Saturday, July 18, 2020
Social Anxiety Disorder in Children Social Anxiety Disorder Print Social Anxiety Disorder in Children How to Recognize and Treat SAD in Kids By Arlin Cuncic Arlin Cuncic, MA, is the author of Therapy in Focus: What to Expect from CBT for Social Anxiety Disorder and 7 Weeks to Reduce Anxiety. Learn about our editorial policy Arlin Cuncic Medically reviewed by Medically reviewed by Steven Gans, MD on August 05, 2016 Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Learn about our Medical Review Board Steven Gans, MD Updated on August 12, 2019 Social Anxiety Disorder Overview Symptoms & Diagnosis Causes Treatment Living With In Children In This Article Table of Contents Expand Types Symptoms Causes Diagnosis Treatment Tips for Parents View All Children and teenagers with social anxiety disorder (SAD) may live with symptoms into adulthood without ever being diagnosed. Although SAD is the third most common mental health disorder,?? many parents and teachers are not familiar with the signs and symptoms in children and teenagers. Social anxiety disorder involves an intense fear or phobia of social and performance situations. Although most teenagers go through periods of normal anxiety related to the changes that go along with adolescence, those with SAD experience fear that is out of proportion to the situations that they face. For some teenagers, social anxiety becomes chronic, affecting school performance, extracurricular activities, and the ability to make friends. Types Children and teenagers can be diagnosed with a more generalized form of social anxiety disorder or with the performance-only specifier (only performance situations cause anxiety).?? General vs. Performance-Only SAD Symptoms Symptoms in children can vary by age. As a parent or loved one, know that not all of these behaviors necessarily reflect SAD, but if you consistently recognize them and have cause for concern, consider seeking further evaluation with a psychotherapist. Pre-School Children Fear of new thingsIrritability, crying, or whiningFreezing or clingingRefusing to speak?? School-Aged Children Fear of reading aloud or answering questions in classFear of talking to other kidsFear of being in front of the classFear of speaking to adultsFear of musical or athletic performance activitiesFear of ordering food in a restaurantFear of attending birthday partiesFear of having friends visitWorry about being judged by othersRefusal to participate in activities or school?? In addition, children with SAD are more likely than adults to experience physical symptoms like headaches, stomach aches, and nausea.?? Teens Temperament Look for a teenager who... is quietkeeps to him/herselfbecomes more withdrawn if encouraged to talkis hesitantis passiveis overly concerned about negative evaluationfears being embarrassed or humiliatedcrosses his/her armskeeps his/her head downdisplays few facial expressionshas nervous habits such as hair twirling or fidgeting?? School Behavior potentially does poorly in schooldoesnt raise his/her hand in classavoids classmates outside classfears performing in front of others/public speaking fears speaking up in classis uncomfortable in the spotlightsits alone in the library or cafeteriais afraid to ask the teacher for helpis afraid to walk into class latemay refuse to go to school or drop out?? Behavior With Peers is uncomfortable in group settingshas few friendsis afraid to start or participate in conversationsis afraid to ask others to get togetheris afraid to call othersavoids eye contactspeaks softly or mumblesappears to always be on the fringesreveals little about him/herself when talking to others?? Teenagers with social anxiety disorder are at a disadvantage in all areas of life. They may perform poorly at school and may have trouble attending classes. Students with the disorder are also less likely to make friends and participate in extracurricular activities.?? Those with severe SAD may drop out of school or refuse to leave home. In addition, untreated social anxiety disorder in adolescence may lead to increased risk of other mental health problems later in life such as depression, eating disorders, substance abuse, and even suicidal ideation. Causes Just as with adults, social anxiety disorder in children and teenagers may be caused by genetic factors, environmental factors, societal factors, and brain/biological factors. Many parents may blame themselves, but know that its usually a combination of things that cause the disorder. The most important thing you can do know is support the child and help them find help.?? Understanding the Causes of Social Anxiety Disorder Diagnosis Diagnosis of social anxiety disorder in children and teenagers involves an evaluation of symptoms in several contexts. This evaluation will often include the perspective of parents and teachers and may involve the use of school records. Often, children and teenagers with SAD will go undetected because parents and teachers will believe that the child or adolescent is just shy. However, early detection and intervention are crucial in the prevention of long-term impairment. Potential underlying medical conditions are explored and other explanations for the behavior such as bullying are also considered. If the student is at risk of self-harm or suicide, these issues are addressed immediately. The same diagnostic criteria used to diagnose adults also apply to children and teenagers. However, there are some additional caveats. Children and teenagers may not recognize that their fear is unreasonable and their anxiety must be present when interacting with their peers, not just adults.?? How SAD Is Diagnosed Treatment Treatment of SAD in children and teenagers is aimed at helping to alleviate anxiety and allow the student to cope with school and day-to-day functioning. Effective treatments may include the following: cognitive-behavioral therapy (CBT)family therapymedication such as selective serotonin reuptake inhibitors (SSRIs), for example: Paxil, Zoloft, Prozac, and Xanax?? In addition to standard treatments, there are a number of coping strategies that can be employed by teachers, parents, and students to manage social anxiety both in and out of school. Schools can play an important role in this process, as it is the place where social anxiety disorder can often have the most negative effect on a teens functioning. School-based interventions led by psychologists, social skills training, and academic skills training are all helpful ways that schools can intervene in cases of SAD.?? As a parent, read about the disorder and increase your awareness of what your teen is experiencing. Be in touch with your school to coordinate efforts with teachers, school counselors, and other personnel. Together, you can work toward improving the situation for a child or teen with SAD. Try One of the 9 Best Online Therapy Programs Tips for Parents As a parent of a socially anxious child, it can be hard to know how best to offer your support. Its important to manage your childs social anxiety in a constructive way. Give your child or teen chances to expose him or herself to feared situations. Dont speak for your child or teen and offer praise when a feared situation is faced. Choose realistic goals for your child or teen such as joining a club or making a new friend. Then, outline steps that can be taken to achieve this goal. Also, encourage activities that help your child or teen to relax such as arts and crafts, music, yoga, and writing. Be a good listener and let your child or teen know that what he or she is experiencing can be overcome. Remind your child or teen of past successes and build his or her confidence. Finally, seek help for your child or teen if anxiety becomes severe. Some problems are too big for you to handle on your own and require intervention such as medication or professional therapy.?? How to Parent Teens With Social Anxiety A Word From Verywell If you have a child or teen who you believe is living with social anxiety, it is important to make an appointment for a diagnosis and potential treatment. The longer this disorder goes undiagnosed, the more impairment your child will experience. By the same token, if you are a teen living with social anxiety, reach out to a parent, teacher, or guidance counselor about the symptoms you are experiencing so that you can receive help.
