...Strategic Choice & Evaluation Paper STR/581 March 17, 2014 Victor Rayneri Executive Summary The University of New Mexico Medical Group, Inc. (UNMMG) was created in 2007 under the University Research Park and Economic Development Act in Albuquerque, New Mexico. UNMMG is classified as a not-for-profit corporation. UNMMG currently employs 900 clinical practitioners, represents 152 specialties who are exclusive caregivers to the state’s only academic medical center – University of New Mexico Hospital (UNMH) ("Review Of University Of New Mexico Medical Group, Inc. Operations", 2013). UNMMG is a multi-specialty group practice that operates 11 clinics in addition to attending at the 76 clinics at UNMH in Albuquerque area ("UNM Medical Group", 2014). UNMMG reports to the UNM Health Systems, which is comprised of the UNM School of Medicine, UNM Hospitals, UNM Sandoval Regional Medical Center, UNM Cancer Center, UNM College of Nursing and the UNM College of Pharmacy. Being the only academic medical center, UNMMG has to compete with other healthcare facilities in the area and in the state to provide high quality and innovation academic medicine. In order to realize growth for any organization, they need to evaluate alternatives such as strategies to maintain a competitive edge among its competitors. Strategies such as the best value discipline, generic strategy, and grand strategy should be identified for the organization. Strategy recommendations and recognitions...
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...(Goodman, 2011) Mexico. Poor wretch. A PUT-UP JOB Barbara Wigman How to write a paper 9/20/13 LECTURER: W.G. GOLDMAN UNIVERSITY OF APPLIED SCIENCES OF ARNHEM AND NIJMEGEN MEXICO. POOR WRETCH. TABLE OF CONTENTS Introduction ............................................................................................................................................................ 2 Part I: Origins of the war ......................................................................................................................................... 3 Part II: Government versus government ................................................................................................................. 3 Part III: A put-up job? .............................................................................................................................................. 3 Part IV: enclosure .................................................................................................................................................... 4 Bibliography ............................................................................................................................................................ 5 1 HOW TO WRITE A PAPER. BARBARA WIGMAN MEXICO. POOR WRETCH. INTRODUCTION The war-on-drugs is a widely known phenomena all over the world. When pinpointing the war-on-drugs, Mexico is mostly the first country which comes to mind. Poor wretch, or not? It is no...
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...Heroin Addiction Psyc 305 B-03 June 15, 2015 Abstract: This paper will serve to provide information about heroin addiction in our society. Heroin addiction is an epidemic problem in the United States and is growing every year. Factors such as genetics and environmental factors will be discussed as they relate to heroin addicts. Trends with prescription pain medication and their effects on heroin use will be discussed. This paper will also highlight the prevalence of heroin in the United States. Heroin affects different groups of people in all walks of life. Treatment for heroin will be discussed in the latter portion of this paper. This will highlight different options to fit specific needs. Addiction: a physical dependency on a substance (Doweiko, 2015), a chronic brain disease that causes compulsive substance use despite harmful consequences, (Addiction, 2015). There is no universally accepted way to define addiction. It seems that it is easier to qualify behavior as an addiction than it is to define the word itself. For the purpose of this paper we will use the four general categories of the DSM-5 to help identify and understand heroin addiction. This paper will serve to provide information about heroin addiction’s possible causes, prevalence and treatment. What causes heroin addiction? The causes of heroin addiction are not clear. As with most drugs it is thought that the user is trying to feel better or self-medicate...
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...Epidemiology Paper: HIV Grand Canyon University: NRS-427V 08/09/2015 Human immunodeficiency virus, otherwise known as HIV, is a serious disease that affects the bodies’ immune system. HIV affects the immune cells, specifically called the CD4 cells or T cells. As time passes, these cells are destroyed and soon the body begins to lose its ability to fight off infections and disease. HIV is the virus that could lead to acquired immunodeficiency syndrome, or AIDS. Unfortunately, there is no cure for HIV, meaning once infected, you will remain infected for the rest of your life. The earliest HIV case was known to be in 1959. While it is unknown when exactly it came about, or from where, the transfer of the disease is thought to be from animal to human decades earlier. Some scientists believe that the chimpanzee transmitted the virus to humans, back when humans would hunt the chimpanzees for their meat. The contact with their HIV infected blood caused the spread of the communicable disease. After slowly spreading across Africa through the years, the virus made its way out into the world. “The first cases of HIV in the United States date back to 1981.” (Holland, 2013) The HIV infection is caused by the human immunodeficiency virus. There are many myths about how HIV is spread; the truth of how it is spread is simple, through blood, semen, vaginal/rectal fluids and breast milk. “These fluids must come in contact with a mucous membrane or damaged tissue or be directly injected...
