Strategic Bombing During World War 2 - 4730 Words

World War 2 was a war fought in two distinct phases. The first was the last war of a new generation. The second was emphatically the first of a new era . brbrThe British strategic bomber campaign was of doubtful cost effectiveness . Bomber Command was by far the largest claimant on labour and factory space within the armed forces. Relative to their size they suffered more casualties than any other sector. brbrThe Anglo-American bomber force was divided in terms of strategy. Bomber Command believed it was too risky to bomb by day, while the Americans believed it was too difficult to bomb by night. Initially both forces lacked accurate navigational equipment, which deterred them from precision bombing. brbrGermany developed a†¦show more content†¦The morale of the German people was not affected enough to effect their war-waging capacity. Neither a maintenance of productivity nor a rebuilding of industry could have been achieved by means of compulsive but only by virtue of the voluntary response of German workers . brbrIt was assumed that bombing raids would be made in the daylight. In August 1940 German bombers suffered heavily in daylight even though they were escorted. This helped to confirm to Bomber Command that night bombing was the best policy. Bomber Command flew night missions over Germany during the winter of 1940-1941 in the belief their bombs had fallen within about 300 yards of their targets. This figure was plainly wrong, a new assumption was made. The R.A.F decided the average error was closer to 1000 yards, which meant that Bomber Command could not be expected to hit targets as small as oil facilities, until they had been equipped with vastly improved navigational aids. The U.S.A.A.F opposed Bomber Commands view, they believed accurate bombing could only be achieved during the day. They assumed unescorted bombers flying in well-designed formations could penetrate the German lines. On 14th October 1943, 60 out 291 flying fortresses were sho t down by German fighters during the last major raid on Schweinfurt. The formation had been obliged to fly 400 miles without fighter cover. The Americans suspended daylightShow MoreRelatedThe Significance Of Strategic Bombing Of Germany2552 Words   |  11 PagesIn this essay I will assess the significance of strategic bombing of Germany. I will do this by evaluating four key areas of the German war effort. This will include German and British moral, German economy, its effect on the outcome of the Eastern Front and the results of the preparation for D-Day. Overall allied bombing did not have a significant impact on the outcome of the war as for the majority of the war bombing techniques and technology were primitive and so had little effect. It only becameRead MoreStrategic Bombing Accroding to Trenchard, Douhet, and Gorrell1018 Words   |  5 PagesSTRATEGIC BOMBING Strategic bombing is considered one necessity for a nation’s air force to visualize air supremacy during World War I and World War II. Strategic bombing is defined as â€Å"striking deep into enemy territory to destroy war-making capabilities.† Many theorists speculated different ideas on strategic bombing, including Trenchard, Douhet, and Gorrell. Trenchard’s strategic bomb theory was to focus more on attacking German homelands and to target the enemy nation’s morale. Next, Douhet’sRead MoreResearch Questions : World War II Essay901 Words   |  4 PagesUS History Name: Savannah Roberts Research Questions: World War II Directions: Answer each of the following by researching the topic, summarizing the information, and writing a response to the prompt in your own words. Follow these points for each response: †¢ Find at least one official source for each topic o NOT Wikipedia/About.com/other unsubstantiated sources †¢ Summarize the information, writing it in your own words o NOT using direct quotations †¢ Write in complete sentences, not bulletRead MoreThe World War II: Air War1180 Words   |  5 Pages World War II was one of the deadliest military conflicts in history. There were many different battles that took place within this war; some more important than others. World War II began once Germany’s new dictator, Adolf Hitler, decided that he wanted to gain power for Germany and for himself. One of Hitler’s first moves in power was invading Poland on September 1, 1939. Many other countries became involved in this war because of the alliance system. The two sides during this war were the AlliesRead MoreStrategic Bombing Of The Ussr Essay1615 Words   |  7 PagesEven before the end of the Second World War, the USSR was a very secretive and closed society. US intelligence had little to no information about Soviet military strength and did not even have accurate maps of the USSR. The best aerial photographs available to western planners were from the Luftwaffe and had been captured by the allies at the end of WWII. Outside of these captured photos, virtually no ma ps or aerial photography existed of the USSR, especially those areas in the Urals, SiberiaRead MoreThe Battle Of The Japanese War1600 Words   |  7 Pagesfight the Japanese to get back the islands they had seized during the early part of the war. Based on the reading in Module 5 pt.2, â€Å"FDR approved a limited offensive. They chose to target the island of Guadalcanal, an island in the southern Solomons where Japan was building an airbase. The first United States Marines division had invaded.† According to â€Å"For the Common Dense†, â€Å"the Navy Marine Corp had landed at Guadalcanal in August 1942 during WWII to open the south pacific offensive and set out forRead MoreThe Outline Of The Second World War932 Words   |  4 Pages- World War 2 and its aftermath mark a clear period in the extension of US empire - as deeply significant to everyday national experience in the war or in the US domestic sphere during this period – a source of wealth perhaps, but not part of the lived US fabric. - US war’s labour force and the way it organised and occupied territory - World War 2 story highlights the moments when these material system - extensive military - the emergence of America as a new world power. - the role of AmericansRead MoreThe Dynamics of Military Revolution1505 Words   |  6 PagesOutline Introduction Set-up - Warfare is constantly changing, for the tools of war are always evolving, as do the societies that wage war. Between 1400 and 1918, western warfare went through four periods that saw such profound change that it can fairly be said that a military revolution occurred. According to historians MacGregor Knox and Williamson Murray, military revolutions fundamentally change the framework of war and recast society and the state as well as military organizations. WhileRead MoreThe Pointless Slaughter 1179 Words   |  5 Pagesvalidity of the statement in relation to WWII To a significant extent, the Second World War can be characterised as ‘pointless slaughter’ through the Battle of Stalingrad, the bombing in Dresden and the Blitz in Britain. However, the U-boats necessitated violence in order to achieve a strategic aim, challenging the pointless notion of the aforementioned statement. (48words) The battle at Stalingrad fought during the winter of 1942 to 1943 is argued to be the turning point of WWII in Europe, theRead MoreNazi Propaganda, Myths, And Common Stories Essay1735 Words   |  7 PagesBetween February 13, 1945 and February 15, 1945, the German city of Dresden was decimated by Allied bombers. The bombing run, carried out by the RAF and USAAF, raised ethical and moral debates because the city was neither a industrial nor a political center contributing to the Nazi war effort. In order to determine the underlying motives behind the Allied attack and the extent to which the attack was justified, the investigation will analyze Nazi propaganda, myths, and common stories in response

Managing Supplier Quality - 1182 Words

Managing Supplier Quality: Integrated Devices ABSTACT This case analysis explores quality management issues as it pertains to Trexler, a supplier of Integrated Devices, and suggestions to process improvement in order to increase quality throughout the value chain. This paper critically deciphers the weaknesses and opportunity areas that Integrated Logistics should research before continued business with Trexler is attempted. This analysis includes research and best practices outlined by Monczka, Handfield, Giunipero, and Patterson (2011) relative to the case study. In the case analysis of Managing Supplier Quality, Integrated Devices’ Injected Molding Commodity Team responsible for conducting business and process interaction with†¦show more content†¦A requirement of potential suppliers that Integrated Devices should suggest is to have a Six Sigma expert apart of the supplier production team to aid in a quality driven, defect free commodity. This representative would be the subject matter expert on total quality as well as a liaison to the buyer’s supply management team and associated cross functional departments such as product/ quality engineers. Detailed in the contract concerning product quality must outline what are possible contingencies and problem resolutions in the event of commodity failure or defect. An additional factor that should be considered is buyer oversight outlining tools and/ or methods that would be in place for the buyer to ensure quality is being instituted in all phases of product development, en gineering, production, and customer delivery. In this particular case analysis, it is assumed that Integrated Devices depended on sample products provided by Trexler during the supplier selection process. The risk of relying on product samples isShow MoreRelatedOperations Management of Nokia1593 Words   |  7 Pages‡ Ashfaq  ²Us Saleheen (EX020012) Quality Management Supply Chain Management ‡ Md. Mofizul Islam (Ex020015) Location Design, Layout Design, Scheduling Inventory Management ‡ Md. Firoz Uddin (EX020016) Term used to describe all the activities managers do to help their firms create goods and service € Converting resources into goods and services € Product creation, development, production, distribution, managing purchases, inventory control, quality control, storage, logistics and evaluations Read MorePurchasing and General Management Function1450 Words   |  6 Pages(Maintaining high quality standards is very important to the staff of Midas Ceramics. Suppose you are Salman Khan, the purchasing manager of Midas Ceramics. Explain in detail how you would go about managing the quality of the raw materials to ensure that the products of Midas Ceramics are of the highest standard. Use practical examples with reference to the case study.) Introduction When considering obtaining the highest standard it does not simply mean obtaining the best quality. An item’s priceRead MoreBose Case Study Final1278 Words   |  6 Pagespremium speakers. These speakers are used in automobiles, high-fidelity systems and consumer, commercial broadcasting systems. The company has a global supply chain and procures, 20% of its material from foreign suppliers. It also procures, 35% of its materials directly from local suppliers. The firm is trying to move towards, single sourcing many of its 800 to 1,000 parts, in order to make its supply chain more efficient. The company realizes the importance of an efficient supply chain and has undertakenRead MoreAccounatbility in the Global Supply Chain1017 Words   |  5 Pagesthe supplier to uphold its obligations† (www.ey.com) While these terms are very important, leading organisations have found that in the supply chain, every sector needs to be addressed and accountability must be incorporated into every level, from supplier to customer. Negotiating a good contract is only a small part of accountability while the most important part is compliance. Each supplier must comply with obligations in the contract they signed. In the case of Mattel, the paint supplier didRead MoreAnalysis of Targets Quality Management and Logistics Systems945 Words   |  4 PagesAnalysis of Targets Quality Management and Logistics Systems Introduction Target Corporation (NYSE:TGT) is the leading large-format general merchandise and discount retailer in the U.S., challenging Wal-Mart in electronics, toys and apparel while also seeking to differentiate with higher-end fashions and products for an upscale audience. As of the close of their latest fiscal year (FY2011), Target operated approximately 1,760 stores encompassing 233,000 square feet in 49 states and the DistrictRead MoreOperational Analysis Of The Current Operational Approach1496 Words   |  6 Pagesto the Managing Directors. The report contains the value chain, strategy and measurement aspects with a focus relating to quality and innovational approaches for improving the operational management of the company. Value Chain The above image shows the value chain for Cofair. This value chain has been designed in such a way, to provide competitive advantages at each point in the process and add value where possible. We have identified areas of potential complexities in relation to supplier breakdownRead MoreLi And Fung Commercial Company1719 Words   |  7 Pagesexperience of trading, LiFung knew the productivity, quality, prices of parts and raw materials of developing countries, especially Asian countries. Subsequently, LiFung trading decided and started to customise a complete production plan based on client’s product concept, to procure raw materials around the world and to find the right manufacturer. In this borderless mode of production, LiFung coordinates more than 6,000 suppliers that possess high- quality products and cost- effective to conduct productionRead MoreMAJOR FUNCTION SUB-FUNCTION SERVICES PLAN Warehousing and Storage Distribution Reserve1000 Words   |  4 Pagesfor UB company in the future would likely move away from traditional tasks such as warehousing and transportation, to provide complete business solutions such as â€Å"managing suppliers and inventory with on-time replenishments, distribution of finished goods with localization by postponement, together with customer support and even managing returns† ( Fong ,2005).To provide such value-added services to UB Company, 3PL companies must improve their technological capabilities and long-term relationshipRead MoreThe Scope Of The Installation Of Roof Membrane Changes1339 Words   |  6 PagesProcurement Process APEX Sustainable Engineering Solutions uses a proven system to procure equipment, materials and services to meet the contractual requirements. Our employees work in cross functional teams to perfume multiple tasks that minimize the supplier response time and queue. The result produced through this is accurate, fast and cost-effective procurement process. Documents, Policies and Procedures †¢ The APEX procurement process complies with McMaster University and APEX policies and proceduresRead MoreQuiz Questions On Supply Chain Management1170 Words   |  5 Pagesmanagement: It is defined as effective control of flow of material, information and finance in a network consisting of suppliers, manufacturers, distributors and customers. Schematic representation: Effective functioning of supply chain requires †¢ Coordination: proper coordination should exist in supply chain to meet the demands of the customers at right time, right place with right quality †¢ Collaboration: there should be proper collaboration between parties so that whole supply chain can benefit. †¢