Thursday, May 21, 2020
Products and Services Adidas is in the business to create sporting merchandise and promote a sporting lifestyle. In 1990, Adidas split its brand into three classifications, each with a different emphasis. This was a technique of sectioning the market and aiming at potential customers with a variety of different hobbies. The three groups include: Adidas performance, Adidas Originals, and Style Essentials. Adidas has over 2,400 stores worldwide. Environmental Analysis In the 2000s, when a lot of people worry that we are utilizing our resources too much, it is extremely vital to not only be socially sensitive but also sustainably sensitive. Adidas is partnering with the Better Cotton Initiative (BCI) to achieve Ã¢â¬Å"improvements in the social and environmental conditions of cotton productionÃ¢â¬ (BCI). It will shrink the usage of pesticides in its manufacturing, and develop a better running irrigation system in order to make it more effective without wasting water. This will grow peoples overall health and aid in making clean water easily accessible in regions where cotton farming is on a industrial level (Brazil, China, India, Pakistan, US, Uzbekistan). One goal for Adidas is for 40% of its cotton to meet BCI standards by 2015, and 100% by 2018. Its plan is to reduce Ã¢â¬Å"its environmental impact by 15 percent by 2015 (The Adidas Group).Ã¢â¬ This shows AdidasÃ¢â¬â¢ group emphasis with respect to its marketing management philosophy, and is rated positively in customersÃ¢â¬â¢ and stakeholdersÃ¢â¬â¢ eyes.Show MoreRelatedMarketing Strategy Michael E. Porter s The Five Forces Model1543 Words Ã |Ã 7 Pagesexternal competitive factors of Ã¢â¬Å"AdidasÃ¢â¬ sports brand company by applying Michael PorterÃ¢â¬â¢s theoretical frameworks that can be used to develop successful strategy for taking the company forward. Introduction of Adidas The global retail sporting goods market is enormous, Ã¢â¬Å"The market is forecast to reach an estimated $266 billion in 2017Ã¢â¬ . (Thomasson, 2014)Adidas AG international largest sportswear manufacturer in Europe and second biggest in the world after Nike. Ã¢â¬Å"Adidas business was founded in a villageRead MoreAdidas1306 Words Ã |Ã 6 Pagesdecision problem What can Adidas do to expand its market share to become number one sportswear company in Malaysia? Marketing research problem Determine the sportswear usersÃ¢â¬â¢ preferences and perception of customers toward Adidas sportswear. 1.2 Research questions 1.What are the main considerations of the consumers in sportswear buying? 2.What is the customersÃ¢â¬â¢ satisfaction level toward various attributes of Adidas products? 3.Are the customers loyal to Adidas? 1.3 Hypotheses 1. ConsumersRead MoreMarketing Strategies For Nike And Adidas1317 Words Ã |Ã 6 Pagesmany forms of strategies that a company can utilize to develop their product or service into the market industry. Not having a strategic plan or goal can be very challenging. Therefore, it is vital to have an idea of the business because this can affect how the consumers and customers interact with your business. Within this paper, promotional and advertising strategies will be discussed for the sports apparel of Nike and Adidas. According to the research, promotional strategy is a two-way interactionRead MoreThe Entrepreneurial Management Model As Described By Rae1534 Words Ã |Ã 7 Pageswill analyse Adidas, a holding company for the Adidas Group* (footnote) and the largest sportswear manufacturer in Europe and the second biggest in the world. Ã¢â¬ËSince it was established in Germany in 1949, by Adolf Dassler, Adidas has been synonymous with the sporting industry. Today, Adidas is a global public company and is one of the largest sports brands in the world. It is a household brand name with its three stripes logo recognized in markets across the world. The companyÃ¢â¬â¢s product portfolio isRead MoreAdidas 2008 Study Case1488 Words Ã |Ã 6 PagesAdidas in 2008: has corporate reestructuring increased shareholder value February 25, 2010 ADIDAS IN 2008: HAS CORPORATE REESTRUCTURING INCREASE SHAREHOLDER VALUE? 1. Introduction (History) GebrÃ ¼der Dassler Schuhfabrik was established in Germany around 1920 by two brothers Adolf Dassler and Rudolf Dassler whom in 1948 decided to separate and created their own firms. The first one called Adidas (Adolf-Adi) and the second Puma. After the World Cup in 1954 Adidas become in a famousRead MoreMarketing Analysis : Nike, Adidas, Aon, And Nike1161 Words Ã |Ã 5 Pagesobjectives may incorporate maximization of profits and increasing the sales volume of the companyÃ¢â¬â¢s products. When two businesses contend, each has the intention of offering the best favorable terms to woe more customers. The sports industry is not any exception. The industry confronts lots of competition amongst its key players. The major players as discussed in the industry analysis paper are Puma, Adidas, AON, and Nike. This essay entails a discussion of the competitive strategies each firm hasRead More4ps of Marketing Essay992 Words Ã |Ã 4 PagesExercise 1: a) Identify any product and explain the 4PÃ¢â¬â¢s in the SAVE perspective b) For the product chosen take any two competing brands and compare the net customer delivered value for both of them from your perspective. c) Find a colleague at work, or a friend or family member, and for the same product or any other product that the person is comfortable with (maybe something they want to purchase), help evaluate two competing brands from a net customer delivered value perspective. Read MoreThe Under Armour, Inc., And The Adidas Group1634 Words Ã |Ã 7 Pagesand youth primarily in North America, Europe, the Middle East, Africa, the Asia-Pacific, and Latin America. The company is in direct competition with Nike, Inc. and The Adidas Group. Therefore, this paper will further attempt to evaluate the pressure exerted by various competitive forces on Under Armour (UA), Nike (NKE), and The Adidas Group (AG); then the core competencies, resource strengths, or competitive capabilities of Under Armour will discussed. To help develop an excellent business strategyRead MoreThe Global Economy1112 Words Ã |Ã 5 Pagesknow