Project Analysis Jubilee Insurance And Savannah...

Concept Paper: E-Claims EDI project Background Jubilee Insurance and Savannah Informatics have been involved in a project to automate the transmission of claims data from the health providers directly to Jubilee’s core medical system. The project has been going on for about 18 months. The project is part of an initiative by SHOPS and private health insurers in Kenya who identified the need to develop an industry wide EDI that will enable migration to paperless of claims administration and the insured benefits. of reduced operating costs and increased use of data analytics for business management. The project partners involved in the initial proof of concept phase are mainly Jubilee Insurance, Savannah Informatics and Gertrude’s Children Hospital. If the process is successful for this pilot site, the other health providers will be involved though AKUH has been actively involved. The purpose of this concept paper is to clearly define the project milestones, timelines and Jubilee’s expectation in the eClaims project and define explicitly the engagement with Savannah Informatics as a key partner in the delivery of the product. Purpose Scope The following are limited to the scope of this project: 1. Eligibility checks, Pre-authorization checks in the hospitals. 2. Electronic Claims submission between Jubilee and Gertrude’s Hospital. Description of the EDI Project The overall technical strategy of Jubilee’s partnership with SIL is informed by the following objectives:

Ten Steps Of Billing Process Health And Social Care Essay Free Essays

string(308) " or per centum collectible after deductibles, co-payment and any other decrease of the sum claimed, telephone figure or reference where an insured may obtain elucidation, information on how to register an entreaty of a denial of benefits, including the applicable timeframe to register \( Fordney, 2008 \) \." Measure One. Pre-register the patients. Obtain or verify the patient ‘s demographics. We will write a custom essay sample on Ten Steps Of Billing Process Health And Social Care Essay or any similar topic only for you Order Now Gather the patient ‘s name, reference, phone figure, day of the month of birth, the nature of the medical job, the insured ‘s name, reference, phone figure, relation of the insured to the patient, type of insurance, insured ‘s ID figure. Determine if referrals are needed or is a anterior mandate needed? Verify referral or mandate phone Numberss provided on the card, co-pay sum, co-insurance, and whether the medical job is due to an car accident, or a work related accident. This information helps to find if a commercial insurance is primary or if another insurance is primary. Information obtained at pre-registration is important to the charge procedure and decreases denials ( Deutscher, 2008 ) . Measure Two. Establish the fiscal duties for the visit. Verify insurance eligibility and find how much to roll up up forepart from the patient. Insurance and all other information demands to be check at each visit because patients may reassign from one insurance program to another, move or alteration occupations. Eligibility can alter month to month on certain types of insurance therefore these types must be verified on each visit. This is besides where an account of the installation ‘s policy on fiscal affairs is given to the patient ( Deutscher, 2008 ) . Measure Three. Check-in the patient. Obtain the medical history and demographics of new patients. Confirm with returning patients that all information is right and up to day of the month. At this point, their record should be checked for any past charges still unpaid. If the patient ‘s insurance will non be covering this visit, or if the patient is without insurance, have the patient mark a release accepting duty for the entire sum due of this visit. Some installations collect co-pays at this point ( Deutscher, 2008 ) . Measure Four. Check-out patients. Enter the medical and process codifications for the visit to set up a charge with the patient or the patient ‘s insurance. Give them all prescription, lab faux pas or referral paperwork they might necessitate for ordered work. Schedule a follow-up assignment if necessary. Besides record any minutess for this visit ( Fordney, 2008 ) . Measure Five. Reappraisal coding conformity. Obtain CPT and ICD-9 codifications from the doctor ( s ) . Verify that all information is right before come ining it into the computing machine system. All codifications should be checked for mistakes. Everything in the study should logically associate together so the insurance company understands the necessity for the medical charge applied ( Fordney, 2008 ) . Measure Six. Check charge conformity. When it comes to a charge conformity program, the stairss in the charge procedure have to be done right by the regulations and ordinances set by the conformity program. The medical records must hold the right codifications for the charge to be right. A conformity program prevents fraud from happening, and helps happen and fix mistakes in medical certification and charge. Documentation must besides follow the regulations of the conformity program as good ( Fordney, 2008 ) . Measure Seven. Prepare and transmit claims. This is largely done electronically now, and the transmittals of claims have to be HIPAA compliant. This transmittal besides involves the insurance company or the clearinghouse directing a reception of recognition of the claim filed ( Fordney, 2008 ) . Measure Eight. Monitor payer adjudication. This involves maintain an aging study which shows all outstanding claims in columns, based on how many yearss old they are in 30 twenty-four hours increases. At 30 yearss, the procedure of naming on or resubmitting the claim begins ( Fordney, 2008 ) . Step Nine. Generate patient statements. Monitoring of patient balances is every bit of import. This is handled by directing monthly statements to patients with balances owing ( Fordney, 2008 ) . Measure Ten. Follow up on patient payments and handle aggregations. Identify which statements have gone out more than one time. If it has been sent three times so it ‘s of import to allow the patient know that his or her history is in danger of being sent to aggregation ( Fordney, 2008 ) . 1.a. Brush signifiers. The brush signifier is known by several different names, such as superbill, charge faux pas, and routing signifier. This signifier is printed out and attached to the patient ‘s wellness record at the clip of check-in. Besides the identifying information, it besides contains the procedural and diagnostic codifications and whether the patient should return for an assignment. This is a combination of a measure, an insurance signifier and a rout-system used in both computing machine and paper based systems. For computerized systems, this signifier can be scanned to input the charges and diagnoses into the patient ‘s history and medical record. Some have barcodes that can be read to input the charges and diagnoses into the patient ‘s history and medical record. Some medical patterns use the brush signifier as a routing sheet and as an bill to the patient. When used as a routing sheet, it becomes a beginning papers for insurance claim informations. The brush ‘s process and diagnostic codification subdivisions should be updated on reprinted twice a twelvemonth, based on alterations, add-ons, and omissions of procedural and diagnostic codifications ( Fordney, 2008 ) Explanation of Benefits. The Explanation of Benefits ( EOB ) , besides referred to as remittal advice, is a papers issued saying the position of the claim. This is sent by the remunerators to both the donees and suppliers. EOBs provide the necessary information about claim payment information and patient duty sums. Every wellness insurance company, including HMOs, is required to supply the insured or subscriber with an Explanation of Benefits in response to the filing of a claim. EOBs are non required when service is provided by a take parting supplier who receives full reimbursement straight from the insurance company, but will be provided upon petition. Each EOB must include the undermentioned: name of the supplier of the service, day of the month of service, designation of the service, supplier ‘s charge, the sum or per centum collectible after deductibles, co-payment and any other decrease of the sum claimed, telephone figure or reference where an insured may obtain elucida tion, information on how to register an entreaty of a denial of benefits, including the applicable timeframe to register ( Fordney, 2008 ) . You read "Ten Steps Of Billing Process Health And Social Care Essay" in category "Essay examples" Advance Beneficiary Notice. An Advance Beneficiary Notice ( ABN ) is besides known as a release of liability. When a patient is to have a service or an point from a take parting supplier or suppler, that might be denied for medical necessity by Medicare, the supplier or provider must inform the patient and have him or her agree to pay for the denied service in progress. Every infinite on the ABN must be filled in before giving it to the patient to subscribe. Suppliers on the other manus, are non required to give the patient an ABN for services or points excluded from Medicare coverage. ABNs merely use if the patient is in the original Medicare program, and non in a Medicare private wellness program. If the patient does non acquire an ABN to subscribe before the service or point from the supplier, it is non specifically excluded from coverage, and Medicare does non pay for it, so the patient does non hold to pay for it. If the supplier does give the patient an ABN that is signed befor e service or given the point, and Medicare does non pay for it, so the patient will hold to pay the supplier. Medicare considers the appropriate usage of ABNs a conformity issue. When directing in a claim, the HCPCS qualifier -GA must be added to the appropriate codifications to bespeak that the patient has signed the release ( Fordney, 2008 ) . Remittance Advice. Electronic remittal advice ( ERA ) is an on-line dealing about the position of a claim. It gives information on claims paid or denied, and sends a ground to the charge specializer. Managed attention programs pay by either a capitation system or based on the services given to the patient with a statement of remittal or account of benefits ( EOB ) . In the system when payment is based on services rendered, and a statement of remittal or EOB is generated, such statements will enumerate services that have been rendered to patients and normally indicate the sum billed, sum allowed, sum paid, and any co-payment to be made by the patient. By and large patients under managed attention programs do non have an EOB. With Medicaid, if a supplier wants to have an ERA, so a signifier must be completed and sent to the financial agent. If a supplier is utilizing the paper system, so Medicaid will direct a remittal advice ( RA ) with all Medicaid payment cheques. Medicare sends a p ayment cheque along with a nationally standardised papers to take parting doctors called a Medicare RA. On the front side of the RA are position codifications that are the same countrywide, stand foring the ground a claim may non hold been paid in full or was denied, etc. These codifications are defined on the rearward side of the RA. Non-participating doctors besides receive an RA with payment information about unassigned claims ( Fordney, 2008 ) . Engagement Contracts. Participating suppliers ( par ) has a contractual understanding with an insurance program to render attention to eligible donees and so measures the 3rd party straight. The 3rd party remunerator pays its part of the allowed sum, and the supplier measures the patient for the balance non paid by the insurance company, after the excluded part is adjusted off the history. There are some programs though where the take parting supplier is called a member, and they may accept the payment as payment in full, or may be free to measure the patient for any unpaid balance, depending on the contract ( Fordney, 2008 ) . 1.b. Adjudication procedure for remunerators and suppliers. Once a claim has been sent to the patient ‘s wellness program, the remunerators review the claims through the adjudication procedure. Through this procedure the remunerator puts the claim through a series of stairss to find if it should be paid or non. After these stairss are completed, the remunerator decides to either pay the claim in full, to merely pay some of it, or to deny it wholly. Upon this, a study is sent to the supplier along with payment. If the patient has more than one insurance program, the primary program will direct the balance of the claim to them. Suppliers have contracted agreements with each remunerator hence what the remunerator pays out may non fit the supplier ‘s fee. Most suppliers so adjust/write off the difference of their fee to what the remunerator pays out. It is every bit of import for the supplier to supervise the claims. The faster the supplier can have payment the better his or her bottom line becomes. To supervise the claim during adjudication, the supplier must cognize the sum of clip the remunerator is allowed to take to react to the claim, and how long the claim has been in procedure. Suppliers have to register the claim within a certain sum of clip after the service, and remunerators have to treat clean claims within the claim turn-around clip agreed upon in the engagement contract ( prompt-pay Torahs ) . Aging is the 3rd portion of claim followup. Producing an aging study lets the supplier cognize how long the remunerator has had the claim. HIPAA 276 is the enquiry that is sent to obtain information on the position of a claim and HIPAA 277 is the response returned by the remunerator. From here the supplier must cognize the timetable for subjecting a corrected claim and how to register a 2nd claim if necessary, how to feed back if a claim has been denied for losing or wrong informations, and how to manage a petition for more information or certificati on ( Valerius, Newby A ; Seggern, 2008 ) . 