Saturday, August 31, 2019

Gas Leak Sensing In Cars Using Embedded System Engineering Essay

Abstraction: Carbon monoxide is a colourless, odorless, toxic gas whose primary beginning indoor is the uncomplete burning of fossil fuels. Carbon Monoxide is the most toxic which restricts the flow of O to the encephalon, rendering the individual dead within proceedingss. The chief purpose of this thesis is to develop a system to observe the being of C monoxide inside a auto, due the malfunctioning of the air conditioner and to supply an exigency mechanization to avoid any build-up of C monoxide gas. The mechanization involves uninterrupted monitoring of CO degrees and triping relays to run the exigency system, when CO degrees reach a high value. The GSM engineering can be used when a vehicle met with an accident, instantly the location, vehicle figure, individual to reach figure, reference and the medical history will be transferred to the nearest aid desk. Keywords: Carbon monoxide, MQ-7 detector, Microcontroller AT89s51, GSM engineering Introduction Carbon monoxide is a colorless, odorless, toxic gas whose primary beginning indoor is the uncomplete burning of fossil fuels. The job that we are seeking to get the better of is Carbon Monoxide leak in a auto. When the air-conditioner malfunctions, there is a CO leak, which can be risky, sing that most of the autos are air-conditioned. In the event of people acquiring stuck in the auto during a CO leak, it could turn out fatal, as this gas is really toxic. It mixes with the haemoglobin in blood and signifiers carboxy-hemoglobin, which restricts the flow of O to the encephalon, rendering the individual dead within proceedingss. The molecule consists of a C atom that is triply bonded to an O atom. Carbon monoxide is a commercially of import chemical. It is besides formed in many chemical reactions and in the thermal or uncomplete decomposition of many organic stuffs. Dangerous sums of CO can roll up when as a consequence of hapless installing, hapless care or failure or harm to an contraption in service, the fuel is non burned decently, or when suites are ill ventilated and Carbon Monoxide is unable to get away. Having no odor, gustatory sensation or coloring material, in today ‘s universe of improved insularity and dual glazing it has become progressively of import to hold good airing, maintain all contraptions on a regular basis and to hold perfectly dependable sensor dismaies installed giving both a ocular and hearable warning instantly there is a build up of CO to unsafe degrees. 1.1 The effects of Carbon Monoxide Carbon Monoxide toxicants by come ining the lungs via the normal external respiration mechanism and displacing O from the blood stream. Break of the normal supply of O puts at hazard the maps of the bosom, encephalon and other critical maps of the organic structure. Carbon Monoxide produces the undermentioned physiological effects on people exposed to the concentrations shown: Table No 1.1 Safety Degrees The above information is for a healthy grownup. Persons enduring from bosom or respiratory wellness jobs, babies and little kids, unborn kids, anticipant female parents and pets can be affected by CO poisoning more rapidly than others in the family and may be the first to demo symptoms. 1.2 Corrective Action Evacuate & gt ; Ventilate & gt ; Investigate Travel the affected individual to fresh air.A Administer O if available. Contact medical aid. If the individual is non eupneic, perform unreal respiration as taught in Cardiopulmonary Resuscitation Training until medical aid arrives. Vent the country. Investigate the beginning of C monoxide and do fixs. The most of import thing that one can make to protect oneself and one ‘s household from the dangers of Carbon Monoxide toxic condition is by acquiring a Carbon Monoxide Sensor Alarm with a low degree index. If one can suit a sensor one can at least be certain, holding carried out all the about safety cheques, that he is protected. 1.3 EMERGING Technology Dae-Eun Park, Taegyu Kimb, Sejin Kwon, Choong-Ki Kima, Euisik Yoon, ( 3 ) presents the Successful execution, â€Å" Micromachined methanol steam reforming system as a H provider for portable proton exchange membrane fuel cells † , In this paper, a fresh hydrogen-supplying device for fuel cells has been designed, fabricated, and demonstrated. The proposed H provider is a micromachined one-chip fuel processing system including vaporiser, catalytic combustor and methyl alcohol steam reformist. This fuel processing system utilizes the thermic energy generated from the catalytic H burning to heat up the full system. For the catalytic burning, we have introduced C nanotubes as a encouraging construction of Pt accelerator for the first clip. We have besides developed a new surfacing method of reforming accelerator ( Cu/ZnO/Al2O3 ) and observed that equal sum of H can be generated for PEM fuel cells. We have successfully reported the feasibleness of the proposed fuel processing system . â€Å" Handheld laser-based detector for distant sensing of toxic and risky gases † ( 7 ) . A new optical tool, which will assist petrochemical refinery and chemical processing works forces locate the beginning of a toxic or risky gas leak while staying outside the margin of the processing country, has been demonstrated. This detector is capable of turn uping leaks from a distance of about 20 m, with a response clip of less than 1 2nd. By heightening the velocity with which leaks can be located, the hazard of an inchoate failure going a ruinous failure is reduced significantly. The tool is based on Tunable Diode Laser Absorption Spectroscopy ( TDLAS ) . TDLAS is presently being utilized in these industrial environments in permanently-installed open-path constellations to feel releases of selected gases as they exit the processing country. The detector described here combines a lightweight, portable optical transceiver with battery-operated electronics in a individual handheld bundle. By standing in a safe country and â€Å" polishing † the eye-safe optical maser beam emanating from this device onto suspected leak beginnings, operators may quickly insulate the beginning while minimising their possible exposure to the jeopardy. The detector can be configured to feel leaks ensuing in path-integrated concentrations of, for illustration, 2 ppm-m of H fluoride, 200 ppm-m of H sulphide, or 10 ppm-m of methane. Dr. Stetter ‘s ( 4 ) says, ‘The new detector utilizing a nano-particulate composite plastic for electronic conductivity within the detectors ‘ cell wall. â€Å" It is astonishing what such an invention does for the detector interior decorator, comments Dr. Stetter. To be able to plan a detector with no wires or connections to the electrodes eliminates the major beginning of detector failure over clip. With the new nanotechnology enabled T-Series detectors, a bantam low-cost bundle that is more robust is the consequence. Vishad Patel, Senior Engineer of Transducer Technology, Inc. says, â€Å" In add-on to leting the new bantam detector design, † â€Å" we get to do radical low profile level detectors with fewer fabrication stairss. † All of these characteristics may be great for applied scientists but the client besides benefits to a great extent from this new attack to sensor merchandises. The first detector attempted with the nanotechnology was a CO [ C monoxide ] detector. The consequences are astonishing, high public presentation CO detectors, even better public presentation specifications, like response clip and stableness, than most of the bing detectors. The EMI intervention appears to be less than the current offerings for CO detectors besides. This means the client can freely plan bantam, rugged, accurate, and low power CO metres that are guaranteed to run in a broad assortment of environments and applications. J.Ayala, Donald.P.Eckman, Evangelous Petroutsos ( 9 ) says, â€Å" Micro Controller 8951 † . A microcontroller ( besides MCU or A µC ) is a computer-on-a-chip. It is a type of microprocessor stressing autonomy and cost-effectiveness, in contrast to a all-purpose microprocessor ( the sort used in a Personal computer ) . In add-on to all arithmetic and logic elements of a general intent microprocessor, the microcontroller normally besides integrates extra elements such as read-only and read-write memory, and input/output interfaces. 1.4. Block DiagramCO gas DetectorGSM ModemRS 232Door Locking/Unlocking Unit of measurementSignal ConditionerAT89S51Driving CircuitA detector is a type of transducer, or mechanism that responds to a CO gas by bring forthing another type of energy signal. The Sensor that we use in the undertaking is MQ-7. A signal conditioner is a device that converts one type of electronic signal into another type of signal. Its primary usage is to change over a signal that may be hard to read by conventional instrumentality into a more easy read format. In executing this transition a figure of maps may take topographic point. They include: Amplification Electrical Isolation Linearization Cold Junction Compensation Excitement A microcontroller ( besides MCU or A µC ) is a computer-on-a-chip. It is a type of microprocessor stressing autonomy and cost-effectiveness, in contrast to a all-purpose microprocessor ( the sort used in a Personal computer ) . Microcontrollers are often used in automatically controlled merchandises and devices, such as car engine control systems, office machines, contraptions, power tools, and playthings. By cut downing the size, cost, and power ingestion compared to a design utilizing a separate microprocessor, memory, and input/output devices, microcontrollers make it economical to electronically command many more procedures. In telecommunications, RS-232 ( Recommended Standard 232 ) is a criterion for consecutive binary informations signals linking between a DTE ( Data terminal equipment ) and a DCE ( Data Circuit-terminating Equipment ) . It is normally used in computing machine series ports. A GSM modem is a wireless modem that works with a GSM radio web. A wireless modem behaves like a dial-up modem. The chief difference between them is that a dial-up modem sends and receives informations through a fixed telephone line while a wireless modem sends and receives informations through wireless moving ridges. A GSM modem can be an external device or a Personal computer Card / PCMCIA Card. Typically, an external GSM modem is connected to a computing machine through a consecutive overseas telegram or a USB overseas telegram. A GSM modem in the signifier of a Personal computer Card / PCMCIA Card is designed for usage with a laptop computing machine. Detector A detector is a type of transducer, or mechanism that responds to a type of energy by bring forthing another type of energy signal, normally electrical. They are either direct indicating ( an electrical metre ) or are paired with an index ( possibly indirectly through an parallel to digital convertor, a computing machine and a show ) so that the value sensed is translated for human apprehension. A device that responds to a stimulation, such as heat, visible radiation, or force per unit area and generates a signal that can be measured or interpreted is called a SENSOR. 