Saturday, October 5, 2019
The S'No Risk Program (Management Decision Models) 2 Assignment
The S'No Risk Program (Management Decision Models) 2 - Assignment Example After going through the entire case it can be said that the most important reason behind the sudden hike in rates by the insurance firms was sudden flow of demand for Toro products, especially the shovels during the winter months (Bell, 1994, pp.1-2) and the interest of consumers in buying larger models of shovels so as to take optimum benefit of the deal. The growing interest among the consumers to purchase Toro shovels provided dealers the prospect to clear stock from their warehouses and this helped them to regain their lost confidence. Also S’ no risk program had basic cost of sales of 2.1% of sales which is generally 10% and hence the rates were heaved. The reasonable estimation of rates of insurance will depend on the factors like customer preferences, product demand, competitor’s insurance rates, cost of sales, scope of profit of the company etc. Based on the case, the effect of plausible insurance rates and their relationship with profitability can be derived fr om the following table- Items Single Stage Power Shovel Two-Stage Power Shovel  Min Max Min Max  Price ($) Retail Price 270 440 640 1500 Units Sold 100000 100000 20000 20000 Total Revenues 27000000 44000000 12800000 30000000 Basic Cost of Sales/Premium @ 2.1% 567000 924000 268800 630000 Profit 26433000 43076000 12531200 29370000 Premium @6% 1620000 2640000 768000 1800000 Profit @ 6% 25380000 41360000 12032000 28200000 Premium @8% 2160000 3520000 1024000 2400000 Profit @ 8% 24840000 40480000 11776000 27600000 premium @ 10% 2700000 4400000 1280000 3000000 Profit @ 10% 24300000 39600000 11520000 27000000 From the chart shown above it can be concluded that when the rates are raised profitability will get reduced and vice-versa. Answer 2 The S’ No risk program by Toro is shown below: From the consumer’s point of view, the above pattern showcases an appealing proportion of refund which is utterly reliant on the amount of snowfall in the area. The pattern states that when the snowfall would increase, the consumers would have the alternative to purchase any model of shovel and during lesser snowfall the customers would be allowed money back. However the money back alternative would be applicable till the average snowfall reaches 50%. Further than that the consumers won’t get the reimbursement advantage. Hence it can be concluded that both the approach would be in support of the customer benefit. However a condition might arise when a purchaser makes the purchase of a self-propelled two-stage shovel worth $1500 and during that year the average snowfall in the area reaches 80%, then he will not be entitled to any money back benefit. In such situation the consumer might think that he has made an incorrect choice by expending $1500 for the shovel when he had the alternative to procure the shovel valued at $ 640. The table in the previous discussion demonstrates that the clients prefer to expend the smallest amount and obtain the most gain from a deal. Therefore we can state that the rate which would be most accepted by the consumers is 6%. However 6% would not be favored by the insurance company as it would not bring them enough profits. Thus Toro must select a moderate rate considering both the related stakeholders and it should opt for the 8% rate. Answer 3 Snowfall is the common decision trap here. From Toro’s perspective, the volume of sales would exclusively
Friday, October 4, 2019
IMac Assignment Example | Topics and Well Written Essays - 750 words
IMac - Assignment Example The system was also not able to fully accept the modules of programming that had used other Microsoft compatible software packages. The failure of highly expensive iMac to run Ronny’s software adversely impacted his confidence level. Ronny’s computer skills were much recognized because he had developed a very interesting geography puzzle for his classmates. He had also been secretly working on the development of a new video game, designed especially to increase the mental reflexes of youngsters. He needed to run the program on the latest machine so he could test the various creative ideas using multimedia and rectify the bugs, if any. The failure of the machines greatly distressed him. The frequent trips to repair shop also made him lose precious time as he wanted to send his video game to the online competition organized by the IBM. Development of video games requires highly sophisticated machines that can run complicated computer programs using multimedia. The testing of software is important part of software development and successful run of each module boosts the confidence of the developer. The failure of iMac to completely accept the program modules that needed other Microsoft compatible software, turned out to be the biggest setback to Ronny’s desire to take part in the competition. iMac is supposed to be the most sophisticated computer that could perform huge number of functions at high speed. But the weakness in the machine to run the important features of Ronny’s programs significantly jolted his confidence in the Apple’s products. Ronny’s father was also not able to buy another computer for him because of the huge amount of money already spent on the expensive iMac. The father was highly proud of his son and knew that advanced computer like iMac would greatly facilitate his son in improving his skills. He had also realized that the latest computer would help his genius son in exploiting his vast potential. His
