Opening a Spanish Franchise in Lebanon and using Marketing Strategies Term Paper

Opening a Spanish Franchise in Lebanon and using Marketing Strategies and techniques to help create a successful business and results, taking into consideration the competitors in the lebanese market - Term Paper Example In high profile restaurants in Beirut, majority of customers are complemented by Lebanese expatriates and Arab tourists. It has been observed that restaurant business in the city is governed by the seasonality. Summer is the peak season for restaurant owners and during this season restaurant owners try to offer Mediterranean and special Lebanese dishes to lure patrons. The market is highly fragmented due to presence of small numbers of standard restaurant. Restaurant owners have incurred a loss of 65% in sales volume in last five years and this can be cited as the reason for high degree of fragmentation (London 420-425). It has been observed that major portion of customers prefer to take lunch in restaurants (Amin, â€Å"Security crisis takes toll on Beirut’s restaurants†). The study has selected Achrafieh (this district is located in East Beirut, Lebanon) hence the report will exclusively focus on food preference of customers that belong to Achrafieh. The district is c onsisting of more than twenty seven restaurants but only nineteen of them offer Mediterranean dishes. Ta3mini has pointed out that almost 50% of customers prefer pizzas, sandwiches while 20% prefer other Mediterranean dishes (â€Å"Restaurants in Ashrafieh around 18$†. Majority of the customers in Ashrafieh are Christian hence there is natural tendency among them to take European cuisine in comparison to traditional Lebanese dishes during lunch time. 100 Montaditos has the opportunity to cater the demand for Mediterranean dishes in the district by opening up restaurant franchisee chain (â€Å"100 MONTADITOS†). Customers in the district can be segmented in accordance to their spending capacity on per person meal. Post Hoc segmentation strategy can be used to define the target market (Zoltners, Sinha and Lorimer 66). Many restaurants in Ashrafieh target those customers who do not want to spend more

Critical Analysis of Paper Research Example | Topics and Well Written Essays - 1250 words

Critical Analysis of - Research Paper Example In addition, history has much borrowing to do from political science. Individuals’ understanding of history remains meaningless supposing the political bearings of occurrences and movements are sufficiently connected. For instance, there cannot be a complete understanding of the accounts of the 19th century in Europe devoid of bringing out the importance of the movements such as imperialism, socialism, individualism, and nationalism. This does not imply that political science and history have a similar inkling. There exist fundamental dissimilarities between political science and history. History denotes accounts of previous occurrences and movements that embrace revolution, warfare, military campaigns, and political, economic, religious, as well as, social upheavals. No aforementioned are essential for political science purposes. The major concern of a political science student would be studies on the progression of political institutions alongside supplementary actualities t hat influence openly or indirectly the state. As such, political science selects particulars out of history. Accordingly, even though, history and political science are different subjects, they cut-across each other on numerous points. In Praise of Difficult People: A Portrait of the Committed _Whistleblower Philip H. Jos, College of Charleston Mark E. Tompkins, University of South Carolina Steven W. Hays, University of South Carolina According to the authors of the mentioned investigation, opponents of large organizations consider principled personal dissent including whistleblowing to be significant for making sure responsibility in otherwise irresponsible bureaucracies. There is a broad commentary of whistleblowing being an expensive action for the whistleblower that many consider as additional proof of the necessity for enhanced legal safeguarding along with prodigious outside control over the organizations tangled. The conflict stimulated through dissent entails superior incent ives for the organizations, as well. Besides challenging numerous societal prohibitions, whistleblowing frequently pits loyalty to an individual’s customers or counterparts in opposition to the public loyalty and entails accusation, which the superiors of an individual or fellow colleagues have abused or neglected the trust of the public1. Consequently, whistleblowing denotes one of the mainly threatening sorts of organizational dissent, probable to result in considerable hostility alongside various kinds of organizational retribution. Overall, the understanding of whistleblowing remains anecdotal, even though restricting knowledge of individuals sounding these apprehensions, their inspiration, alongside their ensuing fate. The authors address numerous fundamental issues raised through the legislative deliberations and academic investigation concerning whistleblowing. Foremost is the concern of what happens to individuals who have opted to become whistleblowers. The concern f ocuses on whether the retaliations could be as unembellished as numerous persons have proposed. Subsequently, discerning what inspires the whistleblowers is necessary by centering on the influences that prompt such individuals into risking career sanctions, ostracism, alongside other retribution forms whilst most of their counterparts stay complacently silent. Idyllically, whistleblowing studies would integrate employee attitude measures along with conduct taken

Policy Development Paper Essay Example for Free