2.1 Types of SENSORS Types of detectors include electromagnetic, chemical, biological and acoustic. Aside from other applications, detectors are to a great extent used in medical specialty, industry and robotics. In order to move as an effective detector, the undermentioned guidelines must be followed: The detector should be sensitive to the measured variable. The detector should be insensitive to any other variable. The detector should non act upon the measured variable. In theory, when the detector is working absolutely, the end product signal of a detector is precisely relative to the value of the parametric quantity it is meant to mensurate. The addition is so defined as the ratio between end product signal and measured variable. For illustration, if a detector measures temperature and has an existent electromotive force end product, the addition is a changeless with the unit. 2.2 CO SENSOR MQ-7 The Sensor that we use in our undertaking is a commercial merchandise from Hanwei Electronics Ltd. China. The detector is composed of micro Al2O3 ceramic tubing, Tin Dioxide ( SnO2 ) sensitive bed, mensurating electrode and warmer are fixed into a crust made by plastic and unstained steel cyberspace. The warmer provides necessary work conditions for work of sensitive constituents. The enveloped MQ-7 Sensor has 6 pins, 4 of which are used to bring signals ; the other 2 are used for supplying heating current. 2.2.1 Features of the Sensor The assorted characteristics of the MQ-7 is listed below High sensitiveness to carbon monoxide. Stable and long life. Miniature size and low power ingestion. Low Cost. 2.2.2 Applications of the Sensor Residential and commercial CO sensors. Air quality accountants. Ventilation control for indoor parking garages. These electronic sensors sound against a fire by feeling CO degrees in the air. Demand controlled airing for offices, exhibition centres, hotels, tunnels, mines and auto Parkss. Pollution Control for the vehicles. 2.2.3 Specifications Symbol Parameter name Technical Condition Remark TaoUsing temperature-20i‚ °-50i‚ ° Tantalum Storage temperature -20i‚ °-50i‚ ° Advice utilizing range Rhesus factor Relative humidness Less than 95 % RH O2 Oxygen concentration 21 % ( stand status ) the O concentration can impact the sensitiveness. Minimum value is over 2 % The tabular array 2.1, 2.2 and 2.3 are the specifications of the MQ-7 detector. Table No 2.1 Standard Work Conditions Table No 2.2 Environment conditions Symbol Parameter name Technical Condition Remark VC Circuit Voltage 5VA ±0.1 Ac or Dc VH ( H ) Heating Voltage ( high ) 5VA ±0.1 Ac or Dc VH ( L ) Heating Voltage ( low ) 1.4VA ±0.1 Ac or Dc RL Load Resistance Can set Rhesus factor Heating Resistance 33I ©A ±5 % Room Temp. TH ( H ) Heating Time ( high ) 60A ±1 seconds TH ( L ) Heating Time ( low ) 90A ±1 seconds Ph Heating Consumption Less than 330mw Table No 2.3 Sensitivity features Symbol Parameter name Technical Condition Remark Roentgen Surface opposition Of sensitive organic structure 2-20k In 100ppmCarbon Monoxide? ( 300/100ppm ) Concentration incline rate Less than 0.5 Rs ( 300ppm ) /Rs ( 100ppm ) Standard working status Temperature -20i‚ °CA ±2i‚ °C: Relative humidness 65 % A ±5 % : RL: 10KI ©A ±5 % VC: 5VA ±0.1V VH: 5VA ±0.1V VH: 1.4VA ±0.1V Preheat clip No less than 48 hours Detecting scope: 20ppm-2000ppm C monoxide 2.2.4 Structure of the Sensor MQ-7 Structure and constellation of MQ-7 gas detector is shown as Figure 2.1. ( Configuration A or B ) Figure No 2.1: Detector construction of MQ-7 2.2.5 Basic Measuring Circuit As shown in Figure 2.2, standard mensurating circuit of MQ-7 sensitive constituents consists of 2 parts: One is the heating circuit holding clip control map ( the high electromotive force and the low electromotive force work circularly ) , the 2nd is the signal end product circuit: it can accurately react alterations of surface opposition of the detector. Figure No 2.2: Measuring Circuit of Sensor 2.2.6 Operation Principle The surface opposition of the detector RS is obtained through accomplished electromotive force signal end product of the burden opposition RL which series-wound. The relationship between them is described by 2.2.6.1:RSRL = ( VC-VRL ) / VRL 2.2.6.1Figure No 2.3 Clocking Diagram of Sensor Figure 2.3 shows alterable state of affairs of RL signal end product measured by utilizing Fig.2.2 Circuit Output signal, when the detector is shifted from clean air to Carbon Monoxide ( CO ) , Output Signal measuring is made within one or two complete heating period ( 2.5 minute from high electromotive force to low electromotive force ) . Sensitive bed of MQ-7 gas sensitive constituents is made of SnO2 with stableness. So, it has first-class long-run stableness. Its service life can make 5 old ages under utilizing status. 2.2.7 Sensitivity Adjustment for the Sensor Resistance value of MQ-7 is different to assorted sorts and concentration of gases. So, when utilizing these constituents, sensitiveness accommodation is really of import. It is recommended that the sensor is calibrated for 200ppm CO in air and Load opposition ( RL ) needed is about 10 KI © ( 5KI © to 47 KI © ) . For accurate measuring, the proper dismay point for the gas sensor should be determined after sing the temperature and humidness influence. The sensitiveness accommodation algorithm is as follows: a. Connect the detector to the application circuit. B. Turn on the power, Preheat through electricity for over 48 hours. c. Adjust the burden opposition RL until a signal value is obtained, which responds to a certain Carbon Monoxide concentration at the terminal point of 90 seconds. d. Adjust another burden opposition RL until you get a signal value is obtained which is respond to a Carbon Monoxide concentration at the terminal point of 60 seconds. Figure No 2.4: Sensitivity Features of the MQ-7 Fig.2.4 shows the typical Sensitivity Characteristics of the MQ-7 Sensor for several gases. Figure 2.5: gives the Dependence of MQ-7 on Temperature and Humidity Temp: 20i‚ °C: Humidity: 65 % : O2 concentration 21 % : RL=10kI © Ro: Detector Resistance at 100ppm CO in the clean air. Roentgen: Detector Resistance at assorted concentrations of gases. Figure No 2.5: Dependence of MQ-7 on Temperature and Humidity.CO Gas DetectorThe Micro-controller has many more grounds to be used than the microprocessors. Automatically controlled merchandises and devices, cut downing the size, cost, and power ingestion and increasing informations transportation velocity, memory. The figure 3.1 gives the portion of the circuit of the thesis. Circuit Diagram of Gas Detector3.1 Automation after CO is detectedThis undertaking intends to get the better of the unsafe state of affairs that those three people found themselves in, on that fatal twenty-four hours. Using the Sensor MQ-7, after CO is detected, Emergency Automation and Control is provided, based on the degree of CO detected. From the tabular array 1.1, we see assorted degrees of CO in ppm. These degrees indicate the degrees of toxicity and its effects on Human Beings. The lock of the door, which is portion of the cardinal lockup system, is unbarred automatically. Redundantly, a doorbell is sounded to bespeak that the doors are unbarred to enable speedy issue from the auto. As already explained, when the first degree of CO is reached, the slit on top of the auto opens leting fresh air to come in in, while the exhaust fan removes CO from indoors. The consequence of this operation can be witnessed on the LCD, where the CO degree lessenings. Redundancy is implemented here in the signifier of two exigency actions taking topographic point at the same clip. By and large, this degree is non reached because the first action is really good in cut downing the CO degree inside the auto. But, in dire fortunes, when there is an exponential buildup of CO degree in the auto, due to unknown grounds and the first action is turn outing to be inefficient, the 2nd exigency action takes over. Hence, Redundancy is besides implemented here for Safety. Following actions take topographic point on making the 2nd degree. The doors are unbarred automatically. An exact reproduction of a existent auto door mechanism is used here.4.1. Future EnhancementThe particular characteristics of this â€Å" GSM Based CO Gas Leak Sensing Using Embedded System † have been discussed in the old chapters. Now let us see how this undertaking can be enhanced in the hereafter with the latest approaching engineerings.This undertaking being a crisis direction mechanization system can be enhanced with the WAP engineering. With this the current readings of the degree of the CO degrees or the other parametric quantities involved can be sent through to a few of import Mobile phones when risky degrees are reached. Besides this can be used in assorted other state of affairss like mills, industries and other topographic points where CO buildup may happen. The chief difference in the undertaking would be to take the appropriate CO detector as the state of affairs requires. CO Sensors with higher degrees of sensitiveness are available.4.2 DecisionA really accurate and effectual method to observe CO degrees within inside a auto has been devised. Besides two degrees of mechanization have been incorporated to battle any addition in CO degrees within the auto. The whole undertaking is really cost effectual and can be implemented in any sort of auto right from the basic theoretical account to the luxury autos. The life of the CO detector is besides really long and its dependability is really good. Besides assorted other parametric quantities can be continuously monitored and displayed in the show. This adds diverseness to the undertaking and enables multi tasking.

