Friday, December 27, 2019

Financial Analysis Essay - 764 Words

however, Poland, Switzerland, Netherlands, Scandinavia, Italy and Hungary were offset by turn down otherwise it would have been increased more by  £119 million or 16% whereas, the volumes rose 6% to 130 billion. Profit in Eastern Europe has fallen by  £59 million to  £409 million due to lower volumes by 4% than previous year. Russia, Uzbekistan, Ukraine and Romania were mainly had lower performance. In Africa and Middle East, the profit has increased by  £211 million to  £724 million where it could have been increased by 28%. Falling Revenues from Major Operating Segments: Revenue excluding duty, excise and various taxes, was  £10,768 million during 2004 and has declined to  £9,325 million in 2005, however, again rose to  £9,762,  £10,018 and†¦show more content†¦BAT along with China Eastern Investments Corporation founded a factory where 100 billion of cigarettes are being manufactured annually. The business also distributes and sells its own products across China. Rising Popularity of Smokeless Tobacco: BAT was first to introduce smokeless Swedish-style Snus, comparatively less harmful than cigarettes. Snus is such kind of innovations that facilitate to lessen influence of tobacco on community and has begun its journey since 2005. Profit from Snus in the global market is estimated around  £2 billion in where America itself accounts for 65% then comes Sweden with  £480 million. Other markets in South Africa, Pakistan, India, Algeria, Norway and European regions have tradition of strong smokeless tobacco and hence BAT growing opportunity. Threats: Increasing Health Concerns: Due to smoking people face heart and respiratory problems and therefore the consumption of tobacco products are declining in huge numbers as people are getting conscious about their health. Even passive smokers often have certain ailments. Tobacco companies are often taken to court by people for disciplinary or compensation. BAT also encountered with such kind of incidences, which might be a major cause for declination of revenues. Competitor Strategies: Most leading tobacco producers are subject to pending legal actions, valued billions of dollars, whereas small producers are there asShow MoreRelatedFinancial Analysis Essay1187 Words   |  5 PagesRachelle Stanley Columbia College FINC 350 A firm’s performance and financial situation is measured by financial ratios. In order to reach these ratios a financial analysis must be done on the company’s financial information. Financial analysis is the evaluation, selection and interpretation of financial data to assist in investment and financial decision-making. Financial data is drawn from many sources however, the primary source is data that is provided by the company in its annual reportsRead MoreFinancial Analysis Essay1238 Words   |  5 PagesIs the Industry’s Analyst Research Useful for Investment Decisions? 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Thursday, December 19, 2019

Chaucer s Prologue Of The Miller s Tale Essay - 1229 Words

In Chaucer’s â€Å"Prologue to the Miller’s Tale†, the Miller’s physically disgusting appearance closely matches his grotesque morality of heart. The prologue opens at the closing of the Knight’s tale, as the Host asks the Monk to rival the tale with a noble story of his own. However, the Miller barges in and doesn’t hesitate to belligerently interrupt the conversation by claiming that he has a noble story of his own to share. Despite attempts to silence the Miller, he proceeds to tell his tale, exhibiting a lack of compassion, respect and self-awareness. His inebriation only fuels the fire, as he continues to illustrate recklessness and disrespect by proclaiming, â€Å"I am drunk†¦If I can’t get my words out, put the blame / On Southwark ale,† (Chaucer 28-30). He takes no responsibility for his actions in blaming his hostile state of mind on the alcohol. Following the Knight’s noble tale, the Miller completely shift s the tone by introducing a story about adultery. Not only is the story inappropriate in its nature, but it also directly insults the Reeve, who is a carpenter by trade. â€Å"It is a sin and a great foolishness to injure any man by defamation,† (Chaucer 36-37) yet the Miller â€Å"refused to hold his tongue for any man,† (Chaucer 59) and fails to consider his hurtful words. The speaker of the poem warns the reader that the story is bawdy and offensive, which is a testament to the Miller’s vulgar nature. Ultimately, the â€Å"Prologue to the Miller’s Tale† introduces the Miller as aShow MoreRelatedAn Analysis Of Chaucer s The Canterbury Tales 2650 Words   |  11 PagesAnalysis of Chaucer’s Miller in The Canterbury Tales In the prologue to The Canterbury Tales, Chaucer introduces the Miller as a crude, rude, loud character who cheats his customers. The