Policy Development Paper Essay In this paper, research will be made on reducing prison population and how policy affects and restores how the system works. In the research of how to reduce prison population will include statistics, facts, and public opinion history information which will support the policies claims. This topic has always been controversial and the following research will indentify the stakeholders and their opinions as they relate to the proposed policies and how politics will have an impact in its implementation of these policies. Finally the author will provide policy recommendation and the justification for these policies. In the last several years, this country has gone through many changes in the criminal justice system and one of the major changes is prison overcrowding and the unwarranted prison costs that come with it. This problem not only affects one area of the nation’s prisons, it is practically a problem in every state of the United States. One major question that policymakers should be addressing is whether is it worth having these expenses just to have low-level drug using criminals in jail that are consuming an estimated 65 billion a year? There have got to be a better way to deal with these types of low-level criminals which do not have any business in the prisons whatsoever. These drug offenders need help with rehabilitation and getting their drug problems handled not throwing them in prisons where they are only going to learn more criminal behaviors from the other violent inmates. Two major factors that contribute to the overcrowding of the prison population are: the technical violations those individuals brake like probation and parole, not showing up to court, and just following simple instructions that the parole or probation officers give the offenders and they break those rules. The second factor is that prisons have their policies and if inmates do not follow them and break them they will be punished and serve more time, another reason is that policies change often and for that reason inmates have their sentences increased all the time. In order to reduce the prison overcrowding and maybe have some hope of sinking the recidivism rates, the criminal justice system needs to make some changes and try different alternatives to prison. With the implementation of community-based programs, reminiscent of drug rehabilitation programs, electronic monitoring and house arrest, there can be better results for individual who are trying to better their lives instead of throwing them to the prison system and having them learn new criminal skills from real violent criminals. To prevent overcrowding in the prison system, there are alternatives that the system can use instead of throwing everyone into prison and having to spend much more money for people that clearly do not belong in the prisons. One way to decrease the prison population is to evaluate the prisoners and really study the individuals who are ready to be rehabilitated and serve time in productive manner and this way the prisons can decrease costs at the same time (Heroux, 2011). There are people in this country that may have very extreme views about prisons, they feel that in a modern society, prisons should not exist and everyone has the right to be free (Heroux, 2011). In ones opinion, views like that have no place in this country or any country at all, because it is necessary to have prisons to have control over people that are really aggressive and violent who cannot live freely in our society or else they would cause nothing but chaos in the streets and citizens would not be safe. Society may feel that if policies get tougher with our criminals, the results will be lower crime rates. Unfortunately it does not matter if policies and laws get tougher because not only in this country, but in the whole world, the criminals do not care about laws and policies. Criminals think, act and live a life of crime different than the normal law abiding citizens of this nation, which is why they do not follow the laws and going to prison just comes with the territory f or them. A criminal is well aware that some day they will be behind bars and it does not matter how severe the laws or policies are they will continue to live that life of crime (Marion Oliver, 2006). It is thought to be said that if all criminals were to be locked up, they would not commit any crimes and therefore society would be safer (Heroux, 2011). Statistics show that there is no relationship between mass incarceration and decreased crime rates (Heroux, 2011). Proponents of mass incarceration will lead you to believe that during the 1990s an increase in incarceration resulted in the decrease of crime rate, but this is just a typical case of cherry-picking data to mislead the public. There are three different cases with totally different outcomes that show no evidence that mass incarcerations will decrease the crime rate. In the first case since the 1930s throughout the 1960s, both incarceration and crime rates bounced up and down just a bit, but they stayed at a set level (Heroux, 2011 ). The second case showed that incarceration rates and crime rates shot up simultaneously in the late 1970s to 1980s (Heroux, 2011). The final case showed that incarceration rates sustained its level while crime rates decreased in the 1990s and in the 2000s the incarceration rates continued to increase while crime rates stayed at the same level (Heroux, 2011). So in order to deal with all the prisoners who show potential to have a good rehabilitation in the system, we must provide them with good programs because they are still costing the states billions of dollars every year. First of all the correctional system should be looking closely at those individuals with a low level and first time offenders because they clearly do not belong in the prisons, they belong in programs where they can start paying they dues to society and get them ready to be productive members of society. These individuals have a much higher percentage of not returning to the system because they do not show signs of violent behaviors. Although they have broken the laws, these types of offenders