finance paper - 2682 Words

IMPROVING THE X-RAY PROCESS AT COUNTY HOSPITAL Sullivan University Operations Strategy (MGT620X) Submitted to Submitted by Dr. Wendy Achilles Naresh.Kondepati Shri Haritha.T EXECUTIVE SUMMARY: This project is an effort to understand the main reasons for the long waiting times at our X-ray center and determine the†¦show more content†¦So multiple simulation tables were run and analyzed with input of extra personnel or rooms. After all this thorough analysis the best model is formulated and incorporated. Background: As customers, we generally do not like to wait more than the expected wait time. The managers of the establishments at which we wait also do not like long waiting times, since such waits may adversely affect customer’s loyalty, thereby affecting revenues. In general, a queuing system involves customers who enter the system, perhaps wait in a line (a queue), are served, or leave the system not served. At Country hospitals the main problem is the service level at the X-ray processing center. The present X-ray processing center has been the cause of dissatisfaction among patients which is creating a negative reaction among the patients. The present process starts when a patient leaves the physician’s office with instructions and enters the X-ray center to get an X-ray. Once the patient enters he takes a token and waits till he is called by the front desk assistant to fill the background form. Then the patient waits for the X ray technician, the patient then enters the X-ray lab and the X-ray technician takes the required X-rays. Upon completion a darkroom technician develops the X-rays the patient is sent back to the X-ray technician who checks the X-rays for clarity. Based on the clarity of the X-rays the patient returns to the waiting roomShow MoreRelatedFinance Paper3042 Words   |  13 Pagesoperation. Through this method, one could tell the ratio of debt to equity that th e company was undergoing at that moment (Adler, Goldoftas amp; Levine, 1999). It will be clear that if the ratio has increased, the company has been using debt to finance its operations whereby in Toyota Motor Corporations there was a decrease of the ratio in 2013 giving good hoe to investors. In the third quarter of the financial year 2014, Toyota Motor Corporation recorded a debt equity ratio of 111.4%, even thoughRead MoreGlobal Finance Paper1171 Words   |  5 PagesGlobal Finance Paper University of Phoenix Sadaf Asghar, Ryan Crooks, Joseph Martinez, David Trejo, and Anthony Thorton FIN/370: Business Finance Nikita G. Silver January 10, 2010 Global Finance Paper In today’s global marketplace, doing business abroad has become as common as getting dressed each day. Technology has bridged the gap for entrepreneurs and corporate visionaries to expand into global markets with ease. 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A specific product thatRead MoreBusiness Finance Sample Paper2163 Words   |  9 PagesFNCE20001 Business Finance Semester 2, 2012 FNCE20001 Business Finance Semester 2, 2012 Sample Final Exam 1 Note: This is an edited and revised version of a previous final exam. The reading time for this sample exam is 15 minutes and the writing time is 120 minutes. On this semester’s final exam you will be required to write your answers in the exam booklet and you will be provided with adequate space to do so. Note also that the format of this semester’s final exam will differ fromRead MorePaper on Keynesian Contributions to Public Finance.2759 Words   |  12 PagesPAPER ON KEYNESIAN CONTRIBUTIONS TO PUBLIC FINANCE 1. Impact of Keynesian Revolution on Public Finance In 1936 British economist John Maynard Keynes published The General Theory of Employment, Interest, and Money. 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America Is in the Heart by Carlos Bulosan - 1612 Words

America is in the Heart By: Carlos Bulosan I found the dark hole of the steerage and lay on my bunk for days without food, seasick and lonely. I was restless at night and many disturbing thoughts came to my mind. Why had I left home? What would I do in America? I looked into the faces of my companions for a comforting answer, but they were as young and bewildered as I, and my only consolation was their proximity and the familiarity of their dialects. It was not until we had left Japan that I began to feel better. One day in mid-ocean, I climbed through the narrow passageway to the deck where other steerage passengers were sunning themselves. Most of them were Illocanos, who were fishermen in the northern coastal regions of Luzon.†¦show more content†¦It became no longer her voice, but an angry chorus shouting: â€Å"Why don’t they ship those monkeys back where they came from?† We arrived in Seattle on a June day. My first sight of the approaching land was an exhilarating experience. Everything seemed native and promising to me. It was like coming home after a long voyage, although as yet I had no home in this city. Everything seemed familiar and kind – the white faces of the buildings melting in the soft afternoon sun, the gray contours of the surrounding valleys that seemed to vanish in the last periphery of light. With a sudden surge of joy, I knew that I must find a home in this new land. I had only twenty cents left, not even enough to take me to Chinatown where, I had been informed, a Filipino hotel and two restaurants were located. Fortunately, two oldtimers put me in a car with four others and took us to a hotel on King Street, the heart of Filipino life in Seattle. Marcelo, who was also in the car, had a cousin named Elias who came to our room with another oldtimer. Elias and his unknown friend persuaded my companions to play a strange kind of card game. In a little while Elias got up and touched his friend suggestively; then they disappeared and we never saw them again. It was only when our two countrymen had left that my companions realized what had happened. They had taken all their money. Marcelo asked me If I had any money. I gave him my twenty cents. After collecting a few more cents from theShow MoreRelatedThe Heart By Carlos Bulosan1471 Words   |  6 Pagesthe former belief that America should remain neutral and respect state sovereignty was replaced by the belief that America’s role was to be the world’s policeman. Thus, due to public’s belief that Empire is necessary, America colonized and took over the states of Cuba, Puerto Rico, and The Philippines. 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The Advantages and Disadvantages of Harsh-Heart and...