tale, which the Miller later narrates, is appropriate because the Miller’s tale clearly reflects this individual’s unrefined personality by telling a typical, filthy tavern story. The Canterbury Tales, written by Geoffrey Chaucer, is a story that details thirty pilgrims, including Chaucer, traveling on a religiousRead More The True Face of Lowbrow Humor Essay733 Words   |  3 PagesFollowing Chaucer’s description of the Miller in the General Prologue, The Miller’s Tale reveals a man who is more complex than his appearance initially suggests. The Miller’s Tale is a fabliau that consists of events of â€Å"cuckoldry,† â€Å"foolishness,† and â€Å"secrets† (1720, 1718, and 1719). Given the bawdy humor of his story, the Miller would seem to be crude and superficial. As the tale unfolds, it depicts how the norms of society trap John’s wife, Alison, in her marriage. Despite his fondness for vulgarityRead MoreGeoffrey Chaucer s Impact On Literature1231 Words   |  5 PagesGeoffrey Chaucer’s Impact on Literature: English poet Geoffrey Chaucer is acclaimed to be one of the best and most influential poets in history. 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Geoffrey Chaucer, born in London inRead More The True Face of Unethical Humor854 Words   |  4 PagesFollowing Chaucer’s description of the Miller in the General Prologue, The Miller’s Tale reveals that the Miller is more complex than his appearance initially suggests. Given its bawdy and humorous nature, the Miller’s story consists of events of â€Å"cuckoldry,† â€Å"foolishness,† and â€Å"secrets† (1720, 1718, and 1719). As the teller of such a tale, the Miller would immediately be classified as a crude man, interested only in the physical appeal of women. However, as the tale unfolds, it imparts the Miller’s unexpectedRead MoreThe Wife Of Bath, By Chaucer Essay970 Words   |  4 PagesThrough the voice of the narrator, Chaucer remarks on the attire and mannerisms of his pilgrims. This descriptive prologue reveals the state of the pilgrims and offers a glimpse into their nature. The focus of this essay is to explore the Wife o f Bath, her character, appearance, and tale. For the purpose of establishing a correlation between; the perceptions of the other pilgrims, the Wife’s apparent nature, and the tone of her tale. Slade suggest that Chaucer intended the Wife as an ironic characterRead More Contradictions in Chaucers The Canterbury Tales Essay3897 Words   |  16 PagesContradictions in Chaucers The Canterbury Tales There is no question that contradictory values make up a major component of The Canterbury Tales. Fate vs. Fortuna, knowledge vs. experience and love vs. hate all embody Chaucers famous work. These contrasting themes are an integral part of the complexity and sophistication of the book, as they provide for an ironic dichotomy to the creative plot development and undermine the superficial assumptions that might be made. The combination of completelyRead MoreThe Canterbury Tales By Geoffrey Chaucer2664 Words   |  11 PagesThe Canterbury Tales The Canterbury Tales was written by Geoffrey Chaucer in 1392, during the medieval period in Europe. Three important aspects, his family’s ties to the court, his schooling and working for royalty (XI), and his love for reading and learning (XII) all combined and enabled him to create his greatest work, The Canterbury Tales. Chaucer includes many different characters, pilgrims, all from very unique walks of life. Although there are not as many women included as men, their storiesRead MoreThe Canterbury Tales By Geoffrey Chaucer2648 Words   |  11 PagesThe Canterbury Tales was written by Geoffrey Chaucer in 1392, during the medieval period in Europe. Three important aspects, his family’s ties to the court, his schooling and working for royalty (XI), and his love for reading and learning (XII) all combined and enabled him to create his greatest work, The Canterbury Tales. Chaucer includes many different characters, pilgrims, all from very unique walks of life. Although there are not as many women included as men, their stories give some extraordinaryRead MoreWomen During The Medieval Times1932 Words   |  8 PagesCanterbury Tales During the Medieval time period that Canterbury Tales was written in, there was a general depiction of women that they weren’t even looked at as humans, but looked at as objects. Women were thought of as weak, untrustworthy, and even less intelligent beings than men. Chaucer did not necessarily agree with the general consensus of women during the time period. Now there are tales that go along with the general impression of women, but there are also signs that Chaucer looked at women

Wednesday, December 11, 2019

Electronic Medical Records free essay sample