Friday, August 30, 2019

Prison Reform Essay

Three inmates could be released from prison today. Two of them will end up right back in the system within three years. This statistic should be enough to conclude that America’s prison systems are failing miserably with the rehabilitation of inmates. How is it plausible for every correctional facility to think isolation, segregation, and overcrowding could possibly benefit the crime rate? Instead of converting these inmates into proper citizens, the system has found ways to hold them down. To suppress their inspiration to change. For many inmates, those bars do not only imprison their bodies, but their motivation and determination as well. US prisons are breeding grounds for violence. These places are supposed to reform inmates into law abiding people. Instead, they turn even the harmless criminals into the most violent ones. One man is sentenced to one year due to drug trafficking. Another man is sentenced to life without parole for several brutal murders. Despite the different levels of their crimes, they could possibly be bunked together in the same cell. This right here is a prime example of what the DOC will do to hold an inmate down. By involving non-violent criminals with heinous ones, they are creating a situation of fear and defense. The man who is in for excruciating violent behavior could easily try to hurt his cell mate. He has nothing to lose. Is the man with minor charges expected to not defend himself? No. That’s where the violence sets in. When you mix completely different criminals together on purpose, there is going to be an outbreak of violence. Everybody has those weeks where you just feel like you need to get out of the house. As if staying home doing nothing one more day would just make you rip your hair out. Imagine having to do that for anywhere up to six months or longer. Not just in a wide open house, but in a small, confined cell. No human contact, nothing to keep you busy, sometimes even going hours wi thout food. This happens daily in the American prison systems. Solitary confinement has been a method used for years in the US. Such isolation can take a huge toll on anybody’s mental stability. Often these inmates are thrown into a single cell, and basically forgotten about. These prisoners are treated like dogs instead of human beings. Do these officers realize that each one of those men have someone who cares about them? For every inmate in that facility there is someone who loves them. Another flaw of the DOC is the hiring process of correctional staff. I have a great deal of thanks for those who  have put their safety on the line to control inmates. However, I also believe they have much to do with the violent outbreaks. For some officers, this position is like a power trip. While there are many honorable officers, you can tell they love the future of the inmates riding in their hands. I have witnessed first hand CO’s getting inmates all wired up knowing the inmate will get themselves in trouble. Often these officers act just as childish as the prisoners! The only difference is the uniforms they’re wearing. The requirements to become a correctional officer is to provide security and to enforce the rules, not to contribute to the chaos! As a new inmate entering the system, there is one factor that everybody recognizes about you†¦The color of your skin. Instead of providing a place where segregation is at a minimum, prisons all across America are dealing with gang violence and race issues. These issues are known as â€Å"Prison Politics† to some. No matter who you are, or where you’re from, when entering prison you become identified by your skin tone. The level of gangs and cultural groups are so high, that often inmates have no choice but to follow the crowd. Sure, they could choose not to cooperate in the gang life, but where does that leave them? Then they will become the targets with no defense. The pressure to become accepted is so important in prison survival, that some inmates will throw away their moral s just to protect themselves. Prison officials often condone the promotion of racial segregation. If one person of a specific race was found suspicious, they have the right to lock down every person of the same nationality. They often bunk same races together to cut down the risk of altercations. This is probably for the best at the time being, but it makes you wonder why they don’t attempt to do something about gang involvement. You hear about classes on drug intervention, schooling, and religion. Why don’t they have a class on racial acceptance? I’m sure it wouldn’t convert the beliefs of many inmates, but it would at least show some effort to bring down the segregation rate. The release of an inmate should be one of the most exciting moments of their lives. It should be a time where they finally get to put all of the knowledge and inspiration they have gained to use. It should be a new stepping stone for them to create a new lifestyle without their past lagging behind them. Sadly, this is hardly ever how it works out. In the past generation, the process of parole and release has started lacking structure. It is very rare that an inmate is  individually prepared to face the real world. Instead of carefully considering ways to provide help upon release, they often just let them go on their own with no support from the inside. I understand these are grown adults, but when you are facilitated for so long, there is a need for preparation for the outside world. When these inmates are faced with the outside realities all at once, they just go back to their old ways. They are not given the support they need to make it through life on their own. These prisons confine these inmates for years, harboring their every move. Yet when they are released, they do not help them along one bit. Something is obviously wrong here. The prison system has a long way to go before it becomes effective. More people need to start paying attention to these correctional departments. The cause seems so minuscule until someone you love becomes the victim. These prisons are inhumane, chaotic, and lacking necessary resources. Until prison systems of America reach a solid stability of rehabilitation, the inmates will continue to involve themselves in crime. These places should be for improvement, not corruption.

Thursday, August 29, 2019

Acet Essy

In order for the Committee on Admission and Aid to get to know you better, answer the question below in the form of an essay. â€Å"Are there any significant experiences you have had, or accomplishments you have realized that have helped to define you as a person? † â€Å"l love you, Lord, my strength. † In the course of my life, I have encountered several trials and several attainments, but despite all of those experiences; one unforgettable moment struck me the most. The car accident happened in a Sunday evening back in February of 2011.There was a strong hit at the right side of the back of our car which led the car to swerve to the feet, and collide on a passing Jeep. The sad thing about the incident was that the point of impact on my side was strong. I fell unconscious after my head hit the door and I didn't know what happened next. I only felt that I was regaining consciousness when I was already in a tricycle with my dad. My vision wasn't clear and I can feel som ething painful on my face; I was troubled and nervous about what was going on and what has happened.Vie come to understand it after I woke up in a hospital lying on a bed. I was very confused why I was laid on a bed, why my mom and relatives were around me. It turned out that I was the one they were fretting over. My mom told me about the accident while she was sobbing. My mind went blank; all I can think about was, â€Å"How? Why? Is this real? † I was transferred and referred to another hospital, then another until I had my operation. The doctors read all laboratory findings and tests and they told me that I was lucky enough that my left eye didn't end up blind.I was seriously hurt physically and mentally. Knowing the bills for the operation, medicines, hospital was very grieving. My parent's had to pay thousands of pesos Just because of what happened to me. They had to drive to and from one capital to another Just for check-ups. My conscience ate me, â€Å"Aka kaki eh! Gu ng Hindi aka undergrad's, wall an sang epigraph Pasadena mega angular MO at serial MO! † I felt that I was held responsible that we were experiencing those hardships.It wasn't easy for me to bear that thought, and then another thought entered my mind, â€Å"Piano gung sill Mommy, Daddy, bat mongo chapatti at pins nag undergrad's? Slang pat nag nightcap at aka okay an okay? † I can't even stand the thought of it ever happening. I said to myself that I was a hero for saving them; it was far okay for me to be the one who's hurt and not them. I have come to realize and regret so many things in life that time; in the billions of people in the world, why me? Out of the many possible things that could have happened, why this?Why was the taxi driver so reckless and so stupid? Had I not lead a virtuous and faithful life to deserve this? Why? I felt so many regrets and blame. There were so many questions and realizations that passed through my mind. It wasn't very easy for me to bear what I have gone through. It went to the point that I questioned God why did it happen. I experienced a lot of suffering and struggle when I was still in the hospital ND recovering at home. I missed almost the 4th quarter of my 1st year high school started the 4th Quarter at a very short time.In spite of the downfall I experienced; I clung on to the Lord and believed on myself on what the future I hold if I let it pass or let it be a chance for better progress. I believed that it was a test from God to see if I will fall down or stand up. I was sure that it was only the beginning of how life really was. â€Å"Challenges are what make life interesting and overcoming them is what makes life meaningful. † It reflected the life Vie gone through back then. This incident made e define myself as it allowed me put myself in others' shoes.I saw my condition as a chance to reflect and see what was really going on. It defined me as a person in a way that I showed more importance fo r others than myself. My faith was more sincere and true. No matter what pint of depression, no matter what pint of loneliness you're in, no matter how deep of trouble you are; God will always walk with you and will always be with you facing those difficulties. Guided by this vision and understanding, I was awarded a bronze medal in the Honors' Assembly the following school year. Hoping that more of these will come and God will continue to bless and guide me.It was a Sunday evening in February 13 of 2011 that our family experienced a car accident, and I faced a tragic event in my life. It was the most depressing and fearful episode of my life I have ever experienced. Deep thoughts entered my mind, emotions and feelings Vie never felt before. Will I take it as an obstacle in my life or take it as an opportunity? I made a decision to take it as an opportunity and use it for my never ending success in the continuous days of my life. â€Å"Change is the law of life. And those who look only to the past or present are certain to miss the future. † -John F. Kennedy

Wednesday, August 28, 2019

Toyota Cars Recalls Research Paper Example | Topics and Well Written Essays - 2500 words

Toyota Cars Recalls - Research Paper Example Finally, the purpose of this academic paper is to possibly recommend applicable solutions based on conflict management principles that would address the identified problems encountered by the Toyota Motor Corp. To further understand, how and why Toyota ended up with the Toyota Recall incident it is necessary to have knowledge on the background of the company and how it operates in the field of the automobile manufacturing industry. Toyota Motor Company Early Beginnings In 1933, Toyota did not out rightly start as an automobile manufacturing company. Actually, the family that started it was initially engaged with just spinning and weaving textiles and looms under Toyoda Automatic Loom Works, a small division, which was under the direction of Kiichiro Toyoda. It started to manufacture vehicles when the Japanese government at war with China encouraged this company to manufacture the needed domestic vehicles. (â€Å"History of Toyota†, 2011). A Window to Toyota Motor Corporation ( TMC) Today The CEO Who is running Toyota Motor Corporation today? â€Å"Akio Toyoda is the present President and Representative Director of the company. He is the grandson of the late Kaiichiro Toyoda, who operated the Toyoda Automatic Loom Works, a company devoted to manufacture automobiles during the 1930’s. Akio Toyoda was elected to the said positions in 2009 replacing Katsuaki Watanabe.† (â€Å"The President†,2011) TMC’s Domain â€Å"TMC’s domain belongs to the automotive industry and thus, its main product is the automobile. However, TMC today has expanded to other non-automotive business activities to include financial service business segments† (â€Å"Toyota Company Overview†, n.d.).Their stakeholders include: customers, business partners (dealers and suppliers), investors, consumers, nongovernmental organisations government, community, stockholders. Vision & Philosophy â€Å"Since its foundation, Toyota has been using the Gu iding Principle which says: to produce reliable vehicles and sustainable development of society by employing innovative and high quality products and services† (â€Å"Vision & Philosophy, 2011). Guiding Principle: â€Å"TMC’s guiding principle is to produce reliable vehicles and sustainable development of society by employing innovative and high quality products and services† (â€Å"Guiding Principle†, 2011). Toyota Global Vision 2020 â€Å"Toyota promotes efforts towards finding balance between the cycles of nature and the cycles of industry. Toyota commits to the ideals being pursued for People, Society and the Global Environment through the combined energy of people and technology† (â€Å"Toyota Global Vision 2020†, 2011). Employment: 320, 590 (Total in affiliated companies) Date Founded: August 28, 1937 Capital: 397.05 billion yen (as of March 31, 2010) Note: Information current as of June 2010. The number of employees includes those dis patched from other companies as of March 31, 2010 (â€Å"Company Profile†, 2011) TMC’s Organizational Structure â€Å"We have a fairly flat organization, which allows for ease of communications and flexibility. Within departments the organization divides into groups and teams, this team structure is a key element of the Company’s effectiveness.†