of today would conceivably collapse. Where the internet makes it easy to order products and supplies for consumers and retailers all over the world that convenience would obviously be lost if the internet would cease to exist and import and export markets throughout the globe would surely crumble. Some may see thi s view as a dramatic interpretation, but just thinking about all of the products and services that are managed by the use of the internet today, it really sheds light on how dependentRead MoreSwot Analysis for Adidas970 Words Ã |Ã 4 Pagesanalysis for Adidas 1. For more than 80 years Adidas Group is involved in world of sport at every level. Specifically, providing sport people with footwear, clothing and great range of accessories. In addition it has a big portfolio of products which are available everywhere in the world. Company concentrates its strategy on strengthening their brands and products in order to improve competitiveness and financial performance. Their portfolio includes such brands as: Adidas - Footwear, apparel
Wednesday, May 6, 2020
Mohandas Karamchand Gandhi, also known as Mahatma Gandhi, was Indias greatest political and moral leader. He was born in Gujarat on October 2, 1869 and assassinated on January 30, 1948. In his 79 years of lifetime, he was able to accomplish so many things for the discriminated and all of India. His acts and ideologies still affects the world today. He was born in Gujarat on October 2, 1869 to a prime minister of Rajkot and a faithful Hindu woman. His mother Putilbais faith in Hindu affected Gandhi as a child and her teachings led him to become a faithful Hindu himself at a young age. His strong belief in Hinduism later affected and led him through rest of his life. During his college years at the Indian Samilus College, he decides to study abroad in England. The leaders of Hindu opposes this idea because they believed that western culture is a stumbling block to Hindus. Overcoming this opposition, he gets accepted into University College of London and later receives a lawyer license. He not only focused on his studies but also on his personal moral issues. He would travel far places just keep his vegetarian diet that was enforced by the Hindu laws. After achieving his license, he moves back to India to work as a lawyer. Because of fainthearted personality, he would not speak a single word of defense in court. He then moves to South Africa and gets a job in the South African- Indian Trade company. There he sees the Indians getting discriminated by the white people and
1. How do managed care organizations provide comprehensive and quality care while keeping costs down? American health care should essentially be a nonprofit enterprise. However, the privatization of American health care holds that health care in general and hospitals in particular are increasingly operating on a for-profit basis. We will write a custom essay sample on Managed care or any similar topic only for you Order Now In fact, the for-profit hospital sector has accounted for a relatively constant share (about 15 percent) of hospital beds over the last twenty years (Morrisson, 1999). This is why recently the U.S. Congress tries to push more Ã¢â¬Å"consumer-directedÃ¢â¬ health plan options to avoid cash-strapped managed care organizations (MCOs) to boost their deductibles, raise premiums and even defy federal law by authorizing policy holders to buy prescription drugs from low-cost vendors in Canada (Smith, 23 September 2004). Managed care organizations (MCOs) often apply the traditional fee-for-service models, which do not provide adequate financial controls and utilization incentives for physicians and hospitals to contain the costs of providing healthcare. Under managed care, the needs of the patients are balanced with efforts to provide cost-effective care. Typically, MCOs enroll subscribers by promising to provide all necessary medical care in exchange for a fixed monthly premium. The MCO also contracts with hospitals, physicians, and other healthcare providers to dispense the necessary medical care to its enrollees at a discounted reimbursement rate. In exchange for accepting reduced fees, the caregivers gain access to the MCOÃ¢â¬â¢s enrolees (Kirby, Sebastian Hornberger, 1998). A problem with managed care is that employers who offer a health maintenance organization (HMO) to their employees often pay the premium as long as the HMO premium was not higher than the fee-for-service premium. This behavior by employers creates distorted incentives for the HMO in controlling its costs. Enthoven (1993) suggested that this incentive distortion can be corrected when employers design better alternatives for their employer contributions. The employer could contribute a fixed-dollar amount for health insurance with the employee paying the full difference between plans. The greater the portion of the marginal premium paid by the employees is, the stronger the incentive is to choose lower-cost plans. For example, if the employer pays 80 percent of the premium and the employee pays the remainder, then the employee pays only 20 percent of the difference between the low (letÃ¢â¬â¢s presume here) HMO premium and the higher fee-for-service premium. HMOs and other managed care arrangements are organized on a prepayment basis that appear in a wide variety of forms. An HMO could hire physicians on a salary, contract with a preexisting group practice of physicians, or contract with physicians who maintain a fee-for-service practice. According to Luft (1991), Ã¢â¬Å"Because specific social, legal, historical, political, and economic aspects of the medical care environment have shaped delivery systems such as the HMO, it is not reasonable to expect that the typical HMO could be transplanted intact to another countryÃ¢â¬ (p. 173). The key to HMO cost savings is the organizationÃ¢â¬â¢s wide range of medical services, both inpatient and outpatient. In this way, the HMO can receive the cost savings implied by reduced hospital use. This may be difficult to manage in systems where there are separate financing mechanisms for primary care physicians and inpatient care. As Luft (1991, p. 180) remarks. Ã¢â¬Å"If there were no way to shift funds from the Ã¢â¬Ëhospital sideÃ¢â¬â¢ to the Ã¢â¬Ëphysician side,Ã¢â¬â¢ it would be difficult to reward clinical decision makers for the development of more cost-effective practice styles.