Call Report :: essays research papers

Bosch fuel tube report On August 9th, Bosch realized a failure of their fuel pump/filter unit for a new model fuel tank. In the past they used a  ½Ã¢â‚¬  gasket on the old fuel tank, when GM changed the design, this became a problem. There was no longer a  ½Ã¢â‚¬  gasket, thus causing problems for the pump to retract all the way to the top flange of the pump unit. The top flange has a rough grove on top where the fuel tube comes in contact. I was asked by Bosch to investigate a more durable abrasive sleeve then the one they currently using. Bosch uses a GPT-483 3/8† (131,843 cycles to failure) sleeve for their current application. By the use of SAE ARP 1536 test method, I was able to make a few recommendations on Sofanou sleeving products. The product line that I recommended is; Nu-Guard NTW-WR  ½Ã¢â‚¬  (1,163,483 cycles to failure), Nu-Guard DPT 3/8† nylon 6, 6 (new to Sofanou product line) (356,425 cycles to failure), and Nu-Guard N 3/8† (295,198 cycles to failure). On August 20th I met and brain-stormed with Bosch Engineers; Martin Kling (Engineering Manager), John Lennen (Engineering Unit Manager), Ralph Gordinier (Sr. Program Lead Engineer), Ted Perniciaro (Senior Engineer), Mike Zick (Engineer), Dave Toutant (Component Specialist), Dave Brown (Senior Test Engineer) and Rich Minix (Lead Technician) on developing a test that would reflect the current process problem. Similar to the ARP 1536 test method, we decided to use an aggressive saw blade for a tear test for the three different products. Entela Testing was in charge of this test project. On August 23rd, Andrew Gleason (Engineering 1) from Entela coordinated the testing and reported: Nu-Guard NTW-WR  ½Ã¢â‚¬  @ 2,200 cycles to fail, Nu-Guard DPT 3/8† nylon 6, 6 @ 750 cycles to fail, Nu-Guard and Nu-Guard N 3/8† @ 410 cycles to fail.

Cold War Essay

The Cold War represents the disputes between the Soviet Union and the United States, and may be the most noteworthy political issue of the late 20th Century. The Cold War was a very political issue because it influenced foreign policies, impacted our economy, and even affected Presidential elections. The United States was worried that the Soviet Union would extend communism throughout Europe with its power and control over smaller and weaker countries. At the beginning of the Cold War the struggles between the United States and the Soviet Union were more political than military. The Soviet Union detonated its first atomic bomb on August 29, 1949 which alarmed the United States because they were not expecting the Soviet Union to have knowledge of nuclear weapons (The Cold War Museum, n. d. ). Consequently, Americans were uncertain of their own safety, prompting President Truman to reexamine the United States position in the world. He required the United States to amass conventional and nuclear weapons to cease the Soviet influence from spreading around the world. The arms race began, and each side mass produced and strategically placed missiles throughout their country and their allied countries. Other events occurred during the Cold War era adding fuel to the Cold War: the Korean War, the Vietnam War, the Cuban Missile Crisis, and the Bay of Pigs. My first interviewee was a female in her early sixties whom lived through the Cold War period – my mother. As a retired school teacher, I expected my mother to have a deeper understanding of the Cold War than a person that simply lived through the period. Her definition of the Cold War clearly supported the definition stated in this course. When I asked my mother what words or phrases come to mind when she thinks of the term Cold War, she did not hesitate in her response: â€Å"United States and the Soviet Union, Nikita Khrushchev, John F. Kennedy, George Patton, and World War II† (B. Rego, personal communication, May 27, 2013). She related to me that the aspects of the Cold War that she remembered were â€Å"that the Soviets felt that the United States was not revealing key military information after World War II, and their suspicions were confirmed when the United States dropped the atomic bomb on Hiroshima† (B.  Rego, personal communication, May 27, 2013). I went on to ask her to name any key events that are mainly associated with the Cold War, and she replied â€Å"the Bay of Pigs† (B. Rego, personal communication, May 27, 2013). My mother was able to accurately remember the parties involved in the Cold War, as well as key details and key events of the period having lived through the period, not as a child but as a young adult. My second interviewee was a male in his mid-thirties whom did not live through the Cold War period, but studied it in school. My younger brother’s definition of the Cold War was â€Å"long period of tensions between countries† (J. Rego, personal communication, May 27, 2013). His definition is similar to the definition provided in this course with the exception that he did not mention specifically the United States and the Soviet Union. When questioned about what aspects of the Cold War he remembers he stated â€Å"I remember Korea and Vietnam† (J. Rego, personal communication, May 27, 2013). Although he is not incorrect in his response, it was interesting to me that he again omitted the involvement of the United States and the Soviet Union. When asked about the key events mainly associated with the Cold War, my brother said â€Å"the only key event I remember was the Berlin Wall, and when President Reagan and Gorbachev signed the peace treaty† (J. Rego, personal communication, May 27, 2013). His recollection of the key events associated with the Cold War albeit accurate, were lacking in detail. He did not mention the Bay of Pigs, or the Cuban Missile Crisis. I suppose that the generation gap between our mother and our generation has