usually have a higher rate of recidivism than ot her individuals who go through the prison system (Heroux, 2011). One major factor why offenders return to prison is because prison will habitually teach individuals to be aggressive and more often than not will make them engage in criminal behavior once they are released to the public sector (Heroux, 2011). On the other hand, alternative sanctions that are more suitable for offenders will eliminate that feeling of trying to commit a crime all the time; it will teach individuals new habits instead of teaching them how to be criminals. Here are different options in which the criminal justice system can adopt to eliminate some of that recidivism rate and decrease it so that the prisons will not be so overcrowded. The first sanction is electronic monitoring, this device had been around for some time now and it works as long the individual does not muddle with it and try to trick it a take it off. Another program in which offenders can be reprogrammed is with community service, probation, parole and restorative justice. Although these sanctions have been designed for individuals who can make a change and have not shown to be violent in prisons, there are prisoners who definitely cannot participate in these types of programs for the reason that they cannot be rehabilitated due to mental issue s and violent behaviors. Of course these programs are not for everyone, just because the programs are available it does not mean that anyone can participate in them. There are steps to be taken by the prison administrators and the courts before allowing an individual to go thru one of these alternative sanctions. One problem that is in the minds of politicians and the states is how much will these programs cost will it be cost effective to send these individuals through these programs to reduce the prison overcrowding. The data shows that alternative sanctions have been proven to be cost effective and they are successful in reducing the criminal behavior and decreasing the prison population (Heroux, 2011). The goal of the criminal justice system is not to eliminate all prisons all together, but to keep them full of individual who really deserve to be there, for instance violent, aggressive and mentally challenged individuals who cannot be walking around in the public because they pose a threat to the society. Another program that is helping many individuals and juveniles especially is the drug treatment programs. As we all know, jail and prisons do not always work for many individuals because they have different problems that need to be looked at by specialists, for example drug addiction. Adult and juveniles who were charged with drug offenses, but they were not violent had the chance to participate in these programs to try and rehabilitate themselves and not return to their bad habits and prisons. These alternative programs are there to give hope to many individuals who did not have the same opportunities that others had and with some training they can be successful and be model citi zens. As a condition to these criminals is that if they do not participate and cooperate with the program the only solution is to return them to prison where they can serve their remainder of their sentences. Drug treatment programs usually take from 16 to 24 months of residential drug treatment depending on the severity of the individual’s addiction (The National Reentry Resource Center, 2012). Drug treatment programs have a successful track record in different states of the country. According to the National Reentry Resource Center, participants who were successful in completing the program were 33 percent less likely to return to prison, 45 percent less likely to be convicted (The National Reentry Resource Center, 2012). In conclusion, alternative sanctions exist so that individuals can have a second chance to straighten up their lives and not return to prisons where more damage can actually happen for them. The programs will not be easy to complete, but in the end they will feel proud of themselves and they will be ready to face the world in a different perspective. Studies have been shown that individuals who participated in alternative programs were more than likely to be more successful than individuals who did not participate in them. The programs mentioned above have been used for years and they have been proven to decrease the prison population, but in order to make a difference we as a society need to support these programs because they are very expensive and is the only way we are going to decrease the overcrowding in our prisons. References Dunn, W. N. (2008). Public Policy Analysis: An Introduction (4th ed.). Upper Saddle River, NJ: Prentice Hall. Heroux, P. (2011). Reducing Prison Overcrowding, Improving Justice and Preventing Crime. Retrieved from http://www.huggingtonpost.com/paul-heroux/ways-to-reduce-prison-ove_b_925603.html Marion, N. E., Oliver, W. M. (2006). The Public Policy of Crime and Criminal Justice (Rev ed.). Upper Saddle River, NJ: Prentice Hall. The National Reentry Resource Center. (2012). Justice Center. Retrieved from http://www.nationalreentryresourcecenter.org/what_works/evaluations/washingtons-drug-offender-sentencing-alternatives-dosa

Settling a New World Essay -- essays research papers fc