Medical record keeping has change in the last couple of decades. In the past patients records were kept in a file on paper taking up excessive room. In the past, paper charts were the only means of keeping a patient’s medical diagnoses documented. Some of these charts are still used today in healthcare facilities, however they are slowly being replaced with a more advance method; electronic medical records (EMR’s). This virtual data–information center can serve as a vehicle to promote and to disseminate standardized data definitions and best practices to providers, consumers, and others interested in quality improvement efforts nationally and internationally (Varkey, 2010). The Electronic Medical Records is an advance computerizes medical record system that delivers medical data for physician’s office and hospitals within a matter of seconds while offering care. This system allows the healthcare staff and physicians to modified, store and retrieves patient’s medical records. May God bless you! Executive Summary Most countries in Europe and the USA are increasingly using an electronic medical record (EMR) system to help improve healthcare quality. Unfortunately, The Gambia government faces a series of health crises including but not limited to HIVIAIDS, malaria, diabetes and tuberculosis. These diseases threaten the lives of thousands of people. Lack of infrastructure and trained, experienced staff are considered important barriers to scaling up treatment for these diseases. The contribution of this field proj ect outlines the benefits of an EMR system at Royal Victoria Teaching Hospital (RVTH) and how it will improve patient safety. This is a descriptive study using interview questionnaires from officials at the Royal Victoria Teaching Hospital. The study also looks into other facilities in similar developing countries with advanced systems, but not so advanced as to be at the level of state-of-the ­ art facilities in the U. S. Results from this study indicates the importance of an EMR system at RVTH to facilitate effective and efficient data collection, data entry, information retrieval and report generation. As a catalyst for development, the implementation of an EMR system at RVTH may make it one on the best hospitals in the West African region. 5 1. Introduction According to Dick and Steen, Electronic Medical Record (EMR) is the compilation of patient medical information in a computer-based format that allows the collection, storage, retrieval, and communication of this data. An electronic medical record replicates a paper chart and contains both clinical information (diagnoses, allergies, drug resistance and treatments) and demographic information about a patient; it provides a comprehensive medical picture and can be used by clinicians as a tool to determine appropriate treatment for patients. EMR is not only being welcomed by healthcare providers as a way to improve care delivery but also serves as a catalyst and gold standard for development (porter, Kohane, Goldman; Reifsteck, Swanson, Dallas). Unfortunately, Africa, a continent faced with many challenges ranging from epidemics, civil wars, and disasters, lacks robust healthcare infrastructure in the form of computerized health care systems. For instance, Ghana has one the best health institutions in the region, Korle-Bu Teaching Hospital. This Hospital, for example, is currently the only institution in the West African sub-region which performs surgery. Due to the quality of outcome, it now receives referrals from most parts of the continent namely the Gambia, Sierra Leone, Liberia, Togo Benin, Tanzania, Nigeria, Cameroon, Cote d Ivoire, and Ethiopia. Despite its exemplary performance, the hospital has no computerized information system which can help improve care delivery in the region. Therefore, the purpose of this study is to examine the potential benefits of EMR and its ultimate contribution to improving healthcare delivery development in less developed countries like The Gambia. 6 1. 1. Background of Royal Victoria Teaching Hospital The Gambia is a small country in West Africa, with a population of approximately 1. 5 million. RVTH has been in existence for over 100 years in The Gambias capital, Banjul. It used to be called Royal Victoria Hospital until in the late 1990s, when its name was changed to RVTH. The Gambian Government decided that it had to reduce its dependency on foreign doctors by establishing a medical school in the University of The Gambia (UTG). The UTG now uses RVTH to teach its clinical students. In recent years, The Gambia has been doing much on its own initiative to take to improve the healthcare of the nation. There are 540 beds in the hospital and the two largest Departments are Pediatrics and Maternity. The biggest killer disease in The Gambia is malaria, with young children and pregnant women being particularly vulnerable to this disease. Diabetes, high blood pressure, pneumonia and eye problems such as trachoma