unfortunately made the details of the Cold War less memorable. My final interviewee was a male in his early twenties whom also did not live through the Cold War period, but studied it in school. My son’s definition of the Cold War was â€Å"a weapons race between the USA and Soviet Union with no shots fired† (A. Egnew, personal communication, May 26, 2013). His definition is similar to the definition provided in this course in that he recalled the parties involved being the United States and the Soviet Union. When asked what words or phrases come to mind when thinking of the term Cold War he replied â€Å"stockpile and weapons race† (A. Egnew, personal communication, May 26, 2013). I questioned him about any key events that he could remember that is mainly associated with the Cold War, and his answer was â€Å"I can’t name any† (A. Egnew, personal communication, May 26, 2013). It is interesting to me, yet not surprising that as the generation gap widens the details of the Cold War are more easily forgotten. The Cold War was a very prominent event in United States history for key events such as the Korean War, the Vietnam War, the Cuban Missile Crisis, the Bay of Pigs, and the Berlin Wall, but noteworthy also for the civil rights movement, gender equality, and racial segregation issues (Farber, 1994). The Cold War changed the way Americans view authority, and opened the door for American citizens to question political decisions. Without the Cold War period, perhaps our lives today would be much different. Would slavery still exist? What about racial segregation? Our lives today would surely be different if the Cold War never happened.

Is China’s Investment in Africa an Example of Neo-Colonialism or Is It an Example of South-South Development

Is China’s Investment in Africa an example of Neo-Colonialism or is it an example of South-South Development? China has been significantly involved in the development of African countries in recent years, with an estimated 1 million Chinese people now residing in Africa. Trade between China and Africa was worth in excess of $100 billion in 2010, which shows how important the relationship between the two areas has become. However, there are questions surrounding whether China is merely using Africa for its own benefits rather than investing in development of the poorest continent in the world.Angola Angola is China’s largest trading partner with a trade value of $24. 8 billion in 2010. Angola is a country with vast oil reserves and is now China’s largest supplier of oil shipping one million barrels every day. This supply has caused many Chinese TNCs to setup operations in Angola. These TNCs have brought with them their own Chinese workers due to their reputation f or a high level of speed and efficiency in their work. These workers earn what would be a huge wage for Angolans (? 20 per day).They return this money back to China meaning that income is lost from Angola and also there is a reduction in employment opportunities for Angolan workers, which doesn’t help to improve the high unemployment situation. However, many Angolans think Chinese investment is a massive positive due to the new infrastructure, goods and services that will be available for the public to purchase. The Chinese are helping to reconstruct a main railway line that runs through a large part of Africa. This has allowed small business people to sell their goods all across Africa.The effect of this is an increase in consumption for the economies as trade is vigorous and this could cause an increase in economic growth if trading continues and also grows. Locals think that Chinese have done a good job on the railways as they are making more money (increase in standard of living) However, the railway is heavily linked with oil. China only provides loans and cheap finance (used to pay for railway) with Angola in return for the oil. So they’re not necessarily just developing a nation, they want to gain themselves in return.Oil is a key commodity needed for production, which is largely what China’s economy is made up of. Chinese construction companies also receive lucrative contracts, so income again is flowing back to China. So from this, we cans see that China has a neo-colonialism style relationship with Angola, but also has helped improve the standard of living for their people. Zambia Zambia has also experienced interest from China. Tourism is one of Zambia’s most important industries due to its scenery, weather and animal diversity.The Chinese tourist sector is growing massively, and will be essential for nations like Zambia in the future. However, factors of Chinese culture mean that Zambian wildlife is being threatened. Inc reasing numbers of elephants have been killed for their ivory, even though the international trade of it is illegal. But, its price on the black market has been soaring. Ivory is being made into chopsticks in China once it is exported. Also, many Zambian traders resent the Chinese competition. Zambians have lost a lot of income to Chinese sellers, and indigenous industries could be crushed by Chinese competition.Chinese sellers have also treated their workers terribly. Zambia has one of the largest supplies of copper in the world, and the Chinese Metal Ferrous Group now owns the mine. This is an example of exploitation of resources as they will export it back to China, and Zambia loses a great opportunity to generate large quantities of income. This an example of the Chinese taking as much as possible and giving little back to the local economy. This shows that China has had a completely negative impact on Zambia as a nation, and is a clear example of how neo-colonialism still can e xist.Zimbabwe Zimbabwe has experienced terrible economic problems recently. It has been hit with the second highest inflation rate ever recorded due to hyperinflation and the rapid decrease in value of their currency. It has been run for 30 years by Robert Mugabe. Western governments have imposed countless sanctions for his regime’s terrible record on human rights. However, China has supported Mugabe on the international stage and the Chinese government has opposed sanctions. Therefore, China is making life easy for Mugabe to continue to abuse human rights laws.Here again shows how China has had now positive impact on Zimbabwe, and they have decreased the standard of living for its people as Mugabe’s reign continues. The Democratic Republic of Congo The DRC has a vast reserve of copper, diamonds, cobalt and other rare metals. It is very important to China has their top import it valuable minerals with a trade value of $50. 