Cross Cultural Health Perspectives Essay Example | Topics and Well Written Essays - 750 words

Cross Cultural Health Perspectives - Essay Example Four issues will be investigated: The best practice among a range of options in medical language interpretation, legal responsibilities in providing that services, CLAS standards seen in the case, and your role in a similar situation in the future. The best option in providing medical language interpretation is to hire a qualified medical interpreter. This means that the person is trained and is on-hand right away. Outsourcing from an agency also works, but interpreters might not be available at all times. A microphone helps by allowing these interpreters to speak on the phone with the patient and the healthcare provider at the same time. There are three less ideal options to choose from if a professional interpreter is not available: a.) Bilingual hospital staff, b.) community volunteers and c.) Family members and friends. None of these people are trained to be professional medical interpreters. Issues of time management, confidentiality and objectivity may arise when using these people. The legal responsibility of an organization to provide qualified language interpretation comes from Title VI of the Civil Rights Act of 1964, which states, â€Å"No person in the United States shall, on ground of race, color, or national origin, be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any program or activity receiving Federal financial assistance† (Office of Minority Health, 2005). This entails providing meaningful access to services even if the patient cannot speak English. Other legal responsibilities are dependent upon the state or the institution. For example, JCAHO Standard RI.2.100 â€Å"requires that organizations ensure effective communication between the patient and the organization through the provision of interpreter and translation services. The standards also require the collection of race, ethnicity, and language data† (as cited in Office of Minority Health, 2005).  

English Vowel Length Essay Example | Topics and Well Written Essays - 1750 words

English Vowel Length - Essay Example It is evidently clear from the discussion that every individual has specific pronunciation peculiarities, for example, /s/ may be pronounced in a different manner. A phonologist may be interested in discussing peculiarities of different pronunciation types of /s/ in words where only one basic unit of this sound is met. Phonetician would be more interested in articulation peculiarities. Consequently, the phonological system of English consists of â€Å"number of phonemes which are used in this language and to how they are organized†. The English language has 12 pure vowel sounds which can differentiate word meanings. The following features differentiate vowels from consonants. Thus, from phonetic perspective vowels are produced via vocal configuration of the vocal tract: mouth is open and we can hear the sound created by air passing through the mouth (so-called audible friction). From a phonological perspective, vowels consist of sound system units which can take place in the m iddle of a syllable (e.g., rat, bad). A distinctive principle of vowels discussed in this paper is vowel length. Symbolically, length is symbolized by colon [:]. There are 5 relatively long and 7 relatively short vowels. It is possible to distinguish the length of vowels in accordance with the quantity and quality principles. Length variation is also presented in the following pair of sounds /ÉÅ":/ and /É™/. The former sound occurs only in stressed syllables in RP (bird, servant); the latter in unstressed ones (above, butter). This pair of sounds doesn’t produce a difference in meaning. Length of vowels can be explained not only by quantity features but also by quality (or place of articulation). There is a special name for long vowels, which is tense-lax. This group of vowels is formed by a tension of certain mouth muscles. They are: /i/, /e/, /u/, /o/, /É”/, /É‘/. In case when no tension is required, lax vowels appear:   /É ª/, /É›/, /à ¦/, /ÊŠ/, /ÊÅ'/. In order to illustrate what length of vowels actually means, it is possible to discuss tendencies on the following examples: same-Sam-psalm may be transcribed in the following way: [sem], [sà ¦m], [sÉ‘m]. In this example, it is possible to show that concepts of length and duration are different. A relative duration may be exemplified by showing length degree in the same vowel or consonant: allophone [i] in the words bee and beet has the different degree of lengths. With regard to the fact if this sound is voiced/voiceless, stopped/constituent degrees of length varies. From a phonetic perspective, degrees of length can be explained by speaker’s habits to speak slowly or quickly, emotional context of the situation of speaking and stress amount carried by syllable. Phoneticians realize difference of length degree and they depict it as follows: [bid], [bi ·d], [bi:d], or [bÉ ªid]. Still, in such a way, vowel length is depicted only approximately. If to depict the degree of length exactly, then phoneticians have to appeal to phonologists. Phonologic studies may prove many Americans, who underestimate the role of vowel length as the essential determinant factor of words distinction, that this phenomenon is very important in the scientific area. Unfortunately, very often vowel length is underestimated and is considered to have a stylistic value and not practical importance. For phonologists and phoneticians length of vowels is rather meaningful that’s why following consonants or unstressed syllables are all taken into account. For example, in a child [tÊÆ'aÉ ªld] the diphthong [aÉ ª] refers to norms of Old English [i:]; in the word children, the extra consonant [r] and the extra syllable caused the effect on a vowel to remain lax and short. Moreover, vowel length is usually defined in case an unstressed follows a stressed vowel and the latter is usually long (e.g. re-enact [ˈri: É™nà ¦kt]). On the other hand, if the unstressed vowel fol lows the stressed vowel, then it is short as a rule (e.g. react [riˈà ¦kt]).

