Sunday, February 23, 2020
The impact of Lean and Six Sigma management in the departments of Radiology of NHS Hospital - Dissertation Example ther Research 30 Bibliography 31 Appendix 34 Information and Consent form 34 Page Is Intentionally Left Blank Chapter 1: Introduction 1.1 Introduction This chapter focuses on acquainting the reader with relevant information related to the study. The chapter ensures that the reader is able to identify the study topic and gets background information on the same. The content of the chapter includes research area, research aim, justification for research, research objectives, research questions, and the structure of the dissertation. The chapter also introduces the reader to Lean and Six Sigma management and its benefits in NHS hospitals. 1.2 Research Area The impact of Lean and Six Sigma within the departments of Radiology in NHS Hospitals. 1.3 Research Aim The main aim of this research was to assess how radiology departments of Queens Medical Centre (QMC) and Nottingham City hospitals have adopted and implemented Lean and Six Sigma management in their operations. The research also focu sed on evaluating the impact of Lean and Six Sigma management style in the radiology department. When evaluating the impact of Lean and Six Sigma management on QMC and City Hospitals, the research considered factors such as waiting times and financial impacts. This is because these factors are critical towards attainment of quality and efficiency in performance of various functions in the hospitals. Moreover, financial impact determines the ability of the hospitals to adopt Lean and Six Sigma management style. 1.4 Justification of Research QMC and City Hospitals have been at the forefront in the provision of health services and information to British citizens. Since the initiation of these hospitals, they have had several drastic changes. Some of these changes include adoption and... The paper focuses on identifying theory and concepts, which exists in the field of Lean and Six Sigma management within the healthcare industry. This chapter also focuses on identifying the origin, the tools and techniques, and the current level of Six Sigma implementation within NHS hospitals and healthcare industry at large. The information gathered from the literature review will contribute significantly towards making of effective conclusions on Lean and Six Sigma management in NHS Hospitals. The healthcare industry is a vast web of contradiction and complexity. It has focused on the provision of astounding advances in treatment and technology. However, this industry is a victim of resource constraints, errors, inefficiencies and several other issues, which are a threat to safety and accessibility of patient care safety. The Institute of Medicine, in 2008, released a report, which indicated that over 98,000 people die annually due to medical errors. This report highlighted a need for effective, quality improvement within the healthcare industry. Financial concern has become a factor, which influence the efficiency of operation of healthcare institutions. This is because the cost of supplies and labour has constantly increased in healthcare organisations while the reimbursements have declined effectively. Therefore, two areas are necessary in order to increase savings for healthcare organisations. These areas are reduction of supplies and labour costs. On the other hand, healthcare organisations are facing a shortage of qualified professionals, registered radiologic technologists, and registered nurses.
Friday, February 7, 2020
Public Opinion on Homosexuality and Marriage - Essay Example The crux of the homosexual debate revolves around the definition of marriage. The Federal Defense of Marriage Act (DOMA) defines Ã¢â¬Å"marriage as a legal union between one man and one woman for purposes of all federal laws, and provides that states need not recognize a marriage from another state if it is between persons of the same sexÃ¢â¬ (Chabot, p.8). In other words, marriage is restricted to a union between one man and one woman and same-sex marriage, even if it is recognized by one state is not recognized by the federal government and therefore federal benefits are denied to homosexuals. This Act has opened a can of worms. Those who support homosexual marriages argue on the basis of civil and religious freedom, financial viability and the principle of love. One writer argues that Ã¢â¬Å"the First Amendment of the Constitution clearly states that a person's religious views or lack thereof must be protected. Marriage by the state is a secular activity; the government cannot start making laws just because a religion says they shouldÃ¢â¬ (Messerli, 22 May 2009, p.1). In other words, one religious view should not dictate the view or lifestyle of another. Same-sex marriage is a matter of choice and the state has no right to deny homosexuals of this choice. Another argument states that Ã¢â¬Å"The right to marry the person that you love, have made a commitment to, and wish to live with for the rest of your life is a foundational human rightÃ¢â¬ (Robinson, p.3). He also went on to quote a pamphlet by the National Gay and Lesbian Task which states that, "If legally marri ed, gay, lesbian and bisexual couples would have a greater ability to care for and protect their families.