6 billion, way above its second largest import of metal ($6. 5 billion). 90% of Katanga’s minerals go to China as miners sell their minerals to Chinese traders based in Congo.The miners say that the Chinese are effectively ‘stealing from them’ as the price they pay is so low for these valuable materials. Allegations have also been raised that local workers have been abused. China’s activity in the DRC is a typical example of neo-colonialism as they are exploiting miners and buying at such low prices it feels like they are being stolen from. Tanzania Tanzania is one of China’s oldest trading partners. One of the largest railways in the world, The Tazara Railway was built by Chinese workers in Tanzania, and is a symbol of pride for the country. China also gives Tanzania significant aid and financial support.This is one of the only examples that really shows how China are interested in developing an African nation and aren’t exploiting the country’s natural resources for their own ga in. Conclusion In conclusion, China is involved in both neo-colonialism and development in African nations. However, I think that they have a greater influence using a neo-colonialist style of interest. They have exploited many nations in Africa, so it is clear that they are trying to benefit their own nation and further increase their impressive rate of growth with cheaper resources for their thriving productive industry.

Terri Schiavo

Nurs 2500: Ethical, Legal and Moral aspects of Nursing School of Advanced Nursing Education The University of The West Indies Melissa Balbosa Craigwell 811005170 Biography of Terri Schiavo On the 25th February 1990, 26-year-old Terri Schiavo suffered severe brain damage when her heart stopped for five minutes. In June of 1990, Michael Schiavo, Terri’s husband, was appointed her plenary guardian by the courts. In September of 1993, Michael Schiavo authorized the nursing home she resides in to write a DNR (Do Not Resuscitate) order for Terri.Schiavo spent the following years in rehabilitation centers and nursing homes but never regained higher brain function. In 1998 her husband, Michael Schiavo, filed a legal petition to have Schiavo's feeding tube removed, saying that his wife had told him before her medical crisis that she would not want to be artificially kept alive in such a situation. Terri Schiavo's parents, Bob and Mary Schindler, fought this request. Florida judge Georg e W. Greer ruled in 2000 that Schiavo was â€Å"beyond all doubt† in a persistent vegetative state and that her husband could discontinue life support.But as legal appeals in the case continued, the case became widely known as some religious groups and pro-life activists began to insist that Schiavo should be kept alive. Schiavo's feeding tube was removed in 2003, but reinserted six days later when the Florida legislature passed â€Å"Terri's Law,† which allowed the state's governor to issue a stay in such cases. The law was later ruled invalid by the courts. At this time, there may also have appeared to be a conflict of interest, as Michael had two children with a long-term girlfriend.In March of 2005 Schiavo's feeding tube was again removed, and the case became a greater public sensation when the U. S. Congress was called into special emergency session to pass a bill allowing federal courts to review the case, with President George W. Bush flying from Texas to Washin gton especially to sign the bill into law. However, federal judges and the U. S. Supreme Court refused to intervene. After two weeks without food and water, Schiavo died of dehydration on the 31st March 2005 at the age of 41.Some the ethical issues involved in this case include; autonomy, beneficence and non-maleficence, justice, religious views – Roman Catholic – sanctity of life, no advance directives, Terri’s pre incapacitation verbal comments, and conflict of interest (familial, financial and institutional). The patient had severe brain damage. This followed a history of a sudden collapse secondary to cardiac arrest which resulted in prolonged cerebral hypoxia. She was diagnosed as being in a persistent vegetative state. Prognosis for patients in this state is poor. This condition is deemed to be chronic and irreversible.The goal of treatment is to alleviate pain and suffering. The probability of success cannot truly be determined as the patient is unable to communicate. In this case rehabilitative efforts were found to be unsuccessful, and a court order was issued for life support to be ended. The patient benefits from medical care through treatment that alleviates any pain or distress. Nursing care also seeks to alleviate pain and distress through palliative care which seeks to provide comfort and maintain dignity. Harm is avoided when there are no conscious efforts to hasten or prolong death.Terri Schiavo was not mentally capable and, therefore, not legally competent. The evidence of her incapacity lay in her inability to communicate. Buchanan 2004, stated that legal competence is specific to