Thursday, October 3, 2019
The War on Iraq Essay Example for Free
The War on Iraq Essay Introduction            If there’s one country that you would want to go to, the country Iraq would be on your list. Iraq is a country of heritage and historical value. It has been known to the world for housing numbers of archaeological sites and art pieces. It is acknowledged for having one thousand archaeological sites including ruins of their past wars. Iraq has been the place for the oldest churches in the world and the first city of the world. The country’s archaeological sites can be dated back even before Christ was born; the mainland for the Old Testament. Scholars and curators fear the possibility that the civil war in Iraq might destroy the archaeological sites of the country (Guardian, April 2, 2003).            The United States and Iraq conflict began on the twentieth of March of the year Two-Thousand and Three. The main reason for the development of the war is that His Excellence, President George W. Bush along with British Prime Minister Tony Blairand their fellow allies was threatened by the speculations that the Iraq government was developing weapons of mass destruction; nuclear bombs and the likes. The war went on until the defeat of the Iraqi terrorist Saddam Hussein. The war deteriorated this year, two thousand and seven, but the war between Sunni and Shia Muslims continued up to this date (A timeline of the Iraq War,) Shia vs. Sunni Muslim            Sunni and Shia Muslims are only two among the subgroups of the Muslim religion. Sunni and Shia have the same culture, it is homogenous. Although both share the common Islamic beliefs they do not share common beliefs when it comes to political issues and practices. There is diversity within the Islamic groups regionally. The division between Sunni Islam and Shia Islam started when the prophet Muhammad died, leadership of the Muslim was then a big question. Who would take the place of Muhammad was at stake, whether it should be a relative or it is just okay for a capable leader to take his place. The Sunni Muslims agreed upon the election of a new leader among the capable ones. On the contrary, the Shia Muslims believed that the leadership should have been passed to Muhammad’s relatives, particularly to his cousin Ali. All throughout the Muslims’ history, the Shia subgroup never have recognized the authority of their elected leaders. From this initial political issue of leadership, the two subgroups’ spiritual beliefs were divided.            There are theological or spiritual differences between the Shia and Sunni Muslims. The Shia subgroups believe that their Imam or leader is a sinless leader since it was appointed by God. They often make shrines for their Imams because they believe that they are saints. On the contrary, Sunni Muslims contradicted the Shia beliefs; they say that there’s no basis for the veneration of saints and that there’s no such thing as the hereditary succession of spiritual leaders (Huda, 2007).            One of the practical differences between Sunni and Shia is through praying. Shia Muslims pray three times a day wherein they combine their prayers; their prayers can be identified by a tablet of clay from what they call Karbala or a holy place, on which their foreheads are pressed against. On the contrary, Sunni Muslims pray five times a day without combining their prayers.            Temporary marriage or what Muslims call Muttah marriage is legal to Shia but the Sunni Muslims do not consider it. Sunni Muslims believe that Muttah marriage is a forbidden act, thus, believing that the Prophet forbid the act (Hourani, 1991).            There are also differences in the kind of government the Sunnis and Shias wanted to have; the political culture differences. Shias are rebellious and always contradict the tyrannical rulers and are against Sunni injustices. They believed in the modern world democracy, in which avoidance of accountability and tyranny is stressed. They are anti-authoritarians and it is known to be an inherent culture of the Shias; they believed in the justification of fair rulers and that justice is fair and without any bias. On the contrary, Sunnis uphold any kind of government, be it democratic or not for as long as it maintains the order and the stability of the Muslim community. Not to mention that it should also protect the Muslim communities.            