Podcasting Package Is A Viable Alternative Tool Discussion Education Essay Free Essays

This chapter presents the surveies treatment. It provides an chance to explicate the significance of the findings and topographic point the research within a broader context. Major findings Analysis of the findings provides grounds that the podcasting bundle is a feasible alternate ‘tool ‘ to utilize when back uping kids ‘s literacy development in twelvemonth 2. We will write a custom essay sample on Podcasting Package Is A Viable Alternative Tool Discussion Education Essay or any similar topic only for you Order Now However the procedure i.e. the activities designed to scaffold the kids to the point of bring forthing a podcast, was the factor that elicited betterments in the kids ‘s speech production and hearing and non the recording of the podcast itself ( the merchandise ) . However it was of import that the kids saw the concluding podcast as the merchandise ; a mark that the activities would take them towards. Findingss from, and analysis of informations confirmed that the merchandise ( the podcast ) was the incentive for the kids instead than an indispensable portion of their acquisition. It provided the kids with a intent. This concurs with DfES ( 2004 ) findings that more positive motive resulted if engineering was focused around the larning instead than used to back up learning. The kids themselves identified that as a top acting group they had fewer chances to entree engineering than less able kids in their category. Therefore another type of engineering could hold motivated this group to make their end ; it can non be generalised that it was the podcast that offered ‘pull ‘ . Nonetheless, though kids ‘s responses about ‘liking ‘ composing would look to belie it, I personally feel ‘voice ‘ and ‘audien ce ‘ would necessitate to be characteristics of the engineering chosen as a word processor type application entirely would non actuate in the same manner. Meaning and importance of the findings This research began two old ages ago following a successful command to the TDA for support. The TDA regularly financess e-learning undertakings for instructor preparation suppliers as they recognise the importance of ICT skilled practicians in the workplace ( TDA 2005 [ online ] ) . Two old ages is a life-time in a digital universe but particularly in relation to instruction engineerings. Though the engineering used in this survey was found to be motivational, it still played a important portion in the procedure as without it the kids would hold lost focal point. Therefore in reply to the research inquiry, â€Å" can a Podcasting procedure support Literacy in a Year 2 schoolroom? â€Å" ; yes as portion of a procedure it can. Two old ages ago, Web 2.0 engineering was a ‘twinkle in person ‘s digital oculus ‘ . Now it is the pillar of many digital applications ( Godwin Jones 2005 ) . Although MP3 participants were ab initio sole to Apple Macintosh, new coevals nomad ic phones now combine MP3 and other communicating engineerings in one orderly bundle. Huge advancement in a short infinite of clip. As Bull ( 2005, p.25 ) states, â€Å" MP3 participants such as the Apple iPod have become the mechanism for distribution of music for today ‘s young person merely as the Cadmium and vinyl records filled this function for old coevalss. Educational utilizations of podcasting physique on the foundation of this cultural phenomenon † . This presents both challenge and chance. When podcasts are broadcast to the Internet, through Web 2.0 engineering, the ensuing RSS ( Truly Simple Syndication ) ‘feeds ‘ allow kids to lend to each other ‘s work, wherever in the universe they may be. For case some web sites ask kids to add lines to poems, take portion in quizzes or append chapters to partially written on-line books. As Halsey ( 2007 ) asserts kids can convey the universe into the schoolroom ; and take their larning out into the universe with Web 2.0 engineering. Clearly so the potency for podcasting as an educational tool is phenomenal, but non merely in literacy lessons. Nevertheless the study revealed that current engineerings were characteristics in the sample group ‘s places. Attitudes towards a engineering seem to alter with its age hence attitude towards the currency of the motivational tool should besides be considered. So how might kids ‘s attitudes towards podcasting and speech production and hearing as a whole affect their public presentation in this type of exercising? It seems from past tendencies that podcasting itself will hold a ‘shelf life ‘ as todays digital indigens become tomorrows digital immigrants and todays techno ‘must rich persons ‘ become tomorrows digital ‘dinosaurs ‘ . Positive attitudes and motive for podcasting engineering, as it is now, will be lost. Newer technologies appear to be communicating based as Web 2.0 capablenesss move toward an even greater interactivity. This of class will assist keep a positive ‘attitude ‘ to talking and listening, in a ‘virtual ‘ environment, through a combination of networking sites and digital hardware such as webcams. The usage of Embodiments[ 1 ]is one illustration of such a combination. Communication and storytelling have stood the trial of clip and I would expect this will go on but how we do it in the hereafter will alter every bit will the size and nature of the audience. In his proposal to ‘radically ‘ pass the primary course of study, Alexander et Al. ( Primary Cambridge Review, DCSF 2009 [ online ] ) recognises spoken linguistic communication as cardinal to larning, civilization and life, but acknowledges it is much more outstanding in the course of study of many other states ( p24 ) . Possibly this could be the footing for higher accomplishment in other states instead than the ulterior school get downing age frequently identified. Reading and composing, as with other reappraisals ( DfES 2006a ) once more predominate in this reappraisal with speech production and listening one time once more dawdling behind. The authorities ( DfES 2007, DCSF 2009a ) is proclaiming that speech production and hearing are the foundations for all other larning – so why? Why are we still turn toing reading and composing foremost? Writing is simply a method for entering ideas. Ideas can besides be spoken and/or recorded into a podcast. This would be im probably emancipating for those kids who find it hard to compose things down. Podcasting offers equal chances for all ages and abilities ; an inclusive digital tool. In the late 1980 ‘s the National Oracy Project ( National Curriculum Council ; 1992 ) recommended giving speech production and listening a higher profile and yet more than 20 old ages subsequently we are still doing the same errors. I would wish to see this research will hold significance and add force per unit area to this on-going argument nevertheless unchanging fortunes, yesteryear and nowadays, would propose otherwise. Findingss in relation to other surveies Prensky ( 2001, 2008, 2009 ) , Buckingham ( 2004, 2007 ) and Marsh et Al. ( 2006 ) high spot ours is a digital universe and yet many schools still fail to recognize the significance or importance of ‘skilling ‘ kids to get by with an progressively digital and altering landscape. Technology is going more sophisticated and is increasingly being aimed at and designed for younger consumers. Palmer ( 2007 p.3 ) suggests that, ‘culture has evolved faster than our biological science ‘ and this is ‘damaging kids ‘s ability to believe, learn and act ‘ . Prensky ( 2009 ) would differ saying that exposure to engineering is altering kids ‘s encephalon construction and demanding a new manner of larning which relies on wisdom. The little size of the cohort used for this research would symbolize that the findings offer no important support of either Prensky ‘s or Palmer ‘s stance. However the podcasting bundle offered kids a blended acquis ition environment comprised of group treatments and engineering usage. This would shrive them from harm to their thought, larning and behaviour that Palmer infers can go on. These three subjects are besides recognized benefits of group working ( Baines et al. 2008 ) . The relevancy of the findings Vygotsky ( 1976 ) wrote that speech production and thought are closely linked. The procedure of speech production helps kids to larn through jointing their ideas and therefore developing the constructs needed to understand the universe. Communication and understanding improve with pattern. Therefore, the chance to speak is critical in order to develop apprehension. If nil else, promoting and valuing talk conveys the message that communicating is of import ; both hearing and speech production are the foundations for communicating so raising their profile is a good terminal in itself. However though Vygotsky ‘s theory sing communicating is still pertinent he could non hold comprehended how his theory would still use to our of all time germinating digital universe ; to current patterns and the diverse ways of pass oning that societal networking has brought approximately. If we have come this far since Vygotsky, how far will our kids travel and how will they get by with their journ ey if practicians do non promote them to develop their