the task at hand. It requires the mental capacities to reason and deliberate, hold appropriate values and goals, appreciate one's circumstances, understand information one is given and communicate a choice. If the patient were found to be competent, then according to Michael Schiavo, she would be asking for treatment to be withheld and ongoing treatment to be withdrawn.A patient’s ability to self-govern is grounded in cognition (Fine, 2005). So, assuming she had the mental capacity to make her own decisions, her autonomy would have been respected and her decision upheld by the legal system. As a part of informed consent, all information would have been given to the patient concerning benefits and risks specific to her circumstances. She would have voluntarily indicated her understanding of treatment options available and given her consent in a written or oral form or possibly by some type of implied behaviour.In her incapacitated state, the appropriate surrogate should, by moral and ethical standards be her husband Michael Schiavo and indeed, he was her court appointed guardian. Butts and Rich (2008) defines a surrogate as a court appointed individual who has the authority to make decisions on behalf of the patient. The question as to whether Mr. Schiavo used appropriate standards in his decision making can be meas ured against the principles for proxy decisions with incompetent patients as set out by Olick (2001).These principles in relation to Terri Schiavo say that competent patients have a right to refuse life sustaining treatment, and he testified in court that prior to her collapse she verbalized that she did not wish to live like that, to be a burden to anyone. Incompetent patients have the same rights they are, however, exercised differently. No right is absolute, instances in which a patient’s right to refuse life support is outweighed by societal interests is rare, this case was one of those rare instances.Withholding and withdrawing treatments from a terminally ill or permanently unconscious patient, does not constitute killing or assisted suicide. Terri was not diagnosed to be either terminally ill or permanently unconscious. A subjective standard of implementing the patient’s wishes should have been used, and it was. It is recorded that the patient while competent cl early made her wishes known through informal conversations with several individuals, including her husband. There were no advance directives to rely on for guidance in this case.Local processes of review in the clinical setting in order to facilitate the resolution of disagreements were denied by Mr. Schiavo, therefore, recourse to the courts which should have been rare were frequent. This analysis indicates that appropriate standards for decision making were utilized. Whether they were adequately utilized can be debated. Advance directives, as discussed by Butts and Rich (2008), include the use of formal, written legal documents, which may take one of three forms; a living will, a medical care directive or a durable power of attorney.None of these, however, were used to express the patient’s preferences. Terri had been medically assessed to be in a persistent vegetative state, with no higher brain function. In this state, it was judged that she would have been unable to coop erate with medical treatment. To say that she may have been unwilling would be denying her medical diagnosis, suggesting that she did have the higher brain power necessary to choose between quality and quantity of life. In summary, I do not believe that the patient’s right to choose was being respected to the extent possible in ethics and in law.This is reflected in the absence of compliance with several of the principles for proxy decisions. These would be; the attempt to enable her to express her wishes, respecting society’s interest for the continuation of life support, facilitating patient review to determine capacity and competence and finally not withholding and not withdrawing treatment from a patient who was not terminally ill or permanently unconscious. The New England Journal of Medicine (1994) discusses the prospect of return to a normal life with treatment. ‘Therapy aimed at reversing the persistent vegetative state has not been successful.There have been occasional reports of a benefit from dopamine agonists or dextroamphetamine, but the benefit has been modest at best, direct electrical stimulation of the mesencephalic reticular formation, nonspecific thalamic nuclei, or dorsal columns has been attempted experimentally in patients in a vegetative state, with claims of recovered consciousness in a few instances. The quality of the recovered state was not described in detail, however, and these approaches remain experimental. Overall, there is no published evidence that coma sensory stimulation improves the clinical outcome in patients in a persistent vegetative state. It continues to note that ’If the decision is to treat the patient aggressively, diligent medical treatment and nursing care are required to prevent and treat the complications that are likely or inevitable in states of severe brain damage. The survival of patients in a persistent vegetative state is, to some degree, related to the quality and intensity of the medical treatment and nursing care that they receive. Preventive care is foremost. Daily exercises in a range of movements slow the formation of limb contractures, which otherwise become particularly severe in patients in a persistent vegetative state.Daily skin care and frequent repositioning of the patient prevent decubitus ulcers. A tracheostomy may be required to maintain airway patency and prevent aspiration pneumonia. Bladder and bowel care is desirable for hygienic reasons. Since pulmonary and urinary tract infections are common, appropriate monitoring