Practical Windows Security Assignment Example | Topics and Well Written Essays - 2500 words

Practical Windows Security - Assignment Example If a statement from a security prospective integrates Common Vulnerabilities and Exposures identifiers, we can then rapidly and exactly get admittance to the predetermined information in one or else more isolated CVE-compatible warehouses, ways and services to rectify the difficulty. In addition, through Common Vulnerabilities and Exposures, our tools and services are competent enough to "respond" (i.e., swap data) to each other. However, we will be acquainted with precisely what each take in for the reason that Common Vulnerabilities and Exposures offers us a level of comparison proposed for evaluating the behavior of our tools. This outlines that we are proficient to find out which tools are mainly effectual and suitable for convening our businesss requirements. Briefly explaining, Common Vulnerabilities and Exposures compatible benefits, tools and databases will offer us much better reporting, fairly easy capability to share and make use of information, and improved safety (IPA, 2 009), (Skoudis, 2010) & (Mitre, 2010) Common Vulnerabilities and Exposures is an industry which is authorized by the CVE Editorial Board and by many associations and organizations that have confirmed their goods CVE-compatible or else incorporate CVE identifier in their retailer observant as well as safety consultants. Common Vulnerabilities and Exposures content must be accepted by the CVE Editorial Board that generally includes prime professionals from the information security society (Mitre, 2010). This report is designed to provide deep and comprehensive analysis of some of the main issues and areas of the Practical Windows Security. In this report I am going to discuss and analyze some of the prime aspects of Common Vulnerabilities and Exposures (CVE) and its connection to the Windows security management as well as organization. For this reason I will assess one of Windows security aspects

Tuesday, August 27, 2019

Health Disparities, Diversity, and Cultural Competence Assignment

Health Disparities, Diversity, and Cultural Competence - Assignment Example Various hospitals have been built to provide healthcare to people of different classes in the society. According to Shavers (2007), the socioeconomic status is the relative position of a person or community based on their access to wealth and prestige. The socioeconomic status influences health via its association with environmental exposure, lifestyle, and health behavior. The current income and occupation can enable a person to access a particular standard of healthcare. Another socioeconomic factor that impacts on health is education. Education has been evidenced to have a direct effect on a person’s professional development and career opportunities. As noted by Hillemeier et al. (2003), higher education levels are often predictive of better jobs, working conditions, neighborhoods, as well as medical care. On the contrary, low education is a projector of low living standards, volatile income, and poor health care access. Galama and Van Kippersluis (2010) add that this forms the low-income and high-income quartiles. In this regard, socioeconomic model of health disparities posits that the socio-economic status predicts the health status of a person. As a consequence, the health interventions are being developed to ensure equality in order to mitigate this disparity. Another effect is that some health interventions are tailored to cater for the high-end patients while certain programs are aimed at people of low income status in the society, bu t are of similar quality. Most states are providing coverage for children from low income families under Medicaid along with the State Children’s Health Insurance Program. Galama, T., & Van-Kippersluis, H. (2010). A theory of socioeconomic disparities in health over life cycle. Retrieved March 17, 2015, from

Monday, August 26, 2019

Not ablicable Essay Example | Topics and Well Written Essays - 2500 words

Not ablicable - Essay Example This not only increases the temperature on earth’s surface but also the temperature prevailing over the oceanic region of the world. This remarkable rise of temperature is on account of pollution occurring all over the world. The polluted atmospheric condition over the earth is capable to develop infrared radiation. The main gases present in the earth’s atmosphere are water content, Ozone, Carbon dioxide, Nitrous oxide and methane. These gases are termed as Green House Gases and have certain roles to increase the temperature on Earth’s crust. The industrial transformations and development have increased the production of greenhouse gases in the atmospheric air and is considered as one of the main reasons for the global warming. This phenomenon has observed from the middle of the twentieth century. The concentration of the gaseous media of the atmospheric air has great influence to increase global warming. This is affected in accordance with two principles. One is by the direct emission of infra red radiation from the gaseous constituents of atmospheric air and the other is indirectly through clouds. The solid and liquid particles present in the atmospheric air are responsible for the indirect process to develop the global temperature. These solid and liquid suspensions present in the atmospheric air are generally termed as ‘aerosols’. They are universally originated gases substances and the carriers of these substances to the atmosphere are wind. During their travel with wind the aerosol substances undergo tremendous chemical and physical changes naturally. The characteristic features such as Physical, Chemical and concentration of aerosols present in atmospheric air are also taken in to consideration while thinking about the indirect influence on global warming. The risk management Cycle The risk management cycle points out the volume of risk factor caused due to the nuclear emission occurred from the nuclear power plant

Sunday, August 25, 2019

Neo-classical Theories Essay Example | Topics and Well Written Essays - 250 words

Neo-classical Theories - Essay Example Direct application of the social control theory would involve the prescription of a punishment as a threat to wrongful social behavior. Offenders like the drunk drivers would be most likely deterred from offending through application of a cover legal implication in the commitment of a crime. In the application of the social theory as a deterrence of drunk drivers, a severe punishment like a five-year imprisonment, without bailing on bond, would be demotivating towards drunk driving (Chui, 2003). Social theory of deterrence equally closely borrows from rational choice theory as a means of deterring a drunk driver from committing an offence. Human beings are rational individuals who can be motivated or demotivated by a punishment, therefore a formal arrest and imprisonment would send a message to those being punished and the potential offenders that the implication for action is constant. Social theory, in deterring an offender from committing an offence, stipulates that the punishment mode and procedure should be uniform and applicable to everyone who commits the offence that is being deterred (O’Malley,

Saturday, August 24, 2019

Enterprise and Entrepreneurial Management Assignment

Enterprise and Entrepreneurial Management - Assignment Example It is very important that linkages between strategic planning and performance are addressed. The business planning process should take into account the organizational performance. Also planning should not be rigid and formal. The business planning process should not be idealistically rational, rigid, bureaucratic and a dysfunctional exercise. The planning process should be drawn in such a way that management are actively involved in the actual decision making process. The strategic plans and objectives formulated should be flexible. Hence, there is an element of intuition in the business planning process. In order to attain strategic competence, it is very necessary that the intuitive judgment taken in the plan is successful (Hodgkinson et al. 2009). They may change in the course of time in order to meet the final goal. An ideal business plan consists of long term and short term goals which needs to be attained. These strategic objectives should be flexible and accordingly the strate gic plans may change to meet requirements (Shrader et al. 1984). Market analysis and research – Most organizations draw up a marketing plan in order to attain the formal goal. Unfortunately, only few strive to develop a comprehensive plan which entails to research and analyze the product and service market before implementing it. Most organizations shy away from developing a comprehensive marketing plan as they may face a lot of hurdles which may be in the form of procedural, cognitive, research, cultural, informational, environmental and organizational aspects (Wilson & McDonald 1994). One of the procedural benefits of planning is that it helps in attaining realistic and attainable goals. However, in... From this paper, it is clear that modern researchers assert that sole emphasis on entrepreneurial characteristics does not completely attribute to entrepreneurial success. Researchers are more interested in evaluating and researching on the thinking doing nexus of entrepreneurial behavior. Managers interact with the environment and make decisions with reference to success factors. Most of the times, entrepreneurs have to make decisions with limited or ambiguous data. Hence they have to possess the knowledge to assess, judge and decide depending on the creation of ventures, opportunities, and growth. Hence, action and thought are important components of the behavior of an entrepreneur and play an important role in determining successful decision making.All in all, a successful entrepreneur have a diverse set of qualities which includes personality traits.According to me, an entrepreneur needs to manage certain important areas like risk management, planning for new ventures, networking , learning, financial management and human resource management. In order to handle all these aspects in a successful manager, the entrepreneur must take the right decision at the right time. Hence, in order to be a successful manager, an individual needs to have the skills, experience and personality traits to manage a venture successfully. This includes problem-solving and decision-making skills, strategic thinking, capacity to close deals successfully, time and project management, selling, negotiation, persuasion, and motivation.

Friday, August 23, 2019

The Solar System Planets Orbiting other Stars Essay

The Solar System Planets Orbiting other Stars - Essay Example 1 However the origin of our solar system is explained questions still remain unanswered and are the focus of research by scientists around the globe. Are there other planets outside of our solar system If there are, are they able to sustain life What techniques have been employed to study these planets and other heavenly bodies when they are light years away from us These are just a few of the crucial questions that scientists try to answer since Galileo Galile' invented the telescope in the early 1600s. How does one differentiate a planet from an asteroid or from any other celestial body In an article by Samantha Harvey posted at the NASA e-magazine, planets have been defined as "a celestial body that (a) is in orbit around the Sun, (b) has sufficient mass for its self-gravity to overcome rigid body forces so that it assumes a hydrostatic equilibrium (nearly round) shape and (c) has cleared the neighborhood around its orbit." At the same time, new moons are also being discovered, both around existing planets and within these mysterious new worlds. Once the existence of a moon is confirmed and its orbit determined, the moon is given a final name by the International Astronomical Union (IAU), the organization that assumed this task since 1919.2 Though space has always been there, it was only in 1957 that a spacecraft was actually sent into space to measure what it is like. Until 1991, only the planets in our solar system are the only known planets. Nevertheless, astronomers did not believe that our Sun's environment was the only planet producer in the universe. Yet they had no evidence of planets outside our solar system. Not until 1991 that radio astronomers detected the first extrasolar planets orbiting a dying pulsar star. This extrasolar planet is a remnant of a supernova explosion in the constellation Virgo hence is not able to sustain life because of the deadly radiation it emits. Then, in 1995, Swiss astronomers found another extra-solar planetary candidate. This star, found in the constellation of Pegasus, is much more like our Sun with respect to its temperature, size, rotation speed and emitted radiation. Although this is also considered not a good candidate to sustain life, it was the first ever evidence of an extrasolar planet around a Sun-like star.3 Other concern in studying extrasolar worlds is whether life may exist there. Variables like size, distance and temperature will serve as indicators that a particular extrasolar planet may be considered a life-bearing planet. Basic techniques being employed to accomplish such