The very survival of the early settlers to the New World would depend much upon the generosity of the Native Americans. Had the natives not been so helpful and had instead violently resisted the newcomers, European settlers might not have been so eager to come settle this new land. Both Jamestown and Plymouth would depend upon the goodwill of the native people for their initial survival while establishing their settlements. The Indians not only introduced the area’s indigenous food sources but also their agriculture techniques to the settlers. The settlers would depend upon these for their survival in a new and unfamiliar land. Being able to provide their own food would be the first step in successfully establishing the new colonies, once the settlers were able to do this their numbers grew. With that growth in population came a desire for more settlement territory, it would be this desire for more land that would lead to unrest between the Native Americans and the settlers. Upon their arrival to the New World in May 1607, the newcomers built a settlement and established it as Jamestown. Of the 104 settlers, many were â€Å"gentlemen† and ill suited for the tasks ahead. The area was swamp†¦ warm, humid and riddled with mosquito infested malarial bogs of water and parasites carrying numerous other diseases. In their haste to find wealth and the Northwest Passage to Asia, the men neglected to plant crops to replenish their food supplies, which were dwindling rapidly. Within eight months of their arrival only thirty-eight colonists were still alive. A young captain, John Smith, would become the settlement’s new leader. He enforced a policy decreeing, â€Å"He that will not worke shall not eate.† Under his leadership the colony was revived but when injured by a gunpowder explosion in 1609 he was sent back to England. John Ratcliffe was elected to take his place and under his command the settlers would experience what would come to b e known as â€Å"the starving times†. Come the end of winter only sixty survived and many of those only did so by consuming their dead neighbors. Along with the difficult situation of food shortages, there were also skirmishes with the local Native Americans. Legend holds that in 1608 Captain John Smith’s life would be spared only due to the pleas from Indian leader Powhatan’s young daughter Pocahontas, who brought food and clothing to the colonis... ...rs to this New World ultimately succeeded due to the generosity of the local natives, and due to the fact there was no unification of the local native tribes. Had the Indian natives never helped the settlers learn top plant native crops and provided aid during times of starvation, the settlers’ success would have been limited. Many times settlements were saved from the brink of extinction upon Indian intervention. If Indian tribes had been able to unite together when the settlers first began to arrive, they might have been able to join forces and win a battle against the new arrivals while the colonists numbers were still few. Had the new colonists been faced with an organized fighting force that killed them upon arrival, the European’s might have been too frightened to continue to send new arrivals for fear of slaughter. In the end it would be the English settlers who would prevail†¦ their vast numbers, superior weapons, and unified forces would overcome India n resistance. Bibliography: The World Book Encyclopedia (1999) www.jamestown.org Agriculture, Indians, and American History – www.cals.edu/aagexed/aee502/indians.html The American Journey, A History of the United States

Regulatory Barriers And Legislative Actions Health And Social Care Essay

The Healthy People 2010 includes ends of eliminate wellness disparities among sections of different populations ( U.S. Department of Health and Human Services Office of Disease Prevention and Health Promotion, 2005 ) . Surveies have shown that rural countries experience more wellness disparities such as both morbidity, mortality, and with insurance coverage ( Agency for Healthcare Research and Quality, 2009 ) . Age is besides an of import factor that contributes to healthcare barriers such as homebound position and transit affairs. The aged have systematically accounted for about 50 % of all health care expenditures in the United States ( Cousineau, 2010a ) . As the demand for the wellness attention additions, there will be fewer health care workers for attention bringing. If the current tendencies continue, the spread between supply and demand of rural doctor and nurses will be even larger than in urban countries ( Cousineau, 2010b ) . Given the continued growing of chronic unwellne ss in our society and the detonation of new health-related engineerings, surgical techniques and drugs ( Cousineau, 2010c ) , inquiries of how, or if telemedicine can cut down costs or better entree must be address in order to see it as a feasible solution for the drawn-out health care bringing in the United State.IssuesIn malice of the progresss of medical engineering and wellness information sciences that have improved the ability for telemedicine to supply entree to a spectrum of attention, insurance companies and funders continue to eschew the issue of reimbursement for telemedicine services. Indeed, though there has been great promise of telemedicine development really small advancement has really been achieved. The primary challenges continue to be limited reimbursement, licensure, and patient privateness ( Matusitz & A ; Breen, 2007 ) . Since Senate Bill 1665 enacted the â€Å" Telemedicine Delivery Act of 1996 † which imposed legion demand regulating the bringing of h ealth care via telemedicine, several related policies such as HR3030 and HR3200 have besides been introduced to Congress to supply low-cost telemedicine services with ordinances. However, they are all still pending and have been unable to continue. Since there is no direct opposition disputing telemedicine-related policies, this paper will concentrate on discoursing the regulative barriers and legislative actions forestalling them from come oning. With respect to the limited research grounds and expertness in telemedicine, this paper will besides analyse the recent Congressional proposal HR 1601 by sing the quality and wellness results of telemedicine system. Last, it will discourse the impact of Healthcare Reform on telemedicine and my recommendation for future waies.Regulative Barriers and Legislative ActionsLicensurePresently each province regulates its ain pattern of medical specialty. This is a jurisdictional right that is recognized by the Supreme Court. For this ground, most healthcare professionals