and, if necessary, treatment with antibiotics are required. Placement of nasogastric, gastrostomy, or jejunostomy feeding tubes is usually necessary to maintain adequate nutrition and hydration. ‘The outcome probability at 12 months was determined in patients who remained in a vegetative state at 3 months and at 6 months. In addition, the probability of functional recovery was determined for two possible outcomes: goo d recovery or recovery with moderate disability, and recovery with severe disability. On the basis of these probabilities, a persistent vegetative state can be judged to be permanent 12 months after a traumatic injury in adults and children; recovery after this time is exceedingly rare and almost always involves a severe disability.In adults and children with nontraumatic injuries, a persistent vegetative state can be considered to be permanent after three months; recovery does occur, but it is rare and at best associated with moderate or severe disability. ’ NEJM (1994) ‘Patients with a good recovery have the capacity to resume normal occupational and social activities, although there may be minor physical or mental deficits or symptoms. Patients with moderate disability are independent and can resume almost all activities of daily living.They are disabled to the extent that they can no longer participate in a variety of social and work activities. Patients with severe disability are no longer capable of engaging in most previous personal, social, and work activities. Such patients have limited communication skills and abnormal behavioral and emotional responses. They are partially or totally dependent on assistance from others in performing the activities of daily living. ’ NEJM (1994) A bias does exist, according to Viswanathan et al. (2012), a reporting bias is the difference between reported and unreported findings.This would have made a big difference to the results obtained from any form of continuous assessments at the hospice. Based on the very minimal treatment options chosen by Michael Schiavo, reflective in a refusal to allow physiotherapy, oral hygiene or antibiotic administration, we may deduce that a continuation of life, with contractures, infections and poor dental state would be undesirable. There was a plan to discontinue life support by having her feeding tube removed. There was also a DNR order in place. The reason for both of these actions was to prevent prolongation of her death.The documentation suggests that there were plans for palliative care, as Butts and Rich (2008) points out that palliative care includes the choice to forego, withhold or to withdraw treatment, it also includes DNR orders. Palliative care does not hasten or prolong death, but provides relief from pain and suffering and maintains dignity in the dying experience. Michael Schiavo had a long-term girlfriend, with whom he had fathered two children, according to Funaro (2007). There may have existed a conflict of interest in balancing the affairs of his new family with the needs of his wife. He claimed that a part of him had moved, yet he still oved his wife so much that he was willing to fight to carry out her wishes. This conflict may have had an influence on his decisions. Provider issues that may have influenced treatment decisions, lie in the fact that the institution in which Terri was being cared for was one in which end -of-life management was carried out. The treatment provided by the hospice staff would only have recommended palliative care. Are there financial and economic factors? Yes. Fine (2005) tells us that ‘Families may bankrupt themselves caring for patients in a persistent vegetative state, at which point Medicaid steps in.Medical costs are the leading factor in bankruptcy. her parents objected to her being supported by government funds. The hospice caring for Terri Schiavo provided $9. 5 million of charity care to patients in the past year. Another question of distributive justice relates to insurance. Can a society that cannot find enough resources to insure the 44 million persons (25% of whom are children) with no government or private health insurance really afford to maintain patients in a persistent vegetative state at a cost of $40,000 to $100,000 each per year? The lack of health insurance costs lives.According to the Institute of Medicine, 18,000 deaths per year are direct ly attributable to a lack of health insurance. ’ Terri Schiavo had been a devout Roman Catholic, Lynn (2005) this religion upholds the sanctity of life. It was difficult for her parents to believe that she would not have wanted to hold on to life at all costs. They questioned whether Terri would have wanted to be starved to death. Their’s and by extension Terri’s prior existence was a culture of life. There are limits on confidentiality, the incompetent patient still has a right to privacy and confidentiality. This right should be upheld by the legal guardian.Treatment decisions are largely affected by the laws that govern options for patients to be able to choose to accept or refuse care, and for legal guardians to make decisions on their behalf when they are not able to. A great deal of clinical teaching and research is involved on an ongoing basis. It brings about new information and better ways of managing conditions. Yes there was a conflict of interest on the part of the institution. Lynn (2005) ‘regulations generally prohibit a hospice from taking a patient who is not terminally ill and expected to live longer than six months to a year.But Felos was chairman of the board of directors of the hospice at the time, according to the non-profit’s annual reports, and was likely able to arrange for her admission. He subsequently stepped down from the post. ’ George Felos was Michael Schiavo’s attorney. The committee’s specific