Thursday, August 22, 2019

A Story Review from the 16th Century Essay Example for Free

A Story Review from the 16th Century Essay CHARACTERS: THE KING THE EARL OF CORNWALL SIR HUGH LACY, Earl of Lincoln. ROWLAND LACY, otherwise disguised as HANS, nephew of Sir Hugh Lacy ASKEW, another nephew of Sir Hugh Lacy SIR ROGER OATELEY, Lord Mayor of London. Master HAMMON, Master WARNER and Master SCOTT: Citizens of London. SIMON EYRE, the Shoemaker. ROGER, commonly called Hodge, a Journeyman of Simon Eyre FIRK, another journeyman of Simon Eyre RALPH, another Journeyman of Simon Eyre LOVELL, a courtier. DODGER, servant to The Earl of Lincoln A DUTCH SKIPPER. A BOY. ROSE, daughter of Sir Roger, the love interest of Rowland Lacy SYBIL, the maid of Rose MARGERY, wife of Simon Eyre JANE, wife of Ralph SETTING: London and Old Ford, England, as it happened in the 16th century PLOT DEVELOPMENT: With the different sub-plots evolving in The Shoemaker’s Holiday, the central plot is about the desperate love between Rowland Lacy and Rose Oateley.     And they defied the odds:   Rowland did not obey his uncle the Earl of Lincoln to go to war and Rose rejected the arranged marriage with Master Hammon, who is of wealth and nobility from London.     Sir Roger thought Rowland went to war.   Instead, Rowland apparently went to study shoemaking in Germany. He eventually went back to London; disguised himself as Hans a Dutch shoemaker and worked for Simon Eyre, a shoe shop owner and a real shoemaker.   Rowland and Rose went through the maze of re-discovering each other; plotting ways and means to be secretly married; and surmounting the ire and the vehemence of their respectively opposing families.   With the backdrop of the rise of Simon Eyre from being a simple man to achieving success and wealth, such paved the way for eventual happy conclusion of the fulfillment of the love of Rowland and Rose. SYMBOLISM: The Shoemaker’s Holiday generally illustrated basic features of the paradoxes in life:   unrequited love vis-à  -vis the determination to achieve its fulfillment; difference in social standing vis-à  -vis sustaining integrity of an individual inspite of any variance; applying duplicity and deceit to achieve a noble objective; how success can come and test humanness. In analyzing the various plots of The Shoemaker’s Holiday, Conover (1969) said:   â€Å"Achievement, promotion, advancement of all kinds are pictured in the play. For several of the characters in the play Simon Eyre is instrumental to success. The shoemakers, too, rise up the social scale – and Eyre tells them that opportunity is open to all.   Simon Eyre is, of course, the central example of the opportunities for success.   As he rises from shoemaker to Alderman, rich man, Sheriff, and Lord Mayor†¦Ã¢â‚¬ ¦.[though the] main plot has to do with the love of young Lacy and the mayors daughter, most critics consider the Eyre action to be central in the play.† With such positive characteristic of the play, it is interesting to note that the author Thomas Dekker conversely led a nearly unknown life of deprivation.   He was constantly in debt and was in and out of prison for his inability to meet his obligations. As reviewed by The Harvard Classics:   â€Å"The play is full of an atmosphere of pleasant mirth, varied with characteristic touches of pathos; and it contains in the figure of Simon Eyre a creation of marked individuality and hilarious humor. It is striking that the most high-spirited picture of London life in the time of Elizabeth should come from the pen of the author who seems to have been more hardly treated by fortune than any of his contemporaries.†Ã‚   (Eliot, 1909) Indeed the tenor of the story is honest and realistic.   All the struggles that came by have been met with acceptance and resolve:   to surpass and emerge as victorious.   The need to bridge differences and misunderstanding were sought.   The overall intention of the theme of the story is allowing the truth of love and dignity of individuality its own due course. In a review of the Early Modern Theatre of the Theatre Studies Department of Duke University, it was noted that:   â€Å"Fantasy and reality blur, giving the plot a surreal quality that would be appealing as a holiday play: wishes come true and hopes are fulfilled.   However, realities do not completely disappear in this drama, ‘they keep returning, unexpectedly, to interrupt, trouble, and question any easy reading that would entertain by way of ignorance or innocence the real cost of social mobility and fluidity that is necessary in a class-ridden society’†¦..Thomas Dekker wrote a drama for the citizens of London, and incorporated social issues and ideas that citizens would be interested in.† (Duke University, undated) HOW THE STORY REFLECTED THE ASPECTS OF THE 16TH CENTURY† It has been described that:   â€Å"Literary development in the earlier part of the 16th century was weakened by the diversion of intellectual energies to the polemics of the religious struggle †¦Ã¢â‚¬ ¦. The English part in the European movement known as humanism also belongs to this time. Humanism encouraged greater care in the study of the literature of classical antiquity and reformed education in such a way as to make literary expression of paramount importance for the cultured person. Literary style, in part modeled on that of the ancients, soon became a self-conscious preoccupation of English poets and prose writers. Thus, the richness and metaphorical profusion of style at the end of the century indirectly owed much to the educational force of this movement. The most immediate effect of humanism lay, however, in the dissemination of the cultivated, clear, and sensible attitude of its classically educated adherents, who rejected medieval theological misteaching and superstition.   The school of thought known as humanism, promoted the revival of Greek and Roman artistic and philosophical models that celebrated the worth of the individual.† (MSN Encarta, 2007). Because of a re-invention of the literary style at that time, the common pursuits for greatness and distinctiveness surfaced amongst the writers of that time.   â€Å"The Elizabethan Era is the period associated with the reign of Queen Elizabeth I (1558–1603) and is often considered to be a golden age in English history. It was the height of the English Renaissance, and saw the flowering of English literature and poetry. This was also the time during which Elizabethan theatre flourished and William Shakespeare, among others, composed plays that broke away from Englands past style of plays and theatre.† (Elizabethan Era, http://www.answers.com/topic/elizabethan-era) With such overall characteristics that prevailed during the 16th century, the aura of prosperity and practical domination and excellence in every aspect of life is exemplified in The Shoemaker’s Holiday.  Ã‚  Ã‚   â€Å"London in the 16th century underwent a transformation. Its population grew 400% during the 1500s, swelling to nearly 200,000 people in the city proper and outlying region by the time an immigrant from Stratford came to town. A rising merchant middle class carved out a productive livelihood, and the economy boomed.†Ã‚   (Shakespeare Resource Center, 2008) The Shoemaker’s Holiday indeed encapsulated everything that is real and positive abounding in that period where new leaps in perspective about life and identity emerged. References: 16th Century Literary History.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   http://classiclit.about.com/od/16thcenturyinliterature/16th_Century_AD_Literary_History.htm Bellinger, M.F. (1927). â€Å"A Short History of the Drama† www.theatredatabase.com/17th_century/shoemakers_holiday.html Conover, J.H. (1969). The Shoemaker’s Holiday:   A Critical Commentary.   Ã‚  Ã‚  Ã‚  Ã‚   http://www.geocities.com/magdamun/dekkerconover.html Early Modern Theatre, Theatre Studies Department, Duke University,   www.duke.edu/web/emt/student_projects/prentice/shoemakersholiday.html Eliot, C.W. (1909-14). The Harvard Classics. www.bartleby.com/47/1/. â€Å"Elizabethan England†.   2008.   Shakespeare Resource Centre   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   http://www.bardweb.net/england.html â€Å"Elizabethan Era†. http://www.answers.com/topic/elizabethan-era) English Literature, Microsoft ® Encarta ® Online Encyclopedia 2007 http://encarta.msn.com  © 1997-2007 Microsoft Corporation. All Rights Reserved. French Literature, Microsoft ® Encarta ® Online Encyclopedia 2007 http://encarta.msn.com  © 1997-2007 Microsoft Corporation. All Rights Reserved. The Shoemaker’s Holiday:   A Synopsis www.theatredatabase.com/17th_century/shoemakers_holiday.html An Abstract: Rowland Lacy, the nephew of Sir Hugh Lacy, the Earl of Lincoln, and Rose, the daughter of Sir Roger Oateley, the Lord Mayor of London are in love, but their families do not approve.     To separate them, Sir Roger sends Rose to the country, in Old Ford.   Sir Hugh sends Rowland to war in France.   Rowland disobeyed Sir Hugh and instead went to Germany and study shoemaking.   Rowland returns to London.   Disguised as a Dutch shoemaker, Rowland went to Simon Eyre, a shoe shop owner, for work and introduced himself as Hans.   Rowland and Simon sealed a very good friendship because when a cargo shipment at a very good price came up for sale, Rowland gave his war gift money to Simon to purchase the cargo.   This made Simon very wealthy.   Sir Hugh learned that Rowland is not in the war in France.   Meantime, Sir Roger was already arranging the marriage of Rose to Master Hammon, rich nobleman from London.   Rose vehemently refuses to marry Master Hammon. Meanwhile, Simon becomes the Sheriff of London and Sir Roger threw a party celebration for Simon in his house in Old Ford.   Simon and his shoemakers were invited.   During the dancing and merrymaking, Rose suspects that Hans is Rowland – inspite of Rowland talking in gibberish English to safeguard his disguise.   After the celebration, Rose and Sybil went to London.   Sybil asked Hans to take the shoe size of Rose and make a new pair of shoes. While Rowland and Rose are struggling for their love in the story, Simon has a journeyman named Ralph who was also sent to war.   Ralph is married to Jane.   Jane thought Ralph was killed in the war.   So she left off and no one knows of her whereabouts. Jane met Master Hammon – not knowing that a failed marriage arrangement transpired between Master Hammon and Rose.   So, Master Hammon was besotted to Jane and asked her to marry him.   Believing that Ralph is dead, Jane agreed and they were set to marry in St. Faith Church in London.   However, Jane wants the last gift of Ralph, a pair of shoes specially made for her, be duplicated to a brand new one to become her wedding shoes.   Master Hammon obliged and went to the shoe shop of Simon Eyre and ordered the duplication.   Meanwhile, Ralph returned to London because he was hurt in the war and was discharged.   Ralph returned to work with Simon and sadly learned that his wife left him for nowhere.    On that day that the shoe duplication for Jane was ordered, Ralph saw it and was therefore sure that it will lead her to his wife Jane.   Going back to the time when Rowland was taking the shoe size of Rose, Rowland had the chance to quietly and secretly instruct Rose to go to the house of Simon Eyre.   At this time, Simon became the new Mayor of London.   And as such, Simon could marry Rose and Rowland.   Eventually, Rose did so and they finally got married.   Sybil revealed the treachery of Rose and Rowland to Sir Roger and Sir Hugh.   But Sir Roger and Sir Hugh was told that the wedding will take place in the St. Faith Church. Whilst Sir Roger and Sir Hugh were on their way to St. Faith Church to take Rose from Rowland (as Hans), Ralph and with his shoemaker friends are already waiting in the church to take Jane from Master Hammon.  Ã‚   When Sir Roger and Sir Hugh arrived, it was a moment that Jane lovingly recognized her husband Ralph and apologized to Master Hammon for the cancellation of the wedding as she is still in love with Ralph.   Sir Roger and Sir Hugh were disgusted that they were seemingly duped because it was a different wedding that was suppose to transpire that moment.    Sir Hugh and Sir Roger nevertheless learned that Rowland and Rose are already married.   Sir Hugh and Sir Roger appealed to the King to nullify the marriage.   But King who has been enamoured with the antics and humanness of Simon as he treats his shoemaker workers fairly; he remains humble inspite of his wealth – worked out a solution to the enmity between the parents of Rowland and Rose and them.   The King divorced Rowland and Rose and re-married them and declared Rowland a knight just so the issue of differences in social standing come to an end.