2. Claims Processing Hospital/Facility Claims Processing Claims Transmission: The infirmary forwards the medical claims to the medical charge squad via a messenger or as scanned paperss. The medical claim must be supported by patient inside informations such as demographics, superbills, charge sheets, insurance confirmation informations, a transcript of the insurance card and any other information refering to the patient ( Fordney, 2008 ) . Retrieval and Checking of Medical Claims: The medical charge staff accesses the medical claims and back uping paperss. All paperss are checked for illegible or losing paperss and the infirmary charge office is notified instantly so that they can re-scan and direct losing paperss ( Fordney, 2008 ) . Medical Cryptography: An of import measure in claims treating is to repair the process and diagnoses codifications for each patient based on criterions such as CPT ( Current Procedural Terminology ) and ICD-9 ( International Classification of Diseases, Ninth Edition ) . The degree of service determines the 5-digit process codification, while the diagnosing codification is based on the medical diagnosing made by the physician ( Fordney, 2008 ) . Charge Creation: Medical Billing professionals will so make appropriate medical claims based on charge regulations refering to specific bearers and locations. All medical claims must be created within agreed turnaround times – by and large 24 hours. A thorough audit and checking of the completed medical claims is done at multiple degrees. The medical claims are checked for right and complete information, right process and diagnosing codifications, and the genuineness of all other relevant information about the patient, since incomplete/incorrect information is one of the individual most common grounds for rejection of medical claims ( Fordney, 2008 ) . Medical Claims Audit: A thorough audit and checking of the completed medical claims is done at multiple degrees. The medical claims are checked for right and complete information, right process and diagnosing codifications and genuineness of all other relevant information about the patient since incomplete/incorrect information is one the individual most common ground for rejection of medical claims ( Fordney, 2008 ) . Medical Claims Transmission: Medical claims created are filed for follow up before they are sent electronically to the claims transmittal section with all relevant information on each medical claim ( Fordney, 2008 ) . Claims Submission to Insurance Agencies: The audited, listed and recorded medical claims are printed out and dispatched to allow Insurance Agencies or governmental sections, with any fond regards or back uping paperss that may be required for colony ( Fordney, 2008 ) . Follow-up and Settlement: This involves the concluding phases where the medical charge squad follows up systematically with the insurance companies and payment bureaus until the concluding colony is disbursed ( Outsource2india, 2010 ) . Reprinted from Outsource2india, 2010 Physician/Provider Claims Processing Data entry of patient demographics, mentioning doctor, CPT and ICD Codes, and Modifier ( s ) is entered into the medical charge package Scan the paperss for charge mistakes and rectify them if needed Adjudicate client claims for truth Preparation of Explanation of Benefits ( EOBs ) Submit and file the claim with the insurance company Follow up on the claims with the insurance company Apprise biller of the position of the claim Process denied claims and re-adjudicate them for claims entry ( Outscource2india, 2010 ) Comparison of Commercial, Managed Care and Federal Insurance Plans Commercial wellness insurance covers medical disbursals and disability income for the Insured and are sold for by net income bearers. Policies vary in sums harmonizing to the types of specific coverage that they provide. It is besides coverage that provides two types of benefits – disablement income and medical disbursals ( answers.com ) . Managed Care Insurance feature is the inducement for the insured to remain within a specific web of wellness attention suppliers. Managed attention plans fall into 3 basic types: HMO, PPO, and POS. HMOs provide medical intervention on a postpaid footing, which means that HMO members pay a fixed monthly fee, irrespective of how much medical attention is needed in a certain clip period. A PPO is made up of physicians and or infirmaries that provide medical service merely to a specific group and a system where the patient pays no deductible and normally merely a little co-payment when they use a wellness attention supplier within their web ( answers.com ) . Federal Insurance plans. One of the most outstanding characteristics of the Federal Employee Health Benefit Program ( FEHBP ) is the picks it allows. There are three types of programs: fee-for-service and preferable supplier organisation ( PPO ) , normally offered combined, HMOs, and high deductible wellness insurance programs and other consumer-driven programs. In the FEHBP, the federal authorities sets minimum criterions and if met by an insurance company, allows it to take part in the plan. The consequence is legion viing insurance programs that are available to federal employees. The FEHBP has frequently been proposed as a theoretical account for national wellness insurance and sometimes as a plan that could straight inscribe the uninsured ( opm.gov ) . Major Payment and Reimbursements A Prospective Payment System ( PPS ) is a method of reimbursement in which Medicare ( CMS ) payment is made based on a predetermined fixed sum. The payment sum for a peculiar service is derived based on the categorization system of that service, such as diagnosis-related groups ( DRG ) for inpatient infirmary services.A DRGs have been used in the US since 1983 to find how much Medicare pays the infirmary, since patients within each class are clinically similar, and will utilize the same degree of hospital resources ( Fordney, 2008 ) . In the prospective payment method, payment rates for health care services are established in progress for a specific clip period. Two types of prospective payment methods are per-diem and case-based payment. In per-diem, the 3rd party remunerator reimburses the supplier with a fixed rate for each twenty-four hours a covered patient is hospitalized. In instance based, 3rd party remunerators reimburse suppliers per instance instead than for each service or per diem ( Casto, Layman, 2006 ) . CMS besides uses separate PPSs for reimbursement to acute inpatient infirmaries, place wellness bureaus, hospice, hospital outpatient, inmate psychiatric installations, inmate rehabilitation installations, long-run attention infirmaries, and skilled nursing installations ( CMS.gov ) . Another state – Spain During the 1980 ‘s alterations came to the Spanish health care plan. First they started with a societal security system that assured wellness attention coverage for merely the working and retired people while a combination of common and private organisations ensured basic attention for the remainder of the population. It was n’t until 1997 that DRG coding came into drama for hospital reimbursement. Previously wellness attention was reimbursed harmonizing to a per contact system based on Basic Assistance Units ( Cots, Salvador, Chiarello, Bustins, Castells, ( n.d. ) ) . DRG payment systems were foremost used in Catalonia in 1997. They adopted the CMS DRG coding version. Hospitals received an sum per instance depending on the comparative mean DRG weight of all infirmary discharges. The infirmary comparative ration is multiplied by a fixed sum that is published yearly. Catalonia Health sets the discharge monetary values for each comparative resource strength ( IRR ) and the construction comparative index ( IRE ) every bit good as two burdening per centums. IRE reflects the infirmary ‘s construction degree, while the degree of the infirmary ‘s ingestion of resources ( IRR ) is defined by DRG discharge weights coded with CMS DRGS ( Cots, Salvador, Chiarello, Bustins, Castells, ( n.d. ) ) . Outline Different PPS in the United states Physician attention groups ( PCHs ) PPS method for physician services in ambulatory scenes visit based classified services harmonizing to clinical similarity and scene includes patients from all age groups and from parts of the universe with instance mixes of diseases and differing forms of health care bringing Pediatric Modified Diagnosis Related Groups ( PM-DRGs ) for newborns and paediatric patients developed by National Association of Children ‘s Hospitals and Related Institutions All Patient DRGs ( AP-DRGs ) categorizations for neonatal, paediatric, bad obstetrical, multiple injury, organ graft, and ventilator-dependent patients allows accurate comparings of patients in footings of length of stay, resource ingestion and results International refined DRGs ( IR-DRGs ) inpatient categorization system designed for footing of payment of international health care Clinical hazard groups ( CRGs ) predicts future health care outgos capitated payment system includes all age groups fee for service reimbursement and episode of attention reimbursement based on unit of payment ( Casto, Layman, 2006 ) Acute Inpatient PPS each instance is categorized into a diagnosis-related group ( DRG ) each DRG has a payment weight assigned to it, based on the mean resources used to handle Medicare patients in that DRG basal payment rate is multiplied by the DRG comparative weight. Home Health PPS Medicare pays place wellness bureaus ( HHAs ) a preset base payment adjusted for the wellness status and attention demands of the donee payment is besides adjusted for the geographic differences in rewards for HHAs across the state. instance mix accommodation for the wellness status, or clinical features, and service demands of the donee provide HHAs with payments for each 60-day episode of attention for each benefit Inpatient Psychiatric Facilities PPS paid under the infirmary inmate prospective payment system ( PPS ) certain types of forte infirmaries and units were excluded from PPS because the PPS diagnosing related groups do non accurately history for the resource costs for the types of patients treated in those installations Facilities originally excluded from PPS included rehabilitation, psychiatric, kids ‘s, malignant neoplastic disease, and long term attention infirmaries, rehabilitation and psychiatric infirmary distinguishable portion units, and infirmaries located outside the 50 provinces and Puerto Rico ( BBRA ) ( Pub.L. 106-113 ) , directed the development of a per diem PPS for inmate psychiatric services furnished in infirmaries and exempt units. Inpatient Rehabilitation Facilities PPS authorizes the execution of a per discharge prospective payment system ( PPS ) , utilize information from a patient appraisal instrument ( IRF PAI ) to sort patients into distinguishable groups based on clinical features and expected resource demands. Separate payments are calculated for each group, including the application of instance and installation degree accommodations. Long-Term Care Hospital PPS a per discharge system with a diagnosis-related group ( DRG ) based patient categorization system reflects the differences in patient resources and costs the Secretary shall analyze, and may supply for, accommodations payments to DRG weights, country pay accommodations, geographic reclassification, outliers, updates Skilled Nursing Facilities PPS payment rates are adjusted for instance mix and geographic fluctuation in rewards screen all costs of supplying covered SNF services ( everyday, accessory, and capital-related costs ) . Inpatient PPS PC Pricer infirmary is paid a fixed sum for each patient discharged in a Diagnosis Related Group ( DRG ) fixed sum is intended to cover the cost of handling a typical patient for a peculiar DRG. The PPS Pricer package, calculates discharges from October 1 through September 30 for a given financial twelvemonth ( CMS.gov ) . 6.Local Medical Review Local medical reappraisal policies are developed to assist suppliers and providers in subjecting right claims for payment. Local policies outline when and under what conditions a service, point, or supply is considered medically sensible and necessary, every bit good as the methods contractors will utilize to reexamine claims. These policies are the foundation of the reappraisal procedure. They define the service, decides when a service is sensible and necessary, outlines any coverage standards or specific certification demands, provides specific coding or modifier information and provides mentions upon which the policy is based. CMS requires that local policies be consistent with national guidelines, hence utilizing an consultative commission of medical professionals within Medicare and the medical community, LMRPs is developed. Once they are developed and implemented, LMRPs so provides the determination devising standards for any claim reappraisal and payment determinations. With e ach province holding its ain Medicare contractor, A consequences in each province holding its ain LMRP Local Medical Review Policies ( LMPR, 2010 ) . 