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...American Healthcare Systems-Research Paper-6th Dec 2013 Medical Tourism By: Mrudula Mynampaty and Swathi Damacherla Introduction “Medical tourism” is the term commonly used to describe people traveling outside their home country avail medical services at lower costs1. Medical tourism is fundamentally different from the traditional model of international medical travel where patients generally journey from less developed nations to major medical centers in highly developed countries for medical treatment that is unavailable in their own communities 2. History The concept of medical tourism has been very pervasive all through the history. The first recorded case of medical tourism describes Greek pilgrims who traveled from the Mediterranean Sea to Epidaurus, a small territory in the Sardonic Gulf. It was said that this small territory was the sanctuary of Asclepius, known as the healing god. Since the 1500s India has enjoyed a rich history of providing yoga instruction as well as Ayurveda healing to patients from around the world. In the 18th and 19th centuries, Europeans and Americans flocked to health spas and sanitariums, sometimes in remote places, in the hope that they would obtain relief from their disabling conditions, such as tuberculosis, gout, bronchitis, or liver diseases 3. What led to Medical Tourism today? The market size for medical tourism is USD 24-40 billion, based on approximately eight million cross-border patients worldwide spending an average of USD 3,000-5...
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...Medical Tourism Medical Tourism Introduction Medical tourism is the act of traveling to other countries to obtain medical, dental or cosmetic care. Medical tourism is a new term but thousands of years old act. People have been traveling across the continents in search of cures for any imaginable illnesses and making therapeutic trips for health wellness. In ancient Greece, pilgrims and patients came from all over the Mediterranean to the sanctuary of the healing god, Asklepios at Epidaurus, and from the 18th century wealthy Europeans have been traveling to spas from Germany to the Nile. In recent years, medical tourism is becoming more popular with patients seeking treatment for health and well-being purposes abroad. Medical Tourism is also known as Medical Travel, Health Tourism, Surgical Tourism, Health Travel, Treatment Abroad, Surgeries Abroad, and Medical Outsourcing. Medical Tourism Concerns Though many are eager to be the right pieces in the puzzle, many are still struggling to get the right fit. There are a number of concerns and risk factors for patients getting treatment much less seeking them abroad. Some concerns for patients include a consistent quality of care, lack of extensive dialog between the patient and the doctor, lack of post-op follow up, cultural differences and difficulty in obtaining sufficient insurance coverage. In order to mitigate the risk, it’s essential that the patient works with well reputed facilitators. Medical Tourism Accreditation ...
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...Policies in Relation to Abortion Before and After the Roe v. Wade Supreme Court Case New Mexico State University Jennifer Walker Abstract The Roe versus Wade Supreme Court Case has had a huge impact on abortion laws in the United States. Before 1973, abortions were illegal and criminal, with few exceptions. Overnight, the decision in the case legalized first trimester abortions while leaving the specifications of the other trimesters up to the states. This case has led to many debates over the value of life and when life begins whether at conception, independence from mother, or first breath. All of these can be defined by religion, law, or individual beliefs. Unfortunately, none of the policies before or after Roe versus Wade have addressed the issue of unintended pregnancies, which is the underlying cause of abortion. Until this is addressed, policies will continue to be created, implemented, and challenged. Policies in Relation to Abortion Before and After the Roe v. Wade Supreme Court Case Introduction In 1973, a case was selected to be heard by the Supreme Court that would substantially impact women’s rights then and continue to impact them today. The case was over Texas policy article 1911 that stated, “If any person shall designedly administer to a pregnant woman or knowingly procure to be administered with her consent… and thereby procure an abortion, he shall be confined in the penitentiary not less than two nor more than five years…” (Law Library, 2014)...