Gender relations among the Sunni Islam and Shia Islam have differences also. Shias’ allow a fairer gender relation than the Sunnis. The presence of sexual inequality for them is the absence of democracy; this is what the Shias believed in. On the other hand, Sunni Islam communities believed that women should be a subordinate of men; wives should obey their husbands. Thus, it shows that their differences are completely extreme, because one opposes the other (Chaulia,February 16, 2007) Conclusion                  Like other religions, Muslims also have differences, be it political, cultural and regional diversity. The fact is that they are all the same when it comes to spiritual concerns. The most important thing is to be united with God despite of the differences. Holy war is not supposed to be an issue because we are all the same in the eyes of our creator. Our fellow Muslim should unite instead of continuously building up the wall between them.            Iraq should be a sanctuary and not a place for war and conflict. Shias’ and Sunnis’ differences should not hinder them from being united for the sake of peace for the fact that they are both Muslims. References Chaulia, S. (February 16, 2007 ). Shia Democracy:Myth or Reality?  [Electronic Version] from http://www.worldpress.org/Mideast/2677.cfm. Guardian, T. (April 2, 2003). The end of civilization [Electronic Version] from http://arts.guardian.co.uk/features/story/0,11710,927788,00.html. Hourani, A. (1991). A History of the Arab Peoples [Electronic Version] from http://www.bbc.co.uk/religion/religions/islam/subdivisions/sunnishia_4.shtml. Huda. (2007). Whats the Difference Between Shia and Sunni Muslims? [Electronic Version] from http://islam.about.com/cs/divisions/f/shia_sunni.htm. A timeline of the Iraq War [Electronic ( ). Version]. Retrieved 2005-2007 from http://thinkprogress.org/iraq-timeline.
The Medication Errors Generated By Nurses Nursing Essay
The Medication Errors Generated By Nurses Nursing Essay In many cases, medication errors cause adverse events, and sometimes, the consequences are fatal. Many of these mistakes are avoidable if policies of the hospital governing medication administrations are adhered to. In the U.S. today, most people use prescription medications, over the counter drugs, or dietary supplements. Errors when prescribing or taking these medications has been a problem for patients, insurance companies and the health care industry. The focus on medication errors has stimulated rapid adoption of medication administration technologies such as the bar-code medication administration (BCMA) system. Medication administration is an important nursing task. Work overload, combined with increased numbers of prescribed medications, puts nurses at risk of making serious errors. Medication errors are costly in terms of increased hospital stays, resources consumed, patients harmed and lives lost. Mistakes also have the potential for serious effects on the nurse involved, ra nging from feelings of guilt and fear, to loss of clinical confidence, and disciplinary action as well as job loss. Medication errors happen in the hospital much more than are reported and their reasons are various including errors clinicians make in prescribing medications. A physician writes an order that sometimes contains instructions that if followed, will result in patients getting medications that are harmful to them. They may have had adverse reactions to such medications in the past or the drug may be contraindicated for the purpose for which they were ordered. This research paper will prove that the BCMA system is a reliable technology in reducing medication errors. On the other hand, critical steps omitted by health care providers and nurses often contribute to more than half of the medication errors generated when using the BCMA system. Thus, health care providers and nurses need to be educated on patient and medication safety as well as the accurate use of the BCMA syst em. A clinical policy on the use of the BCMA system will also be developed. For the purpose of research, the medication errors to be discussed will be restricted to the use of the BCMA system by nursing personnel. There are many regulatory guidelines for the administration of medications, but these policies are often ignored by nurses and other healthcare workers, and can result in errors. In the hospitals where we attend our clinical rotations, such as Kaiser and San Francisco General Hospital, medications such as chemotherapy, insulin, narcotics, heparin and magnesium sulfate have been identified as high risk medications. The nurse administering these