Friday, September 6, 2019

Improving the processes of patient care to improve outcomes Essay Example for Free

Improving the processes of patient care to improve outcomes Essay Improving the processes of patient care to improve outcomes is fundamental to quality patient care and requires skills in change management. Porter-OGrady, Tim; Malloch, Kathy. Leadership in Nursing Practice (p. 3). Jones Bartlett Learning. Kindle Edition. The term innovation, rather than change, is often used to gain attention and infer that something new and special is happening. One of Porter-OGrady, Tim; Malloch, Kathy. Leadership in Nursing Practice (p. 4). Jones Bartlett Learning. Kindle Edition. the reasons there are significant variations in the descriptions of change and innovation can be attributed to the various underlying assumptions about the environment and the nature of change. Porter-OGrady, Tim; Malloch, Kathy. Leadership in Nursing Practice (p. 4). Jones Bartlett Learning. Kindle Edition. Linear change does not recognize the multiple, unanticipated human actions and communications that occur and the dynamic context in which the change is occurring. As a consequence, the linear perspective often becomes rigid, control driven, frustrating, and unsuccessful. Porter-OGrady, Tim; Malloch, Kathy. Leadership in Nursing Practice (p. 5). Jones Bartlett Learning. Kindle Edition. The world is in continual motion, and movement occurs in more than linear ways. A change in one area can result in numerous, unanticipated changes in areas not considered. Porter-OGrady, Tim; Malloch, Kathy. Leadership in Nursing Practice (p. 5). Jones Bartlett Learning. Kindle Edition. Interactions in a complexity perspective are characterized by creativity, interdependence, unpredictability, and collective knowledge. Porter-OGrady, Tim; Malloch, Kathy. Leadership in Nursing Practice (p. 6). Jones Bartlett Learning. Kindle Edition. Change is †¦ †¢ Something new or different †¢ To make or become different †¢ To alter; to make different; to cause to pass from one state to another; as, to change the position, character, or Porter-OGrady, Tim; Malloch, Kathy. Leadership in Nursing Practice (p. 6). Jones Bartlett Learning. Kindle Edition. appearance of a thing; to change the countenance †¢ To alter by substituting something else for, or by giving up for something else; as, to change the clothes; to change one’s occupation; to change one’s intention †¢ To give and take reciprocally; to exchange; followed by with; as, to change place, or hats, or money, with another Source: Webster’s Dictionary (1991). Innovation is †¦ †¢ Anything that creates new resources, processes, or values or improves a company’s existing resources, processes, or values (Christensen, Anthony, Roth, 2004) †¢ The power to define the industry; the effort to create purposefully focused changed in Porter-OGrady, Tim; Malloch, Kathy. Leadership in Nursing Practice (p. 6). Jones Bartlett Learning. Kindle Edition. an enterprise’s economic or social potential Porter-OGrady, Tim; Malloch, Kathy. Leadership in Nursing Practice (p. 6). Jones Bartlett Learning. Kindle Edition. evidence-based practice, linkages between clinical practice and scientific standards, the quest for consistency, minimizing idiosyncrasies, and providing a scientific basis for policy construction are the basic reasons for a change in health care. Using an evidence-driven model serves to provide focus and organization of change initiatives; evidence-based practice is the platform for nurses’ work. Porter-OGrady, Tim; Malloch, Kathy. Leadership in Nursing Practice (p. 10). Jones Bartlett Learning. Kindle Edition. chaos is normative in health care. Porter-OGrady, Tim; Malloch, Kathy. Leadership in Nursing Practice (p. 14). Jones Bartlett Learning. Kindle Edition. Personal knowledge and accountability for one’s own strengths and limitations specific to change and innovation, including technical capability and computer literacy †¢ Understanding the essence of change and innovation concepts as well as the tools of innovation †¢ The ability to collaborate and fully engage team members— that is, relational competencies Porter-OGrady, Tim; Malloch, Kathy. Leadership in Nursing Practice (p. 14). Jones Bartlett Learning. Kindle Edition. †¢ Competence in embracing vulnerability and risk taking Porter-OGrady, Tim; Malloch, Kathy. Leadership in Nursing Practice (p. 14). Jones Bartlett Learning. Kindle Edition.