accomplishments. Participant observations were undertaken to back up the kids ‘s interactions with the hardware and package needed for this research. Clearly there was a demand to scaffold them at this point ; though as in Lewis ‘s instance the more knowing other did non necessitate to be me. The ZPD is the zone in which acquisition is made easier through support by important others ( Whitehead 2004 ) . These others may or may non be physically present but possibly shack in a digital universe. In other words traditional theory still applies to digital experiences but sometimes the important other may be anon. i.e. through hunt engines or ‘friends ‘ on ‘social ‘ networking sites. Vygotsky ‘s reading of the word societal would surely be limited in today ‘s ‘techno ‘ society. The survey ‘s restrictions ( Gautreau 2006 ) notes several grounds why there are barriers to utilizing engineering in schools. Unknowingness of engineering ‘s possible, clip needed to larn ( larning to utilize new package or hardware and how to incorporate them into the course of study ) , deficiency of support or resources and a deficiency of engineering competency, appropriate preparation or assurance in one ‘s ability to learn with engineerings are his chief concerns. Past instruction experience has indicated that the deficiency of a concluding ‘product ‘ from a ‘lesson ‘ is frequently deemed to be a failure on the portion of the instructor and of the kid. This belief is supported by the coverage and review procedures ; frequently SATs based ( QCDA 2010 [ online ] ) used to measure a schools position through analysis of the kids ‘s consequences. This has lead to the premise that any larning achieved in such lessons should be touchable. There should be something physical to demo. However as this research has shown speech production and hearing are the foundation of other acquisition and the inquiry has to be asked, â€Å" Can we measure this accurately if we are still inquiring kids to compose responses down? † Again personal experience has shown that understanding is non cultivated entirely through authorship or the creative activity of something. These averments are farther supported by findings from this rese arch, gathered during observations of the kids. Listening to kids ‘s treatments revealed far more about their abilities and thought procedures than any piece of composing perchance could. Therefore appraisals, peculiarly those that are SATs based, bespeaking that larning should be evidenced through production of something physical would belie what current and past experience has shown. Of class in a ‘digital ‘ and ‘virtual ‘ universe, ‘physical ‘ grounds could be presented otherwise. Time became a important restriction of this research. Time with the kids was limited due to funding hence some aspects from the planning phase were non carried out. The most frustrating was stage was at the terminal as there was non adequate clip left for the kids to be able to reflect on and measure their podcasting journey. Reflection is an of import portion of the acquisition procedure. By looking back at what they have done kids can derive a deeper apprehension of both the content and the acquisition procedure itself. The hereafter Donaldson ( 1986 ) was brave plenty to oppugn Piaget ‘s experiments and his attendant appraisals of kids ‘s ages, phases and strategies. She alluded to the impression of kids necessitating a ‘familiar context ‘ to be able to execute optimally and build significance from what they were making. But what is a familiar context for kids today? As grownups, are we back uping kids in a context which is ‘comfortable ‘ for us instead than familiar to them? Even more significantly are assessment bureaus besides outside their comfort zone? Should they be inquiring for grounds in different formats? Could Podcasting be one of these? ‘Digital ‘ grounds of accomplishment is more suitable to a ‘hi-tech ‘ universe. Sing the distribution and impact of engineerings in the ‘business ‘ universe ( Phelps, Graham A ; Kerr, 2004 ) ; force per unit area from authorities organic structures ( DCSF 2007a ) and the duty of schools to educat e kids for the hereafter ( DCSF 2008 ) , the deficiency of use of digital grounds to inform appraisals in schools is perplexing. Ellis ( 1997, 2004 ) refers to â€Å" emotional auto-ethnography † which may hold the unintended effect of overshadowing what auto-ethnography can be and of befoging the manner in which it may suit into societal enquiry. I would oppugn the usage of ’emotional ‘ here as it implies ‘blackmail ‘ or in research footings bias. I continue to adopt Donaldson ‘s ( 1986 ) ‘familiar context ‘ , which would of class include a research worker ‘s relationship with the kids involved. For me relationship suggests ‘knowing each other ‘ ; a comfy tantrum which leaves emotions ‘outside ‘ research. Emotions would hold skewed the analysis of observation and interview informations whereas the relationship between the kids and myself strengthened it. There are more practical deductions for anyone reproducing this research, or implementing the podcasting bundle. Podium package is expensive and merely necessary if broadcast medium to the World Wide Web. The sample kids were non concerned by the impression of a ‘wider audience ‘ they merely wanted their households and ‘immediate ‘ equals to hear their narrative. The narrative could hold been shared by Cadmium Rom, brassy thrust or the schools intranet entirely. This would hold been more cost effectual ; would hold saved some of the TDA support and therefore allowed excess clip to work with the kids. Evaluations of the kids ‘s speech production and listening abilities followed observations, during the activities, and attendant written texts of the kids ‘s treatments, were assessed against a recognized model. These findings clearly indicated that the podcasting bundle is feasible in footings of raising speech production and hearing degrees. Prensky ( 2005 ) reminded us that life for today ‘s kids may be a batch of things but it ‘s surely non unengaging ; except in school. Children ‘s place experiences with engineering enable instructors to construct on what kids know and can make provided that those peculiar engineerings are besides available in schools. By making so, non merely are we alining pattern to Donaldson ( 1986 ) but besides reflecting Fisher ‘s ( 2007 ) ‘starting from the kid ‘ rule. However in some respects this is where, we as practicians, travel incorrect. Money is to a great extent invested into the latest engineering to give kids the best ‘opportunities ‘ or environments for larning. Synergistic whiteboards ( IWBs ) and visualizers are two such engineerings. The little study revealed that at place kids are utilizing computing machines, nomadic phones, DS Lites and Wii ‘s. Though clearly there are benefits to holding IWBs and visualizers to project and portion images, it seems that the ‘familiar ‘ engineerings, those used daily at place are non utilized within a school environment. Again a instance of ‘teacher comfort ‘ opposed to ‘children ‘s world ‘ . If we are trusting on kids ‘s personal lifes or digital histories as this ‘starting point ‘ for resourcing and be aftering in scenes, puting in ‘unfamiliar ‘ engineerings would look to belie what we should endeavor to make. What does the instructor have to make? Nothing more than utilize a accomplishment that hopefully they are already good at: hearing. Teachers should listen to the podcasts with the kids, and assist the kids decide on the standards for appraisal. Children may hold more sophisticated cognition of new engineerings than their instructors, coercing a pedagogical displacement in the teacher function from expert to facilitator. Therefore go oning professional development has to be an of import characteristic of instructor patterns in a invariably germinating digital environment. In decision integration and using engineerings into a course of study is a complicated issue. Making known the benefits associated with engineering usage whilst besides turn toing the barriers that exist seems cragged. Traditional signifiers of literacy instruction are frequently non adequate for kids today, they need to be adapted to both entreaty and motivate and be relevant to contemporary scholars ( Buckingham 2003 ) . Thus grownups should be fixing kids for their digital hereafter instead than protecting them against it. Leu and Kinzer ( 2000 p117 ) say â€Å" envisionments take topographic point when instructors, kids, and others imagine new possibilities for literacy and acquisition, transform bing engineerings to build this vision, and so portion their work with others. † Envisionment has resulted from the new attack taken with younger kids and the podcasting bundle ; the subsequent bringing of the bundle to ITE pupils who in bend will circulate it to instructors in sc hools. As a research worker I would happen it interesting to test the bundle with even younger kids or in a scene whose ‘digital ‘ position was low in order to see ( i ) how younger kids react ( two ) if the engineering became a job instead than a scaffold. How to cite Podcasting Package Is A Viable Alternative Tool Discussion Education Essay, Essay examples