drugs must have another licensed nurse cross check the order including the patients name and identification number (ID), route, dosage and administration time for accuracy. The second nurse often appends his or her signature to the order without doing or completing the cross-check. Medication error is the inappropriate use of medication that can cause harm to patients. (See Appendix A) Literature review Research and Critique of literature Franklin, OGrady, Donyai, Jacklin Barber (2007) are a group of pharmacists from the School of Pharmacy London and the Department of Pharmacy Surrey, UK, who conducted a before and after study of the BCMA system. They concluded that the closed-loop electronic and prescribing bar-code system reduced medication errors. Strengths of the study are that data were collected with a comprehensive framework and the identification of prescribing error was noted using a validated method. One weakness is that the system was piloted on one ward. A mixed method study by Koppel, Wetterneck, Telles Karsh (2008) from the Center for Clinical Epidemiology and Bio-statistics and the Department of medicine identified fifteen types of BCMA workarounds. Workarounds such as omission of process steps, steps performed out of sequence and unauthorized process steps. Some limitations in this study were that the nurses knew they were being watched using the BCMA and all possible workarounds were not included. H owever, the study suggests that the BCMA is beneficial in reducing medication error. Sakowski, Newman and Dozier (2008) found that medication errors identified by the BCMA system are benign and pose no harm to patients. A limitation of this study is that only errors detected by the BCMA were reviewed and errors did not contain the patients diagnosis. Cina, Fanikos, Mitton, McCrea Churchill (2006) are a group of pharmacists that include a medication safety officer and a director of pharmacy services at Brigham and Womens hospital (BWH) in Boston. The group studied errors generated in the medication repackaging center of BWH, in order to identify and implement improvements to reduce medication dispensing errors. Unfortunately, the study examined only one site and relied on human observers who may have failed to detect errors. See Appendix B According to the book To err is human: building a safer health system medication errors frequently occur during the prescribing, dispensing and administration stages, and preventable adverse drug errors are a leading cause of death in the U.S (Kohn, Corrigan Donaldson, 2000, p.26). The American Hospital Association found that over 33.6 million admissions in U.S. hospitals in 1997 alone, at least 44,000 to 98,000 died of medical error and another 7,000 deaths were due to medication errors (as cited in Kohn et al., 2000, p.26). In addition, Philips et al. noted that a review of some U.S. death certificates, revealed about 7391 deaths caused by medication errors in 1993 (as cited in Kohn et al., 2000, p.32). Researchers Kaushal, Bates, Franz, Soukup, and Rothschild (2007) conducted a statistical analysis and noted that about 49.1% of medication errors were serious and 15% were life threatening. They also found that the cost of medication errors at the 735-bed Brigham and Womens Hospita l is about $1.5 million per year and $1.48 million for a 20-bed tertiary care academy hospital (Kaushal et al., 2007). Fatal or serious medication errors result in additional lengths of stay in the hospital, thus adding to treatment costs. In order to reduce frequent errors, the BCMA was introduced to the health care system by the Agency for Healthcare Research and Quality and the Institute of Medicine (OMalley, 2008). Sakowski et al. (2008) have found that approximately 3.1% of drug errors are made during hospital stays in the U.S. This finding is astonishing in the sense that the hospital is where people turn to for medical help and not medical injury that can result in death. However, the adoption of the BCMA by most hospitals today, has helped reduce medication errors before they reach patients (Cochran, Jones, Brockman, Skinner Hicks, 2007). With the use of the BCMA, 37% of medication errors were detected by nurses during the dispensing phase and 27%, during the administration phase (Cochran et al., 2007). Furthermore, they noted that the implementation of the BCMA in a 240-bed regional hospital study prevented 1,300 medication errors for a period of eight months (Cochran et al., 2007). Some of these errors were interrupted by the BCMA when medications were going to be given prior to their specified time, or about to be given without a physicians order, or to be given to the wrong patient (Co chran et al., 2007). Due to heavy workloads, busy shifts, error warnings and the bulky nature of the BCMA, nurses find ways to bypass the BCMA system in order to get through busy schedules. These