Wednesday, August 21, 2019

Business Decision Making Assiment Essay Example for Free

Business Decision Making Assiment Essay You should sign this sheet to show that you comply with these regulations. Student’s Signature Date Acknowledgement I take this chance to thank Miss. M. PriyanthimalaWho helped me to improve and developed this particular project. She explained well about the project and sacrificed her most of the time to explain and also made sure that all the students understood. She was ready to help out in any time and gave her full support for this particular project. I finally would like to thank my parents, friends and others for helping to do this project. Thank you TASKS| PAGE NO| Task 01| 04| Task 02| 09| Task 03| 14| Task 04| 16| Task 05| 24| Task 06| 27| Task 07| 31| Task 08| 32| Task 09| 34| Task 10| 35| Task 11| 38| Task 12| 43| Task 13| 44| Task 14| 47| Task 15| 49| Reference | 51| Task 1 T 1. 1 Difference between a sample and a population Population| Sample| * Population is the area in which you are trying to get information from. * This meaning of population is also used in survey research, but this is only one of many possible definitions of population. Examples: Cedar Crest students; trees in North America; automobiles with four wheels; people who consume olive oil. | * Sample is a section of your population that you are actually going to survey. It is important to have a sample that will represent your entire population in order to minimize biases. Survey research is based on sampling, which involves getting information from only some members of the population. * Samples can be drawn in several different ways, such as probability samples, quota samples, purposive samples, and volunteer samples. Examples assuming the populations stated above: 47 Cedar Crest students chosen randomly; 8463 trees randomly selected in North America; 20 sample autos from each make (e. g. , GM, Ford, Toyota, Honda, etc. ); 1% of the oil consuming population per country| T 1. 2 Describe the advantages of sampling * Sampling  saves money  as it is much cheaper to  collect  the desired information from a small  sample  than from the whole population. * Sampling  saves a lot of time and energy as the needed data are collected and processed much faster than census information. And this is a very important consideration in all types of investigations or surveys. * Sampling  provides information that is almost as accurate as that obtained from a complete census; rather a properly designed and carefully executed  sample  survey will provide more accurate results. Moreover, owing to the reduced volume of work, persons of higher caliber and properly trained can be employed to analyze the data. * Sampling  makes it possible to obtain more detailed information from each unit of the  sample  as collecting data from a few units of the population (i. e. ample) can be more complete and thorough. * Sampling  is essential to obtaining the data when the measurement process  physically  damages or destroys the  sampling  unit under  investigation. For example, in order to measure the average lifetime of  light bulbs, the measurement process destroys the  sampling  units, i. e. the bulbs, as they are used until they burn out. A manufacturer will therefore use only a  sample  of  light bulbs  for this purpose and will not burn out all the bulbs produced. Similarly, the whole pot of soup cannot be tasted to determine if it has an acceptable flavor. Sampling  may be the only means available for obtaining the needed information when the population appears to be infinite or is inaccessible such as the population of mountainous or thickly forested areas. In such cases, taking $ complete census to  collect  data would neither be  physically  possible nor practically feasible. * Sampling  has much smaller â€Å"non-response†, following up of which is much easier. The term non-response means the no availability of information from some  sampling  units included in the  sample  for any reason such as failure to locate or measure some of the units, refusals, not-at-home, etc. Sampling  is extensively used to obtain some of the census information. * The most important advantage of   sampling  is that it provides a valid measure of reliability for the  sample  estimates  and this is one of the two basic purposes of  sampling. * Reliability: If we collect the information about all the units of population, the collected information may be true. But we are never sure about it. We do not know whether the information is true or is completely false. Thus we cannot say anything with confidence about the quality of information. We say that the reliability is not possible. This is a very important advantage of sampling. The inference about the population parameters is possible only when the sample data is collected from the selected sample. * Sometimes the experiments are done on sample basis. The fertilizers, the seeds and the medicines are initially tested on samples and if found useful, then they are applied on large scale. Most of the research work is done on the samples. * Sample data is also used to check the accuracy of the census data. T 1. 3 Difference between primary data and secondary data T1. 4 Difference between a statistic and a parameter Parameter is any characteristic of the population. Statistic on the other hand is a characteristic of the sample. Statistic is used to estimate the value of the parameter. Note that the value of statistic changes from one sample to the next which leads to a study of the sampling distribution of statistic. When we draw a sample from a population, it is just one of many samples that might have been drawn and, therefore, observations made on any one sample are likely to be different from the ‘true value’ in the population (although some will be the same). Imagine we were to draw an infinite (or very large) number of samples of individuals and calculate a statistic, say the arithmetic mean, on each one of these samples and that we then plotted the mean value obtained from each sample on a histogram (a chart using bars to represent the number of times a particular value occurred). This would represent the sampling distribution of the arithmetic mean. T1. 5 Define sampling errors with example? Sampling error is an error that occurs when using samples to make inferences about the populations from which they are drawn. There are two kinds of sampling error: random error and bias. Random error is a pattern of errors that tend to cancel one another out so that the overall result still accurately reflects the true value. Every sample design will generate a certain amount of random error. Bias, on the other hand, is more serious because the pattern of errors is loaded in one direction or another and therefore do not balance each other out, producing a true distortion. These are the errors which occur due to the nature of  sampling. The  sample  selected from the population is one of all possible samples. Any value calculated from the  sample  is based on the sample  data and is called  sample  statistic. Task 2 T2. 1 Advantages and disadvantages of arithmetic mean. Advantages * Fast and easy to calculate- As the most basic measure in statistics,  arithmetic average is very easy to calculate. For a small data set, you can calculate the arithmetic mean quickly in your head or on a piece of paper. In  computer programs  like Excel, the arithmetic average is always one of the most basic and best known functions. Here you can see the  basics of arithmetic average calculation. * Easy to work with and use in further analysis- Because its calculation is straightforward and its meaning known to everybody,  arithmetic average  is also more comfortable to  use as input to further analyses and calculations. When you work in a team of more people, the others will much more likely be familiar with  arithmetic average  than  geometric average  or  mode. Disadvantages * Sensitive to extreme values- Arithmetic average is extremely sensitive to extreme values. Therefore,  arithmetic average  is not the best measure to use with data sets containing a few extreme values  or with more  dispersed (volatile) data sets  in general. Median  can be a better alternative in such cases. * Not suitable for time series type of data- Arithmetic average  is perfect for measuring central tendency when you’re working with data sets of independent values taken at one point of time. There was an example of this in one of the previous articles, when we were  year. However, in finance you often work with percentage returns over a series of multiple time periods. For  calculating average percentage return over multiple periods of time,  arithmetic average is useless; as it fails to take the different basis in every year into consideration (100% equals a different price or portfolio value at the beginning of each year). The more volatile the returns are, the more significant this weakness of arithmetic average is. Here you can see the example and reason why  arithmetic average fails when measuring average percentage returns over time. * Works only when all values are equally important- Arithmetic average treats all the individual observations equally. In finance and investing, you often need to work with unequal weights. For example, you have a portfolio of stocks and it is highly unlikely that all stocks will have the same weight and therefore the same impact on the total performance of the portfolio. Calculating the average performance of the total portfolio or a basket of stocks is a typical case when  arithmetic average is not suitable  and it is better to use weighted average instead. You can find more details and an example here:  Why you need weighted average for calculating total portfolio return. T2. 2 Comparative picture of median, mode, mean The Median The Median is the middle value in your list. When the totals of the list are odd, the median is the middle entry in the list after sorting the list into increasing order. When the totals of the list are even, the median is equal to the sum of the two middle (after sorting the list into increasing order) numbers divided by two. Thus, remember to line up your values, the middle number is the median! Be sure to remember the odd and even rule. That is, if the data is in meters, the standard deviation is in meters as well. The variance is in meters2, which is more difficult to interpret. Neither the standard deviation nor the variance is robust to outliers. A data value that is separate from the body of the data can increase the value of the statistics by an arbitrarily large amount. The mean  absolute deviation (MAD) is also sensitive to outliers. But the MAD does not move quite as much as the standard deviation or variance in response to bad data. The  interquartile range (IQR) is the difference between the 75th and 25th percentile of the data. Since only the middle 50% of the data affects this measure, it is robust to outliers. T3. 2 What are the different characteristics of the following measures of dispersion. The  range  is the simplest measure of  dispersion. The range can be thought of in two ways. 1. As a quantity: the difference between the highest and lowest scores in a distribution. 2. As an interval; the lowest and highest scores may be reported as the range. By far the most commonly used measures of dispersion in the social sciences are  variance  and  standard deviation. Variance  is the average squared difference of scores from the mean score of a distribution.