Ã¢â¬ The financial benefits the pamphlet named included joint tax returns, joint insurance policies for home, auto and health, automatic inheritance on death, secure workplace and other benefits such as annuities, pension plans, Medicare, etc. Ã
Wednesday, January 29, 2020
BeckettÃ¢â¬â¢s Main Themes Essay Samuel Beckett explores the purposelessness of life, lack of meaning and memory in Waiting for Godot. Aspects such as repetition, change, recognition, blind faith, silences and pauses illustrated the forgetfulness and purposelessness of the lives of Vladimir and Estragon. Ã¢â¬ËWaitingÃ¢â¬â¢ is doing both something and nothing simultaneously; Vladimir and Estragon recognize this which is why they are in search for something to Ã¢â¬ËdoÃ¢â¬â¢. VLADIMIR: We are happy. ESTRAGON: We are happy. (Silence.) What do we do now, now that we are happy? VLADIMIR: Wait for Godot. (Estragon groans. Silence.) Things have changed here since yesterday. ESTRAGON: And if he doesnt come? VLADIMIR: (after a moment of bewilderment). Well see when the time comes. (Pause.) Their words are as empty and futile as their actions. There is a silence after they say that theyÃ¢â¬â¢re Ã¢â¬Å"happyÃ¢â¬ which makes it apparent that they are just forcing the emotion on to themselves. The silence allows the audience to inquire if they really are happy and if their happiness is of value. Being happy doesnÃ¢â¬â¢t provide a function in life; Estragon wants to Ã¢â¬ËdoÃ¢â¬â¢ something now that they were supposedly happy. To Ã¢â¬ËdoÃ¢â¬â¢ something constructive is important to pass the time; the closest they can get to a functional action is to talk to each other. Having a purpose in life is probable to come with the emotion of happiness, since Estragon and Vladimir have convinced themselves to believe they encompass a purpose in life, they require the emotion of happiness to validate it. Rather than just telling Vladimir to Ã¢â¬ËdoÃ¢â¬â¢ something as they were Ã¢â¬Å"happyÃ¢â¬ , he asks him which is a technique to create conversation. The characters have blind faith in Godot, they donÃ¢â¬â¢t know what would happen if he didnÃ¢â¬â¢t come. Vladimir is bewildered when he comes to the moment of reality of contemplating that this being true would make their wait purposeless. He doesnÃ¢â¬â¢t want to admit that if Godot didnÃ¢â¬â¢t come then their long wait would have been for nothing, instead he says Ã¢â¬Å"WeÃ¢â¬â¢ll see when the time comesÃ¢â¬ . This is a meaningless statement because if Godot never does come then the time will never come. However, Vladimir shows indication of acknowledging this when he starts talking about Ã¢â¬ËchangeÃ¢â¬â¢ which is not only changing the subject but also implying that change in something proves that time is passing and that time will soon come. Moreover, towards the end of the extract when Estragon asks Ã¢â¬Å"What do we do now?Ã¢â¬ and Vladimir replies Ã¢â¬Å"Wait for GodotÃ¢â¬ . He ends the sentence there because he doesnÃ¢â¬â¢t know what would happen after h e did come and where their lives would lead. They show no reason to wait for Godot which highlights again the purposelessness of their lives. As Vladimir and Estragon are waiting, it is vital for time to pass and the thing to establish this is for things to change. VLADIMIR:Ã¢â¬ ¦I was saying that things have changed here since yesterday. ESTRAGON; Everything oozes. VLADIMIR: Look at the tree ESTRAGON: itÃ¢â¬â¢s never the same pus from one second to the next VLADIMIR: The tree, look at the tree. The characters do not really have a conversation which follows in a logical pattern; they often misinterpret each other. Although the two pass their time, they pass it in Ã¢â¬Ëuseless banterÃ¢â¬â¢ which is meaningless and gives their life no purpose. Estragon occasionally drifts off with his own thoughts but Vladimir brings him back to his. They both have their own ideas on change, Vladimir refers to the tree to prove that things have Ã¢â¬Å"changedÃ¢â¬ while Estragon notices Ã¢â¬ËpusÃ¢â¬â¢ changing, even though theyÃ¢â¬â¢re in their own individual worlds they both perceive a significance in Ã¢â¬ËchangeÃ¢â¬â¢. Change is essential to them because they want assurance they have passed the time, and the only