...Furthermore, outside of the largest cities in China, smoking is considered socially acceptable anywhere at any time, even if it is technically illegal. The Chinese Association on Tobacco Control (中国控制吸烟协会) is engaged in tobacco control by members of the voluntary sector, including academic, social and mass organizations, as strong enforcement of existing tobacco control laws is not supported by the Chinese Government. Yang Gonghuan, deputy director of the National Center of Disease Control of China, said that progress on tobacco control is not moving quickly because the government derives large tax revenues from tobacco sales, and the industry employs a large workforce. The Ministry said that as a "mid-term goal, all health administrations and half of the country's healthcare facilities should be smoke-free by the end of 2010". Nearly 60% of male Chinese doctors are smokers, which is the highest proportion in the world. China does not have laws to punish health care facilities, medical workers and health officials who violate smoking...
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...Chapter 11 Building Information Systems and Managing Projects Student Objectives 1. Identify and describe the core problem-solving steps for developing new information systems. 2. Evaluate alternative methods for building information systems. 3. Compare alternative methodologies for modeling and designing systems. 4. Determine how information systems projects should be selected and evaluated. 5. Assess requirements for successfully managing change created by new systems. Chapter Outline 11.1 Problem Solving and Systems Development Defining and Understanding the Problem Developing Alternative Solutions Evaluating and Choosing Solutions Implementing the Solution 11.2 Alternative Systems-Building Approaches Traditional Systems Development Lifecycle Prototyping End-User Development Purchasing Solutions: Application Software Packages and Outsourcing Rapid Application Development for E-Business 11.3 Modeling and Designing Systems Structured Methodologies Object-Oriented Development Computer-Aided Software Engineering (CASE) 11.4 Project Management Project Management Objectives Selecting Projects: Making the Business Case for a New System Managing Project Risk and System-Related Change Managing Projects on a Global Scale 11.5 Hands-on MIS Key Terms The following alphabetical list identifies the key terms discussed in this chapter. The page number for each key term is provided. |Acceptance testing, 376 ...
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...Stewart Park Rehabilitation Action Plan December 2009 Prepared by: Rick Manning, ASLA Cayuga Waterfront Trail Initiative Program Coordinator Prepared for: City of Ithaca, Strategic Tourism Planning Board, and Tompkins County Chamber of Commerce Foundation STEWART PARK REHABILITATION ACTION PLAN Cayuga Waterfront Trail Initiative Page 2 STEWART PARK REHABILITATION ACTION PLAN Acknowledgements The Stewart Park Rehabilitation Action Plan was funded with Tourism Capital Program funds provided by the Tompkins County Strategic Tourism and Planning Board. Following are the individuals and organizations that participated in the preparation of the plan; Steering Committee Scott Wiggins, Strategic Tourism Planning Board Mary Tomlan, City of Ithaca Common Council Jennifer Dotson, City of Ithaca Common Council Leslie Chatterton, City of Ithaca Department of Planning and Development JoAnn Cornish, City of Ithaca Department of Planning and Development Suzanne Vandemark, City of Ithaca Parks Commission Steve Hunt, Tompkins County Chamber of Commerce Herb Dwyer, Tompkins County Chamber of Commerce Doug Levine, Tompkins County Chamber of Commerce Rick Manning, Project Coordinator Stakeholder Committee Mayor Carolyn Peterson, City of Ithaca JoAnn Cornish, City of Ithaca Department of Planning and Development Leslie Chatterton, City of Ithaca Department of Planning and Development Mary Tomlan, City of Ithaca Common Council Dan Mitchell, Ithaca Beer Company Rob Licht, Artist/Designer Bruce...
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...Document Abstract This document is a proposal to develop a Continuing Care Retirement Community – a kind of senior housing retirement living center – on one (1) contiguous parcel of land located in a northeastern suburb of Houston, Texas by BGG Development, LLC – a Texas Limited Liability Company engaged in the development, capitalization, marketing and operations of senior housing facilities in Texas. BGG Development, LLC’s management has assessed the initial opportunity and believes the total development budget for the initial phase of this project will be approximately $54.1 million, but the project is expected to have three (3) phased stages developed over a 3-year period (if all operations are met with material success). Should BGG Development, LLC be successful in executing its business model, the expected result will be a near-term net profit pool of approximately $6.2 million and BGG Development, LLC will be seeking to acquire approximately $1.2 million in pre-construction phase capital financing to address this business opportunity. To these ends, the company is providing this proposal for the purposes of entertaining discussions with qualified institutions, businesses and accredited investors regarding the potential investment preferences. This document is not an offer to sell securities of any kind, nor does it constitute a guarantee or warranty as to future performance of any kind. This Document is For Discussion Purposes Only. Northeast Houston Senior Housing...