Patient Advisory Board Internship

Patient Advisory Board Internship Patient Advisory Board Internship at Zuckerberg San Francisco General Hospital For this cooperative education project I have chosen to write about my internship at Zuckerberg San Francisco General Hospital (ZSFGH). I was chosen for this internship from a pool of pre-medical student applicants based on my resume, letter of interest and in person interview. The work was advertised as needing someone to run the formal Patient Advisory Board Council (PAC). I wasnt aware until my interview with the Medical Director and Floor Manager that I would be doing much more than running a once a month meeting. I would also be in charge of recruiting new members to the PAC, seeking out presenters and providers wishing for patient input, enrolling patients in and training them to use the online SF Health Network Patient Portal, running the monthly Diabetes in Motion Clinic, and doing various other small duties around the hospital. I had to commit to being available 30 hours a week that were flexible but must include Fridays. I was excited to be chosen for this opportunity to ha ve great potential in improving patient health and satisfaction at ZSFGH, San Franciscos community safety net hospital; while also growing my own knowledge of what it takes to provide high quality health services to underserved populations. Before being allowed to start my volunteering duties there were many steps I needed to tackle to be eligible to work with patients, both for my own safety as well as theirs. I had to find time to go to the hospital to procure blood work and testing to be sure I didnt have Tuberculosis or a list of other communicable diseases. I was required to take just over 10 hours of training geared to helping familiarize myself with the layout of the hospital; in addition to how to safely interact on a daily basis with the unique population at ZSFGH. My learning objectives were to understand what I would need to do in my daily work to knowledgably comply within HIPAA rules and NIH safety protocols. Method For my content for this report I performed research on site at my Internship. ZSFGH has an extensive medical library that is free and open to the public. The librarians are well versed in what is available in the event that I had any questions arise during my time there. The Volunteer Services Office also stocks many resources that are available for learning about how best to care for patients wellbeing and properly protecting their personal information online and in daily hospital interactions. I utilized both of these resources in my off-volunteer hours either before or after doing internship qualifying hours. Discussion Literature Review Initial Onboarding In order to be able to be an official volunteer at ZSFGH, I had to complete their online Volunteer Orientation Course. This took about 2 hours and was helpful in walking me through the layout of the SF Health Network as well as the buildings where I would be working. Also outlined were the health requirements of all volunteers in the network requiring blood work and vaccinations. After completing those steps I was assigned a volunteer identification number to be able to log my Internship hours and a badge identifying me as a Volunteer that also shows which clinic I am a part of, my flu-shot status and lists the hospital wide emergency response codes for easy reference. In order to be useful in my positions I needed to learn about the San Francisco Health Network Primary Cares missions and vision for providing the highest quality primary and preventative care to adults, regardless of ability to pay. There are 4 main aims of the clinic that follow from building a foundation of healthy, engaged, and sustained primary care workforce. To ensure an excellent patient experience, optimize access, operations and cost-effectiveness, have sustainable patient centered care and finally, to improve the health of the patients served. The specific clinic I was hired to do my internship with was the Richard Fine Peoples Clinic General Medicine Clinic (RFPC-GMC). This is a clinic consisting of mostly low income, homeless and immigrant patients. The Volunteer Services Office at ZSFGH assisted my learning about patient information security by providing some short video training from the SF Department of Public Health. (Public Welfare, 2009) This helped me learn what information qualifies as needing to be private and secured; treated as sensitive and protected health information. There is an established national set of standards for identifying protected patient health information (PHI) such as a patients demographic data relating to past, present or future medical needs. (The Health Insurance Portability and Accountability Act of 1996) It is anything that can be used to identify patients such as their first or last name, medical record number, phone numbers, email addresses, date of birth, Social Security Number or a ddress. Rules for handling such information is that you must never store PHI on an unencrypted computer, a flash-drive or take home files with PHI. If necessary for an email this information must be encrypted and titled as Secure. Written information must be disposed of in the locked to be shredded bins when no longer needed. Information can be stored on the provided work computer server only accessible by UCSF ward computers. (Burnap, 2012) Unlike a Kaiser or Sutter insurance network hospital or clinic, the SF Health Network is part of the citys health system that provides a significant level of care to low-income, uninsured, and vulnerable patient populations. ZSFGH is a unique in that it is also a training hospital tied with UCSF. Patients benefit from cutting edge training for their Doctors and Residents as well as generous philanthropic funding that the University benefits from annually. A large part of ensuring patient self-empowerment lies in building their networks and increasing accessibility to services, which this funding can bring. (Corburn, 2007) Patient Advisory Council Prior to working within the SF Health Network I was not aware that there were 26 clinics across the city. This aids in vastly improving patients access to care in or near their own neighborhoods. Each clinic was challenged with starting their own PAC in 2016. There are now 21 PACs across the city for various different types of clinics and patient populations including 2 in Spanish and 1 in Mandarin languages. Prior to instating these PACs much of the average providers knowledge of patient satisfaction was just word of mouth. The main motivating force behind coordinating clinic PACs is aimed at inviting longtime and new patients to provide input for quality improvement projects from the ground floor. Assessing involvement at the direct patient level can lead to fast strides in community health improvement. (Dannenberg, 2008) I was responsible for the outcome of the Richard Fine Peoples Clinic PAC. I needed to work on recruiting new and diverse members to the team and learn how to lead a group of people that is outside of my everyday socio-economic peer group toward a common goal. I looked to resources for what has worked for other projects for medical recruiting methods prior to mine. (Dannenberg, 2006) I had to coordinate presenters and inquiring providers to ensure that the board provides helpful information to both patients at the clinic and those within the larger health care network. While the focus was on our individual clinic, there is also a hospital wide PAC that was able to push forward any ideas we might have that would benefit the entire hospital population at ZSFGH. In addition to organizing the agenda for the PAC meetings, my duties involved gathering information from patients and providers that generated from our meetings to then enter them into other systems and/or up-channeling ideas inv olving specific patient populations and their recommendations and desires. Some more recent accounts of improving health at one community level have shown to have a positive impact on the entire city. (Bhatie,Corburn, 2011) I kept meticulous records of all agendas and minutes of every meeting for all attendees records as well as past and future reference needs of progress. I was also assigned to help the RFPC Residents on their new project concerning the SF Health Networks Patient Portal. They tasked me with recruiting current patients to enroll in the waiting room. The Patient Portal is a tool for empowering patients to be proactive regarding their own health. Most of my patients are housing insecure so I had to seek out examples of positive outcomes of patients evolving from homeless to housed and how to be aid those in transition. (Kessell, 2006) A few strategies for recruiting new patient advisors, portal users and clinic class attendees were given to me by the previous Intern that I was replacing. I had to meet quota goals for portal enrollees, training and tracking; recruit new patient users in clinic for the online Patient Portal and do some data entry for tracking contacts, new enrollees and demographics. I had to figure out the best way to narrow down how best to contact clinic patients to arrange one on one training sessions for the online Pa tient Portal. I looked into ways in which your immediate surroundings can shape your ideas of your own perceived ability to achieve healthy outcomes as guiding the ways I would approach patients. (Cummins, 2005) To keep the PAC running, I needed to also book conference rooms for upcoming meetings and was able to book a nice meeting room through December 2017 for ease of transition for the next intern. I made reminder calls and sent out an agenda one week prior to meetings to those members with access to email. I collaborated with members to see what topics they are interested in learning more about for upcoming meetings as I was responsible for coordinating them with presenters. (Dearing, 1996) I surveyed members about what their favorite snack foods were so I could best provide for our meetings. I was allowed to spend $50 for each meeting so we had quite an assortment of foods, all within reason of course as we are promoting healthy lifestyles after all. I guided the meetings but also recorded notes for action items to follow up on as well as to write minutes for future reference as available to the public. Diabetes in Motion Clinic The SF Health Network also has a Community Wellness Program branch that allows for patient learning on a variety of fronts from smoking cessation lectures to Zumba classes and nature walks. The Wellness Programs are offered at several clinics across the city and aim to provide and promote innovative services to staff, patients, their families and all San Franciscans. They are designed to be accessible culturally and linguistically as well as to all physical ability and/or limitation levels. The classes that are part of the Working on Wellness (WOW) Healing Moves, Active Living Initiative are open to all and free of charge. Another important part of my duties was to also work on chronic disease group visits in the diabetes clinic. It was important to help try and understand the unique hurdles specific to this particular patient population. (Bhatia, Seto, 2011) The Diabetes in Motion (DIM) Class was an extra duty inherited by me as the previous Practice Manager moved to Hawaii and requested that the incoming PAC Coordinator (me) adopt the class. This 2 hour class was held once a month and tasked with helping those with Diabetes, the pre-Diabetic and their caregivers better understand how to help improve their conditions. I noticed immediately that there might be low attendance, only 5-10 attendees, due to a lack of a unified agenda across the year of these classes. I researched ideas of how living in an urban environment can impact health and wellness differently than a more rural setting for insight into health problems. (Bodea, 2009) I decided that we would try breaking the class into 2 portions, a movement portion (due to the title) and a healthy eating portion. There was no dedicated staff and, as we had plenty of funding left in the available grant I was able to hire 2 local instructors. I hired Sylvie Minot, leader of the Syzygy Dance Project as an Exercise Instructor and Catherine McConkie, Founder of The Caregivers Table as our Nutritionist. Ms. Minot was able to lead progressive movement exercises that were accessible to all levels of mobility incorporating yoga, stretching and dance movements. The importance of exercise is shown across the