way to do so is to see change in their surroundings; change would also initiate some form of purpose. However, their dialogue in general dwells on their past and present which suggests that they are trapped in their current situation. The tree in the landscape helps illustrate a purpose because it is changing, it has to be changing for a purpose; Vladimir sees it as a sign of hope. There is only one tree rather than lots, this makes the landscape seem dull and gives a boring imagery. It is a symbol of life and contrasts with the bleak lifeless environment itÃ¢â¬â¢s in. Recognition comes conjointly with memory which Estragon doesnÃ¢â¬â¢t have. Estragon doesnÃ¢â¬â¢t find that there is any point in recognizing things. He says Ã¢â¬Å"what is there to recognize?Ã¢â¬ . Estragon lacks memory which is why he gets frustrated. He distinguishes physical things which he receives like Lucky kicking him and Pozzo giving him a bone. These things make a difference to Estragon which is why he remembers it. He realizes that he had just Ã¢â¬Å"crawled about in the mudÃ¢â¬ all his life which entails that he only recognizes the purposelessness of his life and the meaning it lacks. It is a commonly established idea that oneÃ¢â¬â¢s experiences define a person. Vladimir says Ã¢â¬Å"HeÃ¢â¬â¢s forgotten everything!Ã¢â¬ with regards to Estragon. Memory is important to them because what they went through yesterday was an accomplishment for them, if they canÃ¢â¬â¢t remember it then it is worthless. If Estragon canÃ¢â¬â¢t remember then Vladimir has no one to reminisce their achievement with, however reminding Estragon and describing it to him gives them something to talk about and passes the time. Since they both lack memory of most of their experiences, their individuality is unclear. Vladimir tries to compare the difference of their current landscape to the Ã¢â¬Å"Macon countryÃ¢â¬ but Estragon fails to remember it, and derides at the word and states that he spent all his life in their current location, the Ã¢â¬Å"Cackon countryÃ¢â¬ . The sound of the word is harsh and he says it as if it is meaningless to him even though that is where he is Ã¢â¬ËWa iting for GodotÃ¢â¬â¢, the place where they are establishing their decided purpose of life. Silences and pauses are uses to transport the meaning to the audience or reader; during the short intervals they realize the meaningless conversation Vladimir and Estragon indulge in. The two begin describing Ã¢â¬Å"All the dead voicesÃ¢â¬ which Ã¢â¬Å"murmurÃ¢â¬ , Ã¢â¬Å"rustleÃ¢â¬ , Ã¢â¬Å"whisperÃ¢â¬ and Ã¢â¬Å"make a noise like feathersÃ¢â¬ . The silences are disseminated and their dialogues after each of the silences are repetitive which is parallel to their nearly reiterated everyday routine and dialogues. The silent and empty stage is filled with the sound of the Ã¢â¬Ëdead voicesÃ¢â¬â¢; viewers are made to imagine the voices as Vladimir and Estragon describe them using similes. The dead voices contribute to the tedious mood of their lives; they argue over trivial things which is parallel to their depressed condition because they are too weak to make it better. The voices reflect the situation of the two characters, they murmur, rustle, whisper in their actions while they wait for Godot. Repetition of the dialogues conveys the forgetfulness of Vladimir and Estragon and their pointless lives. The extract begins with the characters speaking in Ã¢â¬Ëuseless banterÃ¢â¬â¢ but as it nears towards the end of the extract, Vladimir and EstragonÃ¢â¬â¢s speech lessens and becomes quieter as they run out of things to say. This illustrates their life cycle, the beginning is a bustle of activity as they were younger and searching for a purpose and meaning for life, they did things like Ã¢â¬Å"pick grapes for a manÃ¢â¬ and go to Ã¢â¬Å"the Macon countryÃ¢â¬ ; but as they grow older, energy and enthusiasm decreases as they discover no purpose. Vladimir panics after the Ã¢â¬Å"Long silenceÃ¢â¬ , because he doesnÃ¢â¬â¢t want to think of the reality of their situation; talking and actions distract their attention from reflection. Vladimir tells Estragon to Ã¢â¬Å"Say anything at all!Ã¢â¬ in Ã¢â¬Å"anguishÃ¢â¬ , he suffers a mental despair or distress if nothing is said or done because then he will apprehend the reality of their meaningless wait. It is as if their terrible actuality is in his subconscious mind which he keeps on pushing away. Estragon further confirms that the reason for their Ã¢â¬Ëuseless banterÃ¢â¬â¢ is so they wonÃ¢â¬â¢t Ã¢â¬Å"thinkÃ¢â¬ ; language is utilized to neglect silence. To further emphasise their reiterated life, when they run out of things to say, they remind themselves of their purpose of their existence and the reason behind their endless wait which is to Ã¢â¬Å"Wait for GodotÃ¢â¬ .