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...cautionary, to be learned from COFERENE’S experiences. This article analyzes these lessons. In synthesis, partnerships are complex and demanding, though there are cases in which women’s NGOs have used them effectively to foster sustainable development. Ó 2002 Elsevier Science Ltd. All rights reserved. Key words — geographical focus: global, country specific: Costa Rica, sustainable development, partnerships, culture, nonprofits A woman said that her father was a street sweeper. If some people consider this a humble job, her opinion was that a person who has the job of picking up garbage is way superior to the person who throws away Author unknown garbage. 1 1. INTRODUCTION Although progress for women can be ascertained throughout the world in health, education, and labor, there is still much work to be done (Stromquist, 1992, 1996, 1997, 1998; Wetzel, 1993; Wolfensohn, 1998; World Bank, 1999, 2000, 2001; United Nations, 1995a; UNDP, 1997, 1999, 2000)....
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...Patient Handoff: A Clinical Issue Patient care errors occur in health care due to lack of effective communication. It is estimated that 80 percent of serious adverse events involve ineffective handoff between medical providers (Joint Commission Center, 2013, para. 1). “The majority of avoidable adverse events are due to the lack of effective communication” (Solet, Norvell, Rutan, & Frankel, 2005, p. 1094). Varying styles of communication and interruptions are barriers to the effective handoff and can be a detriment to successful implementation of an effective communication strategy. The inquiry for this investigation is attempting to reveal that implementation of a systematic tool for communication as well as performing the handoff at the bedside are considered best practices in decreasing adverse patient events. It is necessary to perform an investigative research using quantitative and qualitative studies to help describe a problem that is an important clinical issue in health care. Defining the elements to a process change through a systematic research study will help to find solutions for best practice. Implementing successful communication strategies will help to reach out to the patient community who seeks out best care practices and who know more from technological advances. The problem faced by health care personnel is the lack of a standardized tool for communication. When nurses attempt to give report to another nurse without a systematic way of providing the information...
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...to determine whether or not the planned investment idea is feasible. The feasibility of an investment has to be considered with respect to several different aspects in order to determine whether the investment should be realized or not. Carrying out a feasibility analysis is therefore one of the most critical steps in the decision-making process. A feasibility analysis is an effective analytical tool that can be used to evaluate investments from various perspectives, e.g. technical, social, legal, financial, market, and organizational. Financial feasibility is often a predominant factor in feasibility analysis, as most investments are not realized if they do not generate profit for the project owners. The focus of this thesis is on financial feasibility analysis and its application in the decision-making process. Precision and reliability of feasibility analysis relies on the accuracy of information used in the analysis. The appropriate level of detail has to be decided with respect to what stage the investment is on. On early stages the level of uncertainty is often high, but as the investment opportunity evolves information become more detailed and reliable. As uncertainty can highly affect the results of the analysis, the level of detail has to be taken into account when basing decisions on the results. To assess the feasibility of investments relevant criteria have to be chosen. Feasibility calculations need to be done with care and the complexity of the calculations...
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...INTRODUCTION Kenya vision 2030 aims to create a cohesive, equitable and just society based on democratic principles grounded in the existing, rich and diverse cultures in Kenya. The vision 2030 is based on three pillars namely Economic, Social and Political. The economic pillar seeks to ensure prosperity for all Kenyans through economic development programs in key sectors aimed at achieving an average gross domestic product (GDP) of 10% per annum up to 2030. The social pillar aims at building a just and cohesive society with social equity in a clean and secure environment. The political pillar aims at the realization of a democratic political system founded on issue based politics that respects the rule of law and protects rights and freedoms of every individual in the Kenyan society. Kenya envisages the achievement on vision 2030 through a series of successive five year medium term plans covering the span of the Kenya vision 2030 and the first having been implemented from 2008 up to this year 2012. Before the end of this year another 5 year Medium Term Plans will be produced covering the period 2013-2017 while subsequent Medium Term Pans will cover there are periods 2018-2022, 2023-2027 up to 2030. The MediumTermPlans are designed to fast track the flagship projects identified under vision 2030 various programmers and key policies. The medium term plans calls for increased levels of savings and investments to facilitate the economic growth and development envisaged...