Reproductive System Essay Example for Free

Reproductive System Essay Discuss the purpose of the lesson. 2. Brainstorm with the class about body parts. 3. Use Reproductive System Visuals 1-6 to continue reviewing the male and female reproductive systems including the location and function of each part. . Lead the activity labeling parts of the reproductive system. 5. Assign homework. This lesson was most recently edited on March 23, 2011. Public Health – Seattle King County  ©1988; revised 2011 www. kingcounty. gov/health/flash Lesson 2 – Page 1 Family Life and Sexual Health, High School FLASH Materials Needed Student Materials †¢ Reproductive System Worksheets (1 copy per student) †¢ Individual Homework: Anatomy (1 copy per student) †¢ Family Homework: Talking about the Reproductive System (1 copy per student) Classroom Materials †¢ Reproductive System Visuals 1-6 (contained in this lesson also available online as a PowerPoint slide: www. ingcounty. gov/health/FLASH) †¢ Labeled body parts for classroom activity, one set per class †¢ Seven pairs of scissors Teacher Preparation Well in advance †¦ †¢ Review lecture notes due to the large number of terms and definitions. The day before the lesson †¦ †¢ Make copies of Materials Needed (see above) †¢ Prepare visuals for use on a SMART Board or projector. Note: When the lesson says â€Å"board,† use whatever is available in your classroom. Standards National Health Education Standard: †¢ Standard 3: Students will demonstrate the ability to access valid information, products and services to enhance health. Performance Indicator 3. 12. 4: Determine when professional health services may be required. Washington State Health Education Standard: †¢ Essential Academic Learning Requirement (EALR) 2: The student acquires the knowledge and skills necessary to maintain a healthy life: Recognizes dimensions of health, recognizes stages of growth and development, reduces health risks, and lives safely. Component 2. 2: Understands stages of growth and development. Grade Level Expectations (GLE) 2. 2. 1: Analyzes the physiological and psychological changes throughout the lifetime. Public Health – Seattle King County  ©1988; revised 2011 www. kingcounty. gov/health/flash Lesson 2 – Page 2 Family Life and Sexual Health, High School FLASH Activities NOTE: Instructions to you are in regular font. A suggested script is in italics. Feel free to modify the script to your style and your students’ needs. 1. Discuss the purpose of the lesson. Identify the lesson as, primarily, a review of information that many students learned in earlier grades. Explain that being well-grounded in knowledge about the reproductive system will help them make sense of discussions later in the unit about pregnancy, birth control, and sexually transmitted diseases. Also, if they have health problems in the future, knowing body parts helps them explain to a health provider what they think the problem may be. 2. Brainstorm with the class about body parts. Write on the board in three columns: Male / Female / Both. Ask students to name reproductive system body parts, both internal and external, in the three columns. Fill in from the Teacher Master List (below) the parts that students don’t mention. As you list the parts on the board, briefly define each body part, where it is in the body and what it does. 3. Use Reproductive System Visuals 1-6 to continue reviewing the male and female reproductive systems, including the location and function of each part. Use a document camera (or SMART Board, overhead projector, etc) to project the images on the board. Explain that the parts labeled as male, female, or both are for most people, but when people are intersex (i. e. , they have a disorder of sex development), there may be some differences †¦ differences that were present at birth. NOTE: Briefly review â€Å"what it does† (each part’s function, below) if students are unfamiliar with the physiology, as you point to the visuals. Please do not feel that you must convey every bit of information in the Teacher Background chart, below. Find more suggested language regarding the hymen and circumcision in Lesson 16, p 5. Teacher Background Male Part penis (made up of shaft, glans, and sometimes foreskin) foreskin †¢ †¢ †¢ †¢ †¢ †¢ †¢ †¢ †¢ †¢ Public Health – Seattle King County What it Is / What it Does allows passage of urine and of semen provides sensation (has many nerve endings) the average penis measures 3-4† when its not erect (flaccid) and 5-7† when erect 1 protects the glans of the penis provides sensation males who’ve been circumcised don’t have one muscular sac which is shorter when cold, longer when warm holds testes controls temperature provides sensation ww. kingcounty. gov/health/flash scrotum  ©1988; revised 2011 Lesson 2 – Page 3 Family Life and Sexual Health, High School FLASH †¢ †¢ produce sperm and sex hormones (androgens, testosterone) each is made of 500-1,200 feet 2 of tightly coiled tubes allows maturation of sperm cell from a man (commonly called â€Å"sperm†) they car ry strings of genes (called â€Å"chromosomes†) or DNA instructions in case the sperm cell meets with an egg cell and fertilizes it. uspend the testis supply blood to the testis provide sensation carry sperm from the testis provides storage for sperm allow passage of sperm as big around as sewing thread they lead into the abdomen, where (behind the bladder) they widen into storage sacs contribute fructose (sugar) to semen for nourishing the sperm helps sperm live longer and travel better about a teaspoon full per ejaculation produces most of the fluid that makes up semen pair of glands produce fluid called pre-ejaculate or â€Å"pre-cum† that cleanses the urethra of acid (from urine) to protect the sperm estes (also called testicles) singular = testis epididymis (plural = epididymes) spermatazoan (plural = spermatozoa) †¢ †¢ †¢ †¢ †¢ †¢ †¢ spermatic cords vas deferens (plural = vasa deferentia †¦ also called sperm ducts) †¢ †¢ †¢ †¢ †¢ †¢ †¢ †¢ †¢ †¢ seminal vesicles semen prostate gland Cowper’s glands (also called bulbourethral glands) Female Part uterus (made up of muscular walls, a lining called the endometrium, and a cervix. The uterus is also called â€Å"womb†) cervix What it Is / What it Does †¢ †¢ †¢ †¢ †¢ †¢ †¢ †¢ †¢ †¢ †¢ †¢ ouses and protects embryo/fetus/baby allows nutrient ; waste exchange with placenta nourishes an embryo, before a placenta grows the bottom section of the uterus produces fluids to help sperm travel produces a mucous plug to keep germs out during pregnancy allows passage of sperm produces fluids to cleanse and lubricate itself and to help sperm travel allows passage of shed endometrium during menstruation allows passage of baby provides sensation (has many nerve endings especially in the outer third) a collapsed tube, like a deflated balloon www. ingcounty. gov/health/flash vagina Public Health – Seattle ; King County  ©1988; revised 2011 Lesson 2 – Page 4 Family Life and Sexual Health, High School FLASH †¢ †¢ †¢ †¢ †¢ †¢ 3† long when not aroused, 5-6† wh en aroused, 3 but very stretchy is the middle of female’s three openings membrane partly covering vaginal opening ome girls are born without a hymen may be stretched during sexual intercourse or by using a tampon or with fingers carry strings of genes called chromosomes which mix with chromosomes of sperm to direct fetal development if fertilized and implanted in the uterus they dissolve in the Fallopian tube after about 24 hours if not fertilized.