Tuesday, January 21, 2020
Throughout my travels I had always been mistaken for Martin Guerre, that is how I have come to be here today. He was always spoken about with such respect. A dignified young man, from a well respected peasant family, it was a let down to me that I myself was not a respected man like this Martin. As these occurrences continued to happen I began to wonder about his life, why such a well respected man could leave his wife and son behind, I had been told that he had left his family in Artigues for many years, and they were waiting for his return. His father had past on, and the farm was now waiting for their master. I had no place to go and thought that if I am mistaken so many times for martin then maybe I could go to his household, my intentions were not to stay even this long, but only enough to collect some gold and silver. Over the last few days I have been drawn to the loving and caring nature of this household. Built on strong foundations I have been welcomed back like a triumpha nt army from a great war. Praised for returning, as if nothing had happened.. The feast that was prepared was like none that I had seen before, all they would do was listen to the stories of my travels. This family did not about the eight years that had past, without notice or communication, but relief that the family is complete again. My past has not been one that I have been proud of. I have not been loyal to my family, nor my Kingdom. My family has put a lot of trust in me, but I have let them down, traveling with the wars from town to town. I know it upsets them, and I cannot return to them. I do not want to put some more false hope in their hearts, as I am sure that my past will catch up with me, and again let them down. I am also not one who has abided by the law in the past, committing crimes of theft from many as I pass by, not two weeks ago had I stolen from a man traveling on the same road as I. But since I have come to this caring and loving family, I have seen what I myself have neglected and betrayed in my home town.
Monday, January 13, 2020
MRS. MERCEDES B. RODIEL June 3, 2013 Head, Document Processing Unit Bureau of Internal Revenue Cabanatuan City Dear Mrs. Rodiel: Christian Greetings! Our Bachelor of Science in Business Administration Major in Financial Management requires student in Office Practicum to undergo a 240-hour On-the-Job Training outside the campus to expose and orient them to actual business practices. In this connection, may we recommend Ms. Kristine Rhonalyn Rodiel, BSBA Student to undergo training in your office, to enable her to complete the requirements in the subject. Rest assured that she is given the necessary orientation with respect to office protocol, such as keeping confidential information. We hope she will be assigned to do a job related to his field of concentration. Also, may we ask your good office to give the necessary certificate at the end of his training period, to attest the satisfactory completion of his office training. Thank you very much and more power. Very truly yours, DR. LUISA S. ZERRUDO Program Head, Business Administration Noted: DR. MARIA VICTORIA C. MONES Dean, College of Business and Accountancy MRS. MERCEDES B. RODIEL June 3, 2013 Head, Document Processing Unit Bureau of Internal Revenue Cabanatuan City Dear Mrs. Rodiel: Christian Greetings! Our Bachelor of Science in Business Administration Major in Financial Management requires student in Office Practicum to undergo a 240-hour On-the-Job Training outside the campus to expose and orient them to actual business practices. In this connection, may we recommend Ms. Roxanne P. Calderon, BSBA Student to undergo training in your office, to enable her to complete the requirements in the subject. Rest assured that she is given the necessary orientation with respect to office protocol, such as keeping confidential information. We hope she will be assigned to do a job related to his field of concentration. Also, may we ask your good office to give the necessary certificate at the end of his training period, to attest the satisfactory completion of his office training. Thank you very much and more power. Very truly yours, DR. LUISA S. ZERRUDO Program Head, Business Administration Noted: DR. MARIA VICTORIA C. MONES Dean, College of Business and Accountancy MRS. MERCEDES B. RODIEL June 3, 2013 Head, Document Processing Unit Bureau of Internal Revenue Cabanatuan City Dear Mrs. Rodiel: Christian Greetings! Our Bachelor of Science in Business Administration Major in Financial Management requires student in Office Practicum to undergo a 240-hour On-the-Job Training outside the campus to expose and orient them to actual business practices. In this connection, may we recommend Mr. Jan PaulÃ Valdoviezo, BSBA Student to undergo training in your office, to enable him to complete the requirements in the subject. Rest assured that he is given the necessary orientation with respect to office protocol, such as keeping confidential information. We hope he will be assigned to do a job related to his field of concentration. Also, may we ask your good office to give the necessary certificate at the end of his training period, to attest the satisfactory completion of his office training. Thank you very much and more power. Very truly yours, DR. LUISA S. ZERRUDO Program Head, Business Administration Noted: DR. MARIA VICTORIA C. MONES Dean, College of Business and Accountancy