Ã¢â¬ 2. How can the trio of ambulatory care, mental health care and alternative theraies assist in the process of providing quality care at low cost? Ambulatory care-sensitive conditions reflect the quality and availability of primary care services, since they are readily treatable without the need for hospitalization. There are differences in the hospitalization rate for ambulatory care sensitive conditions. Shenkman et al. (2005) had indicated that specialty ambulatory care is important for many children with chronic conditions. However, access to such care may be constrained within managed care environments. The use of primary care providers (PCPs) as gatekeepers for managed care organizations (MCOs) is one commonly used strategy to control specialty care use. Studies of the impact of gatekeeping on childrenÃ¢â¬â¢s receipt of specialty care have resulted in mixed findings. Some studies found more specialty care use in gatekeeping MCOs, compared with non-gatekeeping MCOs. Other researchers found that the replacement of a gatekeeping system with an open-access model increased specialty visits among a group of children with chronic conditions. Although the focus on gatekeeping in general yields some important information, MCOs use many other strategies concomitantly with their PCP gatekeepers, such as capitated payments, financial incentives, and prior authorization procedures. The use of these concomitant strategies may meet the unique needs of children with chronic conditions, including their need for specialty physician care. On the other hand, managed care had been significant contributor on delivery systems for mental health services. Taylor et al. (2001) had indicated that direct and indirect persuasion to provide more cost-effective treatments has been one consequence. The cost-saving qualities and the effectiveness of group interventions have produced clear expectations for an increased use of therapy groups. In the research of Taylor et al. (2001), they compared perceptions and uses of group treatments on a national sample of managed care organizations and mental health providers. Implications of differences and similarities between directors of managed care organizations and treatment providers are examined and discussed across five response categories (familiarity/training perceived effectiveness, likelihood of reimbursement/referral, daily use and expectation for future use). Taylor et al (2001) favored the approach where MCOs calibrate treatment referral/reimbursement decisions. Recently published comparison outcome studies and meta-analyses can and should empirically guide the present treatment delivering systems. Lastly, many managed care organizations have already begun to integrate complementary and alternative medical therapies (CAM) with conventional medical providers. Medical practitioners are obligated to assess CAM therapy with patients. Alternative therapies require professionals to rethink staff competency, patient assessment, and patient-focused care. Medical leaders must understand CAM trends and therapies to better integrate these concepts into health care policy, standards of care, and ethical decisions (Parkman, 2001). Among ambulatory care and mental health care, alternative therapies, or CAM, offers the most favorable and cost-efficient strategy for MCOs. This is because the aging Ã¢â¬Å"baby boomÃ¢â¬ generation is beginning to experience chronic but non-life threatening conditions, such as joint pain, headaches and menopause-related complaints and they are willing to explore options other than prescription drugs. For health plans, the attraction of offering alternative care products lies in retaining and attracting new members, diversifying their services from competitors in a congested managed care market and in attempts to address current or proposed state mandates (West, 1997). In 1997 alone, expenses for professional services were $21.2 billion, a 45% increase over the earlier 1990 data. Expenses for professional services, herbals, vitamins, diet products, books, and classes totaled $27 billion. Five surveys conducted since 1990 have reported frequent use of CAM, ranging from 30% to 73% by patients suffering from conditions such as cardiovascular disease, cancer, arthritis, HIV and AIDS, multiple sclerosis, and chronic musculoskeletal pain. Futhermore, the demand for CAM by the general public is increasing, despite the fact that its use is largely paid by consumers without coverage by third-party payers. In 1997, Americans spent an estimated $13 billion for visits to CAM providers and an additional $2 billion for commercial diet supplements and over-the-counter megavitamins (Pelletier Astin, 2002). Managed care should not only focus on cost savings, but they should also look into diversifying their services. MCOs have generally contributed to the decline in the U.S. health cost growth rate. Their potential will continue to be limited to the extent that employers fail to offer true financial advantages to consumers who choose the low-cost health plans. Thus, more reforms in the policies should be reviewed and revised so that more people could benefit from the quality health care everyone deserves. References Enthoven, A.C. (1993). The History and Principles of Managed Competition. Health Affairs, supplement, 24-48. Kirby, E.G., Sebastian, J.G. and Hornberger, K.D. (1998, Jan/Feb). The Effect of Normative Social forces on Managed Care Organizations: Implications for Strategic management/Practitioner Response. Journal of Healthcare Management. 