Medicine and Health National Health Services (NHS) England

Question: Describe about the Essay for Medicine and Health of National Health Services (NHS) England? Answer: The National Health Services (NHS) England is the publicly funded system of healthcare. It is fundamentally funded by the general taxation system, and the Department of Health provides health care services to all residents of the United Kingdom (2). Pharmacies are an important part of healthcare services, and there are 10475 community pharmacies in England as per the report of 2009. Total funding in 2010-2011 for community pharmacy was 2.49 billion pounds. Out of this 0.5 billion was the profit of pharmacies as reported by the Department of Health (3). Community pharmacies provide necessary services, like disposal of medicines, health promotion, dispensing, lifestyle advice, support for self-care, and directing to other services. A pharmacy also provides advanced services as long as the premises and the working pharmacist are accredited. In the context of the adverse funding scenario in present times, there is a need to take up actions for improving and sustaining patient services (4 ). With this aspect of the significance of pharmacies in community healthcare and adverse funding situations, the present writing is the advice to the Director General of the NHS that encompasses the ways to mobilise community pharmacies. The number of pharmacies has risen to 11,600 pharmacies in England in the year 2015. 1 billion prescriptions are dispensed in pharmacies every year. Out of these pharmacies, 48% are chain retailers with 100 and above stores, 39% are independent pharmacies, and 13% are chain retailers having 6 to 99 stores (6). As per the recent reports, the ministry is about the slashed funding of pharmacies in order to reduce the number of pharmacies. The pharmacies have been relying on the NHS for their majority income. The ministry plans to impose a 170 million pound cut for high street stores in October 2016. This decision is purely short-sighted and has the potential to deprive the majority of the vulnerable patients who are in the need of trusted health services. However, the government contradicts that the number of pharmacies has grown in an inappropriate manner, and there is no additional benefits of this huge number of pharmacies. This leads to the decision that around 2000 pharmacies can b e closed during a budget reduction in this year. The United Kingdom is at an important point where NHS is developing. This draws the attention of the concerned authority to address the issues faced in recent health care scenario. The NHS needs recommendations to mobilise community pharmacies (5). The first aspect that is to be mentioned in this regard is that pharmacy must be at the heart of the NHS. There lies real potential for greater use of community pharmacy in supporting healthy living and prevention of ill health. For having desirable pharmacy practices, there is a need to have clinically focused services in community pharmacy. This will give relief to the pressure on general physicians and emergency departments. It will also ensure that there is an optimal use of medicines, better patient outcomes and better value. Seven-day health care would be delivered in this manner (7). One good approach would be to add clinical pharmacists in general physician practices. This will promote pharmacists and pharmacies in the short-term. This must be taken further, and pharmacy must be brought closer to the wider primary care. Pharmacists are to bring the skills they have to more of general practices and must use the opportunities for improving and protecting the health of the common people. Alignment must be made with emerging models of care. There is a need of having a funding discussion with the community pharmacy sector on how to introduce the best funding for transforming community pharmacies operating in the NHS for bringing clear and distinct benefits to the public (8). Community pharmacies must play its role in delivering the efficiencies needed by the government to support the required productivity and efficiency. NHS must make sure that the community pharmacies that the people depend upon must continue to thrive. The NHS must put in more funds to certain pharmacies in comparison to others and this regard they must take into consideration factors like health needs of the population and location of the community. The NHS must also put up consultations on how to appropriately drive innovative models of making orders of prescriptions and collect medicines disposed of. All pharmacies must be allowed to have access to the efficiency put forward by the hub and spoke dispensing. Legislative changes would lower the operating costs and allow the pharmacies to provide more public health services and clinical services. Views and opinions of the pharmacy sector are welcome on deciding on how to support patient services and efficiency by innovative arrangement s. Effectiveness can be enhanced without compromising on the service quality. Pharmacies must not be in clusters and all communities must be having access to pharmacies. The advancements of large-scale automated dispensing arrangements would also provide opportunities, and it would maintain public access while pursuing efficiencies (1). As indicated, the budget for pharmacy is about to be reduced. Reduction in funding will take place from 2016. There is a desire to work closely with the community pharmacies to deliver high quality care to the patients. at the same time, there is a desire to retain good access to services in pharmaceuticals by online services and local community pharmacies. This would support the transformation of present pharmacy practices to a community pharmacy that is more clinically focussed. This would integrate with primary care. Pharmacists would have a more prominent role across the NHS. Opportunities are to be exploited for improving and protecting the health of the people. The consultation process is a vital opportunity to help developments and inform the decisions taken up by the department of health. This would shape the role of pharmacy in NHS in future. The main would always remain to give benefits to the public. References gov.uk. [Internet]. 2016 [cited 24 February 2016]. Available from: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/486941/letter-psnc.pdf england.nhs.uk. [Internet]. 2016 [cited 24 February 2016]. Available from: https://www.england.nhs.uk/wp-content/uploads/2014/11/comm-pharm-better-quality-resilient-urgent-care.pdf Todd A, Copeland A, Husband A, Kasim A, Bambra C. The positive pharmacy care law: an area-level analysis of the relationship between community pharmacy distribution, urbanity and social deprivation in England. BMJ Open. 2014;4(8):e005764-e005764. Brown D, Portlock J, Rutter P, Nazar Z. From community pharmacy to healthy living pharmacy: Positive early experiences from Portsmouth, England. Research in Social and Administrative Pharmacy. 2014;10(1):72-87. Wells K, Thornley T, Boyd M, Boardman H. Views and experiences of community pharmacists and superintendent pharmacists regarding the New Medicine Service in England prior to implementation. Research in Social and Administrative Pharmacy. 2014;10(1):58-71. Lea V, Corlett S, Rodgers R. Delegation: a solution to the workload problem? Observations and interviews with community pharmacists in England. International Journal of Pharmacy Practice. 2015;. Robson J, Dostal I, Sheikh A, Eldridge S, Madurasinghe V, Griffiths C et al. The NHS Health Check in England: an evaluation of the first 4 years. BMJ Open. 2016;6(1):e008840. Marshall M, Bindman A. The Role of Government in Health Care Reform in the United States and England. JAMA Internal Medicine. 2016;176(1):9.

Othello Tragism Essays - Othello, English-language Films

Othello Tragism William Shakespeare's "Othello" presents all of the elements of a great tragedy, according to Aristotle's definition: "A tragedy is the imitation in dramatic form of an action that is serious and complete, with incidents arousing pity and fear wherewith it effects a catharsis of such emotions" (Poetics 14) He also adds, "The language used is pleasurable and throughout, appropriate to the situation in which it is used." The central features of the Aristotelian archetype are manifested in General Othello's character. Although Othello is great, he is not perfect. He has a tragic flaw, hubris (excessive pride and passion), and hamartia (some error), which lead to his downfall. However, Othello's misfortune is not wholly deserved. His punishment exceeds the crime, keeping him admirable in the theatergoer's eyes. Before Othello's tragic flaw results in his unfortunate death, he has increased awareness and gained self-knowledge or, as Aristotle describes it "has experienced a discovery." (Poetics 15) All of this produces a catharsis or emotional release at the end of the play. A tragedy, when well performed, does not leave an audience in a state of depression but creates a shared, common experience. What causes Othello's downfall? Some critics claim that Othello's tragic flaw is his jealousy while others insist that jealousy is not part of his character, that the emotion takes over only when Iago pushes him to the brink of insanity. Evidence in the play supports the notion of insanity. Othello doesn't show himself to be jealous early in the play. It is not until Othello is manipulated by Iago's skillful lies that he is forced to confront his jealousy and mistrust. His love and trust of Iago serve to prove his gullibility, Jealousy and self-doubt poison his sensibilities and innocence, and the realization of his blind trust leads to his sorrowful end. As with most of Shakespeare's tragic heroes, Othello possesses all the virtues prescribed for the character type. He is of noble birth; he is self-controlled; he is religious; he has the respect of his men; and he demonstrates excellent leadership. His magnetism is what draws Venetian senators and soldiers alike and what captivates Desdemona. All of this supports the idea that he is not (at the play's opening) a jealous, enraged, or mad man. He has convincing self-esteem which he later loses to the deception of Iago's evil ploy. It can be noted that Othello's character flaw is his blind trust and naivet?. These character traits contribute to his misled downfall. It would be neglectful, if not irresponsible, to overlook Iago's role in the play. His hate for Othello and Cassio drives his evil motive through a string of lies affecting the entire cast. From the first act, the antagonist is troubled: I know my price, I am worth no worse a place. But he (as loving his own pride and purposes) Evades them with a bumbast circumstance Horribly stuff'd epithites of war, [And in conclusion,] Nonsuits my mediators; for, "Certes," says he, "I have already chose my officer." And what was he? Forsooth, a great arithmetician, One Michael Cassio, a Florentine (A fellow almost damn'd in a fair wife), That never set a squadron in the field, Nor the division of a battle knows (Othello. I.i.11-23) Iago never reveals his dissatisfaction with the military arrangement to Othello. Instead, he makes use of Othello's innocence and trust to satisfy his wicked end. He constantly boasts of his love for Othello and patronizes him regularly throughout the play. At Iago's first attempt to instill jealousy in the trusting Othello, he is successful. Othello's concern at Iago's implications entices him to learn more. Iago plays a verbal game with Othello to arouse suspicion. This piques Othello's interest and starts his mind to wonder. Iago is successful at the point he proclaims, O, beware, my lord, of jealousy! It is the green-ey'd monster which doth mock The meat it feeds on. That cuckold lives in bliss Who, certain of his fate, loves not his wronger; But O, what damned minutes tells he o'er Who dotes, yet doubts; suspects, yet [strongly] loves! (Othello. III.iii.163-168) One of the major qualities that comes to mind when assessing Othello is his trustfulness. He claims that Iago is a man of honesty and trust; "To his conveyance I assign my wife" (I.iii.286). Othello has no reason to distrust Iago at this point. Time after time, Othello fails to see through Iago's deceptions. Iago is a military man; Othello is familiar dealing with soldiers and men he trusts and, moreover, Iago has a widespread reputation for honesty. Othello