shortcuts often lead to errors in medication administration along with errors generated by the prescribing physician, as well as by the dispensing pharmacy. Medication administration is a complex system that requires coordination among physicians who order the medications, pharmacists who verify and dispense the drugs, and nurses who administer the medications to the patients. Summary Steps in medication administration are initiated when a drug is prescribed by a health care provider. The prescriber writes the patients name, date, medication name, dosage, route (e.g. by mouth), number of tablets/capsules to be dispensed, the prescribers signature, his/her medical license number and Drug Enforcement Administration number (DEA) (numbers assigned to health care providers used for prescribing pain medications). Medication errors occur at this stage and include reasons such as a lack of attention to detail, lack of communication, duplicate medication with the same name but different doses or an illegible prescription order (Benjamin, 2003). Benjamin (2003) also noted that 71% of medication errors are due to poor communication, which can lead to prescribing contraindicated medication for a patient He goes on to give the example of an 80-year old man who was given the pain medication Demerol despite a reported allergy to Demerol. After administration, the patient became unresponsive, had respiratory arrest and suffered hypoxic encephalopathy (lack of oxygen to the brain causing brain damage) (Benjamin, 2003). This incident goes further to show how important it is for physicians to communicate and listen to patients and nurses concerns when prescribing medications. Below is a copy of a poorly written prescription by a healthcare provider. In this example there are 3 different types of medications prescribed for one patient. Although the handwriting is legible, ambiguous writing can lead to misinterpretation and further lead to medication error (Benjamin, 2003). See Appendix C. Steps taken to ensure safety standards include affixing a computer generated bar code on medication containers. Pharmacists are supposed to be the first line of defense in reducing errors; however, pharmacies can contribute to medication errors as shown in the research by (Cina et al., 2006). The pharmacist or pharmacy technician prints and affixes bar codes on medications that are ready for administration. During this process, medication errors occur either due to the placement of wrong bar codes, medications missing bar codes, misspelled medications or medications with two different bar codes (Cina et al., 2006). Furthermore, 59.7% of medication errors occur during the final stages of pharmacy repackaging system, a system of replacing commercial packaging for generic ones, due to incorrect lot numbers and NDCs (Cina et al., 2006). Another research by Cochran et al. 2007 found that medication errors frequently entailed mislabeled medications, medications without bar codes and medica tions with bar codes that would not scan. Therefore, pharmacists need to be more vigilant in checking for bar codes, lot numbers, correct NDCs, correct medication spellings and also verify illegible prescriptions in order to reduce chances of medication errors. Despite the adoption of the BCMA as a medication safety technology, research has shown that nurses still contribute to a majority of medication errors. Koppel et al. (2008) have found that 32% to 60 % (adult pediatric patients) of medication errors occur during the medication administration stage, most of which are caused by nurses because they failed to use the BCMA system. Because medication errors are so prevalent at the administration stage, nurses are mandated to use the BCMA system and are also required to abide by the medication administration guidelines step-by-step, through the final documentation stage. If a step of the medication administration process is missed, the likelihood for medication errors increases. A research by Franklin et al. (2007) confirmed that nurses fail to check patients IDs 80% of the time before giving medications and 16% of medications were given before scanning the patents ID band (Carayon et al.,2007). For example, wrong medications can be interce pted by a nurse if he/she compares the printed medication bar code to the information displayed on the BCMA system. In order to reinforce proper usage, monthly in-service (refresher course) may be required to educate nurses on medication administration as well as the importance of abiding by the hospital policy of medication administration. The alarm sound on the BCMA system also allows nurses to detect medication errors before they get to the patient. But research has shown that nurses often disable and ignore the alarm sound because they claim, the sound is annoying and weird (Carayon et al, 2007). Koppel et al. (2008) found