7.HIPAA Privacy and Security Rule HIPAA privateness regulation applies to protected wellness information ( PHI ) in any signifier or medium while the Security Rule covers merely PHI that is electronically stored or transmitted by covered entities. The Security Rule ( SR ) has a broader enterprise than the confidentiality focal point of the Privacy Rule. This Security Rules aims at guaranting the unity and handiness of electronic PHI excessively. The Security Rule has to turn to issues such as informations backup, catastrophe recovery and exigency operations. SR has to do certain that covered entities that collect, maintain, use or transmit PHI in electronic signifier must build sensible and appropriate administrative, physical and proficient precautions that guarantee unity, handiness and confidentiality. Such processs must supply protection against any moderately awaited menaces or jeopardies. The Security Rule besides includes a criterion for electronic signatures ( Fordney, 2008 ) . 8.Classifications, Taxonomies, Terminologies and Terminologies Taxonomies are defined as the scientific discipline of categorization. These are the numeral and alpha supplier forte 10 figure codifications which are assigned to sort each wellness attention supplier. Taxonomy codifications are necessary because some institutional suppliers may non take to use for a alone national supplier figure for each of its subparts. The type of forte could impact the doctor ‘s wage depending on the contract with the remunerator ( Fordney, 2008 ) . Categorizations are legion in the claims processing. There is the categorization of diseases, and categorization of patients – outpatient, inmate, and ambulatory patients, to call a few. Everything is put into a categorization which if used and understood, helps the claims processor with truth ( Fordney, 2008 ) . Terminologies are footings abbreviated to initials. In claims insurance there are EOB, ERA, HMO, DRG, CPT, APG, AVG, MDC, AMA, CMS, EDI, ED, etc. It ‘s the alone linguistic communication spoken by claim processors. A terminology can hold several significances therefore it is of import to cognize which terminologies are non acceptable to a installation. Besides, when in uncertainty, inquire a physician or other medical professional what the abbreviation means ( Fordney, 2008 ) . In claims treating nomenclatures such as EOBs ( Explanations of Benefits ) , EOMB ( Explanation of Medicare Benefits ) , ERA ( Electronic Remittance Advice ) , RA ( remittal advice ) are illustrations. These are words that are easy understood throughout the profession ( Fordney, 2008 ) . Office of Inspector General OIG undertakes countrywide audits, every bit good as probes and reviews to reexamine the claim entry procedure of suppliers and reimbursement forms of the plans. The presence of an OIG conformity plan can significantly relieve imposed punishments in the event of an OIG audit or other finds of deceitful charge activities. A comprehensive auditing and monitoring plan will assist minimise the hazard of fraud and maltreatment by placing hazard countries ( igo.state.gov ) . Quality Improvement Organization in Michigan MPRO is a non-profit-making organisation and serves as the quality betterment organisation ( QIO ) for Michigan since 1984. It is contracted with the Centers for Medicare A ; Medicaid Services. Its charge is: Work with Michigan Medicare suppliers to better the quality of attention for its endorsers. Promote all Michigan Medicare suppliers to follow grounds based medical specialty in all scenes. Protect the unity of the Medicare Trust Fund, by doing certain that Medicare pays merely for goods and services that are medically necessary that are performed in a proper medical scene. Protect the endorsers by look intoing their ailments and entreaties. QIO besides provides advisory services, medical and utilization reappraisals, informations analysis to federal bureaus, province Medicaid and public wellness bureaus, health care installations, and private wellness programs and 3rd party remunerators. QIO consists of a mixture of physician referees, clinical quality betterment and patient safety experts and statisticians. QIO serves infirmaries, nursing places, place wellness attention, physician offices and managed attention scenes ( MPRO.org ) . MPRO ‘s wellness attention quality betterment plans include legion preparations and go oning instruction events for Michigan suppliers across all scenes. Many events are free and Continuing Education Creditss are besides available. MPRO assists Michigan Medicare suppliers ( free of charge ) to better the quality and bringing of their wellness attention by the execution of evidence-based medical specialty that improves procedures and results. Areas of coverage include: Beneficiary Protection Patient Safety Prevention To better quality, safety and efficiency, MPRO publishes booklets for Medicare donees, explicating their rights as a donee ( MPRO, org ) . Other countries of service include: Breast Cancer and Cervical Cancer Control Program ( BCCCP ) Independent Medical Review Informal Dispute Resolution ( IDR ) Long Term Care Remediation Care Compliance Solutions for Long Term Care Providers Medicaid Fee-for-Service Utilization Review Program External Quality Review ( EQR ) MPRO is carry oning a Care Transitions undertaking in the mid Michigan country ( specifically, Clinton, Eaton and Ingham counties ) to measurably better the quality of attention of Medicare donees who transition between attention scenes. MPRO focuses on bettering coordination of attention between suppliers and across the continuum of attention by advancing seamless passages from the infirmary to place, skilled nursing attention, place wellness attention or other suppliers to forestall evitable readmission to the infirmary ( MPRO.org ) . The end of the Prevention Theme is to better the quality and frequence of preventative wellness attention services in order to optimise beneficiary quality of life and wellness attention efficiencies ( MPRO.org ) The Prevention Theme focuses on the undermentioned clinical subjects: Breast Cancer Colorectal Cancer ( CRC ) showing Influenza Immunizations Pneumococcal Immunizations Professionalism in Health Care Professionalism – Hard to specify, but you know it when you see it. Medical moralss are non Torahs, but criterions of behavior by and large accepted as moral guidelines for behaviour, by which a professional may mensurate the decorousness of his or her behavior in relationship with patients, doctors, colleagues, the authorities, and insurance companies. Acting with ethical behaviour agencies to transporting out duties with unity, decency, honestness, competency, consideration, regard, equity, trust, and bravery. The American Medical Association ( AMA ) adopted a codification of moralss for the benefit of the wellness professional in 1980. The Internet Health Coalition developed an eHealth Code of Ethics to protect patient ‘s information on the Internet ( Fordney, 2008 ) . An person must hold a assortment of features or qualities to work good as an insurance charge or coding specializer. Some of these qualities are: Strong critical thought and comprehensive reading accomplishments Logical and practical mind every bit good as a originative job convergent thinker Good organizational accomplishments Detail oriented One ‘s properties, accomplishments, personal image and behavior all contribute to professionalism ( Fordney, 2008 ) . Webster ‘s Collegiate Dictionary defines professionalism as â€Å" the behavior, aims or qualities that characterize or mark a profession or a professional individual † . All professionals portion common features and a codification to stay by. But it is non what we do as a professional, but how we do it, that defines the medical professionalism. It is the unconditioned lovingness of the patient, irrespective of their ability to pay or their station in life ( Fordney, 2008 ) . Most everyone knows instinctively what is meant when they hear the words â€Å" he ‘s so professional. † This evokes an image of high competency and high moralss ; person commanding regard. All countries of professionalism has a codification of behavior, it is non alone to the medical profession. This codification is the moral compass that keeps us on the consecutive and narrow. It will be our moralss that will separate us as a true professional ( Fordney, 2008 ) . Standards of Ethical Cryptography Coding professionals should: Apply accurate, complete, and consistent cryptography patterns for the production of high-quality health care informations. Report all health care informations elements ( e.g. diagnosing and process codifications, nowadays on admittance index, discharge position ) required for external coverage intents ( e.g. reimbursement and other administrative utilizations, population wellness, quality and patient safety measuring, and research ) wholly and accurately, in conformity with regulative and certification criterions and demands and applicable functionary coding conventions, regulations, and guidelines. Assign and study merely the codifications and informations that are clearly and systematically supported by wellness record certification in conformity with applicable codification set and abstraction conventions, regulations, and guidelines. Question supplier ( physician or other qualified health care practician ) for elucidation and extra certification prior to code assignment when there is conflicting, uncomplete, or equivocal information in the wellness record sing a important reportable status or process or other reportable informations component dependant on wellness record certification ( e.g. nowadays on admittance index ) . Garbage to alter reported codifications or the narrations of codifications so that significances are misrepresented. Garbage to take part in or back up cryptography or certification patterns intended to unsuitably increase payment, measure up for insurance policy coverage, or skew informations by agencies that do non follow with federal and province legislative acts, ordinances and official regulations and guidelines. Facilitate interdisciplinary coaction in state of affairss back uping proper cryptography patterns. Advance coding cognition and pattern through go oning instruction. Garbage to take part in or hide unethical cryptography or abstraction patterns or processs. Protect the confidentiality of the wellness record at all times and garbage to entree protected wellness information non required for coding-related activities ( illustrations of coding-related activities include completion of codification assignment, other wellness record information abstraction, coding audits, and educational intents ) . Demonstrate behaviour that reflects unity, shows a committedness to ethical and legal cryptography patterns, and Fosters trust in professional activities ( AHIMA.org ) . Revised and approved by the House of Delegates 09/08. All rights reserved. Reprint and cite merely with proper mention to AHIMA ‘s writing. The Federal Register The Federal Register is the day-to-day official diary of the Federal Government of the United States that contains public notices of authorities bureaus. The Federal Register is compiled by the Office of the Federal Register ( within the National Archives and Records Administration ) and is printed by the Government Printing Office. Since it is a publication of the U.S. Government, there are no copyright limitations on the Federal Register. It is in the public sphere and contains proposed new regulations and ordinances, Final regulations, alterations to bing regulations, and notices of meetings and adjudicative proceedings. This is a good mention for alterations in the wellness industry and maintaining abreast of approaching alterations. Example of a concluding regulation: Health Insurance Reform: Alterations to Electronic Data Transaction Standards and Code Sets AGENCY: Office of the Secretary, HHS. Action: Concluding regulation. Summary: In this concluding regulation, we respond to public remarks received and finalize commissariats applicable to electronic informations dealing criterions from two related proposed regulations published in the May 31, 2002, Federal Register. We are besides following proposed alterations to implementation specifications for wellness attention entities and others. In add-on, we are following alterations to implementation specifications for several electronic dealing criterions that were omitted from the May 31, 2002, proposed regulations. Effective Dates: These ordinances are effectual on March 24, 2003. A §164.500 [ Amended ] 6. A § In 164.500 ( B ) ( 1 ) ( four ) , take the words †including the appellation of wellness attention constituents of a covered entity † . A § 165.501 [ Amended ] 7. In A §164.501, the definitions of the undermentioned footings are removed: Covered maps Disclosure, Individual, Organized wellness attention agreement, Plan sponsor Protected wellness information, Required by jurisprudence, and Use. A § 164.504 [ Amended ] 8. In A §164.504, the undermentioned alterations are made: a. The definitions of the undermentioned footings are removed: Common control, Common ownership, Health attention constituent, and Hybrid entity. B. Paragraphs ( B ) through ( vitamin D ) are removed and reserved. Authority: Sections 1173 and 1175 of the Social Security Act ( 42 U.S.C. 1329d-2 and 1320-4 ) . Dated: January 13, 2003. Tommy G. Thompson, Secretary. [ FR Doc. 03-3877 Filed 2-13-03 ; 8:45 am How to cite Ten Steps Of Billing Process Health And Social Care Essay, Essay examples