Machiavellis Italy - A Renaissance Simulation Essays - Free Essays

Machiavelli's Italy - A Renaissance Simulation Essays - Free Essays Machiavelli's Italy - A Renaissance Simulation This activity is a simulation. A simulation is like a game, but instead of a random subject, like word meanings or running around a board faster than someone else, a simulation uses historical variables and player decisions, coupled to a probability system, and the goal of the simulation is to achieve an outcome that represents the possibilities of history by manipulating successfully all of the aforesaid possibilities. In this simulation, you and a partner(s) will be controlling one of the historical city-states of the Italian Renaissance period, and attempting to dominate southern Europe politically, economically, and militarily. You will have a myriad of options available to you to do that, all of which were prevalent and possible at the time. It is an excellent way to understand, in as real a way as possible, the turbulent times of the 1400-1500s, and the difficulties associated with ruling a Renaissance city-state. It is one thing to study it; it is another to do it. Students will also gain a much keener sense of the problems associated with the practice of diplomacy and realpolitik in any time, as the vagaries of human nature and random events can not be perfectly, if even somewhat predicted. The rules are written like game rules. Each section deals with a different aspect of the simulation. We will do some practice, and then advance to the actual playing of the simulation. You will have to read through the rules, and then practice a turn to get the feel of how it works, and the mechanics of it will become easier as you try different things out. Welcome to Machiavelli's world of 1450. TABLE OF CONTENTS I. Object of the simulation/how to win. II. Definitions of terms used in the rules III. Turn sequence A. Basic B. Detailed IV. Control of territories and cities on the board V. Units in the simulation: functions, movement A. Armies: capabilities, uses, and possibilities B. Cavalry: capabilities, uses, and possibilities C. Fleets: capabilities, uses, and possibilities D. Garrisons: capabilities, uses, and possibilities E. Mercenaries: contracting, use, management, capabilities, and possibilities F. Miscellaneous: pirates, other armies of intervention, captured units VI. Unit Orders and explanations VII. Play Cards: explanations Cities Families Trade Persons of Influence Historical Events Papal Offices Spy/Assassin Mercenaries/condottierri I. OBJECT OF THE SIMULATION: to have control of 20 provinces and their cities, including all of one's own, with none in rebellion or containing any Units not your own. If this condition isn't met by a certain or agreed upon time limit, the victor is that player with the most Influence Points. II. DEFINITIONS Army - a square piece representing a citizen army of about 1,000 men, marked with the coat of arms of the controlling power Assassination - the killing of a head of family, ruler of a city- state/nation, or a person of influence by a spy Cards - a set of cards that are used in the game to introduce elements into the simulation that historically had major effects on political, economic, diplomatic, and military outcomes City - a built up area within a province that is controlled by a major family of the Renaissance period, provides income, houses Persons of Influence and garrisons, and provide better protection against outbreaks of plague. Contract - an agreement between two Renaissance states in the simulation that is written down and includes indemnities for non-performance that are kept in escrow by the Umpire Control - a condition where some asset in the simulation is held solely by one player, and is defined differently for each asset Defection - Families, represented by cards in the simulation, may defect to a neutral state or into other players' control depending upon acts or circumstances that arise during the simulation Die Roll Modifier - something in the simulation that positively or negatively affects the chances of something happening that is determined by a roll of a die or dice. Diplomacy - that part of a simulation turn when players from different Renaissance states may engage in diplomacy/negotiations Dowry - a cash payment made from one family, held by one player(s), to another family, held by another player(s), in order to write a Marriage Order. Elites - famous people from the Renaissance period who help a player build Influence, which may be used in Papal Elections. Escrow - an account held by the umpire that represents deposits made by players as a condition of a contract, as the great banking houses of Italy did at that time Family - a representation

Woodstock and hippie culture Essay Example | Topics and Well Written Essays - 1250 words

Woodstock and hippie culture - Essay Example With new lifestyle, new ways of thinking and by going against the tide, young people try to create their own new ‘culture’. In America, the most prominent wave of cultural revolution and rebellion was observed during the 60’s and 70’s. During this period, a revolution was introduced through music, art, fashion, open relationships, physical appearance, thinking etc. The ‘culture’ that brought about this revolution in 60’s and 70’s was the culture of ‘hippie’. However, what really became instrumental in giving a massive exposure to the hippie culture was the Woodstock music festival. In 1969, the Woodstock festival witnessed the largest gathering of human beings in one place in history, with the presence of 500,000 youthful people (â€Å"Woodstock 1969.†). Through Woodstock festival, the whole world witnessed a new wave of cultural revolution in ‘hippies’ and Woodstock became a turning point in the c ultural history of America, and the world (â€Å"Woodstock 1969†). The hippies Hippie culture is known as the counterculture of the 1960’s (Issitt 2009, xi). It was in San Francisco, California, that the hippie movement originated and from there, it spread all over the United States and Europe (Huber, Lemieux and Hollis). The hippies followed and encouraged liberal thinking in politics, lifestyle and culture ( Issitt 2009, xi). Hippie culture gave an outlet to the psychological, emotional and cultural revolution that was felt in the heart of the youth all over the world ( Issitt 2009, xi). Hence, even though hippie way of thinking was practiced in America, it was actually a global phenomenon (Issitt 2009, xi). The hippie culture not only remained limited to the thinking and behavior pattern of the hippies, but it also permeated the mediums of music, literature, art, cinema and fashion scene of the 60’s and 70’s (Issitt 2009, xii). Most importantly, music was one of the major medium in which the ‘hippie’ sentiments and thoughts were expressed strongly. This was the major reason why the hippie culture influenced the Woodstock festival to such a great extend. Woodstock festival The Woodstock festival was a result of hippie people’s desire to live the hippie life openly, freely and without any guilt attached to it. The large hippie population, perfect climate and setting for outdoor concert, and the opportunity to experience every aspect of hippie culture, made the Woodstock festival a carnival and ‘once in a lifetime’ experience for hippies (Issitt 2009, 41). Hence, thousands of hippies flocked to the festival to socialize with like minded people and to enjoy ‘their’ kind of music, dance and lifestyle (Issitt 2009, 41). The Woodstock festival was a carnival for the hippies and they made the most of it by attending it in large number. Moreover, what made the Woodstock festival a paradise for hippies is the environment and opportunities that it guaranteed. The 1969 Woodstock festival was the giant spectrum of potential for hippies (Miller 1991, 82). They considered it an â€Å"epitome of joy and peace† (Miller 1991, 82). The Woodstock became ‘the’ destination for hippies as it offered them everything that they desired for (Miller 1991, 82). In the unrestrained environment of the Woodstock festival, the hippies enjoyed the commune like life, spiritual and religious experience, and total freedom to behave in a typical hippie way (Miller 1991, 82). Most importantly, the Woodstock festival proved to be a free dope territory (Miller 1991, 82) which allowed them an opportunity to experience the ‘spiritual’ high through drugs and LSD, openly(Issitt 2009, 41). Moreover, it also allowed them a space where they got to enjoy the intellectual stimulation by listening to the

The godfather 1 review Research Paper Example | Topics and Well Written Essays - 750 words - 1

The godfather 1 review - Research Paper Example The film directed by Francis Ford Coppola was based on a novel with a similar title written by Mario Puzo, and was proclaimed to be the most influential picture in the genre of gangster films. It was also acknowledged as a culturally relevant film in its depiction of the mafia culture that was thriving in the American society of those times. Due to its success, the film won three Oscars, which included the best actor prize for Marlon Brando and the best screen play award among other picture categories. The film also was nominated for several other cinematographic awards underlining its success. The movie’s plot is centered upon the lives of the crime families in New York. At the beginning of the movie, the daughter of Vito Corleone is getting married. His son Michael returns from military service but is unwilling to engage in crime, which is the time-honored family business. With time, the nature of the family business dawns on Michael, when the family sinks into top violence because of an impediment in their business. This happens when a drug dealer Virgil Sollozo approaches the family for protection in exchange for the profit from the drug money. The Don’s morals do not agree with the nature of drug-dealing business, and he rejects the offer (Larke-Walsh 38). This displeases the drug dealer who hires assassins to take Don’s life. They almost succeed but Don survives the attempt. This leads to retaliation from the family, with Michael on the forefront. The events lead to the tragic tearing of the Corleone family. In the end, however, Michael becomes t he new Don after the demise of his father (â€Å"The synopsis for the Godfather†). In the movie, Michael is concerned with legitimacy and is not keen to participate in the family business. He strives to make the family legitimate, free from immorality and crime. It, however, the nature of the

Social policy and play Essay Example | Topics and Well Written Essays - 2250 words

Social policy and play - Essay Example There are some games universally played by children. Hide and seek which develops inquisitive nature and curiosity in the minds of the children and Police-thief games which is about battle between good and evil are popular among children in different forms of the game. ‘Play’ goes a long way in cultivating good habits, manners and behaviors in a person. Perspectives of Childhood The perspective of childhood is viewed from futuristic angle, ignoring the conditions, needs and changes required from the current perspective. Lesser and Russell stated â€Å"There has been a rapid growth in policy initiatives relating to children and young people and this has been dominated by a perspective which sees children primarily in terms of their and the nation’s future and not in terms of their present lives.† Childhood should not be viewed merely as a ground for preparing them for adulthood. The society tries to intervene in the process with the understanding that the fr amework is set with reference to learning, good habits, behaviors and manners in socializing. Health consciousness is also considered in this framework. However, we need to treat that opportunity to play is ‘childhood right’ though there are the attendant benefits and adult hood is related to childhood. According to Lee (2) â€Å"Whatever differences there may be between adults and children, contemporary sociologies of childhood urge that children be treated equally, at least in terms of recognizing that children have views and perspectives of their own.† The aspect of empowerment to the children is another important perspective. According to Alexander (10) empowerment, â€Å"is what bridges children’s wellbeing, children’s primary education and children’s rights. Empowerment - underpinned, as our child witnesses insist, by equity, empathy and expertise - is an educational cause well worth fighting for.† Social Policy Relating to Child hood â€Å"Alcock (2003) proposes a definition of social policy which suggests that it comprises both academic discipline and also a form of social action.† (Shardlow (14) Children believe they have the talents and courage to become kings. This belief which remains unspoiled till adulthood made many college drop-out students to establish great business empires in history. On the other hand, the seeds of evil take deep roots in their minds due to child abuse or discrimination manifest as cheating, fraud and terrorism in later years.   Study by Henn et al (1160) â€Å"revealed profound differences in the likelihood of criminal convictions or incarcerations between socialized and under socialized delinquents. The socialized delinquents have less chance of being either convicted of a crime or being imprisoned.† Shaping up at 5 is easier than reshaping up at 50. According to Hallett and Prout (83) children have been accorded a central role, both in creation of modern soci ety and the autonomous individual and observed that the contemporary thinking and activities of the associations in child welfare confirm this trend. Play is an important part of children and youngsters. Sutton-Smith views ‘