lifespan. (Bauman, 2007) During the exercising portion of the class she would lead a discussion about the importance of incorporating movement throughout daily life. (Saelens, 2003) Ms. McConkie would follow for the second half of class with easy and affordable food ideas that she made during the class so the attendees could participate. In addition to making healthy options accessible, she would also pass around ingredients that might be new or unusual for the patients and discuss why certain foods are good or bad to eat. Eat Better, Feel Better! Colorful Choices is a San Francisco Health Service System program aimed at adding more fruits and vegetables to daily routines. I was able to team up with them for our classes to provide free fruits and vegetables to attendees. (Drewnowski, 2004) A $25 Safeway gift card was given to the first 22 participants that stayed for the entire class. Participants were able to take home a bag of food to make the recipe presented in class, for any who could not afford them on their own. (Kim, 2006) I created and distributed English and Spanish language flyers throughout the hospital as well as purchased the patient incentives, organized an agenda with the instructors and ensured 2 interpreters (Spanish and Mandarin language) could attend. Following each class I gathered receipts from all 5 of us leading the course to submit to our grant overseer for documentation and reimbursement. Our attendance went from a low average to roughly 30 patients per class in just 3 months. Patient Portal In addition to putting together the DIM and PAC monthly meetings I was assigned to work with the RFPC Residents that were writing a research paper on empowering patients to improve their own care knowledge. The biggest aspect of this was increasing patient awareness, enrollment and use of the SF Health Networks Patient Portal. This online tool enables patients to see all of their most recent and up to date data from any meetings with providers as well as testing and results. Not only can this aid individual improvement through expanded knowledge of care but it also provides an easily accessible list to give to out-of-network providers. The system also newly rolled out the ability to email your assigned provider. The system self regulates to ease provider burden by immediately rerouting easily accomplished tasks such as appointment scheduling or refill requests before any emails actually go to the provider. Initially, I was tasked with 10 hours per week of recruiting new enrollments in the Patient Portal system by visiting with people in the waiting room. With an iPad in one hand and flyers in multiple languages in the other, I spoke with each patient on hand to see if they were aware of the program and would like to enroll if not already. I tracked demographics for the residents as well as number enrolled by me or already. I also had proxy forms available if someone wanted their child or spouse etcetera to have access to their information due to any learning disabilities or language differences as the system is only currently in English. I was able to use Google Translate as well as my flyers in 6 different languages to speak with everyone in the room one by one. After doing this for 2 months the residents decided I should transition to training users to increase the amount of actual users of the system once enrolled. I utilized the electronic Clinical Works application (eCW) to resear ch which patients were already enrolled in the Portal. I would then call patients with appointments on a particular day for the next week as determined by the Residents until I found about 10 people willing to meet with me before or after their appointments. Together, we would then walk through accessing the system and what benefits and uses it provides to the patient. I would send training videos to anyone I spoke with that wasnt interested in meeting in person that they could view on their own if they so wished and they had access to my UCSF email if they had any further questions arise. The largest barrier to increasing user numbers or active users for the Patient Portal ended up being access to electronics and language barriers. The specific patient population at RFPC has phones that may or may not be web-enabled and a lot of them do not have computers or are computer savvy. In meeting with patients I was able to teach them how to recover their login information and perform simple computer navigation. I provided introductions to the hospital library where free computers are available all day that I had never seen full. The system is eventually scheduled to be accessible in Spanish and Mandarin sometime next year. Extra Tasks There were some one time tasks on my plate as well. I needed to accomplish the yearly update of the Clinic Care Team Boards. All of the providers are divided into one of three color care teams to help ensure that, even if you cannot visit your assigned Doctor, you will see someone familiar with them and your file. The previous boards were on a small black and white listing with a few pictures. I used the Adobe program InDesign to organize everyone by provider type, team, procured color head shots of all providers and found a local print shop to print each team board on a 3 x 5 color poster. I also needed to keep the waiting room stocked of specific informational flyers and magazines every few days. Results Participants Adult patients I was able to add to the PAC were recruited through various methods. Informational flyers were posted in the waiting room and at the pre-appointment health screening station. Providers were encouraged to mention the Council to patients they felt were well informed and/or had the desire to work on quality improvement projects for the Clinic. Most respondents that became full time members of the Council were older adults, 45-72 year old, 4 women and 6 men. Participants were compensated $10 and offered free food (cheese, meat, crackers, fruit, veggies, cookies and water) for their 90 minute participation at each meeting. 3 of the members additionally qualified for free Muni transportation vouchers and 1 for free parking passes. All participants were asked to read the agenda sent to them one week prior to each meeting to prepare any questions or ideas they might have on each topic scheduled to be addressed. Accomplishments Weve been able to get funding to remodel the waiting room with more comfortable furniture, a new color of paint on one wall (blue instead of white) and wall hangers to provide information of free local services available throughout the month. Weve also spearheaded projects such as surveys to fill out prior to your appointment while you wait in the waiting room and converting the waiting room television from daytime drama shows to clinic specific informational ticker that rotates from a video documentary about the namesake of the clinic to various free or affordable services offered throughout the city for the current month. Starting in April, we will be part of the coordinated effort to have Food Pharmacies across the network. In partnership with the SF Marin Food Bank, patients will be able to get a bag of free and healthy food after their appointments. PAC members will be available once a week to assist. Another issue raised was of transit safety. One of our members was on disability due to having been run over by a vehicle while she was legally using a crosswalk. The incident left her unable to work for over a year while undergoing multiple surgeries and a lengthy recovery. We had several presenters come to a meeting to get insight from our patients in regard to possible pedestrian improvements. (Mejia, 2017) The PAC raised money to have a portrait painted of our Clinics namesake, Dr. Richard H. Fine that it is to be hung in the waiting room. We are waiting on the display box that is being made to keep it displayed securely. Dr. Fine founded the General Medicine Clinic at ZSFGH, one of the first outpatient clinics in the nation at a Public Hospital that provides health care to underserved populations. He ran it for 25 years. To recognize and thank Dr. Fine for his acute discernment of patient needs, the General Medicine Clinic (GMC) was renamed as the Richard H. Fine Peoples Clinic (RFPC) in August of 2015 three months before his death. There is a wonderful documentary about his life that I was able to show the PAC members at the end of one of our meetings. (Biker with a Moral Compas: Dr. Dick Fine and the Evolving Culture of SFGH http://mission-healthequity.blogspot.com/2015/07/moral-compass.html) I was able to establish more clear and concise PAC values and guidelines as none had been expressed in writing prior to my tenure as leader. We were to work in partnership and collaboration to address systemic issues versus individual situations. We would do so by working in partnership with the clinic management to support the clinic mission and vision. We would represent the diverse socioeconomic and cultural needs and perspectives of RFPCs patients. We would seek the input of other patients to broaden perspectives. We also established term limits to facilitate turn over and diverse patient representation. Our meetings would create and maintain a safe environment for all members and guests to share ideas and points of view. Respect would be given to the confidential nature of information received at the meetings and we would review and sign HIPAA confidentiality agreements and release forms annually as opposed to only upon initial recruitment. As the PAC coordinator I worked hand i n hand with the Clinic Champion, Mr. Michael McGuire who, as the Practice Manager of RFPC was the link between the PAC and clinic leadership. He was able to provide some assistance to help me coordinate with staff and providers to ensure successful collaboration on PAC initiatives help me ensure progress was being made on PAC projects. DIM The grant to fund the DIM Clinic was picked up for renewal for next year and the instructors I chose were invited to stay and wished to do so. The dramatic increase in attendee numbers rose from 5 or 10 to upwards of 30 under my tenure. We received a lot of positive feedback from patients with successful weight loss and blood sugar stabilization. Patient Portal Recruiting Training I was able to interact with 815 patients in the waiting room and successfully enrolled 230 new Portal users. For online, in person training I spoke with 87 patients over the phone and met one on one with 34 for individualized training. This data will be included in the Residents research paper as well as my experiences with what the patient population specific challenges were for our Clinic. Conclusion I was able to impart some positive change within the community of ZSFGH during my Internship. I also learned several important lessons such as how communication can be difficult at times but its helpful to try to display an open and approachable demeanor. Patients may be upset when they do not receive what they have requested from staff, but remaining clam and expressing compassion can help diffuse and redirect the situation. Because of Dr. Fines close connections to the community, he was able to hear about subsets of people who were not seeking health care and make visible what was invisible to many. I am happy to have been a part of so many diverse projects to assist disenfranchised and marginalized populations of San Francisco. Empowering patients to be proactive about their own care and the outcomes they wish to see has been my main take away from this internship. Helping patients to see ways to incrementally improve their own physical and mental health can not only save money in treatments not needed down the line but also be the first steps towards becoming more independent and being well enough to provide their own income and stable housing. While the community wellness programs in San Francisco promote interventions aimed at addressing lifestyle issues such as diet and smoking, they also recognize the ways in which social determinants of health such as housing status, neighborhood safety, and access to affordable healthy food play a critical role in wellness promotion and encouraging healthy lifestyle choices. With this in mind, I worked to incorporate strategies such as public health education and advocacy in addressing poor health outcomes during my Internship. References Bauman A, Bull F. Environmental Correlates of Physical Activity and Walking in Adults and Children: A Review of Reviews. 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