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...คูมือการคาการลงทุนไทยในจีน สถานกงสุลใหญ นครเซี่ยงไฮ มีนาคม 2556 จัดทำโดย สารจากกงสุลใหญ ณ นครเซี่ยงไฮ ทุกวันนี้ คงไมมีใครปฏิเสธไดถึงความสำคัญของตลาดจีน ตลาดขนาดใหญที่นับวัน จะมีกำลังซื้อสูงขึ้นสืบเนื่องจากเศรษฐกิจที่พัฒนาอยางรวดเร็วและตอเนื่อง ความเจริญทางเศรษฐกิจนี้ มิไดจำกัดอยูเฉพาะเมืองศูนยกลางเศรษฐกิจดั้งเดิมของจีนเทานั้น แตไดแผขยายไปยังหัวเมืองชั้นรอง ตางๆ ซึ่งมีอัตราการเจริญเติบโตที่สูงไมแพเมืองศูนยกลางดั้งเดิม หรืออาจจะมากกวาเสียดวยซ้ำ ปรากฏการณการขยายตัวของเขตเมือง และการเติบโตของชนชั้นกลางอยางรวดเร็วในจีนไดนำมาซึ่ง โอกาสทางธุรกิจ และเปนเสมือนแมเหล็กดึงดูดใหธุรกิจจากนานาประเทศสนใจที่จะเขาสูตลาดแหงนี้ ไมเวนแมแตประเทศไทย และคำกลาวที่คุนเคยกันดีวา “ถนนทุกสายมุงสูจีน” ก็ยังคงเปนจริงอยูใน ปจจุบัน แตการมุงสูจีนของธุรกิจตางชาติก็มิใชจะราบรื่นเสมอไป ผูที่ไดมีประสบการณในจีน แลวตางเห็นพองกันวา การทำธุรกิจในตลาดแหงนี้เต็มไปดวยความทาทาย ไมเพียงแตวัฒนธรรมการ ทำธุรกิจและภาษาที่แตกตาง แตยังมีกฎระเบียบที่ซับซอนและเกี่ยวของกับการอนุมัติจากหลาย หนวยงาน ของจีนเปนอุปสรรคสำคัญสำหรับธุรกิจตางชาติ ซึ่งหากขาดการศึกษาอยางดีแลวก็ยอม กระทบตอการกาวเขาสูตลาดแหงนี้อยางหลีกเลี่ยงไมได ดวยเล็งเห็นความสำคัญของขอมูลกฎระเบียบในการทำธุรกิจในจีน โดยเฉพาะใน สาขาที่ไทยมีศักยภาพ สถานกงสุลใหญ ณ นครเซี่ยงไฮ โดยการสนับสนุนงบประมาณจากกระทรวง การตางประเทศ จึงไดจัดทำ “คูมือการทำธุรกิจในจีน” ฉบับนี้ขึ้น โดยความรวมมือจากบริษัท KPMG สาขานครเซี่ยงไฮ ซึ่งเปนบริษัทที่ปรึกษาดานธุรกิจชั้นนำของโลก คูมือดังกลาวประกอบดวยขั้นตอน...
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...IT AUDIT REPORT FOR Contents Contents 2 Contents 2 1. Introduction 4 1.1 Purpose 4 1.2 Scope 4 2. Background Information 4 3. Assets Identification 5 4. Threat Assesment 5 5. LAWS, REGULATIONS AND POLICY . 5 5.1 Hospital Policy. 5 5.2 Vulnerabilities. 5 6. PERSONNEL 5 6.2 Management. 6 6.3 Operations. 6 6.4 Development 6 6.5 Vulnerabilities. 7 7. Systems and Applications. 7 7.1 Vulnerabilities. 7 8. Information Processing Facilities (Data Centers) 7 8.1 Vulnerabilities 7 9. Systems Development 8 9.1 Vulnerabilities 8 10. Management of IT and Enterprise Architecture 8 11. Client, Server, Telecommunications, Intranets and Extranets 8 11.1 Building Vulnerabilities 8 11.1 Security Perimeter 8 11.1 Server Area 8 12. Summary 8 12.1 Action Plan 8 1. Introduction • At present the Hospital has 250 beds including 40 adult ICU and 8 Pediatric ICU beds. • The Hospital is well equipped with latest technology like 1.5 Tesla MRI, 6 Slice Spiral CT Scan, Digital X-ray, Mammography, Intense Pulse Light (Cosmetic) and Diabetic Foot Care Equipment’s in the year 2007-08, the hospital provided services to 46000 patients. So far the hospital has repaired approximately 2400 cleft lip and cleft palate...