Report On Bed Capacity Planning In Hospitals

Report On Bed Capacity Planning In Hospitals Nowadays, the number of medical treatment and medicines increases which allows a spectacular growth of the health care sector. Despite this development, the sector suffers from inefficient management and ineffective planning [15]. Managing patients, nurses and physicians is a difficult problem that needs to be solved. Hospital bed planning is a central problem that affects hospital capacity, health care quality and also management of nurses and physicians. During the last decades, hospitals are a non profit organization where the demand is not a primary concern for the manager of these hospitals. Today, many private hospitals are acting with a primary objective to satisfy the demand and to provide outstanding services to compete with other private hospitals [10]. The hospital is not just a medical care unit but also is providing hotel and transportation services. To insure competiveness of hospitals we need to improve the quality of services and to satisfy as much as we can the deman d. Therefore, hospitals need to look for their supply chain and how to manage it. In this report, we focus on the supply chain management of hospitals in Dubai. Dubais health services are internationally recognized and due to their high standard and their modern facilities equipment, are comparable to other developed countries. The location of hospitals in Dubai is strategic to ensure accessibility for patients. There are approximately 20 clinics and hospitals distributed across the Emirate. The ratio of clinics/hospitals to patients is 1:78,000. One of the more impressive practices of medical professionals in Dubai is the post-clinic, private medical call. These are considered as part of their responsibilities. Medical attention is provided, regardless of residency or nationality. In general, Dubai aims to improve the over-all wellbeing of its people. Its strategy is to provide patient-specific care. The most popular medical services provided by healthcare providers in Dubai include immunizations and vaccinations, psychiatric treatments, medical fitness examinati ons, community services (such as marriage and family counseling), adult and infant yoga therapy, rehabilitation, and education on health and nutrition. We focus on this report on Rashid private hospital in Dubai, UAE. We mainly present a multiple objective stochastic programming for the bed capacity planning taking into account the quality of the service and the stochastic demand in that hospital. In the next chapter, we present a general overview of the hospital supply chain in general before we present in chapter 3 some of the Rashid hospital operations. In chapter 4, we focus on hospital bed capacity planning in order to introduce to the multiple objective stochastic program that we are going to propose for Rashid hospital bed capacity planning. The obtained model is transformed in chapter 6 into its certainty equivalent and solved in chapter 7 using data from Rashid hospital. Chapter 2 Hospital supply chain 2.1. Introduction Health is defined as à ¢Ãƒ ¢Ã¢â‚¬Å¡Ã‚ ¬Ãƒâ€¦Ã¢â‚¬Å"a state of complete physical, mental and social well beingà ¢Ãƒ ¢Ã¢â‚¬Å¡Ã‚ ¬Ã‚ . The health care sector is an important sector as regards to the welfare of people. Health services require the synchronization of various resources, such as Human resources, medicines and medical equipment. In any organization, a supply chain must be designed in accordance with its mission. The mission of all hospitals includes the maximization of the level of patient care. The size of a hospital, geographical location, diversification, and the various specializations all affect the nature of care provided in a hospital and, therefore, the goals of its supply chain. The hospital chain may have some of the following goals [7]: To secure the availability of product , To Reduce the storage space and to maximize the patient care, To reduce time and cost of handling the medical team (nurse, pharmacist, physician) Minimize the stocks of inventory The main functions of hospital supply chain are defined as follows [7]: To allocate the main resources (technical platforms, beds, physicians, nurses ) and their location in the hospital. To plan for extra resource needed (medical staff, medical equipment), and to schedule the care activities. To organize transportation of patients and equipment. Generally, the hospital supply chain may be split into two parts (see Figure1): the external chain and the internal chain [14]. Fig 1: Hospital supply chain [15] 2.2. The external supply chain The external chain begins with companies specialized in the creation of the raw material (patent, drug, machinery, etc). The raw material can be materialized (machine, drug, etc.) or immaterialized (know how to cure). The manufacturer may itself be the creator or a company that works in relationship with him. In this case, the company is responsible for the duplication (making molecules on a large scale and add excipients or drug) for the test and for the control. Once the product is ready to be used and receives the necessary certifications, the role of the distributor is to place the product on the market. The market is generally formed by a central purchasing (WHO, national distributors, NGOs, etc) or individual (hospital, pharmacy, etc). Each health facility may maintain direct relations with manufacturers so that products pass through certain distributors. 2.3. The internal supply chain The health establishment is the last link in a supply chain consisting of manufacturers and distributors from various industries (medical supplies, pharmaceuticals, food, laundry, maintenance, etc). The supply chain within the hospital is complex. The size of the hospital, the geographical location, the diversification, various specializations, the high cost and perishable goods, all affect its supply chain. The first characteristic of the appropriate health care supply chain is its diversity in distribution channels. Inside the hospital, the hospital product is made up of items at low prices or high-prices and durable and perishable goods that are consumed in large or small quantities. A health institution is composed of five main activities that manage different types of flows to offer many services or products to patients. These activities are defined as follows: Intralogistics activities which are the fact that the hospital acquire, receives and distribute different supplies used in the service. The demand management that is the planning and the coordination between the different necessary resources. Operations and services given to the patient within the hospital from admission to discharge. External logistic represented by the medical follow-up for the patient. Services to the patient which are all auxiliary activities that are not linked to medical activities offered to the patient (gift shop, religious programs, etc). The supply chain within the hospital can therefore be presented as follows: 2.4. Conclusion The hospital supply chain must be developed for a specific product based on its unit cost, demand variability and the physical size. We can say that integration of the supply chain in the health care sector requires the synchronization of internal and external supply chains to each individual service. A good supply chain management within a hospital is necessary and must be performed efficiently Chapter 3 Operations in Rashid hospital 3.1. Introduction Rashid Hospital is a 454-bed general medical/surgical hospital in Dubai, the United Arab Emirates, and is a part of the Dubai Government Dubai Health Authority. Rashid Hospital is considered in Dubai as one of the first medical facilities for trauma, emergency, ambulatory care and critical care which provide a high-quality of services to all patients within the community. The Rashid hospital provides also leadership in the training and education of health care professionals. In the emergency, Rashid Hospital is considered as one of the most reputable and prominent medical centers in the Gulf region. It receives the majority of complicated case other hospitals are destined to Rashid hospital which coordinates also closely with the Dubai Civil Defense and Police for the training of emergency medical staff inside the airports In Rashid hospital, two types of admissions are used: the outpatient admission and the admission through emergency department 3.2. Outpatient registration This type of admission or registration is present in all hospitals and it can be defined as follows: An outpatient admission is presented when a patient is admitted to the hospital, surgical center or ambulatory center for a surgical or nonsurgical operation, therapeutic procedure or diagnostic procedure, that does not require an overnight hospital stay. The preparation for outpatient admission varies with each procedure [20]. In Rashid hospital, the responsible physician, the treating physician and the admitting physician are responsible of the admission procedure of the outpatient. The registration of the outpatient is done after the patient gets a discharge from the emergency department or the inpatient unit. This must is done by the physician who gives the patient an outpatient appointment for follow up with the required specialty. After that the patient will be transferred to the required specialty. The next step is the direct admission which must be done during the same day. The admitting physician/clinic nurse informs the case manager and the admission office that the patient requires admission, and then the admission of the concerned patient is linked with the availability of a bed. Next, the account department or the admission office informs the patient about charges for treatment as per the hospital payment policy. The clinic nurse will inform the patient about the admission conditions and about provisional diagnosis. But if the hospital cant find an available bed, the treating physician will give to the patient another appointment or ask for a transfer of the patient to another healthcare unit (if the case is urgent). In Rashid hospital, urgent case admission is directed to the emergency department. The admission in this department is different from the outpatient admission. In the next section, we are going to overview admissions procedures in the emergency department. 3.3. Admission through the emergency department This type of admission is different from the outpatient admission because patient must access directly to health due to the urgency of his/her case of illness. It can be defined as housing the patient in the hospital to provide special interventional procedure(s) or definitive treatment. We can distinguish three types of patients in this admission. First, the unstable patients who will suffer irreversible damage or loss of life if not admitted immediately. Second, the stable patients who are the patients that requires urgent treatment or interventional procedures(s) that cannot be accomplished on an outpatient basis. Third, patients are not suffering loss life or serious damage if not admitted [21]. In the emergency department, the emergency physician has to observe and to investigate to know if the patient needs admission and to refer the patient to the on call physician. The emergency physician and on call physician will decide about the required screening and diagnostic tests after examining/before admitting the patient. The emergency department must inform the case management about the admission, provisional diagnosis and level of care needed and check for the availability of bed. If there is no available bed in the selected department, the case manager can admit the patient temporarily in another department where bed is available (with adequate equipment). But if there are no available beds throughout the hospital, the case manager has to refer patient to another hospital. The patient flow in Rashid hospital can be presented as the following figure [10]: Bed flow in hospital 3.4. Rashid hospital departments At Rashid Hospital it exists many specialized medical and paramedical departments all equipped to receive all kinds of patients and also patients from neighboring hospitals. The existing specialities in this hospital are: Psychiatry Cardiology Gastroenterology General surgery Hematology Infectious disease Respiratory Neurosurgery Traumatologie Geriatric 3.5. Conclusion Rashid Hospital aims to provide an outstanding service to all outpatients and patients that are admitted through the emergency department. This aim cannot be achieved if the hospital has not the adequate capacity in terms of hospital bed and human resources (physicians and nurses). At the same time the hospital must run in profit to ensure the future of its activity. In this study we will try to answer this important question of hospital capacity planning in order to determine both the level of beds and the number of resources that Rashid hospital needs to satisfy the random demand. Chapter 4 Hospital capacity planning 4.1. Introduction The capacity is defined as the quantity of service that the health care institution must provide to satisfy patients need. Capacity management is related to the control of the impact of demand variability on the management of the health care institution. It concerns the good coordination of resources through the management of medical equipments, human resources and bed occupancy. Hospital capacity has long been an indicator of the importance of the hospital structure and for budget allocation [18]. The capacity planning is a component of the internal hospital supply chain. This planning is usually used to help hospitals, to do well their objectives which are: Trying to avoid an underestimating of the number of beds, planning for the future maintain a good service quality, optimize resource use, satisfy the requirements of internal and external security. 