are licensed on a state-by-state footing. Telemedicine hence is besides geographically regulated by single provinces. Many legal issues originate when a â€Å" pattern † is done via a telecommunication nexus across different province lines. Each province they cross into can enforce a demand on the supplier to keep a full medical licence before seeing their out-of-state patients via telemedicine engineerings. It is hard and dearly-won for healthcare practicians to keep and keeping multiple licences, particularly those in the rural countries where the healthcare demand is non stable ( Cousineau, 2010b ) . For this ground, many merely choose to restrict their pattern to a individual province. In 1996, the Federation of State Medical BoardsA developed theoretical account statute law which allows a province to supply and administrate a limited telemedicine licence. This limited licence permits wellness practicians to pattern in different provinces via telemedicine engineerings, but non physically. Conversely, the American Medical Association decided to follow a policy that requires a full and unrestricted licence in order for a doctor to pattern telemedicine across province lines ( Nickelson, 1998 ) . Beyond licensure issues, while interstate telemedicine patterns could better entree to our current health care systems, it besides raises inquiries about malpractice and struggle of jurisprudence. Presently each province develops its ain malpractice insurance evaluation and most malpractice insurance does non use in instances outside of the province. On the other manus the suppliers of each province are besides concerned about how to exercise legal power over such malpractice claim against other suppliers from out of province who may non be capable to the legal power of the administrative regulative organic structures. Although a national licensure theoretical account for telemedicine seems like a logical solution, it is improbable to get the better of the political and constitutional issues in one measure. A regional geographic attack affecting province medical insurance companies to clear up coverage bounds and develop new policies might be more executable. For illustration, based on telemedicine activities from the Governor ‘s Associations and Councils in the yesteryear, Cwiek et Al found that the Southern Governors ‘ Association and the Western Governors ‘ Association demonstrated a important degree of leading in the country of telemedicine. They have proven to better entree to healthcare and medical specializers and cut down medical costs by traveling information alternatively of people ( Cwiek, Rafiq, Qamar, Tobey, & A ; Merrell, 2007 ) .ReimbursementIn 1997, both the House and the Senate passed HR2015 – Balanced Budget Act. It enabled partial Medicare reimbursement f or Telemedicine services. However, professional audience was the lone service allowed by the measure and the payment had to be shared among assorted parties with really rigorous ordinances. In 2000, Congress passed appropriations measure HR 5661, the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act, which significantly revised Medicare ordinances for reimbursement for Telemedicine services ( The American Telemedicine Association, 2010 ) . The Healthcare Financing Administration extended Medicare coverage to medical visits, audiences, mental wellness services, and pharmacologic monitoring of patients populating in the rural country. Further, it extended payment rates to suppliers which were similar to that paid without the usage of telemedicine. Medicare besides pays a installation fee for per telemedicine session. However, obstructions remain because the reimbursement is normally allowed for directed physical communicating merely, such as face-to-face audiences. Besides, the opposition of reimbursement from the private insurance companies continues with non-feasible ordinances ( Matusitz & A ; Breen, 2007 ) .Limited research grounds on Telemedicine and HR1601HR1601 was introduced to the Congress by Jefferson in 2007 and it was referred to Committee for consideration of telemedicine service facilitation ( Thomas Library of Congress, 2007 ) . The end of this measure is to bespeak grants to put up telemedicine services in a spectrum of assorted healthcare systems including nursing place and public clinics. Rather than proposing the solution or overall support mechanism in the long term the purpose of this measure is to bespeak support for telemedicine pilot undertakings and bring forth research grounds. HR1601 would guarantee that the Office for the Advancement of Telemedicine in the Health Resources and Services Administration ( HRSA ) would supervise and organize pilot surveies with related federal bureaus of medical underserved populations in both urban and rural country, with the assistance of grants. HRSA would do recommendation harmonizing to their rating of whether these undertakings consequences in addition of entree and quality of attention, publicity of patient independency, lessening wellness disparities, and betterment of cost effectivity ( Prinz, Cramer, & A ; Englund, 2008 ) .QualityThe quality of telemedicine services has the most direct impact on the likeliness of go throughing policies of support. In order to present the optimum telemedicine service the quality of the telemedicine system needs to be reliable, user friendly and cosmopolitan in order to incorporate into assorted computerized system. Standardized counsel should be implemented so the telemedicine system can efficaciously and accurately pass on with bing computerized system in the infirmary and place wellness bureaus. The challenge lays in the complexness of telemedicine engineering, including hardware and package mutual exclusiveness, syste m integrating complexness, and communicating troubles due to low velocity digital lines ( Prinz, et al. , 2008 ) . Information could be lost while meeting communicating troubles and equipment failures which would earnestly