Harlequin Enterprises the Mira Decisions free essay sample

The primary issue facing Harlequin is the steady loss of share in a growing womens fiction market, due to the growing popularity of single-title novels. With the volume sales dependence that is inherent in series publishing, the unit sales stalling that occurred in the late 80’s and early 90’s acted as a warning signal to Harlequin. A change in pricing strategies enabled revenues to continue to rise, but this was a short-term solution and Mira has the potential to become a long-term solution. However, there are a number of issues surrounding the launch of Mira. As the world’s largest publisher of romance fiction, Harlequin has a strong global foothold in series publishing with a presence in more than 100 international markets and 23 languages. Indeed, Harlequin has been able to create high barriers to entry in the series market through the development of brand loyalty and excellence in product quality and supply chain management. Brand loyalty comprises a strong readership base, which has been cultivated through brand recognition, trust, and long-term relationships. This is evidenced by the direct-to-reader Book Club, which currently provides 3/8 of US Sales at significantly higher margins than indirect sales. The low-price, consistent, high-quality product is well packaged and positioned ideally to take advantage of customer expectations, supported by a large and capable author/editor base. Standardization has enabled Harlequin to take advantage of significant economies of scale in printing, distribution and advertising; and simplifies retailers’ positioning and marketing strategies. While standing order distribution enables Harlequin to more accurately predict sales and returns, and therefore benefit from predictable cost-based accounting practices to achieve better margins. However, with limited diversification, Harlequin has little expertise in the broader realm of women’s fiction outside of the romance genre, which may limit their abilities to select and develop successful authors and titles, as was the case with the 1987 Worldwide Library failure. Although, the Worldwide experience gives Harlequin a true appreciation of their strengths and provides a strong foundation from which to avoid future mistakes. Harlequin’s inferior presence in traditional retail environments for single-title novels and limited advertising portfolio centred on print media somewhat restricts their sales to their existing, or stereotypical, customer base. Existing distribution partnerships are unlikely to resolve this issue and may force Harlequin to seek out new partnerships and/or mechanisms. According to the market research, â€Å"customers were reading as many single-title romance and womens fiction books as series romances. This implies that there is significant overlap with other subject areas and market segments within Harlequin’s existing readership base and it should be possible for Harlequin to cultivate their customer loyalty and translate it to direct-to-reader sales in other genres. Mira also provides the opportunity for authors to develop beyond the series format without moving to another publisher, and still remain available to the Harlequin series genre. This promotes employee lo yalty and job satisfaction, while allowing Harlequin to invest in promoting individual authors and benefit from the cross-segment marketing. The overheads that Mira would incur, although substantial, would remain competitive with other publishers and would benefit from Harlequin’s global infrastructure. Foreign language markets, in particular, would be accessible to Mira through the use of existing translation services, distribution networks and retail relationships. Mira would also provide Harlequin the opportunity to create economies of scale through the centralization of rights acquisition activities already being undertaken in some international subsidiaries. Conversely, Mira represents an extremely high risk undertaking for Harlequin with significantly higher costs for production, distribution and marketing. A single-title novel is a unique product, which requires a publisher to generate higher per-unit sales volumes; create individual design, marketing and promotion campaigns; and provide higher returns to authors and third parties. Production changes, at least in terms of product dimensions, could have significant unforeseen impacts on the economies of scale currently enjoyed within the production and distribution supply chains. If Mira is to compete with existing single-title publishers, long-term author contracts, royalties and advances could put extreme financial pressure on Harlequin and represent a significant level of investment, which may or may not be realizable in the long-term. Therefore, the failure of a single-title novel to achieve break-even sales targets has far-reaching consequences; and can seriously damage reputations upon which future sales would depend. Nevertheless, the most significant threat to the success of Mira is its potential in the US market. The truce with Simon Schuster achieved at the end of the Romance Wars may not be sustainable, if Harlequin launches Mira in direct competition with SS in single-title publishing. This situation would be especially difficult given that Harlequin is entirely dependent on SS for distribution of its series titles within the US market, and its lack of experience with mainstream retailing avenues. By pursuing Mira, Harlequin risks losing a highly efficient and profitable relationship with SS and having to completely redevelop its distribution chain within the US. Upon consideration, Harlequin has the resources and capabilities it needs in order to succeed with Mira. Although the company currently has a different business model, it has the same basic components and critical resources necessary to create and manufacture the product. The author/editor base that Harlequin has at its disposal represents a considerable asset, and somewhat mitigates the risk of talent selection and development that can be associated with single-title novels. Historic market positioning and the reputation of Harlequin as a romance eries publisher may overshadow attempts to create the Mira brand; but Harlequin has reached the point where it must expand beyond the romance genre. The direct-to-reader sales, marketing and distribution mechanisms would require few adjustments or adaptations, and would provide Harlequin with an ideal test market from which to make the leap into the mainstream. Existing production and distribution expertise would sustain development of Mira , while Harlequin spends time putting mainstream distribution mechanisms and publicity expertise into place. It is conceivable that successful single-title authors who published their early works with Harlequin could be convinced to return to Harlequin, depending on the financial incentives; but, this is a long-term question, governed by authors’ contractual obligations and the success of Mira in the short-term. However, the back-list of novels created by successful authors who published their early works with Harlequin comprises an easily marketable, cost-effective and potentially profitable resource, that would enable Mira to capitalize on established reputations and in-direct publicity. The downside is that Mira may risk alienating or offending fans of established authors, by publishing works that did not meet reader expectations because of their quality or adherence to Harlequin conventions. Therefore, I would recommend that Harlequin perform a limited launch of Mira by re-developing titles in their back-list and generating direct-to-reader sales through the Book Club, while it explores global distribution and marketing relationships. References: Richard Ivey School of Business Case Harlequin Enterprises: The MIRA Decision #9B03M007

The State of Discord

The debate between Thomas Friedman and Robert Kaplan can throw light on various aspects of globalization, especially its effects on individuals and societies. In particular, one should focus on the role of different states and governments or the factors that increase the integration of different markets, technologies, and finance.Advertising We will write a custom essay sample on The State of Discord specifically for you for only $16.05 $11/page Learn More Moreover, the authors pay attention to such an issue as personal rights and freedoms in the globalized world. These are the main questions that should be discussed more closely. On the whole, this debate is both interesting and thought-provoking because it can enable readers to understand how different communities can evolve in the environment when people from countries can easily interact with one another. Certainly, one cannot tell that the arguments of Thomas Friedman and Robert Kaplan are always su bstantiated with empirical data. This is one of the limitations that should be taken into account. However, this shortcoming does not undermine the value of this discussion since Thomas Friedman and Robert Kaplan illustrate different pathways of globalization. First of all, Thomas Friedman is quite right in pointing out that the process of globalization is driven by the development of technologies, rather than political changes within various communities. For instance, information and communication technologies make the world more interconnected. They create many opportunities for entrepreneurs. Therefore, one should not suppose that the efforts of different states can stop the process of the integration of markets. Such efforts are not likely to be effective because modern people can communicate with one another through a great number of channels. This is one of the main arguments that can be put forward. It seems that this comment is important for understanding the reasons why eco nomic and cultural relations between various countries intensify. Still, one should not forget about availability of natural resources, since this factor affects the patterns of immigration. The availability of natural resources is vital for explaining the origins of conflicts between states. It is possible to argue that the scholars underline the complexities of globalization. This is one of the details that can be important for understanding the changes in the international relations. One of the central questions examined by Thomas Friedman and Robert Kaplan is the role of governments in the world in which the borders become more blurred. On the one hand, the process of globalization is possible when the government decreases its interference into the lives of citizens. Furthermore, this institution does not erect any barriers for businesses.Advertising Looking for essay on international relations? Let's see if we can help you! Get your first paper with 15% OFF Learn Mo re So, one can say that the role of the state can weaken However, the authors also note that under such circumstances, countries are exposed to a great number of economic or ecological risks. Thus, the skills of policy-makers and legislators can profoundly shape the long-term development of a country. They should make sure that a country can derive benefits from new trade agreements or technological innovations. Therefore, one should not disregard the role of governmental institutions. This discussion is important for showing that it is difficult to predict the role of the state in the globalized world of the future. This is one of the main issues that can be singled out. In my view, this question is relevant to modern political leaders who have to safeguard their countries against various threats. Apart from that, it is critical to focus on the impacts of globalization on the identities of individuals. Both authors argue that it is not possible to disregard a person’s atta chment toward a certain region, country, or city. This situation can be observed in various parts of the European Union. For instance, one can mention the development of the nationalist movement in the modern Catalonia. Moreover, one should not suppose that people lose their attachment to the customs, values, or traditions which are familiar to them since childhood. In my opinion, the scholars explain people’s resistance to complete eradication of borders and the domination of only one culture. To a great extent, the scholars show the integration of cultures and regional identities of people can co-exist. Additionally, researchers identify some important risks associated with globalization. For instance, Robert Kaplan notes that the economic development within a country results in political instability. In many cases, one can speak about the change of political regime and open violence that are usually preceded by transformation of the society. This is one of the most importa nt claims that Robert Kaplan makes. In particular, one should focus on countries as Egypt or Libya. Yet, the development of a state is dependent on the political culture of a country and its historical legacy. These questions are of great interest to Robert Kaplan and Thomas Friedman. On the whole, one can say that this issue should be taken into account by the readers, especially if they take interest in political science or geopolitics. Admittedly, one cannot say that the globalization is process that can be easily analyzed or predicted with the help of existing methods. However, it is possible to single out some patterns of its development in the future.Advertising We will write a custom essay sample on The State of Discord specifically for you for only $16.05 $11/page Learn More Another important question that should be discussed is the protection of civic and human rights. The scholars agree the process of globalization increases the role played by middle classes. This layer of the population can limit the authority of the state and its ability to infringe upon the rights of citizens. Robert Kaplan and Thomas Friedman can show how communities may evolve in the future. Certainly, this debate does not contain the reference to any empirical data or models which can explain how societies can adjust to the process of globalization. Therefore, one should not suppose that the predictions made by these scholars will necessarily come true. However, these authors examine hypothetical scenarios that can eventually unfold in various states that can be both advanced and developing economies. This is why their discussion should not be overlooked by readers. Furthermore, this debate can be used by policy-makers who have to reduce the risks of globalization. On the whole, Thomas Friedman and Robert Kaplan can give readers a better idea about different implications of globalization. The scholars do not debate one particular point or thesis st atement. Instead, they attempt to gain a better understanding of this economic, political, and cultural process which affects many people and organizations. It seems that this approach is very productive. The reading can show how various societies can influenced by the integration of various markets and the blurring of national borders. The debate between Thomas Friedman and Robert Kaplan can be used as a starting point for the study of globalization. These are the main issues that can be singled out. This essay on The State of Discord was written and submitted by user Elvis Hayes to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.