43(1):81-106. Luft, H. (1991). Translating the U.S. HMO Experience to Other Health System. Health Affairs 10:172-186. Morrison, I. (1999). Health Care in the New Millennium. NY: John Wiley Sons, Inc. Parkman, C. (2001, February). Alternative Therapies Are Here to Stay. Nursing Management, 32(2): 36-40. Pelletier, K.R. and Astin, J.A. (2002, Jan/Feb). Integration and Reimbursement of Complementary and Alternative Medicine by Managed Care and Insurance Providers: 2000 Update and Cohort Analysis. Alternative Therapies in Health and Medicine, 8(1): 38-44. Shenkman, E., Tian, L. and Schatz, D. (2005, June). Managed Care Organization Characteristics and Outpatient Specialty Care Use Among Children With Chronic Illness. Pediatrics, 115(6): 1547-1555. Smith, C. (2004, Spetember 23). Senate Panel Examines Health Care Choices, Insurance Costs. Knight Ridder Tribune. Taylor, N.T., Burlingame, G.M., Kristensen, K.B., Fuhriman, A. et al. (2001, April). A Survey of Mental Health Care ProviderÃ¢â¬â¢s and Managed Care Organization Attitudes Toward, Familiarity With, and Use of Group Interventions. International Journal of Group Psychotherapy, 51(2): 243-264. West, D. (1997, November 10). MCOs Integrating Alternative Care. National Underwriter, How to cite Managed care, Essay examples Managed Care Free Essays The article seeks to identify the problems that face managed care organization (MCOs) in contemporary competitive environment which include broad public opinion, competitive realities, need for cost reduction. The article also notes that there has been an increase in health care cost despite the establishment of the managed health care systems implemented through the managed care organizations. Increase in cost remains to be a major concern for patients/consumers. We will write a custom essay sample on Managed Care or any similar topic only for you Order Now Due to this, patients are ready to switch from one plan to another in which cost difference in premium is as little as $15. 0 per month. The article also claims that there has been concern from the society as far as quality of managed healthcare service is concerned. Such concerns encompass: accessibility, and the verification of what is Ã¢â¬Ëmedically necessaryÃ¢â¬â¢ including the diagnosis tests and referrals. Other concern is freedom of choice. Additionally, perceived quality which is increasingly valued by contemporary patients/consumers has been lacking in the managed care organizations. (Entrepreneur 1998). Strategies or techniques are used to solve the problem or address the issue. This article proposes application of institutional theory to MCOs performance as well as strategic planning. Over emphasizing of institutional theory at the expense of strategic planning will not help the managed care organization to survive in the contemporary competitive environment. The article proposes a strategy that will respond and conform to the needs of the patients and the society at large. Being cost efficient and conforming with socially accepted norms will lead to superior performing of MCOs. Thus, a strategy that encompasses technical requirements as well as conforming to needs of the patients/consumers is very critical for success of any MCO. Only emphasizing or dealing with cost issue is not a strategy for long-term MCO superior performance and success. The article also proposes that all MCOs must demonstrate what contemporary consumers/patients and society expects. These expectations include accessibility, freedom of choice, and perceived quality i. e. always provide value for all patients. ( Entrepreneur1998). My conclusions and recommendations It is clear that the establishment of managed care and the managed care organizations have not been a panacea to all problems facing patients/consumers. Instead, what the patients would like to have is more accessibility to health care services, freedom of choice, better services emphasizing on perfect diagnosis tests, reduction in cost of this services as well as flexibility of managed care systems. This is yet to become a reality. To ensure this, responding to consumers/patients needs will be of great importance. This should include training the health care workers on the best way to serve the patients better, and carrying out perfect diagnosis tests before treating the patients. Increase in number of medical practitioners in MCOs so as to ensure accessibility of these services should also be considered. The managed care plans should also employ modern technology that will improve the quality of health care services. This should encompass better disease diagnosing equipments, and establishing better information systems. Reduction of cost is also very imperative. All inefficiencies and wastage should be checked through a well planned compliance system that should work closely with the human resource department. (Harris, J. S. 1994; Morton-Cooper Bamford 1997; Alexander Amburgey. 1987) Contribution of the article to helping practicing healthcare managers This article is of great help to many practicing healthcare managers. First, it point out the importance of being market oriented i. e. responding to the needs of the patients/consumers and society at large. Factors that determine patients choice of particular health care provider i. e. accessibility of the service, cost of the service, perceived quality such perfect diagnosis test for appropriate medication and so on are also enlisted. The article also emphasis on need of employing a strategy that ensures adherence to technical requirements, cost reduction, high quality, and also freedom of choice to the patients/consumers. Such insight is of great importance to any practicing health care manager who wants to succeed in this career. How to cite Managed Care, Papers
Saturday, April 25, 2020