findings related to this case are as follows; ‘decisions near the end of life, whether to maintain a treatment that may not be beneficial or to withdraw or withhold a life-sustaining treatment, should be effectively handled in the majority of cases by the primary treatment team.Ethics consultations are available and can be particularly valuable in cases of uncertainty or conflict. Palliative care consultations are available in cases of uncertainty or when needed to help manage c omplex symptoms, including physical, psychological, social, and spiritual suffering. Such suffering is often at the root of many an apparent conflict, and when the suffering is properly addressed, the conflict resolves.When these efforts fail to resolve conflict over decisions near the end of life, the rule of law suggests that the conflict be resolved in a court and not in legislative deliberations for a single patient. At the end of all of the medical, legal, and ethical argument, it is most important to remember that no matter how certain any of us may be of our analysis, decisions near the end of life should never be easy. We must remind ourselves that true wisdom comes with the acknowledgment of uncertainty and admitting that we cannot know all there is to know.This uncertainty is neither an excuse to engage in endless moral relativism or to engage in intellectual nihilism, refusing to search for the best possible solution or the least terrible outcome for a troubling moral pro blem. ’ Fine (2005). In light of the above discussions, with heavy emphasis on the seven principles for proxy decisions with incompetent patients, the committee has decided against the removal of the feeding tube. The rationale for this decision, lies mainly in the fact that these principles were not upheld as best as they could have been.As shown in the above discourse, a thorough attempt had not been made to closely follow these principles. As such, the committee recommends that the feeding tube not be removed. In conclusion, there is no traditional moral obligation to provide non-beneficial treatments based upon the classic goals of medicine, which are, according to Hippocrates, â€Å"the complete removal of the distress of the sick, the alleviation of the more violent diseases, and the refusal to undertake to cure cases in which disease has already won mastery, knowing that everything is not possible to medicine†.There is a traditional duty to relieve suffering, ni cely restated by Sir William Osler 1849-1919: â€Å"To cure sometimes, to relieve often, to comfort always. † References Author unknown, 2004, Terri Schiavo Biography (Medical Patient), J R Soc Med; 97(9): 415–420. PMCID: PMC1079581, retrieved from www. infoplease. com/biography/var/terrischiavo. html Fine, R. , 2005, From Quinlan to Schiavo: medical, ethical, and legal issues in severe brain injury, retrieved from www. ncbi. nlm. nih. gov †º †¦ Funaro, S. 007, Why didn't Michael Schiavo seek a divorce? , retrieved from www. legalzoom. com/planning-your-estate/living-wills/why-didn Lynn, D. 2005, Life and Death Tug of War-The Whole Terri Schiavo Story, retrieved from www. wnd. com/2005/03/29516/ – 115k, Published: 03/24/2005 at 1:00 AM New England Journal of Medicine, 1994, Medical Aspects of the Persistent Vegetative State, N Engl J Med 1994; 330:1572-1579 DOI: 10. 1056/NEJM199406023302206, retrieved from www. nejm. org/doi/full/10. 1056/NEJM199406023 302206 Olick, R. S. 2001.Taking advance directives seriously: Prospective autonomy and decisions near the end of life. Washington, DC: Georgetown university Press, p. 30. Viswanathan M, Ansari MT, Berkman ND, Chang S, Hartling L, McPheeters LM, Santaguida PL, Shamliyan T, Singh K, Tsertsvadze A, Treadwell JR. , 2012, Assessing the Risk of Bias of Individual Studies in Systematic Reviews of Health Care Intervention, Agency for Healthcare Research and Quality Methods Guide for Comparative Effectiveness Reviews, retrieved from effectivehealthcare. ahrq. gov/index. cfm/search-for-guides-rev – 148k

Report on Feasibility Study to Start a Restaurant

Waste Disposal †¢ Periodically inspect for leaky dumpsters and compactors. If dumpsters are leaking, call the leasing company to repair or replace dumpsters. †¢ Cover dumpsters and other waste containers to prevent stormwater from entering the container. †¢ Never dispose of waste products, such as food or liquid wastes, to storm drains. Donate edible food to a food donation bank, participate in food waste composting programs, contact an animal feed company or dispose of food waste in a trash receptacle. †¢ Never wash down dumpsters or dumpster areas with a hose.If a dumpster must be cleaned, contact the dumpster leasing company. Use dry clean up methods to wash dumpster area or use other Best Management Practices (BMPs) to clean dumpster area to prevent wash water from flowing to the storm drain system. †¢ Improper handling and disposal that creates a discharge to a storm drain is illegal. Both the company and individuals responsible are subject to civil and criminal prosecution. Grease Handling and Storage †¢ Do not pour cooking oil or grease into sinks or floor drains, or into a parking lot, stormdrain or street. Dispose or recycle cooking oil and grease through a licensed waste grease hauler or licensed grease recycler. Search for grease haulers and recyclers under â€Å"tallow† in the Yellow Pages. †¢ Service oil/grease interceptors at least monthly. For an oil/grease interceptor to function properly no more than 1/3 of the depth of the interceptor should be a floating grease layer and no more than ? of the depth should be sediment on the bottom of the interceptor (www. oracwa. org). †¢ Under-sink grease traps should be serviced at least weekly, more often if the grease trap is more than 50% full (www. racwa. org). †¢ Practice dry