Borat Review Essays

Borat Review Essays Borat Review Paper Borat Review Paper Essay Topic: Film Talent is luck and right now no other comedian has more of it than Sacha Baron Cohen as seen in his latest smash hit Borat: Cultural Learnings of America for make benefit Glorious Nation of Kazakhstan. Borat has evolved from Cohens former creation Ali G in da house. Writer Larry Charles and comic genius Sacha Baron Cohen have combined their work to produce the most vulgar, offensive and rib tickling film yet to come. Nothing is off-limits; feminists, Jewish people, homosexuals or politicians they all receive equal amount of hatred. Borat and his producer, Azamat Bagatov (Ken Davitian) begin their journey to explore American culture and improve Kazakhstan for the better. In his hotel room, while channel surfing, Borat instantly falls head-over-heals for the gorgeous Pamela Anderson, watching a late night repeat of Baywatch. Will the sexy time prove to be very naaaice? An unscripted mockumentary introduces us to Borats residence of a Kazakhstani village. Many of their traditions, which would prove unethical in our society, such as the Running of the Jew. He introduces us to his wife Oksana, the hated neighbour and the award-wining prostitute sister, he also tells us about his father, Boltolk the rapist. Soon Borat and his friend Azamat set off on their journey to America. Cohen sputters out the most outrageous, racist and sexist statements he can think of; yet its the reaction of his unknowing victim which proves to be the most interesting aspect of the film. Borat meets real people in real situations with hysterical consequences. His backwards behaviour generates strong reactions around him exposing prejudices and hypocrisies in American culture. Once in America, Borat criticises western values at every turn. One person who is likely to regret the day he met Borat, is Tennessee rodeo manager Bobby Rowe. He is deliberately provoked by the comedian into making unnecessary, prejudice and disapproving remarks about Muslims and homosexuals. Borats stop at Dicksons Tennessee, where he is invited to sing The Star-Spangled Banner in front of a crowd of rodeo fans. Warned beforehand by a rodeo manger that he looks a little too much like a terrorist; Borat wins over the crowd by informing them that Kazakhstan supports their countrys War of Terror. He then goes on to include that he hopes George Bush may drink the blood of every man, woman and child in Iraq. Borat proceeds to stir up the rodeo but, when he begins to sings his version of Kazakhstans national anthem to the tune of Americas; he is immediately booed out of the arena. Sacha Baron Cohen knows exactly which buttons to press and he then just keeps on pressing them. A Hotel messenger delivers a telegram informing Borat that his wife has just died. At first the man is very professional; even offering sincere condolences, but when Borat gets excited over the news and yells out haigh faive, the man quickly joins in on the celebration. Borat pushes the limit of humour as he reveals a deep and disturbing truth and, ignorance within American culture. Do we live in a society where difference is not accepted? Borat heads from Washington D.C, Tennessee, California and finally to Los Angles in search for his beloved Pamela Anderson. Most people would fly across America, but Borat prefers to travel in style!-in an ice cream van. He purchases from a car dealer. Although he does have a reasonable excuse, he fears that in case the Jews repeat their attack of 9/ 11. If for any reason you object to seeing a 500lb bare, naked and hairy man running around a hotel room, then you might want to rethink about watching this film. Whether its black people, Jewish people, women, students, every category of human beings will find something to complain about after watching this film. Borat is homophobic, which leads to a distressed Borat asking So you think that the man who put his hand in my anus was was homosexual? Borat questions the thought that women have smaller brains than men? His genius work stands out as he succeeds in creating explosive cultural clashes such as having a posh Alabama lady calling Borat A lovely man with a bit of effort he could be properly Americanised, but she is later showered with bad surprise, when Borat brings down his souvenir after a nature call. Borat is placed in the most difficult situations possible, sometimes barely escaping being sent off to jail and even once wrestled to the ground by the police. All throughout the documentary Cohen remains in character. Like him or hate him, Sacha Baron Cohen delivers the amazing performance and one that the audience wont forget. Cohens comedy can sometime stoop to the comedy likes of Jackass-type toilet humour. A few scenes just arent funny enough and are unnecessary such as the fight between Azamat and Borat which leads to them standing naked in a presentation evening. Cohen delivers some of the biggest laughs of the year, while at the same time thinking about the root causes of prejudice and intolerance, and for that reason Borat is a must-see.