4.2. Bed capacity management In hospitals, capacity planning usually focuses on the total capacity of beds, the capacity of the surgical system, the allocation of beds for different services, equipment capacity, the ability of auxiliary services, and the number of staff and their competence [11]. Before we plan capacity in a hospital, the following issues must be clarified [1]: The length of the planning horizon (operational, tactical and strategic) The level of the provided care (primary, secondary) The type of care (provided to inpatient and / or outpatient) The quality, cost and types of available resources (physicians, nurses, technicians, rooms, beds, medical equipments and all what constitute an input for health) The hospital capacity depends not only on the number of beds, but also how these beds are used. The hospital capacity can be influenced by several factors: The geographic distribution of patients: each locality has its own hospital. The type of resources currently in use: a patient who wants to have a particular diagnosis by the nearest hospital must visit the hospital where it exist the necessary equipment. availability of nurses, physicians, and support equipment in the hospital Hospital bed management may affect cost, quality and accessibility of care. The daily management of beds is closely related to the management of the hospital. To properly determine the capacity of beds, we need to track the activities of hospital patients (admission, assignment, stay and leave) [12]. The essential role of the hospital bed manager is to ensure balance between supply and demand for hospital beds. Bed management has a long-term component, which is the choice of the overall number of beds as well as sharing among different departments, and a short-term component for the daily bed allocation to patients. We conclude that hospital beds are important measure to determine the hospital capacity. The bed management does not only affect the overall capacity but it also impacts on cost, quality and accessibility of care [8]. 4.3. Models for hospital bed capacity management Many models were elaborated to determine the optimal number of beds inside a hospital. The simple and the most used models to evaluate the adequate capacity of a hospital department are based on the following index: N = (length of stay * number of patient)/number of days = number of patient per day / number of days The transfer between departments and the randomness of some of the index parameters are not considered in the above model. To overcome this shortness in the index model more elaborate stochastic models can be used. These models can be used for the short term (daily problem), the long term (monthly problem) or even for the case of a disaster. The Queuing models are short term models that are usually related to the operational level of the hospital capacity planning. These models characterize the relationship between the number of beds, the average occupancy levels and the number of patients transferred from one department to another based on the arrival time of patients, the nature of patients transferred from one unit to another and the period of use of each type of bed by the patients. [13]. The simulation models have the ability to consider the results of a decision on an item without carrying out the experiment on the actual item [9, 19]. They represent an artificial reproduction of what will happen when random parameters change their values. Sally C. Brailsford [16] proposed a simulation model to plan for the capacity of an intensive care in hospital using software called SIMUL8. Nowadays, the health sector, an increasingly privatized sector, seeks to find an effective planning of his resources for the long term. Taking into account the benefit t and also the quality of offered service. The medical ethics and money profit are two conflicting criteria. Multiple objective programming is a model that can deal with several criteria. Chu and Chu [6] proposed a goal programming model for hospital beds allocation in Hong Kong. The model takes into account the constraints of location, the demand constraint and constraints related to manpower. Black and Carter modeled the problem of allocating physicians to hospital department using a linear goal programming model [3]. The model focuses on the number of cases handled by a physician taking into account that the hospital must be able to generate enough revenue to cover fixed costs and variable production. 4.4. Conclusion The models developed for the hospital bed capacity planning problem are mostly categorized as stochastic models. These models are suitable for short and medium term. In this study, we are more concerned with the long term. This is way we focus on multiple objective programming models to plan for the bed capacity in Rashid hospital. Chapter 5 The model In this document, we follow Ben Abdelaziz and Masmoudi model to determine the optimal bed capacity in Rashid hospital [2]. The model was first developed for bed capacity planning in all public Tunisian hospital to evaluate of missing beds. 5.1. Notations l: specialty in a hospital department, . We have two kinds of specialties. Those called primary health specialties for which we cannot transfer the patient to another hospital and secondary healthcare specialties that in case of no hospital bed available can be transferred to another hospital. : A subset of primary healthcare specialties that can be served by the same hospital bed (for which we are using the same equipment), . : A subset of secondary healthcare specialties that can be served by the same hospital bed, . : the set of specialties that may be served by the same type of nurses , : the set of specialties that may be served by the same type of physician , 5.2. The parameters : Existing beds in specialty in the hospital, . : the number of beds that can be added in the specialty in the hospital, . : ratio of nurses per bed, i.e. the number of nurses needed to serve one patient in the specialty l, . : ratio of physicians per bed: The number of physicians needed to serve one patient in the specialty l, . : the stochastic yearly demand for the specialty in the hospital where express the random demand. 5.3. Decision variables : number of beds in the specialty in the hospital. 5.4. Constraints of the model Maximum and minimum number of beds in the hospital The demand for the set of specialties in the hospital must be satisfied The demand for the set of specialties must be satisfied otherwise transferred to another hospital (1) where express the number of vacant beds in the set of specialties and the number of missing beds in the set of specialties . 5.5. Objective functions The first objective function is to minimize the cost of adding and managing new beds where is the daily cost of creating and managing an additional bed of the specialty in the hospital during the period of investment. The stochastic constraint (1) is related to the satisfaction of the demand in secondary health care specialties. This transfer generates an additional cost (transfer cost). We have to use a recourse approach to get certainty equivalent constraint. In a recourse approach a penalty in the objective function is generated when the solution does not satisfy the random constraint. Here the penalty is the transfer cost. The expected transfer cost is where is the expected transfer cost. The third group of objective functions is to minimize the number of nurses in the groups of specialities in the hospital The fourth group of objective functions is to minimize the number of physicians in the groups of specialities in the hospital 5.6. The final model The final model is expressed as the following multiple objective stochastic program 5.7. Conclusion To solve the above multiple objective program, we need to transform it into an equivalent mathematical program. This transformation must be done following the problem hypotheses. In the next chapter, we will review these hypotheses and we will provide a suitable transformation of the program (P) into its certainty equivalent program. Chapter 6 The certainty equivalent program 6.1. Introduction The program (P) is a stochastic program as it presents two stochastic constraints (P.5) and (P.6) and a multiple objective program as it has several objective functions to minimize. To solve a multiple objective stochastic program, we need to transform it into its certainty equivalent program, under predefined approaches. In the next sections and using a chance constrained approach for the constraint (P.5), a discretization technique for the constraint (P.6) and a goal programming approach to deal with the two objective functions (P.3), and (P.4), we are going to build such a certainty equivalent program to the program (P). 6.2. Chance constrained approach The chance constrained approach transforms the random constraint into a deterministic constraint by considering as feasible solution those satisfying the uncertain constraints with a predefined level of probability [4]. Therefore, under a chance constrained approach, the following stochastic linear constraint where , and are random variables, will be transformed into the following deterministic constraint where is fixed level of probability. It means that a feasible solution must satisfy the uncertain constraints for all scenarios with a probability of occurrence higher than . The constraint (P.5) expresses the satisfaction of the demand on primary health care specialties (the demand on these specialties cannot be transferred to another hospital). It is difficult and not justified to satisfy the demand for all scenarios and especially scenarios with a small probability of occurrence. In the following, we propose a chance constrained approach to deal with the constraint (P.5). Therefore, the demand on the primary health care specialties Ar must be satisfied with a given fixed probability level as follows (3) The constraint (3) is a chance constraint. Using the model hypotheses, the random daily demands are normally distributed with a mean of and standard deviation of . Note that, Then, we can rewrite the chance constraint (3) as follows 6.3. Discretization approach We must satisfy almost surely the constraint (P.6). In stochastic programming, the normal distribution is approximated by a discrete distribution and then the constraint (P.6) can be rewritten as follows: The total recourse cost and the monthly transfer cost for secondary health care specialities are transformed using the discretization of the normal distribution of demands as follows: 6.4. Goal programming approach Charnes and Cooper [5] are the first to introduce the goal programming approach which is essentially used to transform multiple objective linear program into a linear program. This transformation consists on these steps: First, to fix a target values for some or all objectives (called also goals) Second, to transform the objective functions to constraints and third minimizing the difference between objective functions value and these goals. Using a goal programming approach, the following objective functions can be transformed to constraints as follows where and are the negative and the positive difference, respectively, between the fixed goals and the achievement , and the new objective function to optimize is expressed as follows where and are weights of the negative and the positive deviation, respectively. The objective functions (P.3) and (P.4) minimize the number of nurses and physicians in each hospital. As the actual number of nurses and physicians can not be reduced, a goal programming approach is used to deal with objectives (P.3) and (P.4) where goals must be equal to the number of nurses and physicians already working in hospitals. Let us denote by and the number of nurses and physicians, respectively, who already work on the specialty in the hospital. We denote by and the goals for the objective functions (P.3) and (P.4), respectively, and are expressed as follows where is the number of nurses in shortage in the group of specialties in the hospital, is the number of nurses in excess in the group of specialties in the hospital, is the number of physicians in shortage in the group of specialties in the hospital and is the number of physicians in excess in the group of in the hospital. From these goal constraints the additional cost that gives monthly salary of new nurses and physicians is as follows: where is the nurse salary per month in the group of specialty in the hospital and is the physician salary per month in the group of specialty in the hospital. The monthly salary of nurses and physicians who work in hospitals is fixed. Now, as all objective functions represent yearly expenses, we propose to combine all cost objectives which are the yearly transfer cost, the yearly cost of creating and managing new beds and the yearly salary of new nurses and new physicians, into a single objective function expressed as follows: 6.5. The certainty equivalent Finally, under a chance constrained approach and a goal programming approach, the certainty equivalent program to the multiple objective stochastic program (P) is expressed as follows: (CE) 6.6. Conclusion The chance constrained and the goal programming approaches are used to generate the certainty equivalent program. Their use is motivated by the problem hypotheses. In the next chapter, we are going to test the model using real data from Rashid hospital. Chapter 7 The experimental study In this chapter, we discuss the results obtained by the previously presented model for hospital bed capacity planning using data from Rashid hospital. The data was obtained from the administration of the hospital and is related to a recent period (2009-2011). The quality of results here is highly linked to the quality of the input data. We are going in the following to report some of the data given to us as well as the model output. 7.1. Model parameters From the Rashid hospital we collected data related to the following parameters: Number of patients / specialty New admissions/ day Discharges / day Stay of every patient Number of Physicians / specialty Number of physicians / team Number of teams / specialty Number of hours worked by each physician Number of patients assigned to each team / day Number of nurses / specialty Number of beds / specialty A description of the system of operation of each specialty. In this document we cannot disclose the information that was given to us. We refer the reader to the manuals that the hospital published yearly and that are related to his yearly activity. 7.2. Lingo 12.0 To solve the linear programming (CE), we used the commercial software Lingo 12.0. Recently Lingo was ranked by INFORMS (www.informs.org) as one of the most valuable package for linear and nonlinear mathematical programming problems. For the mixed integer linear program (CE), Lingo uses a modified Branch and Bound algorithm [17]. 7.3. Hospital beds The Rashid hospital must have 467 beds in the total. It means that 15 supplementary beds must be added to the hospital. The number of optimal beds in each speciality is presented in the following table: Specialty Current number of beds Optimal PSYCHIATRY 46 46 CARDIOLOGY 74 74 GASTRO 9 9 GEN.SURGERY 84 84 HEMATOLOGY 4 4 IDU 23 23 RESPIRATORY 22 22 NEUROSURGERY 39 44 TRAUMA 104 114 GERIATRIC 47 47 TOTAL 452 467 Table 1: number of optimal beds Only two specialities require additional beds. These specialities are the Neurosurgery where 5 beds must be added and the trauma speciality which requires 10 additional beds. This difference between the optimal number of beds and the current beds is also represented with the following histogram: 7.4. Nurses The Rashid hospital needs to hire 3 additional nurses to the hospital to cover the demand. The optimal number of nurses per specialty is represented in the following table: Spec. Current number of Nurses Optimal PSYCHIATRY 12 14 CAR