that nurses overrode BCMA alerts for 4.2% of patients charted and for 10.3% of medications charted. Errors were generated because the BCMA alarm was disabled and nurses did not follow administration steps, thus giving medications without confirmation by the BCMA system. The BCMA needs to be equipped with a mechanism that would restrict nurses from bypassing any administration step and this would help to reduce medication error. Also, the BCMA alarms should be configured such that the correct administration steps must be taken before advancing to the next step. For the BCMA to work properly, its advised that it should be charged or plugged in when not in use since it is a mobile machine that is in constant use. Often times, nurses fail to charge the BCMA as advised and when the BCMA loses charge, it shuts down without warning which can lead to data loss (Parker Baldwin, 2008). Data loss causes frustration for nurses; so they decide to skip the BCMA system during drug administration (Parker et al, 2008). When batteries fail, nurses had no immediate means to replace them with charged battery. Use of the BCMA was suspended until the units were recharged (Parker et al., 2008). Since the BCMA system is used constantly for multiple patients, battery life can be preserved by getting a BCMA that uses removable batteries. A removable battery can last for twenty-four hours as well as making sure that there are extra replacement batteries for the BCMA. The BCMA system requires lots of confirmatory steps and a personal log-in process by nurses before a medication is confirmed accurate for administration. Parker et al. (2008) found that nurses were dissatisfied with the log-in process because it requires much time to complete a single log-in. A single log-in process could take up to 2 minutes, consuming up to 48 minutes of nursing time waiting for computer access(Parker et al., 2008). Therefore, nurses cut corners in using the BCMA; they decide to give the medication without using the BCMA and document the action at a later time. This can cause a nurse to administer the wrong medication and to the wrong patient. The BCMA process requires that nurses scan both, the medication and patients ID band in the patients room before administration. In many clinical facilities, the policy is for nurses to dispense the medications, one patient at a time. In fact, the rule is that the nurse, check the medication record of a patient against the pa tients profile in the pyxis (medication storage). If they match, the nurse will then pull out the medications for the particular patient and walk directly to the patients room with the medications and the BCMA system. In the patients room, the nurse scans and checks the medication and name against the patients ID band; if they match, the medication is then administered and documented after administration. Nurses however, do not follow this simple rule in medication administration. The result of circumventing the rule is that nurses walk into a wrong patients room and administer the wrong medication. According to a research by Carayon et al. (2007), the correct sequence for medication administration is as follows: See Appendix D. These steps are critical in verifying that the right medication is given to the right patient. However, they found that nurses often do not follow the steps. For example, nurses were documenting medications before it was actually given to the patient. They c heck and obtain medication before scanning patients ID band (Carayon et al., 2007). To reduce the problem of workarounds, nurses who are caught with multiple medications and wristbands, need to be disciplined. And bar codes can be printed in bold so nurses can acknowledge them. The use of the BCMA requires complete attention in order to avoid mistakes. Patterson, Cook, and Render (2002) have found that nurses are often interrupted for one problem or another during medication administration. Below is a flow chart that shows the various instances when nurses are interrupted during medication administration process. See Appendix C. Medication administration is very critical and to reduce frequent interruptions, the nurse manager should make sure that a charge nurse (a nurse who supervises other nurses without having a patient) is assigned during every shift to help nurses with minor needs such as moving or walking a patient. Nurses should be given more training opportunity to better understand the use of the BCMA as well as its functions. Conclusion The BCMA is still a challenge to health care workers; on the other hand, it has helped to reduce medication errors since its adoption. Health care providers need to help reduce medication errors by putting patients safety first. Nursing staff need to be more cooperative and strictly follow the prescribed guidelines when using the BCMA system during medication administration.