Introduction This is the era of the information age. Currently there are over two billion internet users in the world. The internet is the fastest growing market place and many companies are increasingly adopting internet related technologies to tap to the growing market. The internet also has been the source of multi billion companies like Google and facebook that solely derive their revenues from the net.Advertising We will write a custom essay sample on The InternetÃ¢â¬â¢s Good and Bad Sides specifically for you for only $16.05 $11/page Learn More These companies and many more have products that have made sure millions of people are hooked to the internet for work and leisure. Because itÃ¢â¬â¢s a virtual place that is not very limited, the internet has been on the receiving end of both criticism and praises. ItÃ¢â¬â¢s a fact that the internet is an employer to millions of people who work and do business online. However, its also a known fact the internet is a place for many people to waste time and many companies have tangibly proved that productivity falls when employees engage in internet related activities (Marzilli 34). Similarly, the internet is the source of many online relationships that people form with virtual partners that normally lead to the breakage of their marriages or stable relationships. The negatives that have characterized the net have therefore led some critics like William Gibson to declare that the internet is a just a waste of time. ItÃ¢â¬â¢s not any better than the entertainment technologies that preceded it. In fact he thinks its worse. This paper will therefore seek to determine if the net is a waste of time and if so, in what ways. Background Did you know that Facebook has over 700 million users today? Did you know that many other social networking sites like Twitter and My space account for hundreds of millions of other online users? Did you also know that Google is the biggest search engine in the world that helps users access virtually everything that one would want to research on? According to Nielsen Online, facebook, twitter, and Myspace combined captured over hundred million users in 2009. According to Nielsen therefore the gap between human beings virtual and physical continues to dim. ItÃ¢â¬â¢s important however to understand that the problem is not sing the internet. Rather the problem is the activity these billions of users of the internet engage in. in a survey in 2005 by America Online and Salary.com, many workers over 44% cited the internet as the biggest distraction (Mahill 32). The internet was fist invented to connect people. Today, it still plays that very important role. In fact, there is quite a lot of useful collaboration that is as a direct result of the internet. Take for example research (Johnson et al 54). Many research fellows in the world interact between each other stationed in different universities thousands of miles away exchanging ideas that have positively changed the world.Advertising Looking for essay on rhetoric? Let's see if we can help you! Get your first paper with 15% OFF Learn More The internet is also increasingly being used as a place to discuss parties and other social events that bring many people together. Everyday the news media is filled with news of unsuspecting women and men some of them underage lured by criminals and trafficked to various parts of the world through the internet (Herbert and Samantha 59). ItÃ¢â¬â¢s hard for one to imagine his son /daughter being sent away from school because they posted inappropriate pictures online. Many politicians have lost their careers through the information thy post on the net. What we can decide from the above is that the internet is a great source of unlimited invaluable information and at the same time a place with unlimited ways of wasting time. Many experts have asked themselves many questions about the good and bad sides of the intern et. Much as they acknowledge its importance, itÃ¢â¬â¢s hard to remain objective and concentrate on the good side without casting the eye wide and seeing the ugly side of it (Katz and Rice, 45). The internet was invented to connect with people, true. The internet is still crucial in everyday running of the world, true. On the other hand, the internet is the root of some of the bad evils that have befallen many people, true and the internet is the beginning of what Gibson described as a place to daydream waste time and watching other peopleÃ¢â¬â¢s lives while we destroy ours. According to Gibson, the bad side of the internet outweighs the good. Putting oneself in GibsonÃ¢â¬â¢s shoes, one canÃ¢â¬â¢t help but ask some very hard questions about the net. What good is there for one to spend half of his/time discussing about the lives of other people? What good comes out of sitting the whole day, consuming vast amounts of energy and fantasizing about other peopleÃ¢â¬â¢s lives? Alt ernatively, what good comes out of someone sitting the whole day creating malicious programs that lead to the collapse of vast networks of data and sometimes con of money out of people. It makes no sense at all for one to stay online and take surveys that pay a hundredth of a dollar. Millions of people are engaged in such activities that promise huge unrealistic incomes. According to Gibson, uselessness stems from the fact people spend a lot of time online doing nothing productive on the internet. As a result the internet has introduced a culture of people who only think about leisure without working. While that can work ideally, itÃ¢â¬â¢s quite unworkable in the realistic world.Advertising We will write a custom essay sample on The InternetÃ¢â¬â¢s Good and Bad Sides specifically for you for only $16.05 $11/page Learn More Even if the idea that money can work for one hence he/she can have all the time to engage in leisure was workable, it will still be impossible for one to engage in endless leisure. Gibson therefore feels that the advantages and disadvantages from the internet cancel out each other and result the nothing comes out of it. He further fears that failure to halt the trend will lead to people especially young people acting life and living in fantasy The scary part is that the internet is yet to fully evolve to reach its epitome. The evolution no doubt will bring along numerous advantages and along with it deadly consequences for all users of the internet. What needs to answered however is whether the leisure trend that is associated with the world is on its way to usurping the productive trends that laid the foundation for the internet (John 76). Argument Many experts have expressed their own views that support GibsonÃ¢â¬â¢s view while others appear to be on the contrary. Ott and Sarricks believe most of the information stored in the internet can be justified to be useless. The sad thing about it is that the inf ormation is packaged to appear important potentially misleading many people who otherwise should be engaged in