clean up. Use scrapers to remove food wastes from serving ware, pots, pans, grills, and cooking surfaces prior to cleaning them with water. Dispose of food waste in a trash recep tacle, send to an animal feed company, or donate edible foodstuffs to a food donation bank. †¢ Use food grade paper to soak up oil and grease under fryer baskets. Dispose of soaked paper in a trash receptacle. †¢ Improper handling and disposal that creates a discharge to a storm drain is illegal.Both the company and individuals responsible are subject to civil and criminal prosecution. Pavement and Floor Cleaning †¢ Keep parking lot, drive through, and dumpster areas clean and remove accumulated debris. Use dry methods for spill cleanup: such as sweeping instead of washing; the use of rags, cat litter or another type of absorbent; place trash and solid waste into dumpsters. If you mop up a spill, dispose of mop/washwater in indoor janitorial/mop sinks. †¢ Do not hose down pavement or any outside area to the storm drain. Use a BASMAA certified surface cleaner (www. ity. palo-alto. ca. us/cleanbay/cbb. html) to wash sidewalks, drive-through and parking lots. Your e mployees and your contractor must use BMPs to prevent washwater from flowing to the storm drain system. †¢ Never pour or sweep wastewater from restaurant floors out the back door, or into a gutter, stormdrain, or creek. Dispose of mop/washwater in indoor janitorial/mop sinks or toilets. †¢ Improper handling and disposal that creates a discharge to a storm drain is illegal. Both the company and individuals responsible are subject to civil and criminal prosecution.Equipment Cleaning †¢ Clean floor mats, grease filters, grills, garbage cans and other restaurant equipment in a janitorial/mop sink, inside floor drain, or other designated wash area that flows to the sanitary sewer system. Talk to your local sanitary sewer agency for requirements. Equipment cleaning washwater shall not flow to the storm drain system. †¢ If your restaurant uses a contractor to clean floor mats, exhaust hoods, or any other equipment, check to be sure that they are not allowing washwater t o flow to the storm drain system.The restaurant is responsible for contractor actions. †¢ Check roof top exhaust fans and flumes at least weekly. Place an oil collection tray under rooftop exhaust fan shrouds to collect cooking oil and grease and empty the shrouds weekly. †¢ Do not clean equipment in food preparation sinks. †¢ Improper handling and disposal that creates a discharge to a storm drain is illegal. Both the company and individuals responsible are subject to civil and criminal prosecution

Decision Making Models Essay

Managers have the responsibility of making decisions within that guide and provide direction to their organizations. Although decisions may be made by individuals, groups, or teams, it is the manager who coordinates the process of decision making. Managers make use of various decision making models to effectively steer the organizations. It is worth to noting that there is no one model or style that is always right or perfect in decision making. This is so because different people are successful and satisfied using different styles. There are two major broad models of decision making. These are the deterministic and probalistic models. The deterministic models result in good decisions with good outcomes. The manager using this model is able to get what he/she expects i. e. the out come is risk free. In probabilistic decision models, the expected results are uncertain and thus making good decision may not necessarily lead to good outcomes. The probabilistic decision making model is characterized by more concern with both the outcome value and the amount of risk each decision carries. All other effective decision making models can be classified as either deterministic or probabilistic model. The other subcategories of decision making models are mechanical, mental/verbal, analytical, and simulation. These models are classified based on such characteristics such as types, evolution in time, and availability of information (McCall M. , and Kaplan, R. (2001). ). Mechanical models take physical appearance of the object. They are used to display or test the design of items ranging from new buildings to new products. Mental/verbal models are also important and can be used to verbalize decision strategies for more complicated decision making models. The other model is analytical model which is a mathematical model and aimed at simplification, abstraction of real systems to give insight and understanding to some interested aspect of reality (Klein G. , et al. , (Ed. ) (1993). The analytical models are applicable to the deterministic systems. A simulation model is the last model that I am going to address. Simulation models are the computerized duplications of real systems and are seen to be more realistic, especially when modeling dynamic/probabilistic systems e. g. as used in aviation industry. Current Application Decision making models have assisted managers a lot in making viable decisions within the organization. The models discussed above have been implemented by individuals within organizations to come up with good decisions. For instance, the mental/verbal model has been used to aid in problem identification, in the development phase as well as the selection phase of decision making. Decision support system (DSS) has found usage in air-line management. Decision support systems and the models have been used to make decision both under risk, certainty, and even conflict in organizations. Other applications of the decision making models include the DSS for fiber optic Network Architecture Design and application of technology to cardiovascular diagnosis. Decision making models have also been used in forecasting with examples