and cataracts are also major health problems. The following table provides an estimation of how many patients were seen at RVTH in the year 2008. Procedure Inpatient Admissions Children admitted to Pediatrics Patients treated in the Eye Center Out-Patient Appointments Out-Patients in the ER Number of Patients 25,281 9,352 986 over 184,365 24,334 Table 1: Number of patients seen at RVTH in 2008 7 Unfortunately, RVTH does not have any EMR system in place to facilitate patient safety. As noted by participants, EMR software is not used at RVTH because administration keeps complaining of money. It looks expensive to them and also they are more used to the paper folder. Currently, information is very fragmented and therefore does very little to help patient safety and consistency in care. Another important issue here is that a large number of these patients are illiterates. To ensure they receive the appropriate treatment, they will have to explain to the physician current medications they are taking etc. This can be a very challenging and fatal to the patient sometimes. The typical paper medical record contains sections including information on demographics, admissions, discharge summaries, progress notes, protocols, laboratory results, radiology results, surgical and pathology reports, orders for, treatment and nursing notes. Most documentation regarding treatment of a patient is written directly in the patients medical chart. On a given day a patient arrives at the hospital for care, sign in his name and waits anywhere from 30 minutes to six hours o get their records pulled depending on the day. Physicians, nurses, medical residents who need access the information in the medical record must wait till its available. Typically, medical records are transported to the outpatient clinic where the patient would be seen, and then returned to storage center to be filed again. It is necessary for the medical record to follow the patient throughout their visit. If the patient was seen in one clinic where orders were written, it was necessary to physically transport the record when the patient moved to the medicine room for treatment. The purpose of this field project is to examine the potential benefits of an EMR system and its ultimate contribution to improving patient safety at the Royal Victoria Teaching Hospital in The Gambia. 9 2. Literature Review The first generation of EMRs was extensions of medical billing systems in large US hospitals. Over the last four decades, they have been used as tools to organize and store medical data. EMRs are widely accepted as important tools to support high quality health care in the US, Europe and other developed countries. Evidence shows that using EMRs that include decision support systems improves quality of care and both reduce medical errors and unnecessary medical investigations (Partners in Health), Experience with the use of EMRs in developing countries, if available, is much more limited than it is in the US and Europe. Now there is considerable interest in using medical information systems to support the treatment of HIV and TB in Africa, Latin America, and Asia. In most African countries, healthcare information systems have been driven mainly by the need to report aggregate statistics for government or funding agencies. Such data collection can be performed with simple paper forms at the clinic level, with all electronic data entry done centrally, but that approach tends to be difficult and time ­ consuming and may provide little or no feedback to the staff collecting data. Individual patient data that are collected and accessible at the point of care can support clinical management. Clinicians can easily access previous records, and simple tools can be incorporated to warn of potential problems such as incompatible drugs. Physicians or nurses can check on the outcomes of individuals or groups of patients and perform research studies. Many of these functions will work well on paper or with simple spreadsheets for up to 100 patients but become very time-consuming and potentially unreliable with more than 1,000 records, and virtually impossible with 10,000 or more. 10 Experience with the use ofEMRs in developing countries is much more limited than it is in the US and Europe, but there is now considerable interest in using medical information systems to support the treatment of HIV and TB in Africa. Some examples of EMR use in Africa include: †¢ The Regenstrief Institute in collaboration with Moi University in Kenya developed an EMR for general patient visits to clinics in western Kenya. This system was subsequently modified to support the care of several thousand HIV patients. †¢ Baobab Health Partnership in Malawi has developed an EMR system using innovative, low-power touch-screen PCs for data entry and display. This system is now used to