productive activity (166). Gibson in his argument about the uselessness of the internet admits that though he likes surfing the internet and derives considerable pleasure from doing so, he cannot compare it to the television. Television according to him is far more beneficial and apparently does not waste time like the internet, well during the Ã¢â¬Å"good old timesÃ¢â¬ . Its difficult to determine the accuracy of the GibsonÃ¢â¬â¢s charge. However, anyone can find a number of faults with the TV as with the internet. Like surfing the internet, clicking on ones TV remote control will introduce to numerous unnecessary programs comparable to the useless information on the internet. West admits that the internet has revolutionalized the way information is accessed (74). Information according to him that took weeks to compile may take a few hours. Now who can object to that a s an great time saver? West adds that the wealth of information available in soft form online far outweighs the information that is available in soft copy (74). However, West faults the vast amounts of information on the internet as its main undoing. Like Otts and Saricks he concurs that most of it is useless. Further more it will take someone a long time to sift through the information to com up with anything logical and concrete ( 25). The quality of the information has been called to question. Its no secret that most qualitative and useful intelligence information is sold online. So why avail it and claim at the same time that its available on the information superhighway.Advertising Looking for essay on rhetoric? Let's see if we can help you! Get your first paper with 15% OFF Learn More According to Mahill, social interaction is very important it every human beingÃ¢â¬â¢s life (130). Human beings have different interests and those that have less rely on the media for a bridge of the gap that5 the have. The internet has come in handy and kept people engaged instead of being bored. That is pretty much like GibsonÃ¢â¬â¢s view. However, Mahill faults television, social media, e-mail, texting and texting all that have an internet element in them for providing too much entertainment to appoint where the individual is overwhelmed. He adds that people are finding it increasingly difficult to process the information and entertainment that the internet accords the (130). Mahill authoritatively declares that people are overloaded and the usefulness of the internet is drastically being put under the microscope. Conclusion He coinage Ã¢â¬Å"the internet is uselessÃ¢â¬ is too blanket to sum up the benefits that the internet offers as well as the disadvantages. Depending on the angle from which itÃ¢â¬â¢s looked at, there are going to be a lot of pros and cons concerning the service. However, focusing on the disadvantages, itÃ¢â¬â¢s difficult to ignore the fact that the internet thing is quickly turning to an Ã¢â¬Å"overactÃ¢â¬ . There is a lot of entertainment on the net. In fact, one can easily prove that there is over entrainment that exceeds supply on the internet. But, who said some people donÃ¢â¬â¢t like it? Are social sites minting money out of the net? Can from instance Larry Page of Google describe the internet as useless? The simple answer is no! Therefore, the solution lies in a little bit of policing of the net where stringent regulation will control what flows in and out of the net. Without that, am afraid GibsonÃ¢â¬â¢s generalization will become true. Works Cited John, Hamilton. Internet. London: ABDO, 2004. Print. Mahill, Wendy. Embracing a Feeling Heart. London: Xulon Press. 2011 Marzilli, Alan. Policing the Internet: New York : Infobase Publishers, 2005. Print. Samantha, Moppett and Herbert, Ramy. Navigating the Internet: legal research on the World Wide Web. New Jersey: WIN Press, 2000. Johnson et al. Computers: tools for an information age. New York: Prentice Hall, 2002. Print. Rice, Ronald and Katz, Everett. Social consequences of Internet use: access, involvement. Massachusetts: MIT Press, 2002. Saricks, Gibson and Ott, Bernard. The Back Page. New York: ALA Editions, 2005. Print West, Christopher. Competitive intelligence. New York: Palgrave Macmillan. 2001. Print. This essay on The InternetÃ¢â¬â¢s Good and Bad Sides was written and submitted by user J0hnath0n to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.
Wednesday, March 18, 2020
Shirley JacksonS The Lottery Essays - Fiction, Literature Shirley JacksonS The Lottery Shirley Jacksons The Lottery, raises many questions in the back of a readers mind towards the destructive yet blind rituals of mankind. The Lottery clearly expresses Jacksons feelings concerning mankinds evil nature hiding behind traditions and rituals. She shows how coldness and lack of compassion in people can exhibit in situations regarding tradition and values. Jackson presents the theme of the short story with the use of symbols and setting. The setting of The Lottery supports the theme. Settings are constructed to help build the mood and foreshadow things to come. In the lottery though, the setting foreshadows exactly the opposite of what is to come. The story begins with a description of a seemingly cheerful environment. Jackson creates a comfortable atmosphere by describing the activities of the residents of the town. She describes children breaking into boisterous play and their talk still of the classroom (310). Men and women are gathered in the center of the town talking about farming and taxes or into gossip. The date of the story is June twenty-seventh which Helen E. Nebeker states in American Literature, has symbolic overtones which alerts us to the season of the summer solstice with all its overtones of ancient ritual (102). Jacksons description of the setting supports the theme of the story by showing how mankind is capable of cruel acts regardless of their environment. Symbolism in the story also supports the theme of The Lottery. The very names of the characters in the story are laden with meaning. The names of Summers, Graves, Warner, Delacroix and Hutchinson hint at the true nature of the characters. Mrs. Delacroixs name means of the cross in Latin; therefore hinting at Tessies