet their individual tastes and preferences. In this regard, Starbuck has differentiated its coffee brand into various tastes. Besides, it reframed its business model and marketing approaches. This included licensing retailers to

The Effect of PeerTutoring and Computer Assisted Tutoring on Thesis

The Effect of PeerTutoring and Computer Assisted Tutoring on Standardized Math Scores - Thesis Example The purpose of this action research study is to determine the value of tutoring strategies in augmenting mathematical studies for junior high school students. My purpose is to study the results of two types of tutoring programs used with adolescent groups. The two tutorial groups are computer assisted instruction and peer-tutoring. Raul Yzaguirre School for Success (RYSS) is an urban charter school with a majority-minority Hispanic student population. RYSS is a Title I school with 100% of the students receiving free and reduced lunch. I am currently teaching Language Arts for the eighth grade while obtaining my administration internship. The purpose of the study is to discover the best available strategy to aid RYSS students in the improvement of their standardized test scores for mathematics. The administrative team at RYSS has approved a tutoring program for summer school students. Tutoring fits into the larger context of education because (a) tutoring helps students who are struggling while allowing them to engage in a challenging, rigorous learning experience; (b) tutoring assists students in moving toward grade level achievement, and (c) tutoring builds successful students so that they move from success to succes

Love in Pride and Prejudice Essay Example for Free

Love in Pride and Prejudice Essay Marriage in England in the nineteenth century is much different than it is in today’s world. Almost everyone wants to marry for love and happiness. During this period of time, beautiful women would marry a man because he is rich or the opposite. A nice looking man would marry a woman because she comes from wealth. Love is left out of these marriages. Some thought they would soon develop love along the years. Mrs. Bennet’s main priority throughout the book was to make sure here five daughters were married to a rich suitor. Money was the main concerns for her not love. Her marriage was based on the principle of monetary gain. She thought her daughters would not be able to survive if they remained unmarried. For any woman of her time marriage on any terms was often the only getaway from a miserable life of poverty. Elizabeth did not want to marry for money. She wanted to marry for love. She turned her first proposal down from Mr. Collins because she had no feelings for him. Elizabeth shows a lot of pride throughout the book. Even though her family was not of upper class, she still held her head high with pride. She is a middle class woman who wants to be treated the same by every one no matter who it is. She believes herself to be good enough for any man. When she first meets Mr. Darcy, she says that he is very attractive. Prejudice blinds her and leads to false opinions of Mr. Darcy. She overhears him say, â€Å"She is tolerable, but not handsome enough to tempt me. † Darcy is very blinded by his inferior standards. Jane Bennet and Mr. Bingley are happy when they are together. Mrs. Bennet was so sure they would marry within months. They were so shocked to hear that he had left town so suddenly. Mr. Darcy breaks them up before their relationship could get as far as marriage. He didn’t honestly believe that Jane was truly in love with his good friend Mr. Bingley. Elizabeth believes that he did this because of his prejudice for the lower class. Mr. Darcy believed that Jane was only after his money. Jane is very broken up over Mr. Bingley leaving town. They both loved one another. Mr. Darcy later writes a letter to Elizabeth, explaining the real reason why he broke them up. After reading his letter, she begins to understand the pride that Mr. Darcy has for himself. This is where she begins to have feelings for him. Her youngest sister Lydia runs away and marries Mr. Wickham. Soon Jane and Mr. Bingley reunite and he proposes to her. Elizabeth finds out that Mr. Darcy had bribed Mr. Wickham to marry her sister. She soon realizes Mr. Darcy isn’t a bad person after all. He is a great person and a romantic at heart. After his second proposal to Elizabeth she agrees to marry him, not for money but for love. Happiness does not come from a marriage based on money.