Economics Forecast Paper Essay Example | Topics and Well Written Essays - 500 words

Economics Forecast Paper - Essay Example Adjustable home loan rates have attracted more consumers. The risk involved in the possibility of increases in interest / repayment obligations which was not realized by the consumers, is now being driven home literally. The crisis got deepened due to the unregulated growth of derivative markets for mortgage loans, which has now impacted everyone – the consumers, the financial institutions, the industry and the national economy as a whole. As can be seen, the rates remained high during 1995 – 2000 and started declining from 2001 to 2004 but again started firming up from 2005 onwards. Increase/decrease in the bank prime rate has corresponding impact on commercial lending in the economy. This period coincided with the decline in the number of housing starts both nationally and in California, which in the later area reduced from 1 million plus to just about 200,000 during the above period. In view of the serious crisis in the mortgage and financial industries, and in order to avoid the lurking fears of recession, one can forecast that the bank rates across the sectors will soften in the short to medium term period, as already confirmed by the 25 basis points cut announced by the FED this week. This policy approach will help to stabilize the home loan industry and at the same time impact the national economy positively. Budget deficit is the gap between the planned spending and revenues of the government for a given financial year (It becomes a surplus if the revenue exceeds the spending). The higher the government spending, the higher is the economic activity and vice versa. However, pumping too much money into the system, without creating corresponding products or services, will stoke inflationary trends and can lead to a decline in consumer spending and hence, a decline in the demand. A delicate balance is maintained to help economic growth without raising

Slavery Essay Example | Topics and Well Written Essays - 1000 words - 1

Slavery - Essay Example The story of Equiano demonstrates the inhumane situation of the slaves and the acceptance by slaves the white racial theories. In the middle of the XVII England has been shaken by the political crisis because of Oliver Cromwell revolution. The Putney Debates of 1647 revealed the English Revolution as an abolishment movement, a 1659 Parliamentary debate on slavery and the â€Å"free-born Englishman†, held on the eve of the restoration of Charles II and the Stuart monarchy, marked a counterrevolutionary reversal (Linebaugh, 132). The Putney Debates between Thomas Rainborough and Henry Ireton raised the questions of the struggle for the commons and struggle against slavery. Domestic wars and conflicts led to appearance of the new slavery forms in England: white slaves in Barbados, slavery in West Africa, Jamaica. Irish radicals and foes were sent by Oliver Cromwell to the Barbados, in the 1649 British merchants ordered the construction of a trading fort on the Gold Coast. The ski n color wasn’t decisive for the slavery - it was a matter of the profit for the merchants and elites. And Equiano in his autobiography gave us great example when even in the mid of the XVIII century there was an incident during the way through the ocean, when â€Å"one white man in particular I saw, when we were permitted to be on deck, flogged so unmercifully with a large rope near the foremast, that he died in consequence of it: and they tossed him over the side as they would have done a brute† (Equiano, 423). The interracial co-operations were not solitary: for example, Africans and Irish conspired together in plots of 1675, 1686, 1692 and alliance between slaves and servants was what planters feared most of all (Linebaugh, 126). The slavery began to acquire the racial shade in the 1670s. The resistance of plantation workers exploded in 1675-1676 in Virginia. There were two uprisings. The first one began in 1675 and was a war for land by freedmen and small farmers a gainst Indians and a portion of the colonial ruling class in Virginia. The second one was a war against slavery, waged by servants and slaves. After rebellion the planters charged the governor with restraining â€Å"any inhumane severity which by ill masters or overseers may be used toward Christian servants† (Linebaugh, 137). And the result of this rebellion was legislation in 1682 that provided â€Å"all servants not being Christians, being imported into this country by shipping† should be servants for twelve years, instead European servants – for five years. Of course, this legislation was directed toward the Africans. The defeats of the servants and slaves that was detailed represented in the â€Å"The Many-Headed Hydra†, became the reason why the elites, nobles, â€Å"whites† began to establishing new rules that had aim to discriminate the rebels and to justify himself. From the 1670s legislation was enacted to protect and Christians, â€Å"w hite† people (Linebaugh, 139). Rulers from the England, merchants and planters dispossessed tens of thousands more in Ireland, Barbados, West Africa and Virginia and made the slavery of Atlantic capitalism (Linebaugh, 141). Indeed, the masses of cheep labour in the America and Europe created the possibility to very fast enrichments. Slaves were very good investments. The people from the lowest classes had no wealth, they had no property. The capitalists wanted to control them,