Wednesday, October 2, 2019
Psychology Studies Essay -- essays research papers
Worobey, J., & Worobey, H. (1999) . The Impactg of a Two-Year School Breakfast Program for Preschool-Aged Children on Their Nutrient Intake and Pre-Academic Performance. Child Study Journal, 29, 113-131. This study contains information dealing with the relationship between nutrition and academic performance. The A variable consists of eating a well-balanced breakfast with a School Breakfast Program (SBP), while the B variable consists of pre-academic performance. The procedure these researchers used to study a nutritional breakfast was to provide preschoolers with a SBP. Every morning that the children attended school, Monday, Wednesday, and Friday, the preschoolers who participated would arrive at school at 8:15 A.M. and would eat breakfast in the dining hall until 9:00 A.M. when class would begin. The students were offered a breakfast that consisted of a serving of milk, a serving or fruit or vegetable or full-strength juice, and two servings of bread or meat or bread or meat-alternatives. The children could eat what they wished of the possible choices and every child ate breakfast on all the days it was available. The parents of the first randomly assigned group were asked to main tain breakfast log to keep a record of the breakfasts that the child ate on the days they did not attend school. The same routine was administered to the next randomly assigned group that was evaluated. Next each child in the experiment was tested for about 20 to 30 minutes each. These tests all took place before the daily snack was served. The pre-academic performance was observed through a series of tests that did not test General Intelligence. Instead they tested cognitive performance through memory games and mazes. These test included: Mazes, The Preschool Embedded Figures Test, Verbal Memory, Numerical Memory, Pattern Match, and Same of Different. Another study was constructed that only differed in the fact that a control group of student was used to compare to the group having the SBP. These students were given breakfast at home, keeping a log of what they ate. The tests administered were the same as in the first study.      The sample in the first study consisted of twelve pre-school aged children, five girls and seven boys ranging from the age of 3 years, 10 months to 5 years, 2 months. The sample in the second study consisted of 19 children... ...st year college GPAs and eating breakfast. However, the relationship between not eating breakfast and higher GPAs could have been a collinear relation to sleeping-habit factors, since those who woke up earlier have a better chance of eating breakfast. After controlling the effects of weekend and weekday wake up time, the study demonstrated that eating breakfast did not significantly affect the GPA. However, eating breakfast did prove to improve real and spatial memory among the students. No other nutritional-related variable had a significant effect on student GPA.      This was for the most part, a â€Å"good study†to test the relationship between health related factors and GPAs. The students were randomly assigned and the tests given to measure any correlation were valid tests that were reviewed by professionals in the areas. The part that was bad was the fact that the survey consisted of students that were available to respond. They were all at the same university. I think a wider sample that included student at different universities may have given a better representation of college students and the effects of nutrition.      (DD)
Tuesday, October 1, 2019
Rainbow Six :: essays research papers
I Recommend Rainbow Six Author:     Tom Clancy Number Of pages:      740 Characters:      John Clark an ex Navy Seal           Alistair Stanley executive commander of Rainbow Six           Domingo Chavez, the captain of team two Clark is the commander and in charge of starting a new European anti-terrorist group called Rainbow Six. Rainbow Six is split into two teams; team one and team two. These teams are the best there is. They are based in Hereford, England, but any European country can call on them at any time. They run three miles in twenty minutes, every mourning at six am. Only one team is on-call at a time. The team that is not on call will be doing live fire practices. In the first six months of being operational they are called on three times. The first incident happens in a Swiss bank where terrorists taken control. They also have a hostage. Team two successfully takes them out, with only one hostage killed (he had already been killed before they got there). The first mission helps to organize them and fix a few holes in there planning. The second mission is in Germany; an international trader is taken hostage in his mansion. This mission goes too well, thanks to the snipers. No hostage deaths, bu t all the terrorists are killed. The last mission is they are called upon is in Spain, where a team of terrorists take an amusement park and thirty children. They demand their leader, a man named Jackal be released from prison (he was the guy who took the Swiss bank). So to take them down they use a program to disable their cellular phones, their way of communicating, they kill the terrorists one by one till there all dead. Only one child is killed by the terrorists. In the meantime while this is happening, an American hires the ex-KGB agent Popov, now freelance. Popov is hired to get people to do the job in Switzerland, the bank taking, and the taking of the International trader in Germany. The person that has hired him is the Boss, owner of a multi-national pharmaceutical company that has deals with extremely deadly viruses. The Boss is extremely wealthily. Popov is living in New York he is flying back and fourth from Europe to organize these things. Popov in an attempt to figure out who is thwarting the operations watches the surveillance tapes and notices the same man smoking a cigar after each take down.