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...("Hispanic Heritage Month," 2014, para. 3) of the population with Mexicans (64%) being the largest, followed by Puerto Ricans (9.4), Salvadorians (3.8%), Cubans (3.7%), Dominicans (3.1%), Guatemalans (2.3%), and other Hispanic origins (13.7) (Center for Disease Control and Prevention, 2015, table 1). Poverty rates (The Kaiser Family Foundation, 2013, table 1) for Hispanics (24%) are second only to Blacks (27%) but considering that Hispanics make up 17% of the population in the United States, this amount is alarming. Not only are poverty rates bad, but education is worse. According to the Pew Research Center ("Access, Information and Knowledge," 2008, table 22) studies, Hispanics have a low college graduation rate at only 13.9 percent in contrast with a second minority group, Asians, at 50 percent. So why is the Hispanic community seeing negative outcomes in contrast with other minorities? This paper will go over current health status of this minority as well as barriers that influence health, what being ‘healthy’ means, and how race, ethnicity, socioeconomic status, and education influence health. Current Health Status Obesity and diabetes have been alarming problems in the United States and now Hispanics lead in both comorbidities (Nyberg & Kivimaki, 2014, para. 6). The CDC (2015) shows that a small percentage of Hispanic adults with high blood pressure had control of it; and to add to the insult, the larger portion of Hispanic adults were without health insurance in 2010. In...
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...Obama made the PPACA a law but still this act does not include the undocumented aliens in the medical coverage. This report reviews the rights of the undocumented aliens to healthcare and hoe this can be improved. This research discovered that the undocumented aliens have limited access to health care due to lack of identity papers. This is due to the fact that they earn very low income and medical insurance coverage is lower for the undocumented aliens. As a result, they rely on the safety-net medical care providers such as social health centers as this centers continue to provide care for the undocumented aliens. This research also reviews the limitations and problems faced by the undocumented aliens in accessing health care and as a result the ploys they use to access medical care. The findings of this research show that they mostly rely on treating themselves with over counter drugs or in the cases of extremes they use unofficial networks to seek treatment. Also, it is evident that they would do anything to safeguard their cover from being discovered and these results in stress and psychological disorders. Another finding is that despite the healthcare reforms, undocumented aliens still have no rights to access health care compared to the US citizens. This research recommends designing of programs which focus on the issue of undocumented aliens being excluded from the medical care reform. Designing this reforms may involve adding more policies that favour the rights of the undocumented...
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...take care of your family. Hoping and praying to find “under the table” jobs such as roofing, gardening, grounds maintenance, cleaning houses and/or agricultural work. Central American’s do this on a daily and nightly basis; combing through the desert heats during the summer and its vicious coldness in the winter in hopes of a brighter future. Some get lucky and others either get caught and deported back to Mexico or, worse yet, trafficked and sold into a life of servitude (slavery). “Although it’s the 14th largest economy in the world, rural Mexico is still very unequal. Depending on the measure, between one-third and one-half of Mexicans live in poverty and up to 18 percent live in extreme poverty, unable to meet their basic food needs.” ("Bread For The World Institute", 2011). In this paper I will discuss death rates, risks and benefits (to include programs) of crossing through the desert for an undetermined future in the United States of America. I will also focus on the trafficking and prostitution rings between the United States and Central America. By the end of this paper I will have explained how and why these issues of Central American’s immigrating into the United States meet the specifications of the Social Structure Theory because of the poverty disturbance in their system. * Understanding the Social Structure Theory Moffitt (2015), “Herbert Spencer (1820-1903) was an English philosopher. Spencer compared society to a human body. In the same way each part of the...
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...development and distribution of this paper were provided by the Bureau of Primary Health Care and the HIV/AIDS Bureau, Health Resources Services Administration, United States Department of Health and Human Services, to the National Health Care for the Homeless Council, Inc., and its subsidiary, the Health Care for the Homeless Clinicians’ Network. The views presented in this paper are those of the author and do not necessarily represent those of the United States government or of the National Health Care for the Homeless Council. Nothing in this paper should be construed as providing authoritative guidelines for the practice of medicine or for treatment of medical conditions. This paper may be reproduced in whole or in part with appropriate recognition to the author, John Y. Song, MD, and the publisher, the Health Care for the Homeless Clinicians’ Network, National Health Care for the Homeless Council, Inc. Second Printing February, 2000 National Health Care for the Homeless Council Health Care for the Homeless Clinicians’ Network Post Office Box 60427 Nashville TN 37206-0427 Phone 615/226-2292 Fax 615/226-1656 council@nhchc.org or network@nhchc.org http://www.nhchc.org i PREFACE HIV/AIDS and homelessness are twin plagues that take a staggering toll. Each condition complicates the other, and lives hang in the balance as health care providers and their patients try to sort through the complications and assure critical services. This paper is dedicated to the improvement of...