Best Practice, Best Fit and Resource View of the firms analysis for Essay

Best Practice, Best Fit and Resource View of the firms analysis for relevance - Essay Example But these new concepts definitely did one thing, forced the organizations to focus on a neglected area. Similar is the case with "Best Practice", "Best Fit" and "Resource View of the Firms". The three concepts led to awakening which provided insights into organizations themselves on practices, organizational variables and the organizational resources respectively. Best Practice term arrived in the 1990s when the entire world of organizations were in a flux, the world became unipolar and the resources deployed hitherto for anticipated war between two poles of the world were suddenly available for better use, for business and the core of business is essentially the needs, desires of human beings and the ability to fulfill them. The geographical boundaries had suddenly collapsed and the resulting globalization created aggregation of these needs, desires and the abilities to fulfill them, unleashing a state of huge threats and huge opportunities. A plethora of business concepts arrived on the scene, quickly delivered by ICT elements across a wider spectrum of organizations. Best Practice concept was one of them. The search of reasons or factors behind a superlative performance led to a process-by-process analysis and its comparison with the more successful companies. Best practice is essentially kno... It is a quest for improvement through the use of experience behind creating a better practice by others. The comparison could be either through unstructured or structured mechanisms, documents, interactions. Benchmarking encompasses best practices and best practice results are the starting point in improvement through benchmarking partnerships. Normally two organizations enter into benchmarking partnerships and try to transfer the best practices from one context to another. It starts with regular comparison of performance measures in identified areas and when it is found that performance of some parameters is quite high, a detailed analysis is carried out to find out how it is done and what is the practice being adopted to achieve that superior result. Now the key is to understand and implement that practice, leading to closer people to people interactions, depending on the understanding and enthusiasm of the implementing organization. Another approach seen regarding best practice is industry or sector specific associations engaged in sharing and exchanging of data, experiences in seminars or workshops to facilitate the growth of the industry itself through capture of best practice and disseminating the same. The approach has definitely helped organizations to see the organizational activities in terms of a set of practices and look the process-wise comparison with others. The practice of comparison came down to the level of practices. Best Practice Blues There have been significant activities in the efforts to capture best practices from other sources and deploy in the own context. There are reasons to say that these efforts did not get a fair amount of success except the possible benefit of communicating a comparative message that someone

Creating Your Dream Job Essay Example | Topics and Well Written Essays - 1750 words - 1

Creating Your Dream Job - Essay Example It involves a comprehensive evaluation of an investor’s current and future financial condition by using the current variables to predict future cash flows, value of assets and withdrawal plan. In formulating a business plan, the proprietor must hire the services of tax and financial professionals who enables him to estimate with greater degree of accuracy the financial requirements (Abrams, 2005, p. 248). Financial plan objectively requires before executing a Bookstore small business. This is because a lump sum of capital must be invested to facilitate the establishment and operational needs of finance. It requires a huge amount of capital simply because there are many competing needs such as purchasing of storehouse, the furnishing of stall and stocks required. In addition to this, more finance is required to establish a modern Bookstore that will remain competitive in the Bookstore market. General financial planning The business operates using a store within the town. All le gal formalities of purchasing storehouse will be initiated. The store is worth $ 50,000 which will be finances using two available sources of finance, business mortgage and personal savings. The firm will aim at minimizing the overall debt of finance by taking different loan portfolios and diversified financial investments. The loan will be acquired from local bank based on the interest charged and most preferably, the bank shall offer loan at relatively lower price. In addition to this, measures have to be taken to provide financing for any emergency financial needs of the firm. To this end, regular saving will be made on the firm’s saving account. The main goal of this strategy is to ensure continuity in business operations even under unfavorable market conditions. Special circumstances Prior establishment of the business, considerations have to be made on special circumstances that may occur in day-to-day operation of business. Such circumstances include legal conflict, pr obability of loss due to uncertain events, tax noncompliance dispute and so on (Abrams, 2005, p. 250). To this end, the firm intent to establish various departments under administration to cater for this unforeseen circumstance and financial allocation

Porter's generic strategies Case Study Example | Topics and Well Written Essays - 250 words

Porter's generic strategies - Case Study Example The cost leadership strategy has enabled the U.S airways to increase profits by reducing costs that are incurred by the airline, and also enable them to increase the market share by putting cheaper prices while still making a favorable profit on each sale they make (Kossowski, 2007). The U.S airways has made this strategy highly efficient since they have; access to the capital needed to spend in technology that bring costs down, efficient logistics and low cost requirements on labor, materials and facilities. The U.S airways has also applied the differentiation strategy, which involves making their products and services unique and more presentable than those of their competitors, hence making them more efficient in the airline market (InfoRefuge, 2012). Focus strategy used by the U.S airways entails concentrating on a market and providing it with low costs or well-specified products, which eventually builds a strong brand loyalty amongst their customers making it more attractive comp ared to their competitors. Airline competitors have been outdone successfully by the U.S airways because of the airlines use of the Porters generic strategies, which ascertain that they are more competitive and get a greater share of the