such as regression models and Box-Jenkins models. In brief, the use of effective decision making models by mangers has helped organizations to improve their businesses as a result of quality decision. The various effective decision making models used by mangers have both benefits and drawbacks or challenges associated with them. Mechanical decision making models have the advantage of being usable for experimentation. Mechanical models are credited for clearly describing the problem of system under study and thus results in innovative designs alternatives for decision making. Mechanical models also have some challenges in that they do not contain explicit relationships between the decision alternatives and dependant variables or objectives Mental/verbal models make the manager unable to experiment with them and cannot be used to show how outcomes or measures of effectiveness change with decision alternatives. It is also not possible to show how the relationships change with the decision alternatives. These models have the advantage of being easy to understand. They are also based on many years of managerial experience (Klein G. , et al. , (Ed. ) (1993). The advantages of analytical models include that they aim at simplification and bring understanding to some interested aspect of reality. They can also help to test the effects of different decision alternatives, constants and parameter values more easily than with any other type of model. They can also analyze complex problems efficiently and concisely, and in many cases provide the cheapest way to analyze these problems. Although they are the most prevalent models in use today they may not be easily accepted by managers who lack training, experience and time to use them. Simulation models have a high degree of abstraction and as such many managers do not want to work with them. The reason of this could be lack of enough training in and exposure to those models. The other reason is that trained managers may lack sufficient time to pay attention to model. Despite these drawbacks the models are beneficial in the sense that in comparison to the mechanical model they can facilitate experimentation because both the independent variables, dependent variables, constants and parameters are explicitly related by language of mathematics.

Odin and Jesus comparison Essay Example | Topics and Well Written Essays - 750 words

Odin and Jesus comparison - Essay Example One of the most recognized similarities between Jesus and Odin occurs in terms of the crucifixion. In the Jesus myth the Bible depicts Jesus as being crucified by Roman soldiers after being turned in by his disciple Judas. While the Biblical articulation of the Jesus myth is well understood, less is understood of the Odin myth. Still, scholars recognize many similarities between Jesus crucifixion and Odin’s; it’s noted that:   The parallels between Odin’s death and Christ’s crucifixion are striking: both die  voluntarily; Odin is pierced with a spear, so is Christ; Odin alludes to the lack of reviving drink and Christ gets vinegar; Odin screeches or shrieks before he dies, and Christ cries out ‘in a loud voice (Crossely-Holland, p. 187). The above secondary source indicates some of the significant similarities that have been identified between the two myths. There is the recognition that in some instances there is not a direct parallel; subsequen tly it is important to consider that some of the above established similarities may be the cause of confirmation bias. Still, the Odin emerged two-hundred fifty years before the Jesus myth and could easily have influenced the apostles when they were constructing the books of the New Testament. This perspective is further heightened by the recognition that Christian missionaries may have used portions of the Odin myth to convince individuals living in Germanic territories to convert to Christianity. In this way the Odin myth could have had a subtle influence on the way the Christian Jesus myth was articulated. When examining both crucifixion stories further there is the recognition that there are increasing similarities. In terms of spear piercing, Odin is recognized as having pierced his own side. This is contrasted with the Jesus myth, where a Roman centurion is the one who injures Jesus. Still, the effect of pain and suffering is one that remains constitute throughout both myths. In speaking of Odin hanging the myth indicates that Odin was hanged from a tree. After this occurs the Odin indicates, â€Å"With spear I was wounded, and offered I was† (Bellows, p. 60). There is the recognition that in both Jesus’ and Odin’s story a spear was used. There is also a similar qualitative consideration between the two myths. Jesus’ image on the cross is indelibly positioned with Western consciousness; a similar embodiment of suffering occurs with Odin as he hangs from the tree indicating that, â€Å"None made me happy with loaf or horn† (Bellows, p. 60). In both instances there is the image of the deity as suffering without help. Still, perhaps more significant is the underlining thematic recognition that in both instances the figure’s death constitutes a sacrifice for a greater cause. In the Jesus myth Jesus dies for the sins of humanity. This is contrasted with Odin who, â€Å"offered I was To Othin, myself to myself† (Bellows, p. 60). Here Odin is indicating that he sacrificed himself to himself. While the purpose for the sacrifice could ostensibly argued to be different between the myths, for Odin his death is done to gain knowledge for humanity. In both instances then there is the recognition that the death occurs to benefit humanity. In conclusion, this essay has compared the deities Odin and Jesus. Within this spectrum of examination the essay has demonstrated that both individuals share a number of