Thursday, September 5, 2019

Nano Science and Nano Technology Comparison

Nano Science and Nano Technology Comparison Whenever the topic nano technology comes up most of us dont have a clear idea of what it is. Especially when it is about the difference between nano science and nano technology. Then what is nano science? Nanoscience is the study of objects with size less than hundred nanometers at least in one dimension. When objects go to nanometer scale in size, their behavior get changed applied laws may not be the same as when they were larger in size. Nanoscience involves finding governing laws of these tiny objects, deriving theoretical models to describe the behavior of those nanoscale materials and analyzing the properties of them. So, what is Nano technology? Nanotechnology is engineering the nanoscale objects at molecular level using different techniques. Nanotechnology is all about techniques and tools to come up with a nanoscale design or system that exploit the properties at molecular level to be more accurate and efficient. Using the knowledge on material behaviour at nanoscale which is got from nanoscience, nanotechnology focuses on properties such as strength, lightness, electrical and thermal conductance and reactivity to design and manufacture useful items. How did all start? The emergence of nanotechnology in the 1980s was caused by the convergence of experimental advances such as the invention of the scanning tunneling microscope in 1981 and the discovery of fullerenes in 1985, with the elucidation and popularization of a conceptual framework for the goals of nanotechnology beginning with the 1986 publication of the book Engines of Creation. The conceptual origin The American physicist Richard Feynman lectured, Theres Plenty of Room at the Bottom, at an American Physical Society meeting at Caltech on December 29, 1959, which is often held to have provided inspiration for the field of nanotechnology. Feynman had described a process by which the ability to manipulate individual atoms and molecules might be developed, using one set of precise tools to build and operate another proportionally smaller set, so on down to the needed scale. In the course of this, he noted, scaling issues would arise from the changing magnitude of various physical phenomena: gravity would become less important, surface tension and Van der Waals attraction would become more important. The Japanese scientist called Norio Taniguchi of Tokyo University of Science was the first to use the term nano-technology in a 1974 conference,[11] to describe semiconductor processes such as thin film deposition and ion beam milling exhibiting characteristic control on the order of a nanometer. His definition was, Nano-technology mainly consists of the processing of, separation, consolidation, and deformation of materials by one atom or one molecule. However, the term was not used again until 1981 when Eric Drexler, who was unaware of Taniguchis prior use of the term, published his first paper on nanotechnology in 1981. In the 1980s the idea of nanotechnology as a deterministic, rather than stochastic, handling of individual atoms and molecules was conceptually explored in depth by K. Eric Drexler, who promoted the technological significance of nano-scale phenomena and devices through speeches and two influential books. In 1980, Drexler encountered Feynmans provocative 1959 talk Theres Plenty of Room at the Bottom while preparing his initial scientific paper on the subject, Molecular Engineering: An approach to the development of general capabilities for molecular manipulation, published in the Proceedings of the National Academy of Sciences in 1981.[1] The term nanotechnology (which paralleled Taniguchis nano-technology) was independently applied by Drexler in his 1986 book Engines of Creation: The Coming Era of Nanotechnology, which proposed the idea of a nanoscale assembler which would be able to build a copy of itself and of other items of arbitrary complexity. He also first published the term grey goo to describe what might happen if a hypothetical self-replicating machine, capable of independent operation, were constructed and released. Definition Nanotechnology is a multi-disciplinary engineering field, which draws from and benefits areas such as materials science and engineering, chemistry, physics, biology, and medicine Nano-engineered materials, addresses the synthesis, characterization and engineering application of several classes of advanced materials, including nanocrystalline materials and nanopowders used in electronics and photonics applications, as catalysts in automobiles, in the food and pharmaceutical industries, as membranes for fuel cells, and for industrial-scale polymers. The design, synthesis, characterization, application and fundamental studies of new crystalline metal oxide nano-materials that may be used for next-generation