Walmart vs Amazon
Oder winner and qualifiers â€Å"Today there are over 4,000 Walmart Stores in the U. S. and over 3,000 internationally. †In other side, Amazon is the world’s largest online retailer. so both of them must be covering the elements of business quite well. There are several aspects that I want to talk how they win orders from customers. First, both of them have a low price of their products. Second, they have fantastic quality management and customer services. Finally, their deliveries are satisfied by customers. First, both of them have a low price of their products. Wal-mart gives an advertisement that said â€Å"Low Prices.Every Day. Everywhere. †Wal-mart has focused on low cost leadership, low operation and production costs in order to ensure that each produce has the lowest possible price. Therefore, in customers mind, they will think Wal-mart equals to the lowest prices. There is a disadvantage of Wal-mart. If Wal-mart cannot provide the lowest price one day, then customers will be no need to shop at Wal-mart. For Amazon, its strategies of low price are totally different from Wal-mart. Customers can get the lowest price of products from Amazon because customers can compete with Amazon on Amazon.It means there are multiple prices for a product on Amazon. Then, you can find the lowest price. In addition, sometimes, Amazon will provide some price polices. For example, if customers bought products from Amazon. Then the price drops. Customers can get some refund from Amazon. Also, if customers buy products very often, they can be Amazon’s prime. Customers should pay about seventy dollars per year. Then, they can get cheaper price of the product compare with general customers. Moreover, customers can get free shipping or shipping in a shorter time of some products. Furthermore, customers can shop through using Amazon credit card.They can â€Å"get 3% back on anything they buy from Amazon, 2% back at gas  stations, restaurants, and drug stores, and 1% back on anything from any other retailer. †Second, they have fantastic quality management and customer services. Wal-mart has a strong focus on better quality. It worked with several hundred suppliers and products testing facilities. They will â€Å"test more than 5,250 products to ensure great value quality is equal to or better; conduct more than 2,700 consumers to compare the flavor, aroma, texture, color, and appearance of great value products; Change the formulas for 750 items including: breakfast ereal, cookies, yogurt, laundry detergent, and paper towels; and Introduce more than 80 new products, such as: thin crust pizza, fat free caramel swirl ice cream, strawberry yogurt, organic cage-free eggs, double stuffed sandwich cookies, teriyaki beef jerky and more, all at unbeatable prices. †From Amazon, it has customer product review under each product, so customers can see what other customers thought. They will know the product quality is good or bad. Then, they will decide whether they will buy it or not. Furthermore, it is very easy to return products to Amazon. Finally, their deliveries are satisfied by customers.Walmart can deliver product to your door, and the product price is the same as in store. From Amazon, as I mentioned before, customers can be the Amazon prime. Then, they can get free shipping or shipping in a shorter time. In additional, Amazon does international shipping. It is very convenient for international students. Furthermore, it can guarantee accelerated delivery. â€Å"Amazon. com offers Guaranteed Accelerated Delivery dates on select items when you choose Express shipping. If your order doesn’t arrive by the Guaranteed Accelerated Delivery date, your shipping charges will automatically be refunded. â€
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