Saturday, January 4, 2020
Computer And Society Computer and Society Society can be defined as Ã¢â¬Å"a community, nation, or broad grouping of people having common traditions, institutions, and collective activities and interests. To understand the full impact of computers on society, we will first have to understand the meaning of computer. Almost everything we know in todayÃ¢â¬â¢s society is either operated or made by computers. Cars and jets were designed on computers, traffic signals are operated by computers, most medical equipment use computers and even space exploration was started with computers. Most of the jobs today require the use of computers. Our Reliance On Computers The society in which we live in has been so profoundly affected by computersÃ¢â¬ ¦show more contentÃ¢â¬ ¦Large hole punched cards were used by the loom to create geometric patterns. Aside from producing beautiful patterns, the punched cards were later modified to become the main form of computer input. The system of punch cards led to the first successful semi-automated computer, a punch-card tabulating machine invented during the 1880s by American Herman Hollerith. It was used to tabulate the results of the U.S. census. Each punch card contained the data of each individual. Operators fed the countless cards into the computer. When the spring-mounted nails of the computer passed through the holes of the punch-card, an electric circuit was completed. As seen in diagram C, the results of each card were displayed on rows of dials.... The impact of computers on our economic and business life has indeed been immense. Businesses now have to be computerised or they risk failure. Every big corporation bases its operations on computing, regardless of which sector they are in. Coca-Cola, the BBC and LeviÃ¢â¬â¢s market and sell different products and services, yet they all share one basic property Ã¢â¬â without computers their operations would collapse. 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Friday, December 27, 2019
Irish English is a variety of the English language that is used in Ireland. Also known as Hiberno-English orÃ Anglo-Irish. As illustrated below, Irish English is subject to regional variation, especially between the north and south. In Ireland, saidÃ Terence Dolan, Hiberno-English means that you have two languages in a kind of unruly shotgun marriage together, fighting all the time (quoted byÃ Carolina P. Amador Moreno in How the Irish Speak English, Estudios Irlandeses, 2007). Examples and Observations R. Carter and J. McRae: Irish (or Hiberno-English) has distinctive varietal features of pronunciation, vocabulary, and grammar, although patterns vary considerably between North and South and East and West. In grammar, for example, . . . I do be is a habitual present tense and the form after is used in Irish English to record a completed act or to express recency: thus, theyre after leaving has the meaning of they have just left. Raymond Hickey: [A]lthough the knowledge of Irish among the majority is, in general, very poor, there is a curious habit of flavouring ones speech by adding a few words from Irish, what is sometimes called using the cÃ ºpla focal (Irish couple of words) . . ..Sugaring of ones language with Irish words must be distinguished from genuine loans from Irish. Some of these are long attested such as colleen Irish girl, leprechaun garden gnome, banshee fairy woman, all part of sentimental Irish folklore. Northern Irish English Diarmaid Ãâ Muirithe: IÃ¢â¬â¢m afraid rural dialects in the south carry a stigma of being unacceptable to educated people, whereas in the North I have heard doctors, dentists, teachers and lawyers lace their speech with either Ulster Scots or Northern Irish English. Examples of Northern Irish English: Seamus Heaney has written of glar, soft liquid mud, from the Irish glÃ ¡r; glit, meaning ooze or slime (glet is more common in Donegal); and daligone, meaning nightfall, dusk, from daylight gone. I have [heard] daylight-falling, day-fall, dellit fall, duskies and duskit, also from Derry. Southern Irish English Michael Pearce: Some well know known characteristics of the grammar of southern Irish English include the following: 1) Stative verbs can be used with progressive aspect: Im seeing it very well; This is belong to me. 2) The adverb after can be used with a progressive where a perfective would be used in other varieties: Im after seeing him (Ive just seen him). This is a loan translation from Irish. 3) Clefting is common, and it is extended to use with copular verbs: It was very well that he looked; Is it stupid you are? Again, this shows a substrate effect from Irish. New Dublin English Raymond Hickey: The changes inÃ Dublin EnglishÃ involve bothÃ vowelsÃ andÃ consonants. While the consonant changes seem to be individual changes, those in the area of vowels represent a coordinated shift which has affected several elements. . . . To all appearances this started about 20 years ago (mid 1980s) and has continued to move along a recognisable trajectory. In essence, the change involves a retraction ofÃ diphthongsÃ with a low or back starting point and a raising of low back vowels. Specifically, it affects the diphthongs in the PRICE/PRIDE and CHOICEÃ lexical setsÃ and the monophthongs in the LOT and THOUGHT lexical sets. The vowel in the GOAT lexical set has also shifted, probably as a result of the other vowel movements.