support the care of more than 7,000 HIV patients in the Lighthouse clinic in Lilongwe and has been chosen by the national HIV program for use throughout the country. [emailprotected], an HIV medical information system developed for US patients, has now been deployed in Uganda and is planned for use in other African countries and in Latin America. (Partners In Health) A wide-ranging literature review of electronic medical record implementation over the past decade reveals that clinical, workflow, administrative, and revenue enhancem ent benefits of the EMR outweigh barriers and challenges. Among other key efforts, organizations must train and motivate users to navigate EMR systems, as well as develop a common structured language. Clinicians who used CPRs found that electronic 11 access to clinical infonnation saves time and provides a thorough and efficient way to manage patient information To reap the full benefits of an EMR, organizations must redesign current workflows and practices to evolve into efficient providers of care. EMR systems are developed to meet the following goals: improve quality of care, reduce organizational expense, and produce a data stream for electronic billing. (Dassenko and Slowinski). The EMR meets these goals through workflow automation, connectivity, and data mining. (Gaillour) The Computer-based Patient Record Institutes (CPRI) definition concurred with the other researchers, but added that the EMR provides protection of patient and provider confidentiality, has a defined vocabulary and standardized coding, produces documentation as a by-product of patient care, connects local and remote systems and provides electronic support for secondary users (payers, policymakers, researchers). Fromberg and Arnatayakul) Unfortunately, most EMR systems are unable to offer all of the components defined by the CPRI because the technology is too complex and too expensive, doctors wont use computers, and standards dont exist. (Gaillour) The advantages associated with implementing EMRs are well documented and are straightforward. The difficulty comes with placing a dollar figure to these advantages; consequently, few organizations have published studies describing the actual cos ts and benefits attained from implementing EMRs. Bingham) The benefits associated with CPRs are organized into four categories: clinical, workflow, administrative, and revenue enhancement. Renner, states that measuring all the benefits associated with EMRs is 12 virtually impossible, and that it is probably safe to select those that can make the greatest financial difference, and incorporate them into a financial model. Clinical benefits seen after implementing an EMR include: better access to the chart, improved clinical decision making and disease management, enhanced documentation, simplified patient education, and increased free time to spend with patients, accompanied by improved perception of care and quality of work life. These benefits ultimately result in better delivery ofpatient care and safety. Despite all of these benefits, EMRs are not a standard in todays healthcare systems. It is evident that EMR technology is still a hot topic for discussion when browsing through current healthcare technology and management journals. The following barriers have kept healthcare leaders discussing EMR technology instead of adopting it: cost, leadership, ROI, vendors keeping up with users needs, and deficits in the following categories: public policy, standards, security, and a true definition. First of all, cost has kept organizations from implementing EMR systems. These costs can be organized into the following categories: software, hardware, infrastructure development and maintenance, implementation, education, planning, and administration. Software costs include development or purchase, maintenance, and upgrades over time, while hardware costs include purchase of workstations. (Mohr) Infrastructure development and maintenance costs include servers, interfaces, workstations, network cables, network maintenance, and help desk operations. Planning costs include development of an implementation plan, identifying measurable outcomes, and choosing meaningful metrics and goals, while implementation costs include training, overtime 13 ssociated with entering patient data, business disruption during transition, employee resistance to change, and lost productivity. Drazen, suggested that leadership was probably a more significant barrier than cost because, in the past, healthcare leaders have raised capital for essential business initiatives such as major building programs, acquiring a physician network, or starting up a managed care organization. This amount of capital is on the same scale as an EMR. Next, Drazen stated that a lack of government support is a major issue holding up EMR implementation.