Mr. and Mrs. Harsh-Heart believe in the importance of stern discipline and impose strict rules that they expect their children to obey without question. They penalize behavior harshly, frequently with spanking. Mr. and Mrs. Easy- Going do not use punishment to enforce their rules and believe in natural consequences teaching lessons and setting limits on behavior. They have regular family meetings with their children to discuss household rules and their importance to the family dynamics. Although both forms of parenting are completely different, both ways have their own advantages and disadvantages. Well first off to discuss the advantages and disadvantages of the parenting styles between the Harsh-Hearts and the Easy-Goings, their styles†¦show more content†¦As soon as the parent does not want the child to do something, they have the urge to rebel to get what they want. Moreover, since this parenting style is based off of rules, the parents have to potential to alter the rul es to their liking, which may seem unfair to the child and gets them upset. This may leave the child to view â€Å"his parents more of an authority figure than a friend.† (Authoritative Parenting. The Iloveindia website). Now onward to discuss the parenting styles of Mr. and Mrs. Harsh- Heart, as previously mentioned before they use the authoritarian child-rearing approach. Due to the demanding control and harsh discipline, the children grow up to be responsible and obedient later in life. They are raised being scared of doing erroneous actions so therefore they do not commit any crimes when they grow up, because they know it is wrong. It can initially give the child more protection and safety in their lives because the parents won’t give the child a lot of freedom; therefore it protects the child from being curious and getting hurt. The authoritarian parents also demonstrate a â€Å"clear difference between bad and good,† because they implement consistent rules. (Benefits Of Authoritarian Parenting. Benefits Of Authoritarian Parenting). Furthermore, the children that are raised from authoritarian parents learn what is expected from them andShow MoreRelatedStrategy Safari by Mintzberg716 28 Words   |  287 Pagesanother sense, each is also interesting and insightful. An elephant may not be a trunk, but it certainly has a trunk, and it would be difficult to comprehend elephants without reference to trunks. The handicap of blindness does have an unexpected advantage, sharpening the other senses to the subtleties that can escape those who see clearly. THE SCHOOLS. Accordingly, in each of the ten subsequent chapters, we present one of the schools from its own limited perspective. Then we critique it, to extractRead MoreStephen P. Robbins Timothy A. Judge (2011) Organizational Behaviour 15th Edition New Jersey: Prentice Hall393164 Words   |  1573 PagesAutonomy Needs Around the Globe 210 Self-Assessment Library What Are My Course Performance Goals? 214 Point/Counterpoint Fear Is a Powerful Motivator 229 Questions for Review 230 Experiential Exercise Goal-Setting Task 230 Ethical Dilemma The Big Easy? 230 Case Incident 1 It’s Not Fair! 231 Case Incident 2 Bullying Bosses 231 8 Motivation: From Concepts to Applications 239 Motivating by Job Design: The Job Characteristics Model 240 The Job Characteristics Model 240 †¢ How Can Jobs BeRead MoreOcd - Symptoms, Causes, Treatment131367 Words   |  526 Pagescentral role in human adaptation and survival. The basic function of fear is to signal a threat or impending danger (Barlow, 2002). The feeling of anxiousness associated with making a speech before 3 4 THE NATURE OF OCD a large audience or going for a job interview is understandable, given the potential for embarrassment or rejection. Even some of the phobias that are well known to clinicians, such as acrophobia (fear of heights) or claustrophobia (fear of enclosed places), are understandableRead MoreOne Significant Change That Has Occurred in the World Between 1900 and 2005. Explain the Impact This Change Has Made on Our Lives and Why It Is an Important Change.163893 Words   |  656 PagesMIGRATION IN THE LONG TWENTIETH CENTURY †¢ 11 year for leisure, business or other purposes,† as tourists are described by the World Tourism Organization.5 Much of this mobility is a continuation and expansion of practices that have been going on for centuries: travel for trade and business, the colonization of agricultural lands, the movement of soldiers and sailors, and the constant ebb and flow of forced and free labor to plantations, mines, factories, and domestic service both far

Psychophysiological Insomnia Samples for Students †MyAssignmenthelp.