Invariable French Adjectives

Invariable French Adjectives In French, adjectives normally have to agree with the nouns they modify in gender and number. However, there are numerous adjectives which dont agree - they have a single form that does not change to reflect the gender or number of the noun. These are called invariable adjectives. Invariable Color Adjectives French color adjectives derived from nouns, such as animals, flowers, fruits, gems, and metals, are usually invariable:amarante  Ã‚  Ã‚  Ã‚  Ã‚  amaranthine (dark purple-red)ardoise  Ã‚  Ã‚  Ã‚  Ã‚  slate-greyargent  Ã‚  Ã‚  Ã‚  Ã‚  silveraubergine  Ã‚  Ã‚  Ã‚  Ã‚  eggplantauburn  Ã‚  Ã‚  Ã‚  Ã‚  auburnbrique  Ã‚  Ã‚  Ã‚  Ã‚  brick-redcanari  Ã‚  Ã‚  Ã‚  Ã‚  canary yellowcaramel  Ã‚  Ã‚  Ã‚  Ã‚  caramel-coloredcarmin  Ã‚  Ã‚  Ã‚  Ã‚  carminecerise  Ã‚  Ã‚  Ã‚  Ã‚  cherry redchair  Ã‚  Ã‚  Ã‚  Ã‚  flesh-coloredchampagne  Ã‚  Ã‚  Ã‚  Ã‚  champagnechocolat  Ã‚  Ã‚  Ã‚  Ã‚  chocolate-browncitron  Ã‚  Ã‚  Ã‚  Ã‚  lemon-yellowcrà ¨me  Ã‚  Ã‚  Ã‚  Ã‚  cream-coloredemeraude  Ã‚  Ã‚  Ã‚  Ã‚  emerald greengrenat  Ã‚  Ã‚  Ã‚  Ã‚  garnetindigo  Ã‚  Ã‚  Ã‚  Ã‚  indigokaki  Ã‚  Ã‚  Ã‚  Ã‚  khakilavande  Ã‚  Ã‚  Ã‚  Ã‚  lavenderlilas  Ã‚  Ã‚  Ã‚  Ã‚  lilacmarine  Ã‚  Ã‚  Ã‚  Ã‚  navy bluemarron  Ã‚  Ã‚  Ã‚  Ã‚  brownnoisette  Ã‚  Ã‚  Ã‚  Ã‚  hazelocr e  Ã‚  Ã‚  Ã‚  Ã‚  ochreolive  Ã‚  Ã‚  Ã‚  Ã‚  olive-greenor  Ã‚  Ã‚  Ã‚  Ã‚  goldorange  Ã‚  Ã‚  Ã‚  Ã‚  orangepastel  Ã‚  Ã‚  Ã‚  Ã‚  pastelpervenche  Ã‚  Ã‚  Ã‚  Ã‚  periwinklepie  Ã‚  Ã‚  Ã‚  Ã‚  (magpie) - piebald, black and whitepistache  Ã‚  Ã‚  Ã‚  Ã‚  pistachio-greenplatine  Ã‚  Ã‚  Ã‚  Ã‚  platinumprune  Ã‚  Ã‚  Ã‚  Ã‚  plumpuce  Ã‚  Ã‚  Ã‚  Ã‚  (flea) - pucerouille  Ã‚  Ã‚  Ã‚  Ã‚  rust-coloredrubis  Ã‚  Ã‚  Ã‚  Ã‚  ruby redsable  Ã‚  Ã‚  Ã‚  Ã‚  sandy, sand-coloredsafran  Ã‚  Ã‚  Ã‚  Ã‚  saffron-coloredsaphir  Ã‚  Ã‚  Ã‚  Ã‚  sapphire-bluesaumon  Ã‚  Ã‚  Ã‚  Ã‚  salmon-pinktabac  Ã‚  Ã‚  Ã‚  Ã‚  tobacco brownturquoise  Ã‚  Ã‚  Ã‚  Ã‚  turquoisevermillon  Ã‚  Ã‚  Ã‚  Ã‚  vermilionExceptions:   alezan (chestnut), fauve (tawny/fawn), incarnat (rosy), mauve, pourpre (crimson), rose (pink), vermeil (vermillion),and violet are variable according to the normal rules of agreement  chà ¢tain (chestnut brown) is semi-invariable - it usually agrees in number, but rarely in gender Multiple Colors When two or more colors describe a noun, they may or may not agree:1) If there are items of each individual color, the adjectives agree:   des drapeaux bleus, blancs, rouges - red, white, and blue flags (some are red, some are white, and some are blue)des chapeaux rouges et noirs - red and black hats (some are red and some are black) 2) If each item has all of the colors, the adjectives are invariable des drapeaux bleu, blanc, rouge - red, white, and blue flags (e.g., French flags)des chapeaux rouge et noir - red and black hats This is one instance where agreement is useful, because it gives you more detail than what is available in the English translation. Compound Colors When adjectives of color are modified by another adjective or a noun, the adjectives are invariable:une jupe gris clair  Ã‚  Ã‚  Ã‚  Ã‚  light gray skirtdes gants violet foncà ©Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  dark purple glovesune couleur rouge-orange  Ã‚  Ã‚  Ã‚  Ã‚  reddish-orange colordes yeux bleu-vert  Ã‚  Ã‚  Ã‚  Ã‚  blue-green eyesune voiture vert pomme  Ã‚  Ã‚  Ã‚  Ã‚  apple-green cardes fleurs rouge tomate  Ã‚  Ã‚  Ã‚  Ã‚  tomato-red flowers Adjectives Borrowed From Other Languages French adjectives borrowed from other languages are usually invariable:ad hoc  Ã‚  Ã‚  Ã‚  Ã‚  ad hoca priori  Ã‚  Ã‚  Ã‚  Ã‚  a prioriantitrust  Ã‚  Ã‚  Ã‚  Ã‚  anti-trustbaby  Ã‚  Ã‚  Ã‚  Ã‚  babybeat  Ã‚  Ã‚  Ã‚  Ã‚  beatnikcantilever  Ã‚  Ã‚  Ã‚  Ã‚  cantilevercharter  Ã‚  Ã‚  Ã‚  Ã‚  chartercheap  Ã‚  Ã‚  Ã‚  Ã‚  cheap  (poor quality)clean  Ã‚  Ã‚  Ã‚  Ã‚  cleancool  Ã‚  Ã‚  Ã‚  Ã‚  coolcurriculum vitae  Ã‚  Ã‚  Ã‚  Ã‚  curriculum vitae, rà ©sumà ©dance  Ã‚  Ã‚  Ã‚  Ã‚  related to dance musicdesign  Ã‚  Ã‚  Ã‚  Ã‚  designerdestroy  Ã‚  Ã‚  Ã‚  Ã‚  destroyed, trashed, wildexpress  Ã‚  Ã‚  Ã‚  Ã‚  related to espressofahrenheit  Ã‚  Ã‚  Ã‚  Ã‚  Fahrenheitfree-lance  Ã‚  Ã‚  Ã‚  Ã‚  freelancefun  Ã‚  Ã‚  Ã‚  Ã‚  funfunky  Ã‚  Ã‚  Ã‚  Ã‚  funkfurax  Ã‚  Ã‚  Ã‚  Ã‚  furiousglamour  Ã‚  Ã‚  Ã‚  Ã‚  glamorousgold  Ã‚  Ã‚  Ã‚  Ã‚  gold(en)gore  Ã‚  Ã‚  Ã‚  Ã‚  gorygratis  Ã‚  Ã‚  Ã‚  Ã‚  freegroggy  Ã‚  Ã‚  Ã‚  Ã‚  groggyhalal  Ã‚     Ã‚  Ã‚  halal  (in accordance with sharia principles)hi-fi  Ã‚  Ã‚  Ã‚  Ã‚  hi-fihigh-tech  Ã‚  Ã‚  Ã‚  Ã‚  high-techhot  Ã‚  Ã‚  Ã‚  Ã‚  hot (jazz)kascher  Ã‚  Ã‚  Ã‚  Ã‚  kosher (in accordance with Judaic principles)kitsch  Ã‚  Ã‚  Ã‚  Ã‚  kitschindoor  Ã‚  Ã‚  Ã‚  Ã‚  indoorinuit  Ã‚  Ã‚  Ã‚  Ã‚  Inuitjazzy  Ã‚  Ã‚  Ã‚  Ã‚  jazz, related to jazzkif-kif  Ã‚  Ã‚  Ã‚  Ã‚  same, identicalkitsch  Ã‚  Ã‚  Ã‚  Ã‚  kitschlambda  Ã‚  Ã‚  Ã‚  Ã‚  averge, typicallight  Ã‚  Ã‚  Ã‚  Ã‚  light, low in caloriesmarengo  Ã‚  Ã‚  Ã‚  Ã‚  Marengooffset  Ã‚  Ã‚  Ã‚  Ã‚  offsetoffshore  Ã‚  Ã‚  Ã‚  Ã‚  offshoreout  Ã‚  Ã‚  Ã‚  Ã‚  out  of touch, (tennis) outpeople  Ã‚  Ã‚  Ã‚  Ã‚  celebritypop  Ã‚  Ã‚  Ã‚  Ã‚  pop  (music, art)pro forma  Ã‚  Ã‚  Ã‚  Ã‚  pro formapunk  Ã‚  Ã‚  Ã‚  Ã‚  punkrecord  Ã‚  Ã‚  Ã‚  Ã‚  recordrelax  Ã‚  Ã‚  Ã‚  Ã‚  relaxed, informal, laid backrevolving  Ã‚  Ã‚  Ã‚  Ã‚  revolvingselect  Ã‚  Ã‚  Ã‚  Ã‚  select, high-clas s, poshsexy  Ã‚  Ã‚  Ã‚  Ã‚  sexysnob  Ã‚  Ã‚  Ã‚  Ã‚  snobby, snobbishsolo  Ã‚  Ã‚  Ã‚  Ã‚  solosoul  Ã‚  Ã‚  Ã‚  Ã‚  soul  (music)sport  Ã‚  Ã‚  Ã‚  Ã‚  casual, athletic (clothes, shoes)spot  Ã‚  Ã‚  Ã‚  Ã‚  (economics) spotstandard  Ã‚  Ã‚  Ã‚  Ã‚  standardstand-by  Ã‚  Ã‚  Ã‚  Ã‚  stand-bysterling  Ã‚  Ã‚  Ã‚  Ã‚  (pound) sterlingtango  Ã‚  Ã‚  Ã‚  Ã‚  bright orangetop  Ã‚  Ã‚  Ã‚  Ã‚  great, besttrash  Ã‚  Ã‚  Ã‚  Ã‚  trashy, base, tastelessvaudou  Ã‚  Ã‚  Ã‚  Ã‚  voodoovidà ©o  Ã‚  Ã‚  Ã‚  Ã‚  videowaterproof  Ã‚  Ã‚  Ã‚  Ã‚  waterproofzen  Ã‚  Ã‚  Ã‚  Ã‚  Zen

Freedom in Colonial American Society Essay Example | Topics and Well Written Essays - 500 words

Freedom in Colonial American Society - Essay Example The American civil war went on until 1865 when it was unanimously declared through the emancipation proclamation that stated that all slaves in the confederate states were free. Through state action and through the thirteenth amendment to the American constitution all slaves in the union and the Border States were freed. The American civil war transformed societies not only in the 'union' but also in the confederate states as well as in Canada. This was because all persons of all walks of lives in the three regions were affected. It is claimed that the civil war claimed more than 600,000 lives. On top of this, millions of people were wounded; more millions were left homeless especially in the confederate states, as well as massive destruction of properties in the confederate states. The American civil war also led to wide changes in the American as well as the Canadian way of life. Since slavery, was the backbone that had supported the south's political and social elites, the destruction of it thus meant a backdrop in economic activities To the average southerner the results of the war were poverty, homelessness, and emotional trauma as almost all economic and agricultural infrastructures was destroyed. In addition, the south would have to adopt the north's mode of production specializing in mechanics and industrialization. On the part of the federal state, the outcome of t

Explain how the situation in Europe immediately following the fall of Essay

Explain how the situation in Europe immediately following the fall of Germany led directly to the Cold War. In your opinion, sho - Essay Example This is because the disengagement by America both politically and economically had contributed to the rise of regimes that were dictatorial or oppressive in Europe. In order to counter this, the United States developed a policy that was aimed at improving trade with most of the Western European nations that would not only have the effect of promoting growth in both America and Europe, but also bolster allies and US friends. The Soviet Union on the other hand stuck to its tradition of having in place a central but autocratic regime that sharply contrasted with the freedom and democratic ideals espoused by America. The Soviet Union ideology is what is referred to as Marxist-Leninist ideology and it guided all the policies that were to be adopted by the Soviets. The Soviet Union was at this time obsessed with the fear that another attack would greatly affect the economy of the country and they therefore tried to put in place borders that could be defended. They did this through ensuring that there were friendly regimes in the mostly Eastern European countries and instilling the Soviet ideology of communism against the wishes of majority of citizens in these nations. This was against the stand by United States who were advocating for the restoration of independence and self-determination through democratic governments Eastern European countries such as Czechoslovakia and Poland. The declaration made 1946 by then Russian leader; Stalin that international peace was unattainable in the world with the prevailing capitalist ideology of development of the world economy precipitated the Cold War. The Western Allies led by the United States and Britain under President Truman and Prime Minister Churchill respectively responded by declaring to work together to stop the spread of Soviet dominance at all costs in what was referred to as an Iron Curtain descending across the continent. This became the genesis of Cold War pitted the Western Allies led by the United States agains t the Soviet Union (Sirimarco 2005, p.3). The Fall of Germany Germany fell through a series of occurrences that began with Hitler abandoning his Rastenburg headquarters on November 20, 1944 (Hogg and Perrett, p.435). This underlined the desperation of Germany at the time as during the second half of 1944, the Nazi regime had come under attack from its enemies both from the east, west and the south that greatly interfered with the supplies and manufacturing industries consistently. This was evident as Germany’s Luftwaffe had a myriad of the best military aircraft at the time but lacked the fuel to fly them and the spares for their maintenance. As this was happening the German Chancellor Adolf Hitler pegged his hopes of reviving Germany by relying on the latest Germany technology but this was not possible as the technologies, though real and impressive were too late and poorly executed and would not change the course of the war as already fought. This assortment of impressive w eapons included the world’s first cruise missile known as V1 and the V2, touted as the world’s first weaponised ballistic missile. Germany also had jet and rocket-propelled aircraft, which would ably help it in the war. The Battle of the Bulge On December 16, 1944, Germany undertook