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...Home Depot: Research and Development Improvement Recommendations This paper is submitted in partial fulfillment for Business Marketing (EMBA) - March 24, 2013 Table of Contents Executive Summary 3 SWOT Analysis 7 Strategic Alternatives 7 Recommendations 11 Marketing Strategy 11 Marketing Implementation and Control 13 References 14 Executive Summary Where do you go to buy your home improvement supplies? Have you experienced an exceptional home improvement store that meets all your needs and provides exceptional service? If the answer is no, there are several reasons to shop at your nearest Home Depot home improvement store. You can count on the variety of products to choose from while viewing the floor showcase. If you are worried about transportation, we offer truck rentals and service installations so you can sit, enjoy and relax while we do all the work. However, we are going to change the customer experience, our goals and efforts are to change your experience the minute you step into your friendly Home Depot store. You will no longer have to wait for a cashier to answer your question because an expert associate will be available immediately to help guide you and meet your needs during your shopping experience. To help fulfill the new customer service experience, we will enhance our current Mobile App that will provide navigation around the store along with a product information scanner. We hope to improve your families shopping experience by incorporating...
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...Smokeless Tobacco Use in Bangladesh Dr. Papia Sultana1, Munjila Begum2, Shamima Akter3, Md. Mizanur Rahman4 1. Associate Professor, Department of Statistics, Rajshahi University, Bangladesh 2. MSc Thesis Student, Department of Statistics, Rajshahi University, Bangladesh 3. Department of Epidemiology and Prevention, International Clinical Research Center, National Center for Global Health and Medicine, Tokyo, Japan 4. Department of Population Science and Human Resource Development, University of Rajshahi, Bangladesh and Department of Global Health Policy, Graduate School of Medicine, University of Tokyo, Japan. Abstract Background: Smokeless tobacco (SLT), commonly used in many countries, is associated with various health effects and should given ‘most urgent and immediate priority’ intervention to reduce the effects. Data and Methods: Data was obtained from GATS survey; information from 2009 individuals aged 15 years and above living in Bangladesh using smokeless tobacco products was analysed for this paper. Descriptive analysis and comparison of characteristics to gender was done. Logistic regression was used for advance analysis. Results: Respondents from rural area (56.45%) use more smokeless tobacco products than from urban area (43.55%); average age was 47 yrs with standard deviation (SD) 15.50. Female (69.89%) were more likely to use smokeless tobacco than male (30.11%). Prevalence of using smokeless tobacco was high among the less educated and illiterate...
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...War on Drugs Robert Lee Adams October 11, 2015 Speech Professor Gil Stern In this essay I will be describing the alleged war on drugs along with its effect on all of us whether it be from a financial stand point, emotional, or its overall effect. I will also be writing about the possibilities of decriminalizing recreational drugs and the effects that would have on everyone. Lastly, I will discuss why I believe this is the best course of actions along with why I believe that it has not been done already. The simple fact of the matter is more people die each year from alcohol, tobacco, and prescription drugs than any other cause of death in the world. That includes cancer, aids, and many other prominent diseases combined. Benefits I will start off with the pros of legalizing drugs which are the following, tax dollars earned from sales, less tax dollars spent on housing inmates for drug possession, and less broken homes from people being hauled off to prison. Two senior lecturers at the University of Harvard have conducted studies to show how much revenue would come from legalizing drugs. In their findings they saw that there would be over 40 billion dollars in tax revenue. Over 8 billion from marijuana alone, and 32 billion from cocaine, heroin, and other drugs. It’s said that right now that marijuana is a bigger cash crop than wheat or corn. Now that is the money coming in from these drugs. Imagine how fast we could decrease our national debt, not to mention the tourist...
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...Dispatch entitled "What Girls Are Good For." The article was about how women should not have an education or career, suggesting they should stray no further than the home and motherly duties. This, of course infuriated Nellie, as it did many women. She wrote a reply to the editor, George Madden signed "Little Orphan Girl." Madden was so impressed by the reply, he offered her a full-time job writing under the name Nellie Bly. Which is where the name came from, and stuck. Nellie Bly avoided the normal topics women normally wrote about such as gardening or fashion in that time and wrote about topics such as the poor and troubled. She also focused her early work on the difficulty of working women. Nellie was next sent on a six month trip to Mexico. She wrote of her travels to Madden, who published her reports in the Dispatch. However, what started out as a simple travel piece soon turned into a horrible...
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