Question: Discuss about the Psychophysiological Insomnia. Answer: Background Psychophysiological Insomnia is nowadays a common problem where the patient tries to focus on sleep but worries about not getting adequate sleep, which might affect their next day. Earlier it was assumed that maladaptive learning and irregular sleep hygiene are the primary causes of psychophysiological Insomnia. According to a publication by the Association of sleep disorders centres in 1979, this type of insomnia is due to various factors acting simultaneously such as chronic factor, negative sleeping condition and somatized tension anxiety. According to the cluster analysis of Laar and Pevernagie et al. (2015), psychophysiological insomnia can be identified on the basis of polysomnographic variables, sleep history and Minnesota Multiphasic Personality Inventory. In an Australian study, Psychophysiological Insomnia can be caused with a minimum of 17 hours of sleep deprivation and thus is a significant issue within the scope of community health management. Clinical/ Behavioural Features The patients with suspected psychophysiological insomnia mostly report that they get better sleep outside than at home. They often complain of being light sleepers and can hear everything going on around them during sleep time. Most of the patients find it difficult to fall asleep through the night and waking up early in the morning (van de Laar, Pevernagie, van Mierlo Overeem, 2015). Increased agitation and anxiety during sleeping time with constant worry about sleep is their common distention. People facing this problem tend to be tired airing the whole day and take the help of coffee or other drinks to remain active through the day. They are often unable to take naps in their own beds and are to sleep in others bed or hotel (Richardson, Gradisar Barbero, 2016). Importantly, there exists no explanation of above-mentioned clinical features in terms of the medical, psychological, or neurological concept that can justify the conditions. On the other hand, this is also caused by substance abuse during intoxication, sustained use, and withdrawal (Harada, 2015). Diagnostic Features The diagnostic criteria used by doctors for detecting primary insomnia is the set framed by Diagnostic and Statistical Manual of Mental Disorders, containing five defined criteria (Richardson, Gradisar Barbero, 2016). Firstly, suffering from non-restorative sleep for minimum 1 month, secondly, due to irregularity in sleeping, social, occupational and other functioning areas gets disturbed. The third criterion defines the occurrence due to breathing related sleep disorder or parasomnia, fourthly, sleeping disturbance occurs due to other mental disorder like depression, and anxiety. Lastly, it is not under the influence of any substance or medication (Perciaccante Coralli, 2016). The standard tests included in psychophysiological Insomnia treatment includes (1) thyroid function tests and (2) Blood alcohol levels. In addition to this, test related to neuroimaging studies that can reflect presence of structural lesion to cause insomnia; sleep diary questionnaire to describe sleep cycl e among the patient, actigraphy activity monitoring during sleep and waking periods, and multiple sleep latency test to determining duration of sleep, activity period, and efficiency of sleep are also essential diagnostic tools to identify the insomnia features in the patients (Sweetman, 2016). Epidemiology In an Australian survey, it has been reported that women are mostly affected by this problem than men, and it is quite uncommon in children (infant to the early teenage stage). The adults mostly and even some teenagers are the typical patients of psychophysiological insomnia in which anxiety, substance use, and physiological disability or discomfort are essential factors (Kingsbury, Buxton and Emmons, 2014). The prevalence of insomnia in Australia is reflective to affect 13-33% of adult population among which more than 50% of patients are comorbid with depression. Likewise, compared to Whites, Blanks are nearly twice likely to report insomnia conditions. Likewise, related to non-Hispanic Whites, the Hispanic White population are also likely to report insomnia. On the other hand, the sleep disorder is also found to be higher in low-income and minority groups which are attributed to the social factors. Among the global statistics, the African American and Hispanic groups are found to h ave the highest report for psychophysiological insomnia (Kingsbury, Buxton and Emmons, 2014). Pathophysiology Psychophysiological Insomnia may be caused due to bad sleeping behaviour like drinking alcohol, taking sleeping pills, and staying in bed despite being wide awake may sometimes lead to undermining sleep. Sometimes these bad behaviour also continue during the daytime, as due to lack of sleep daytime