impact the dependability of telemedicine service suppliers, particularly private place wellness bureaus in the rural country.Health resultUse of Telemedicine engineering ( such as picture cameras and supervising devices ) in the Home Care puting additions entree to healthcare bringing by leting direct communicating between patients and wellness practicians beyond geographic and temporal boundaries. There is increasing grounds demoing that that telemedicine is associated with the positive result of self-management and conformity in chronic unwellness such as cardiovascular diseases and diabetes ( Artinian, 2007 ; Chumbler, et al. , 2005 ) . On the other manus, some argue that this grounds is non quantifiable because of the use of assorted telemedicine engineerings in different disease countries. The deficiency of thorough clinical tests might be the ground that holds back reimbursement organisation and promotion of telemedicine uses ( Prinz, et al. , 2008 ) . Some grounds even shows that using telemedicine services contributes no difference in patients ‘ wellness result but a greater cost comparison to other healthcare bringing methods ( Bowles & A ; Baugh, 2007 ) , therefore corrupting the necessity to reimburse a more dearly-won healthcare bringing method.The Impact of American Recovery and Reinvestment Act & A ; Patient Protection and Affordable Care ActBased on the belief that wellness information engineering and electronic medical records are indispensable for the transmutation of telemedicine health care bringing, the federal authorities utilized the commissariats of the American Recovery and Reinvestment Act of 2009 ( ARRA ) to authorise about $ 38 billion in funding for wellness information engineering substructure over the foll owing 6 old ages. The inside informations about how this support will be utilized are written in the Health Information Technology for Economic and Clinical Health ( HITECH ) subdivision in the ARRA. The largest part of this support is targeted at incentive payments by Medicare and Medicaid to eligible suppliers for the execution of wellness information engineerings. Specifically, in order to be qualified for these inducements the health care suppliers must follow a certification for the electronic medical record system and exhibit the practical usage ( Cline, 2010 ) . In March 2009 President Obama signed HR 3590, the Patient Protection and Affordable Care Act ( PPACA ) into jurisprudence. ThisA important wellness attention reform jurisprudence allows advanced payment and service bringing theoretical account to better entree, quality of health care, and cut down plan cost to persons, written specifically in Section 3021 ( Government Relations Staff, 2010 ) . A New Center for Medicare and Medicaid Innovation will back up primary attention practicians on flying telemedicine application in chronic attention direction. It will implement telemedicine plan in infirmaries, accountable attention organisations, and independency at place for distant patient monitoring. This jurisprudence encourages wellness information engineering and electronic medical records acceptance to ease attention coordination. It besides allows each province to utilize the new Medicaid â€Å" Health Home † plan to progress chronic attention.RecommendationsOverall, I believe that the Telemedicine can increase entree and cut down cost in the long tally with the support of American Recovery and Reinvestment Act & A ; Patient Protection and Affordable Care Act. There is no uncertainty that the Telemedicine is capable of transforming our health care bringing system in both positive and negative waies, nevertheless, I believe that the pros outweigh the cons. It is notable that most of the up to day of the month pilot research surveies mentioned supra have made positive impacts on the entree of healthcare bringing. Inadequate and unequal coverage for telemedicine service earnestly delayed the execution of cost-saving and quality-improvement solutions, and constrained the entree and picks in assorted forte services in rural countries. Current expanded Medicare coverage for Telemedicine is in procedure of work outing this issue, but specifically I think Congress should besides widen Medicare coverage to medical services using â€Å" store-and-forward † t elemedicine ( for illustration direction and showing for diabetic related retinopathy ) , and to suppliers whose services are otherwise covered for Medicare. I besides recommend a more aggressive plan for pull offing the demands and costs of chronic patients who are presently homebound or are potentially at hazard to be administered into a infirmary or nursing place. Thousands of veteran patients are profiting from place wellness telemedicine plan to organize their attention. The US Veteran Affairs have found that their patients follow the usage of these devices easy and are really satisfied with their attention coordination service ( US Department of Veterans Affairs, 2009 ) . Therefore, Congress should advance Home Telemedicine and include it in the reimbursement component to cover the costs of related devices and engineering. Most provinces ‘ Medicaid already covered some telemedicine services. It can be optimize by back uping primary attention doctors to suit telemedicine services, maximise the usage of picture and telecommunication to cut down patients ‘ travelling, and increase â€Å" store-and-forward † engineering uses such as sharing medical images for diagnosing. The current rural wellness plan should prolong the operation of high-velocity cyberspace entree and wireless connexion within all eligible wellness installations to accomplish efficiency and cost-effectiveness. Congress should besides set up a licensing board to promote interstate medical licensure cooperation by geographic zone. Finally, I believe that with effectual execution, wellness practicians and patients can get the better of the challenges limited the development and success of telemedicine.