Sammy Case Essay Example for Free

Sammy Case Essay Assignment Question: Base on what you have learned in this course, your textbook and any reference books that you may have read, what are the problems that the main character has? What possible solutions would you suggest (with theoretical support) to solve the problems? In referring to your own life, what have you learned from this scenario and how can you apply these into your life? 1. Introduction According to the case study of assignment, it seems to me that Sammy encountered great difficulties in a couple of problems on intrapersonal and interpersonal competencies, which keep weakening her family relationship as well as her way of living. In the following, there will be three sections for the above discussion. First, based on what I have learned in my course, I will attempt to illustrate out the most important problems that suffered by Sammy. The second part, some possible recommendations will be provided so as to help her building up a positive relationship with her parents as well as her siblings, peer fellow or elsewhere. At last, I would like to conclude with my personal sharing which is completely learned from this scenario. 2.Three General Character’s Problems 2.1Lost Of Self Obviously, Sammy is getting lost in herself. She mess up with her unexamined life and confused by the question of â€Å"Who am I?† from the inside out. She doesn’t realize herself clearly as she even doesn’t know what she likes or dislikes. It determines that Sammy was incapable of knowing herself and seems have unclear goal in future. This would be the major reason drive her getting an unsatisfactory result in public examination. She has attempted to make choice just fulfilling what her parents want her to do; however, once situation getting worse, she have lost her own decision to determine what should do soon. She has no idea about her totality of thoughts and feelings with reference to herself as an object. (Rosenberg, 1979) 2.2Low Self-Esteem Besides, Sammy often keeps comparing herself with others by physical appearance, talent, popularity, etc. However, she harbored negative feelings about all her surrounding people. These comparisons could only diminish her uniqueness and further result to make her losing of confidence. It revealed that the value she placed on herself is quiet low. It seems to me that the four sources of self-esteem, (1) social interaction, (2) social information, (3) social comparison, and (4) self-observation (Baron, 1990) have been damaged and unplugged in her case. 2.3Communication Problem Last but not lease, there is a clear communication problem within Sammy’s family. She seldom talks peacefully and sincerely with her parents. Having quarreled once, Sammy chose to avoid communicating with them which only weaken much more on their family relationships. 3.Three Possible Recommendations Here are 3 possible solutions for Sammy: 3.1Exploring Developmental Areas Firstly, Sammy ought to recognize more about herself. Human development researchers pay attention to four developmental areas of self, which are physical self, mental self, emotional self and social self (Hanna, Suggett, Radtke, 2007). And in which the mental self indicates the learning abilities, thought-processing patterns, as well as attitude and motivation are facets of this important area of the self. So, Sammy needs to be strengthened on her mental self mostly, which can help her to establish her thought-processing patterns, beliefs etc. Reading books is a favorite way to improve mentally (Hanna, Suggett, Radtke, 2007). By developing her sense of mental self, Sammy could acquire critical and creative thinking which could encourage her to think matter deeply, dig out multi-level ideas, challenge assumptions, and examine the logic of differing points; hence, she can explore herself more specific and capable of differentiating between her ideal self, actual self, and ought self (Edward Tory Higgins, 1987). Having developed a creative thinking, Sammy could think about ideas in different ways and generate variety of possible solutions to any problems. These two kind of thinking ability will create more curiosity which turn to activate Sammy think much and examine others’ opinion rather just followed to do so. 3.2Discovering Self-Concept And Self Valuing Corresponding to the 2.2 problem of Sammy, i.e. low self-esteem, she ought to discover her self-concept indeed. The self-concept is the totality of her thoughts and feelings with reference to herself and is the foundation on which almost all her actions are based (Rosenberg, 1979), consisting (1) self-descriptions, (2) ideal self, and (3) self-esteem or self-worth. We can observed Sammy was keeping compared herself with others, which reflects her unsatisfactory on her actual self; nevertheless, maybe her ideal self is quite close to perfect, that makes her never accept her actual self and lower her self-esteem, and one of the areas which mostly affects is academic achievement. Studies have found a significant positive correlation between self-esteem and Grade Point Average (Baker, Beer, Beer, 1991, cited in Hanna, Suggett, Radtke, 2007). So, thoughts changing should be adopted. Sammy should think more positive instead of keeping meaningless comparsion and pursuing the ideal self. Sh e should be encouraged to reveal her interest, or participate more social gathering rather than staying at home for aimless surfing. 3.3Disclosing Self On Criticism Actually, Sammy’s parent has their own responsibilities, in which even delivering small quantities of criticism would be appreciated in a non-hurtful ways. However, my focus is on Sammy only; and so, I would suggest Sammy finding a positive way of communication. She needs to learn how to face criticism. Positive responses to criticism are important as it moves relationships in a positive direction. â€Å"The effective way to respond to criticism is to use an assertive style. It does not attack, surrender to, or sabotage the critic. It disarms the critic.† (McKay and Fanning, 2000) It is no use to response criticism emotionally. Sammy is encouraged to learn keeping a peaceful mind to receive any criticism. Rather than Shut herself up or lock the door, Sammy may try to express her different opinion to her parent but in calm. This self-disclosure helps knowing each others. Social penetration theory (Altman and Taylor, 1973) explains that close relationships develop in terms of increasing self-disclosure. Constructive criticism points out possibilities for improvement (Ginott, 1965). 4.Self Reflection In this case, I am found out the importance of self-knowing and self-valuing, and realize that an effective communication is really essential to build positive relationship. Not only communicate well on normal situation, but also we have to communicate healthy on criticism. In my case, my father is a kind of criticism-favor man, who loves to blame on everything since his 65 years old. Every time he shouted to us, just like Sammy, I quarreled with him first and shut up soon, or left his house, just let him alone . I though this is a smartest way to avoid meaningless argument with the old man. But the fact is he never stop quarrelling with me once I came back. Having studied this case, I started to ask my actual self: â€Å"Do I love my father?† The answer is â€Å"absolutely!† So, which drive me to think how to build a better relationship between us. Having known more about positive communication on criticism, one times, I didn’t run away, but listened to him peacefully. My old man shouted about half an hour, and finally stopped. Maybe he felt tired, and as I really listen carefully what he said, I tried to â€Å"communicate† my opinion with him peacefully and pointed out some my opinion about his arguments. Anyway, from that day on, we have less arguing, instead we talk more about the British Premier League.

Religious Influences on Vietnam :: essays research papers

RELIGIOUS INFLUENCES ON VIETNAM   Ã‚  Ã‚  Ã‚  Ã‚  I understand there to be copious amounts of influential events which triggered trends in Vietnamese culture. The Chinese influence in Vietnam may have likely led to its communist political system. Vietnamese nationalism may have contributed to the difficulties the French faced during its colonization of Vietnam. However, I believe that the most relevant contribution to contemporary Vietnamese culture is the religious diversity and how it contributes to Vietnam’s closed-door economic and political philosophies.   Ã‚  Ã‚  Ã‚  Ã‚  Buddhism is the primary religion in Vietnam. Buddhists believe that the way to become â€Å"enlightened† is to understand the Four Noble Truths of Buddhism and to follow the Eight-Fold Path. Basically, I understand Buddhism to be a very internal religion based on the spirituality of the self. Various forms of meditation and intense study coupled with the eradication of desire lead to a very defined lifestyle with little or no need for external human interaction. Once a Buddhist has achieved what is considered to be the proper behavior and proper knowledge called for by the Eight Fold Path, and after a Buddhist has spent many years manipulating his or her dharma, Buddhists tend to leave behind all belongings and travel forth into the wilderness trying to achieve nirvana. This religious practice, in my opinion, has had a significant impact on the Vietnamese culture and the way they interact with outsiders. The fact that the Vietnamese are not exceedingly eage r to be invaded by foreign corporations and capitalism makes sense; capitalism is not a prerequisite to Buddhism.   Ã‚  Ã‚  Ã‚  Ã‚  Taoism was also introduced to medieval Vietnam and is still noticeably practiced there today. Taoists believe that the way to achieve enlightenment is through chaos. Doing nothing and letting nature take its course without human interference are the methods by which Taoists feel most spiritual. Although I do not feel that there is a strong aroma of Taoism in contemporary Vietnam, I nonetheless deduce that it had a significant impact on Vietnamese trends. Compared to Buddhism and certainly Confucianism, which is discussed below, Taoism was an extremely outlandish concept to the Vietnamese when it was first introduced. The fact that sloth and confusion were being rejoiced in a time of awareness and filial piety must have caused a certain sense of segregation in the Vietnamese community.   Ã‚  Ã‚  Ã‚  Ã‚  Confucianism is the last of three relevant religions which were introduced into medieval Vietnam. Confucius preached that filial piety and ancestor warship were critical to attaining enlightenment. Religious Influences on Vietnam :: essays research papers RELIGIOUS INFLUENCES ON VIETNAM   Ã‚  Ã‚  Ã‚  Ã‚  I understand there to be copious amounts of influential events which triggered trends in Vietnamese culture. The Chinese influence in Vietnam may have likely led to its communist political system. Vietnamese nationalism may have contributed to the difficulties the French faced during its colonization of Vietnam. However, I believe that the most relevant contribution to contemporary Vietnamese culture is the religious diversity and how it contributes to Vietnam’s closed-door economic and political philosophies.   Ã‚  Ã‚  Ã‚  Ã‚  Buddhism is the primary religion in Vietnam. Buddhists believe that the way to become â€Å"enlightened† is to understand the Four Noble Truths of Buddhism and to follow the Eight-Fold Path. Basically, I understand Buddhism to be a very internal religion based on the spirituality of the self. Various forms of meditation and intense study coupled with the eradication of desire lead to a very defined lifestyle with little or no need for external human interaction. Once a Buddhist has achieved what is considered to be the proper behavior and proper knowledge called for by the Eight Fold Path, and after a Buddhist has spent many years manipulating his or her dharma, Buddhists tend to leave behind all belongings and travel forth into the wilderness trying to achieve nirvana. This religious practice, in my opinion, has had a significant impact on the Vietnamese culture and the way they interact with outsiders. The fact that the Vietnamese are not exceedingly eage r to be invaded by foreign corporations and capitalism makes sense; capitalism is not a prerequisite to Buddhism.   Ã‚  Ã‚  Ã‚  Ã‚  Taoism was also introduced to medieval Vietnam and is still noticeably practiced there today. Taoists believe that the way to achieve enlightenment is through chaos. Doing nothing and letting nature take its course without human interference are the methods by which Taoists feel most spiritual. Although I do not feel that there is a strong aroma of Taoism in contemporary Vietnam, I nonetheless deduce that it had a significant impact on Vietnamese trends. Compared to Buddhism and certainly Confucianism, which is discussed below, Taoism was an extremely outlandish concept to the Vietnamese when it was first introduced. The fact that sloth and confusion were being rejoiced in a time of awareness and filial piety must have caused a certain sense of segregation in the Vietnamese community.   Ã‚  Ã‚  Ã‚  Ã‚  Confucianism is the last of three relevant religions which were introduced into medieval Vietnam. Confucius preached that filial piety and ancestor warship were critical to attaining enlightenment.