seems tired (Shekleton, 2014). Some people take the help of caffeine all over the day but are aware of the fact that it will remain in their system for hours and lead to psychophysiological insomnia. In other cases, the neurological imaging is also revealed the presence of structural lesion that can attribute to the pathophysiology. Other than this, substance abuse, disturbed environmental condition like noise, pollution, and light may retain the alertness in an individual that causes insomnia (Shekleton, 2014). Treatment Treatment of Psychophysiological Insomnia includes the combination of all the mentioned procedures. (1) A psychotherapist or sleep specialist helps in assisting the Cognitive Behavioural therapy (CBT), which aims to transmit the thoughts that weaken sleeping ability. Some4 of the forms of CBT include relaxation training, stimulus control, sleep restriction and biofeedback. (2) Good Sleeping hygiene involves the avoidance of caffeine after noon time and consuming alcohol before four hours of bedtime. (3) Certain sleeping medication as per doctors prescription such as Hypnotics is used to cure depression and also enhance sleeping ability (Richardson, Gradisar Barbero, 2016). In addition to this, sleep restriction therapy and relaxation therapy are also effective in which the time spent by the patient on sleep will be limited as a result of which the sleep onset on subsequent nights can be resumed. Likewise, in relaxation theory, measures like progressive muscle relaxation, biofeedback, and imagery training and thought to stop are effective (Kodsi Kennedy, 2015). Implication Psychophysiological Insomnia has particular health consequences like mood disorders, major depression disorder, anxiety disorder, substance abuse disorder, and medical disorder. There is a relationship between sleep and immunity as lack of sleep results in a change of the innate immunity and also reduces natural killer cell activity (van de Laar, Pevernagie, van Mierlo Overeem, 2015). Even the sleep disorder leads to decrease in ability to handle irritations and thus reduces enjoyment with family, friends and social life. The major implication of psychophysiological insomnia is that it affects the daytime arousal and performance of the individual. This included lack of focus, poor attentiveness, impaired decision making, and lack of energy in all the physical activity. Even it leads to a reduction of job satisfaction and production and results in poorer performance score and increased absenteeism (Perciaccante Coralli, 2016). Overall, the condition is found to be deteriorating of t he individual in terms of its involvement within the family, at the workplace, as well as in terms of deteriorating mental health conditions. References: Harada, D., Yamadera, W., Sato, M., Iwashita, M., Aoki, R., Obuchi, K., ... Nakayama, K. (2015). Effects of two?session group cognitive behavioral therapy for psychophysiological insomnia: A preliminary study.Sleep and Biological Rhythms,13(4), 348-356. Kingsbury, J. H., Buxton, O. M., Emmons, K. M., Redline, S. (2013). Sleep and its relationship to racial and ethnic disparities in cardiovascular disease.Current cardiovascular risk reports,7(5), 387-394. Kodsi, A., Kennedy, G. A. (2015). An investigation of sleep and mood factors as predictors of insomnia and the effects of insomnia severity on cognitive performance.The Time of Your Life. Australasian Chronobiology Society, Melbourne, Australia, 5-11. Laar, M., Pevernagie, D., Mierlo, P. V., Overeem, S. (2015). Psychiatric comorbidity and aspects of cognitive coping negatively predict outcome in cognitive behavioral treatment of psychophysiological insomnia. [Assessed from https://repository.ubn.ru.nl/handle/2066/153762 Dated 06 Mar 2017]. Perciaccante, A., Coralli, A. (2016). Franz Kafka's insomnia and parasomnias.The Lancet Neurology,15(10), 1014. Richardson, C. E., Gradisar, M., Barbero, S. C. (2016). Are cognitive insomnia processes involved in the development and maintenance of delayed sleep wake phase disorder?.Sleep medicine reviews,26, 1-8. Shekleton, J. A., Flynn-Evans, E. E., Miller, B., Epstein, L. J., Kirsch, D., Brogna, L. A., ... Lockley, S. W. (2014). Neurobehavioral performance impairment in insomnia: relationships with self-reported sleep and daytime functioning.Sleep,37(1), 107. Sweetman, A., Lack, L., Catcheside, P., Antic, N., Chai-Coetzer, C. L., Smith, S., ... McEvoy, R. D. (2016). 4. Centre for Accident Research Road Safety, Queensland University of Technology, Brisbane, QLD, Australia 4000 5. Thoracic Program, The Prince Charles Hospital, QLD, Australia, 4032. van de Laar, M., Pevernagie, D., van Mierlo, P., Overeem, S. (2015). Psychiatric comorbidity and aspects of cognitive coping negatively predict outcome in cognitive behavioral treatment of psychophysiological insomnia.Behavioral sleep medicine,13(2), 140-156.