Types, Sources, and Solutions for Lake Pollution

In an extensive sampling effort, the Environmental Protection Agency, with the help of state and tribal agencies, coordinated water quality assessments for the country’s lakes. They evaluated 43% of the lake surface area or about 17.3 million acres of water. The study concluded that: Fifty-five percent of the study’s water acreage was judged to be of good quality. The other 45% had waters impaired for at least one type of use (for example as drinking water supply, for recreational fishing, swimming, or aquatic life support). When considering man-made lakes alone, the proportion that was impaired jumped to 59%.Water quality is sufficiently high to allow swimming in 77% of the waters assessed.Aquatic life was not supported adequately by 29% of lake waters.For 35% of the lake waters surveyed, fish consumption was not recommended. For the impaired lakes, the top types of pollution were: Nutrients (problematic in 50% of impaired waters). Nutrient pollution occurs when excess nitrogen and phosphorus make their way into a lake. These elements are then picked up by algae, allowing them to grow rapidly to the detriment of the aquatic ecosystem. Overabundant cyanobacterial algae blooms can lead to toxin build-up, oxygen level drops, fish kills, and poor conditions for recreation. Nutrient pollution and the subsequent algae blooms are to blame for Toledo’s drinking water shortage in the summer of 2014. Nitrogen and phosphorus pollution comes from inefficient sewage treatment systems and from some agricultural practices.Metals (42% of impaired waters). The two main culprits here are mercury and lead. Mercury accumulates in lakes mostly from atmospheric deposition of pollution coming from coal-fired power plants. Lead pollution is often the result of accumulated fishing tackle like sinkers and jig heads, and from lead shot in shotgun shells.Sediment (21% of impaired w aters). Fine-grained particles like silt and clay may occur naturally in the environment but when they enter lakes in large quantity, they become a serious pollution problem. Sediments come from the many ways soil can be eroded on land and carried into streams then lakes: erosion can originate from road construction, deforestation, or agricultural activities.Total Dissolved Solids (TDS; 19% of impaired waters). TDS measurements can be interpreted as how salty the water is, generally due to high concentrations of dissolved calcium, phosphates, sodium, chloride, or potassium. These elements most often enter the roadways as road salt, or in synthetic fertilizers. Where do these pollutants come from? When assessing the source of pollution for the impaired lakes, the following findings were reported: Agriculture (affecting 41% of impaired waters). Many agricultural practices contribute to lake water pollution, including soil erosion, manure and synthetic fertilizer management, and the use of pesticides,Hydrologic modifications (18% of impaired waters). These include the presence of dams and other flow regulation structures and dredging activities. Dams have extensive effects on a lake’s physical and chemical characteristics, and on aquatic ecosystems.Urban runoff and storm sewers (18% of impaired waters). Streets, parking lots, and rooftops are all impervious surfaces that do not allow water to percolate through. As a result, water runoff speeds up to storm drains and picks up sediments, heavy metals, oils, and other pollutants, and carries it into lakes. What Can You Do? Use soil erosion best practices whenever you disturb soil near a lake.Project lake shorelines on your property by preserving the natural vegetation. Replant shrubs and trees if needed. Avoid fertilizing your lawn close to a lake’s edge.Encourage the use of sustainable farming methods like cover crops and no-till farming. Talk to farmers at your local farmers market to find out more about their practices.Keep septic systems in good working order, and have regular inspections conducted.Encourage local authorities to use alternatives to road salt in winter.Consider your nutrient inputs from soaps and detergents, and reduce their use whenever possible.In your yard, slow down water runoff and allow it to be filtered by plants and soil. To accomplish this, establish rain gardens, and keep drainage ditches well vegetated. Use rain barrels to harvest roof runoff.Consider using pervious pavement in your driveway. These surfaces are designed to let water percolate into the soil below, p reventing runoff.Choose alternatives to lead when selecting a fishing tackle.   Sources EPA. 2000. National Lake Assessment Report.EPA. 2009. National Lake Assessment: A Collaborative Survey of the Nation’s Lakes.