Hiroshima Paper

The book begins with the telling of what the main six characters were doing before, during, and shortly after the bomb was dropped on Hiroshima. The book goes on to show how the people believed that it only affected the general area, and how they realized that it affected the entire city. Many people were injured and scorn. Some people were even trapped under buildings. It continues to show when the Japanese Emperor announced on the radio that Japan was going to surrender to the U. S.In the few days, survivors, Japanese scientists, and government leaders discovered that the weapon was actually a new type of bomb. The government was very careful and indistinct in reporting details to the public. The fates of the main characters were described, and they all suffered from some form of radiation sickness. The Japanese were able to figure out from analyzing the people and the remains of the bomb what is was made of. The last chapters tell you about the atom bomb victims a year to forty ye ars after the bomb. It also tells how the city rebuilt itself and recovered from being attacked by a nuclear weapon.Even though the six main characters went through the same situation in a different way they all fought to overcome the damage left behind y the bombing. Through reading this booking two characters that stood out to me were Father Wilhelm Kleinsorge and Dr. Terufumi Sasaki. These two stood out because I felt they helped a lot of people even when they could not help themselves. I have much admiration for Dr. Sasaki because he when called stood up to the plate, and was able to go on with his life. Father Wilhelm is a thirty-eight year old German priest.Father Wilhelm was in his room reading and got scared when he saw the flash. He somehow ended up outside in vegetable garden pacing around. The only physical marks he had were cuts. He helped a man escaped, but the man ended up running back into the fire. He went to a park called Asano Park where he helped assisting in help ing people. Father Wilhelm was able to help the people in the park until he was taken to a Catholic Novitiate outside of the city. He took two children with him by the name of Kataoka who he able to reunite with their mother.In the book it says that Father Kleinsorge may have had the worst sickness of all the main characters. He was sent to a hospital in Tokyo for over three months. He suffered from symptoms such as: high fever, low white blood cell count, and anemia. When he was finally allowed to return to Hiroshima the doctor told him that every day he should take at least a two hour nap. Even though the doctors told him to do this he did not follow instructions. He seemed to always put his work before his own health. When August came he was so sick he had to return to the hospital for a month's recovery process.Since his exposure to radiation and constant working habits on behalf of others he ended up repeating the cycle of getting better and ending back up in the hospital. He d id not slow down until his body gave out on him. He wanted o bad to help the people that he got Japanese citizenship and changed his name to Father Makoto Takakura. After some really bad sicknesses in the 1950s, he was finally transferred to a small church in Mukaihara, the same town as Dr. Sasaki. He ended up getting a cook by the name of Yoshiki-san, who in the end is there to take of him in came to thank him for the wonderful things he had done.In 1976 he slipped on some ice and became bed-ridden for the rest of his life. Yoshiki-san was there by his side to take of him, and a year later he fell into a coma and never woke up. Dr. Terufumi Sasaki was a surgeon working at the Hiroshima Red Cross center. At the time of the bombing he was bringing blood to the laboratory. Dr. Sasaki was thankfully left undamaged because when the bomb hit he was lucky enough to have taken a step beyond the window and crouched down. He ended up being one of the six doctors left that was not hurt so he had to treat a lot of people.At one point in time he had to work three days only having one hour of sleep. From working so much and not getting but six hours of sleep he ended up losing twenty pounds. The medical equipment he had to work with was not the best, and he was only working off of onations that people were making. He gained some since of his old self and ended up getting married to Dr. FuJii. They to live in a summer house, but a flood destroyed the house and he was forced to leave. He then opened a clinic in the suburb of Hiroshima, and rebuilt a successful practice.He had to travel to Yokohama for training, and here is where he finally came to a realization Atomic bomb survivor. He soon found that he had to get his whole left lung removed, which almost resulted in his death. This occurrence made him appreciate life and he vow to treat his patients ore compassionately, and to spend more time with his wife and four children. Dr. Sasaki's only regret was that he had not bee n able to more carefully record the identities of all the Red Cross Hospital corpses so that they would not be wandering in the afterlife, upset at not being properly remembered. Dr.Sasaki was the person who distanced himself from his Hiroshima experience through making a life somewhere else, while Father Wilhelm could not separate his self from Hiroshima resulting in his death. All six characters in this book were lucky because after the bombing unlike many people they still had their lives. Some were able to go on with their lives, while others let the situation take over them. The sickness was something that they all suffered from and was a negative that they all faced. Some of them dedicated and were obligated into helping the other people who were not as fortunate as them.It had to be hard seeing people around you dying and there not being too much you can do. Father Kleinsorge passage was basically saying that was it right that people had no say so in their lives being taken. Kind of like saying should the people suffer for the decisions made by one person, when they do not even know what is going on around them. The people who consider it Just an attack that affected the civilian do not look at the broader aspect. The bomb was the ending result of something much bigger.The people Just so happen to be a sacrifice in the situation. It was like the leaders of Japan were so caught up in evil that they did not realize that they were hurting the people of Japan. The bombing was like a realization to the government that they had been killing the people so much spiritually, and this was the physical outcome. It to me was kind of like they could not appreciate the good that they received after the bombing until they went through the bad. The good was that the initial war ended, but so many lives were lost in the process.These lives being loosed I think had to happen because if it were smaller the people would have wanted to retaliate instead of come together and stop the violence. Reading this but the movie seemed to focus more on the American side of the bombing rather than side from the people in Hiroshima. The movie makes it seem as if the bomb had to be dropped, while reading the book you see that Japan could have been overtaken without the drastic measures. The book does not go into detail about the attack Japan has before, which was the cause of the bombing.The movie and the book both focus on making one side seem more Justifiable or victims than the other. I think John Hersey book Hiroshima is a great book for college students to read because it gives them an outlook on the other side of the spectrum. This will allow them to decide for themselves who was wrong and right in the situation. It also even Just gives them a more detailed event of what actually happen August 1945. The book also gives students an outlook of how something major can happen to so many people and affect everyone in different ways. So the book should be read bec ause either way it will be some type of learning experience.

Lobbying Essay

Lobbying is a pathway of action, a way for citizens to influence government, that is essential for to be able to use, but is dangerous when lobbyists push for ideas that are from a minority instead of the majority. Lobbyists are those who attempt to persuade or influence the opinion of the actions of government through sharing information, persuasion, and political pressure via telephone, email, letters, and voicing your opinions directly to your representatives (Congressmen, city council members, senators). Lobbyists also lobby through offering financial aid for their re-election. Lobbyists lobby their representatives usually because they have a closer connection with and were elected by them and other members of their community. Social lobbying is creating a relationship with your representatives through inviting them dinners and trips in order to discuss issues that they are passionate about. Reasons for lobby are usually Lobbying is beneficial to bringing change faster than the other pathways of action, for lobbyists are directly influencing their representatives. Lobbyists benefit government through giving public opinion to issues and through upholding the desires of the people Federal and State Government officials do no just come up with ideas for laws on the spot by themselves; they obtain ideas for laws through the ideas and concerns of the people in order to keep them happy, for the main goal of any political official is re-election. It is required to register as a lobbyist in Texas after 5 days of lobbying and that has contacted any legislature for the purpose of persuasion along with receiving $1000 in compensation or $500 quad-annually. Lobbying benefits government because it is a pathway of action that the citizens of the country can take for the purpose of influencing government, but it can also corrupt government through lobbying the interests of minorities instead of the majority. The creation of the relationships through social lobbying can put a leash on legislatures, and cause these legislatures to be act on the will of the min ority group.

Fundamentals Of Basketball Defense Essays - Ball Games, Team Sports

Fundamentals Of Basketball Defense Essays - Ball Games, Team Sports Fundamentals Of Basketball Defense No sport moves more quickly or requires as many skills as basketball. Basketball is the most electrifying and most innovative game known to man. The primary objective of the game is to score more points than the opposition by putting a round ball through a circular band, called a rim. On defense, a blocked shot or a steal can lead to a fast break at the other end of the court. On offense, one quick move can result in an easy basket. Good dribbling and passing skill can set up wide-open shots for teammates. But long before players can be become part of the excitement on the court, they must first lean and study the basics. This takes a great deal of practice and attention to detail. The basic skills of dribbling, passing and shooting are essential to the continued improvement of every basketball player at every level. In order for a player or team to become a good offensive player they must have the ball. How do obtain or control the ball you might ask? Learning how to be a solid defe nsive player does this. Consistent winners play good defense, and good defense breeds consistent winning. Fans appreciate and identify with a strong defensive effort, and players respect a strong defensive team. Teams who take pride in, and have patience on defense have far fewer off nights than the team that relies only on offense. Strong team defense builds good team morale. We have seen a good defensive team that wasnt together. Everyone respects a good defensive player especially players. Individual defense can do the following for you: it can give you self-confidence, anyone that wants to pay the price can play good defense. If you are gifted with speed, quickness and basketball sense, you can be a great defensive player. It can build you a reputation of being tough and aggressive. Help you get in the best physical and mental condition. Earn for you the special pride and self-respect you get from playing at both ends. Playing individual defense can also give you the chance to make one of the biggest pl ays in basketball, drawing the offensive foul. The first myth about playing defense is that you have to have speed and quick feet, which is not true. Defense is played with anticipation, or being aware of whats going on around you, good body balance and basic fundamentals. There are certain fundamentals you have to follow. But anyone can play defense. If you are willing to work and watch whats going on around you, then you can become a solid defensive player. Defense is as much a mental as a physical skill. Rather than play reactive defense a player should be encouraged to be proactive. By emphasizing active elements of defense represented as follows by the acronym ATTACK, proactive defense is encouraged. Each letter of the word stands for a must for us to be our best. A Attitude: It all starts with your attitude. The starting point of all defenses is the determination to become an aggressive, intelligent defensive player. Each player must develop and maintain control of his attitude, especially on defense. T Team: Through teamwork a collective effort of five defensive players is greater than five individual players. T Tools: The three basic tools of defense that is the most important to develop are your mind, body and feet. We play basketball with our mind, body, and feet; and foul with our hands. A Anticipation: Use your basketball sense and judgement. Know when to make your move. Eliminate moves that have little or no chance for success. C Concentration: Be alert and ready to play defense at all times. Make the change from offense to defense quickly. Defense before your opponent has the ball, and it will be much easier. Maintain a basketball position. K Killer Instinct: You must be aggressive on defense. It is essential that you force the opponent to react to you. Do not react to the offensive player. Force that player away from those strengths. Ten Cardinal Rules of Defense 1. Transition (Early recognition get the defense set) Quick, organized transition with communication by all five players keys to strong team defense. 2. Pressure