Tuesday, December 3, 2019

What is Business with Humanity in Mind Essay Essay Example

What is Business with Humanity in Mind Essay? Paper Traditional marketing practice is facing unprecedented challenges. The unsustainability of resource use, the increasing inequity of the market, and the continuous decline in societal trust pose a threat â€Å"marketing as usual.† Capitalism is at a crossroads and scholars, practitioners and policymakers are being called to rethink their purpose and assumptions in light of major societal and environmental changes. As current thinking is based on the exchange paradigm, people largely informed it by economics. Therefore it draws substantively from neo-classical theories of human beings. A â€Å"homo economicus† fulfill his or her stable and predictable interests. He or she is amoral, values short-term gratification, and often acts opportunistically to further personal gain. Such a strategy and marketing organization are largely based on this, and, in turn, are blamed for creating negative externalities. This means the time for changes has come. The nature of this concept Those types of affairs must be inspired by and performed in tandem with human nature if we are to avoid our damaging reductionist views of the world. Business with humanity in mind is a multidimensional concept because every person has its cognition of it. The founder of the basis of its theory was John Hopkins Carey School. This credo signifies the shift in culture. For a long time, already contemporary culture designates the constant making money, the income, the contracts, the loss, and embodies the typical image of the Wolf from Wall Street. Business with humanity in mind tries to focus on the humanistic approach. Corporations count on people to need and consume the products and services in order to have a profit. They have come to realize that humanity is not mutually exclusive. Relying only on financial sphere may lead to detrimental consequences for society at large, as proofed by the U.S. financial crisis of the 2000’s. Focusing on consumers only with no regard for the finances can also cause the ruination if a country has no opportunity to support its people financially. This credo is fitting because affairs are eager to try a different way, as evidenced by the growth of social entrepreneurs and other businesses that care about the greater good. The Agents of Business with Humanity in Mind We will write a custom essay sample on What is Business with Humanity in Mind Essay? specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on What is Business with Humanity in Mind Essay? specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on What is Business with Humanity in Mind Essay? specifically for you FOR ONLY $16.38 $13.9/page Hire Writer Students of John Hopkins Carey School have a tough challenge. They have to change the world, and make it believe that the financial sphere is â€Å"by people† and â€Å"for people.† But first of all, they have to believe in it themselves. As the students of Carey School are from varied social backgrounds, origins, cultures and come in with their own moral compass, so it may be quite difficult to change their principles and morals to one that embodies the consensus of the greater good. But if they succeed in this, they will become pioneers of the next generation business with humanity in mind. Criticism of Business with Humanity in Mind Everything sounds great and even better, but some people criticize the theory. Firstly, the real world is evil. The scourge is deep inside the human nature; no one is going to turn the money making in good thing while it is a business. The aforementioned sphere is like the politics – dirty stuff, and money rule the world. Secondly, why the notion of business comes before the humanity? And why humanity is just in mind and does not take the direct participation in the concept of the central topic of this essay? Maybe humanity is just an afterthought. There is an opinion that this credo should morph into one that more clearly defines its mission. Something like: â€Å"Money and people working together, humanity living and making it better,† which may reflect a complete culture not just keeping people â€Å"in mind† but actively include them into all endeavors. The Principles We need to set the new business culture. Carey School tries to teach us that we are one human race in which everything we do matters – especially in that sphere. Business with humanity in mind is a mechanism that puts culture moving forward as the top priority. Citizens should be embraced by doing so, create a better world. As Dean Bernard T. Ferrari – the member of the Carey School states, â€Å"Our goal is to produce relevant, practical, translatable research that has a beneficial impact on people’s lives today and tomorrow.† Part of Carey School’s mission statement states, â€Å"We create and share knowledge that shapes practices while educating leaders who will grow economies and societies, and are exemplary citizens.† One of the principal goals of business with humanity in mind essay is to develop creative leaders who gain first-hand knowledge in building sustainable businesses in developing markets. Plus, students are acknowledgeable in assessing the commercial potential of technological innovations and scientific discoveries. Business with humanity in mind is unique in that it focuses on commercialization and entrepreneurship as a means to meet societal needs; i.e., by creating a successful financial model people can bring the technology to market for medical, scientific and humanitarian purposes. And the third element involves immersing leaders in real-world, street-level social entrepreneurship. Working with area residents, stakeholders, and institutions, they identify neighborhood strengths and weaknesses and develop strategies to capitalize on the former and address the latter. Business with humanity in mind essay is dedicated to the mission of developing new knowledge and educating the new generation of leaders to build great societies and economies. It teaches simple students how to be creative leaders who are able to solve tomorrow’s challenges and contemporary problems. You can rely on our service The successful implementing of the shifts and changes must be based on a strong, profound business plan model. Students are to show their potential and creativity. If you have any problems with it, our professional business plan Thewritemyessay would happily help you to prove your candidacy and show them all. Now you know the main notion of the aforementioned phenomenon. 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