Cultural Influence of Hip Hop Rap Essays - 1955 Words

Influence of Hip Hop Rap Hip hop and rap as a musical genre is a very controversial subject for nearly everyone. Its influences are powerful, both positive and negative. There are many positive influences of hip hop, and a few examples are the breaking down of cultural barriers, the economic impact, and political awareness of pressing and urgent issues. Though there are many positive influences, there are many negative influences as well. Some of the more heated debates of the negative influences of hip hop are that it glorifies violence, and the fact that the music sexualizes women and degrades them as well. Attached to the negative outlook on hip hop, there are also many stereotypes assumed by society towards this type of culture†¦show more content†¦Researchers say that these specific negative influences are exactly what is destroying the younger generation. Even with the seemingly endless list of negative influences, there are countless positive influences deeply rooted in the soul and culture of hip hop. Hip hop is facing the same criticisms that every new type of music has faced in the development of that genre of music. Blues, Jazz, and Rock (in their beginnings) all scared parents and were criticized by the media, but they are now widely accepted and considered â€Å"clean† music. New music of any generation is always scary to the non-youth in society because the media only focuses on bad points and downfalls, but always fail to mention the good being done. Breaking down cultural barriers is the most positive influence rap has had on society. It creates/sustains community, is the voice of the people, defines generations, fuels needed protest, and calls attention to injustices. This new style of music allows anybody to control their destiny from the ground up, and has become a new medium for social commentary. Hip hop allows the underprivileged and discriminated to express their feelings, andShow MoreRelatedHip Hop Culture And Culture1196 Words   |  5 PagesHip-Hop Culture and race have had a complicated relationship in the past two decades. It has been commonly referred to as â€Å"black music† and a reflection of black culture. However, recent studies done by the Mediamark Research Inc. showed that 60% of rap music buyers are white. With the emergence of white, Latino, Asian, and other rappers with diverse backgrounds on the Hip Hop scene it is important recognize the changing color of the genre and the stereotype it holds as â€Å"black music†. Black cultureRead More90s Hip Hop and Rap1320 Words   |  6 PagesRap and hip-hop first started to come together in the 1970 s, but didn t really materialize and become popular until the 1990 s. With a huge surge in popularity and growth in the 1990 s, it seemed that rap and hip-hop had started a cultural phenomenon that still has noticeab le effects easily seen today in music and also in pop culture. A cultural phenomenon is an idea, trend, or movement that shapes and defines that time period. During the 1990 s, rap and hip-hop spread like wild fire acrossRead MoreRap Music : Influence On Violent Behavior1379 Words   |  6 PagesRAP MUSIC’S INFLUENCE ON VIOLENT BEHAVIOR IN AFRICAN AMERICAN MALES: A REVIEW Kaland Farrow Alabama Agricultural and Mechanical University  RAP MUSIC’S INFLUENCE ON VIOLENT BEHAVIOR IN AFRICAN AMERICAN MALES: A REVIEW Rap music is derived from Hip Hop culture which is deeply rooted in the African American community. The word, rap, has a Middle English origin. Originally, rap means to beat or strike. Beginning in the 1960s, African Americans gave the word another definition. In the black communityRead MoreHip-hop was a cultural movement. 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Over the past three decades, Hip-hop has arisen as a cultural and artistic aspect, influencing youth culture around the world. Hip-hop echo’s the social, economic, political, andRead More Hip-Hop as a Cultural Movement Essay1570 Words   |  7 Pages Hip-Hop is a cultural movement that emerged from the dilapidated South Bronx, New York in the early 1970’s. The area’s mostly African American and Puerto Rican residents originated this uniquely American musical genre and culture that over the past four decades has developed into a global sensation impacting the formation of youth culture around the world. The South Bronx was a whirlpool of political, social, and economic upheaval in the years leading up to the inception of Hip-Hop. The early partRead MoreSomething for Nothing: The Art of Rap1032 Words   |  5 PagesThe influence of Hip-Hop has never been as great as it is in this day and age. 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The Hip Hop Generation has begun to redefine African American cultural norms and practices in America by theRead MoreHip Hop And Rap Hop901 Words   |  4 PagesThe genre that I am going to select is Hip Hop/Rap. The 5 top ten from the 80s are The Message by Grandmaster Flash and the Furious Five, Self-Destruction by KRS-One and the Stop the Violence Movement, Push It by Salt-N-Pepa, I’m Bad by LL Cool J, Fight The Power by Public Enemy, Straight Out Of Compton by NWA. The 5 top ten from 2015 are Know Yourself by Drake, Trap Queen by Fetty Wap, Alright by Kendrick Lamar, Blessings by Big Sean Featuring Drake, and Feeling Myself by Nicki Minaj featuringRead MoreEvoluti on of Hip-Hop1215 Words   |  5 PagesEvolution of Hip-Hop From where it started to where it is now, Cuban hip-hop has transformed greatly. Without the United States, hip-hop in Cuba certainly would not be where it is today. The United States is the hub of hip-hop and helped to jumpstart hip-hop in Cuba. While this is true, hip-hop in the United States completely differs from that of Cuba for the better. Even though hip-hop in Cuba did not start from much, the amount of development and influence this music has towards Cuba is immeasurable