Tragedy Through Misreading in William Shakespeares King Lear Essay

Tragedy Through Misreading in William Shakespeare's King Lear Shakespeare’s tragedy, King Lear, portrays many important misconceptions which result in a long sequence of tragic events. The foundation of the story revolves around two characters, King Lear and Gloucester, and concentrates on their common flaw, the inability to read truth in other characters. For example, the king condemns his own daughter after he clearly misreads the truth behind her â€Å"dower,†(1.1.107) or honesty. Later, Gloucester passes judgment on his son Edgar based on a letter in which he â€Å"shall not need spectacles†(1.2.35) to read. While these two characters continue to misread people’s words, advisors around them repeatedly give hints to their misinterpretations, which pave the road for possible reconciliation. The realization of their mistakes, however, occurs after tragedy is inevitable. Gloucester and Lear, create their eventual downfalls due to their inability to read deceit. Though these characters share the same tragic flaw, the means by which they make their errors is completely different. Gloucester remains a poor reader because he is quick to believe his sense of sight. When his illegitimate son, Edmund, reveals a deceitful letter designed to incriminate Edgar, Gloucester is quick to believe him. â€Å"Abominable villain†(1.2.74) he cries out before he even examines the letter with his reading glasses. Edmund’s trickery is conducted cleverly, but Gloucester’s lack of disbelief is unexplainable. Even though Gloucester is a fundamentally good man he tends to have a pessimistic view on his situation, as well as the rest of the world. Gloucester displays his inability to read and comprehend reality once more when he begins to read the skies. â€Å"... ...able to regain his ability to see but it is during the last act of the play in which the circumstances are completely out of his control. These characters both die because they are pushed way past the limits of human fortitude and competence. When Lear tells Gloucester â€Å"A man may see how this world /goes with no eyes† (4.6.146-47) he displays both of their misfortunes, but it is too late to prevent ultimate tragedy. Shakespeare proposes that their tragic saga is a mere game to the heavens. â€Å"As flies to wanton boys, are we to th’ gods,/They kill us for their sport† (4.1.37-38). This line generalizes the overall simplicity behind the tragedy of King Lear. Even though Gloucester and Lear made terrible, fatal errors the reader feels at the end as if it is intended to be their destiny. Work Cited Shakespeare, William. King Lear . New York: Oxford UP, 1994.

Behavioral Plan

Alex is a 10th grader in a public school. He is an active boy, though too active that he finds it hard to focus on his lessons or even just listen to his teacher for an extended period. While he can cope with class most of the time, he finds it hard to excel because of the inability to focus to his lessons. Thus, intervention must be made to help Alex focus and get more out of his classes. Hypothesis Alex’s excessive liveliness is a sign of Attention Deficit Hyperactivity Disorder or ADHD, a condition suffered by millions of children in the United States alone.Other countries add to the statistics. It is therefore fitting for a formal research to be made in an attempt to solve the problem and help Alex along with the many children suffering the disease. Doing so will help them live normal, productive lives. Objectives of the Study The study focuses on Alex and aims to (a) help Alex behave in class, (b) help Alex participate in class, and (c) help Alex avoid teasing and disrupt ing other kids in the class. There are certain difficulties in trying to establish these objectives.First, Alex may not be expected to comply one hundred percent of the time with the teacher. Second, Alex’s attention-deficit problem is innate in him and it is not easy to stop him by just telling him to stop. Lastly, Alex finds this kinds of activity fun and comfortable, and so suddenly taking it away can pose further problems to him. These should all be considered in planning an intervention plan for Alex and with all similar cases. Data GatheringThe first step, as clinical practitioners suggest, was to gather as much information about the subject as possible. Interviews with Alex, with his parents, and with close friends have been done. Oftentimes, behavior characterizing ADHD starts from untoward occurrences in the child’s life that has affected him psychologically. The case deepens if the child finds no outlet for pouring hurt emotions or depression. Alex’s a ctivities were also observed. Charting will be done on the times of the day that he is most active, and times when he is calm and collected.It was also noted at what activities Alex is not paying attention and which ones make him stay put. These will tell pretty much how Alex’s behavior can be corrected. Considering these, Alex’s data was compared with other children. This comparison will instill or deny if Alex’s behavior is right for his age and maturity level, and if corrective actions should be made. If the data from the charts show that Alex is acting according to his age, constructive yet disciplinary actions may be given to make him behave in class.However, if the data shows that Alex is acting differently, further and more serious actions shall be made and executed. Data Analysis Alex’s data revealed important facts about his condition. The charting found that Alex’s parents both work, and he is often left to his babysitter. Alex is an only child, though he has an older sister from his father’s first marriage. The sister does not live with Alex nor is she close to him. When Alex’s activities were observed, it has been found that he would stand up and play around when Kara starts speaking.It seems that Alex does not like passive listening. Even at times that Kara was able to convince him to sit and listen, he would be fidgeting with his pencil, the pages of his workbook, or the hems of his shorts. However, when there are activities to do in the workbook, in the board, or plainly if there are activities that Kara asks the class to do Alex complies and quietly finishes his tasks. Yet when Kara starts speaking again for the purpose of discussing, Alex begins with his activity again.It should be noted, however, that only short activities keep Alex preoccupied. When activities reach more than five minutes or so, he begins fidgety again and looks for new things to do, leaving his activities unfinished. Looking at the behavior of the children similar to his level, Alex’s actions are not fitting his age and maturity level. While other children of his age are easy to talk to and direct into doing what is acceptable, no encouragement convinced Alex in doing the same. PropositionsGiven that Alex cannot stay focused in his class and because it greatly affects his participation and ultimately his grades, the following interventions were proposed. 1. At the first week, Alex was seated in the front line of the class, near the teacher’s table. This allowed the teacher to keep contact with Alex constantly throughout the class. 2. On the second week, Kara gave Alex a special role in class which allowed him to keep track of other children in class who are not behaving well.Standing and talking were among the activities that Alex kept an eye on. 3. Kara started giving the class periodic activities every ten minutes starting on the third week. Activities include lesson-related works but al so calisthenics and even breaks. 4. At the fourth week, Kara held a conference with the parents and solicited their help in the case. She stressed the importance of keeping themselves present for Alex to aid what depression there may be in Alex. 5. Alex was given short special assignments every other day to make up for his low grades in class.