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...Education Improvement Act (IDEIA; 2004) and the No Child Left Behind Act (2002) require that students with disabilities receive research based practices in the “least restrictive environment.” Because the least restrictive environment is often considered to be the general education classroom, the responsibility to implement research-based practices frequently rests with the classroom teacher. However, during their initial teacher training and certification, many teachers may not have received formal instruction regarding the implementation of current research-based practices. Subsequently, teachers often feel detached from the very research base they are now required to utilize (Ayres, Meyer, Erevelles, & Park-Lee, 1994; Boardman, Arguelles, Vaughn, Hughes, & Klingner, 2005). Interviews with teachers conducted by Boardman and colleagues (2005) suggested that teachers often select classroom instructional practices and behavioral interventions based on four criteria: (a) feasibility within the classroom, (b) perceived appropriateness for particular students, (c) availability of required materials, and (d) availability of required professional development or outside expert support. When a practice does not sufficiently meet one or more of these criteria, the practice (or intervention) is often adapted by mixing components from multiple interventions or by implementing only part of a given intervention. Often these adaptations are inconsistent with the research base and, therefore...
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...Published by The University of North Carolina’s TECHNOLOG DEVELOPMENT OGY SMALL BUSINESS AND TECHNOLOGY DEVELOPMENT CENTER Star t-Up Resource Guide Starting a business in North Carolina Get your free download of this publication at www.sbtdc.org/pdf/startup.pdf Publication Data © 2009 by the University of North Carolina’s Small Business and Technology Development Center 5 West Hargett Street, Suite 600 Raleigh, North Carolina 27601-1348 Phone 919/715-7272 or 800/258-0862 (in NC only) info@sbtdc.org All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form and by any means—electronic, mechanical, photocopying, recording, or otherwise—without the prior written permission of the publisher. Revised edition September 2009 This material is based on work supported by the US Small Business Administration (SBA). Any opinions, findings, conclusions, or recommendations expressed are those of the author(s) and do not necessarily reflect the views of the SBA. Contents Table of Contents .......................................................................1 Business Start-Up Planning Chart ....................................................................... 1 Yourself Potential ...................................................3 Assess Yourself as a Potential Business Owner ................................................... 3 Personal characteristics ............................
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...Obligations and Responsibilities of Kachia Local Government and Areas where Kachia LGA has failed in fulfilling its obligations and responsibilities. Obligations and Responsibilities of Communities and Areas where Communities have failed in fulfilling their obligations and responsibilities Obligations and Responsibilities of Tulsi Chanrai Foundation and Areas where TCF has failed in fulfilling its obligations and responsibilities. • On Project Activities to meet Objectives Page 20 Organization of health services Staff disposition Range of services provided at health facility Ward Health System Project Map Major health problems Essential Drugs Exemptions and Deferments Referral programme. (including Ambulance Service) Essential Equipment Health...
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...suffering from corporate inefficiency that is detrimental to revenue and long term financial goals. An IT infrastructure would solve many of these problems. Cost savings would be realized through the reduction of duplicated efforts and service offerings across the corporation, lower maintenance support because of consistent hardware and software applications, and structured communication channels between departments and a newly formed corporate IT department (CIT). A CIO will provide technical leadership for IT related issues and Cost Centers will be created at each installation to adhere to strict purchasing guidelines. In addition, the CIO will establish Riordan Manufacturing’s online presence with an emphasis on streamlining processes, such as manufacturing and distribution, so they can do business more efficiently with their resellers and suppliers. While short term financial goals will be impacted by this sizable project, the long term health of the company will benefit from this necessary and important step. Riordan Manufacturing strives for continued profits and market share...
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...leading cause of hospitalization for persons older than 65 years and often necessitates assistance from family caregivers.1,2 Approximately 40% of older adults are readmitted within 3 months postdischarge, resulting in significant health care costs.2,3 Indeed, more than one million hospitalizations attributed to HF cost the patient and United States health care system over $27 billion a year.1 Hospitalizations related to HF are complicated by the aging process, comorbidities, and psychosocial concerns that affect successful management.2 In a study of patient outcomes post– hospital discharge, Naylor and colleagues4 demonstrated that the use of advanced practice nurses (APNs) was effective in improving outcomes for patients with HF. The feasibility of adapting this approach is limited, however; costs for home visits by an APN are high, a shortage of APNs employed in home care exists, and funding for home care has decreased with the Medicare Prospective Payment System.5 An alternative strategy for promoting self-management of HF is the use of electronic home monitoring (EHM). EHM is a form of telemedicine in which medical/nursing management interventions are provided to individuals at a distance from the health care provider.6 The primary objective of this pilot study was to examine the effectiveness of postdischarge telemonitoring by an APN on reducing subsequent hospital readmissions, emergency department (ED) visits, and costs and increasing ...
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