sacrificial killing. Even tough Mrs. Delacroix seems to be a friend to Mrs. Hutchinson it is she who is shown to pick up the largest rock and promotes other people to stone Tessie. Mr. Summers name symbolizes life but in reality it is he who is in charge of the lottery which instead of giving life to its winner it gives death. Graves is the man who carries in the black box and the three-legged stool. His name hints to what will happen to Tessie Hutchinson. It is also from Mr. Graves whom the citizens get the papers from, therefore it is almost like he is the one who has the most influence over whose grave it will be next. Old Man Warner, as his name indicates, warns the v illagers of the unknown danger of stopping the yearly ritual. The irony here is that even though the old are know for being wise, Old Man Warner seems to be a very ignorant and superstitious being who blindly follows tradition. The names of all the prominent characters in The Lottery support the idea that everybody hides their evil nature by way of hypocrisy. Tessie Hutchinsons character also provides considerable information on the theme of the story. Her name reminds one of the historical Anne Hutchinson not only because of the name but also because of the small town setting. Anne Hutchinson was a willing martyr who died for her religion and was exiled from her town. Tessie Hutchinson though may at first of the story appear to be a very good-natured and good human being by the way she comes in to the story. She comes in jokingly kidding with a friend of hers about how she almost forgot about the lottery but as soon as she remembered came running. Tessie seems to be a willing participant at the start but when her familys mane is drawn she shows her true nature. Instead of trying to protect her children she instead demands that her married daughter take part in the drawing just to improve her own chances of survival. Mrs. Hutchinson is a perfect example of how evil exists in everyone and when pushed it can take a mother to risk her own ch ilds safety. The symbolism found in the black box is a key point in understanding the importance of tradition in the theme of The Lottery. The introduction of the black box into the story changes the mood and atmosphere of the crowd of people. The reason
Monday, March 2, 2020
5 Tips for Fixing Not Only . . . But Also Errors 5 Tips for Fixing Ã¢â¬Å"Not Only . . . But AlsoÃ¢â¬ Errors 5 Tips for Fixing Ã¢â¬Å"Not Only . . . But AlsoÃ¢â¬ Errors By Mark Nichol Few constructions cause as much consternation for editors as that in which a contrast is represented with the phrase Ã¢â¬Å"not only, . . but.Ã¢â¬ The solution to garbled syntax in such constructions is simple but bears repeating, so multiple sample sentences follow. But before we go any further, note not only that a comma following Ã¢â¬Å"not onlyÃ¢â¬ is unnecessary but also that also (or too or as well) is essential after but. At its most basic, the erroneous sentence structure you will see played out in several variations here is Ã¢â¬Å"(Subject) (this) (verb) and (that).Ã¢â¬ The correct sequence is Ã¢â¬Å"(Subject) (verb) (this) and (that).Ã¢â¬ 1. Ã¢â¬Å"I not only knew where this person was shopping and how much he or she was spending, but the exact time of each transaction.Ã¢â¬ For such a sentence to exhibit proper parallel structure, the verb following the subject must precede Ã¢â¬Å"not onlyÃ¢â¬ so that it applies to both parallel phrases, or the verb must be repeated. In the latter case, the sentence would read, Ã¢â¬Å"I not only knew where this person was shopping and how much he or she was spending; I also knew the exact time of each transaction.Ã¢â¬ This solution is correct but cumbersome. (I was tempted to write Ã¢â¬Å"not only correct but also cumbersome,Ã¢â¬ but one is favorable and the other unfavorable, so introducing parallel structure seems inappropriate.) For clarity and simplicity, try this: Ã¢â¬Å"I knew not only where this person was shopping and how much he or she was spending but also the exact time of each transaction.Ã¢â¬ (Note also the insertion of also.) 2. Ã¢â¬Å"When the United Kingdom went through its mad cow mess, it had to bury not just the dead animals that had gotten sick, but had to change its butchering methods.Ã¢â¬ ThatÃ¢â¬â¢s a clumsy (and erroneous) attempt to provide the verb twice. ItÃ¢â¬â¢s far more elegant to compose the sentence so that a single had is strong enough: Ã¢â¬Å"When the United Kingdom went through its mad cow mess, it had to not only bury the dead animals that had gotten sick but also change its butchering methods.Ã¢â¬ 3. Ã¢â¬Å"Their drinking may not only reflect difficulties in sleeping and calming down, but the fact that their parents provided a chaotic and inconsistent home environment.Ã¢â¬ This sentence almost sounds right, but may, the verb that precedes Ã¢â¬Å"not only,Ã¢â¬ is an auxiliary, or helper, verb; itÃ¢â¬â¢s playing second banana to reflect, which must also precede Ã¢â¬Å"not onlyÃ¢â¬ : Ã¢â¬Å"Their drinking may reflect not only difficulties in sleeping and calming down but also the fact that their parents provided a chaotic and inconsistent home environment.Ã¢â¬ 4. Ã¢â¬Å"Extended-stay lodging may not only fulfill a practical purpose but an emotional one.Ã¢â¬ The error is most easily seen in sentences such as this one, in which the Ã¢â¬Å"but (also)Ã¢â¬ phrase is brief and noisily clatters to the floor, unsupported by the sentence structure: Ã¢â¬Å"Extended-stay lodging may fulfill not only a practical purpose but also an emotional one.Ã¢â¬ 5. Ã¢â¬Å"They understood that the devastation was not solely about the lack of water, but about the way the land had been used.Ã¢â¬ This sentence, in which solely stands in for only, places the Ã¢â¬Å"not onlyÃ¢â¬ element correctly, but, again, the comma is extraneous, and an inserted also is not: Ã¢â¬Å"They understood that the devastation was not solely about the lack of water but also about the way the land had been used.Ã¢â¬ Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the Grammar category, check our popular posts, or choose a related post below:How to Structure A Story: The Eight-Point ArcConfusing "Passed" with "Past"1,462 Basic Plot Types