Test Of Courage :: essays research papers

Test of Courage On the night of September 30th 1999, I was about to begin what would seem to be the longest night of my life. Weeks of physical, mental, and emotional training would climax and end after this final test. A test of endurance, teamwork, mental focus, and most of all courage was about to begin. Thoughts raced through my head as I anxiously prepared myself. Will I remember everything I have been trained? Will my shipmates let me down? Some had dreaded this night for weeks; others awaited its arrival like children on Christmas morning. I had a mixture of feelings, as I was about to begin what the Navy calls Battle Stations. Battle Stations is a fourteen-hour test of everything that had been taught in the previous thirteen weeks of boot camp. The most difficult part of Battle Stations is dealing with the sleep depravation accumulated over the previous weeks. We were allowed two hours of sleep before the challenge that would "make or break" us. I can remember the dark barracks, lit only by red lights representing emergency procedures in a ship setting. The room seemed to have a very still, quiet feel like a storm was creeping near. My bunkmate Johnson and I polished our boots as we agreed that neither of us would sleep for the two hours we are given. Johnson and I had developed a close friendship over time and we motivated each other in every obstacle we faced. He was slightly taller than I, had a stalky frame and spoke with a thick East Coast accent that I often humorously imitated. I laid in my bunk focusing on my body, and what will be expected from it tonight. By that time, I had been awake for several hours and lack of food caused fatigue to set in. Piercing alarm sirens and bright flashing lights interrupted my concentration; our excitingly eventful night had just begun. Within seven minutes my entire division was in full gear with tight seals on our gas masks and standing at attention in front of our bunks. Then something unexpected happened. A team of Ex-Navy Seal's rushed into the barracks like a stampede of wild horses. Their presence motivated us all as we began chanting Navy songs. Before I knew it we were barreling down the stairs of the barracks, or "Ship" as it is called in the Navy.

Persists in central Africans Essay

The text notes that an alternate allele of the hemoglobin gene can cause sickle-cell anemia when a person is homozygous for this allele, but that a person who is heterozygous for the allele actually can derive a benefit from it–protection from malaria. In the United States, 8 percent of African Americans are carriers for the sickle-cell allele, while in central Africa the figure is 20 percent. What could account for this difference? Assess. Answer: The difference could be accounted for by the prevalence of malaria disease in central Africa. Heterozygous carriers of the disease are resistant to malaria. Furthermore, there is a at leasr a 25% chance that the heterozygous trait is passed on to the next generation. Malaria is more prevalent in central Africa than in America. African Americans are not as exposed to malaria as central Africans are. Therefore, the sickle-cell trait is being faced out gradually in African Americans. Central Africans on the other hand are continually exposed to the disease. The trait therefore persists in their genome. More malaria resistant individuals are born. Unfortunately, they are heterozygous carriers of the sickle-cell trait. When two heterozygous individuals produce offsprings, there is a 25% chance that a one of them is a homozygous for sickle-cell disease. Therefore, the trait persists in central Africans.

Essay about The Golden Age of Athens - 532 Words

In 400 B.C, The Athenian civilization experienced a golden age. The Athens experienced a great amount of peace and prosperity due to their contact and trade with others, and rare warring. During this time, ideas and philosophies were produced. These ideas influenced western civilizations in the areas of politics, science, art and architecture. The Government of the Athenian people had a large impact on western civilizations. In document three, Pericles states his beliefs about democracy. Pericles states that he believes all men that have the opportunity to take a part in their government should. America, a western civilization was greatly influenced by the Greek government. First of all, everyone has the opportunity to vote or to take†¦show more content†¦Today in America our medical system is similar. Doctors so whatever they can to help and patient and would never try to harm them. Another contribution to science was mathematics. A great contribution to mathematics can be seen in document five. Euclid made the discovery that vertical angles are equal. In America, this, along with many other mathematic discoveries is used every day in middle school and high school classes. Lastly, the Athenians were very philosophical. Thry questioned their own ideas and the ideas of others. This has been passed on to American society today. Scientists are constantly questioning their own theories and trying to find new answers. As you can see, Athenian science had a huge influence on western civilization. In addition to Politics and Science, Art and Architecture from Greece influenced Western civilization. The Athenians built many important building using long structures called columns, such as in the Parthenon (seen in document seven). These can be seen in many buildings across America, such as the Stock exchange and the Lincoln memorial. Another example of Athenian Art was the Olympics. You can see in document eight that the Greeks valued sports and were very athl etic. This contribution still exists today all over the globe. Sports are very important to people of allShow MoreRelatedThe Golden Age Of Athens752 Words   |  4 PagesIntroduction The Golden Age of Athens lasted from 480 to 404 B.C. during which time the small city-state of Athens transformed into an empire, was an epicenter of art, architecture, music, theater, philosophy and the birthplace of a new revolutionary form of government, the democracy (Barrett, n.d.). In my learning journal entry for this week I will discuss one circumstance that led to the end of the Athenian Golden Age, the plague of Athens which killed 75,000 and resulted in the death of theirRead MoreThe Golden Age of Athens3111 Words   |  13 PagesThe Golden age of Athens Fifth-century Athens  refers to the Greek city-state of  Athens  in the period of roughly 480 BC-404 BC. 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