rechargeable batteries. Nano-engineering of polymer electrolyte membranes. Hydrogen fuel cells use these membranes to combine hydrogen and oxygen and produce energy. Development of nano-particles as powerful catalysts for petrochemical refinery applications. Basic and applied research in photonic and photonic band gap crystals for optical and microwave communications. Design, synthesis, fundamental understanding and processing of polymer nano-composites, which are used in several applications for the automotive, aerospace, electronic components and packaging industries. Nano-electronics, addresses the development of systems and materials that will enable the electronics industry to overcome current technological limits. Also part of this theme area is a new generation of electronics based on plastics, which is expected to create new markets with applications ranging from smart cards to tube-like computers. Experimentation in electron beam lithography, to fabricate nanostructures and nanoelectronic devices, and to determine how the arrangement of molecules affects the chemical properties of substances. Fundamental studies and development of nanocrystalline thin-film semiconductors, devices and circuits for electronics and spintronics. Development and fabrication of Micro- and Nano-Electro Mechanical Systems (MEMS/NEMS). New devices being researched include NEMS-based metamaterials, miniature signal processing devices, biomedical, diagnostic and image processing devices, tiny wireless components (filters, mixers, antennas), miniature opto-electromechanical devices (optical relays, optical multiplexers, deformable optics), miniature biosensors and environmental sensors, and micro- and nano-fluidics devices. Organic synthesis, characterization and application of molecular organic semiconductor materials for electronic/optoelectronic devices. These materials are uniquely positioned to allow low cost fabrication processes (e.g., printable electronics) and to enable novel applications, such as, flexible- and molecular-electronics. Nano-biosystems, addresses the molecular manipulation of biomaterials and the engineering of nanoscale systems and processes of biological and medicinal interest, such as, for example, the targeted delivery of therapeutic agents and the design of DNA, peptide, protein, and cell chips. Interfacing nano-chips to bio-molecules. Creation of nano-vehicles that mimic the way viruses interact with specific cells. This will facilitate the delivery of drugs directly to targeted cells, and could, for instance, eliminate the toxic side-effects of chemotherapy by directing the therapeutic agents to cancer cells only. Development of nanotechnology methods for therapeutic applications, for example, for replacing faulty DNA or RNA strands with corrected strands. Development of nano-techniques for inactivation of microbes: an efficient and cheap method of food sterilization. Nano-instruments addresses some of the most far-reaching yet practical applications of miniature instruments for measuring atoms or molecules in chemical, clinical, or biochemical analysis; in biotechnology for agent detection; and environmental analysis. Lab-on-chip and micro-nano fluidic devices for biodiagnostics and protein sequencing. Fundamental studies leading to development of theories behind measurements at the nano-scale. Fabrication of instrumentation and development of methodology for micro- and nano-analytical chemistry for measurements of pollutants on-site. Using micro as an interface between the nano-scale and the macroscopic, human-scale. Development and characterization of mobile micro- and nano- instruments that are small, cheap and under wireless control. Measurement of how nano-materials grow and form on surfaces. Studies of polymer interfaces, adhesion and confinement of polymer chains glass transition in confined geometries. What do we have so far? scientists at the Department of Energys Oak Ridge National Laboratory have developed a catalyst made of carbon, copper and nitrogen and applied voltage to trigger a complicated chemical reaction that essentially reverses the combustion process. With the help of the nanotechnology-based catalyst which contains multiple reaction sites, the solution of carbon dioxide dissolved in water turned into ethanol with a yield of 63 percent. Typically, this type of electrochemical reaction results in a mix of several different products in small amounts. How it started The ideas and concepts behind nanoscience and nanotechnology started with a talk entitled Theres Plenty of Room at the Bottom by physicist Richard Feynman at an American Physical Society meeting at the California Institute of Technology (CalTech) on December 29, 1959, long before the term nanotechnology was used. In his talk, Feynman described a process in which scientists would be able to manipulate and control individual atoms and molecules. Over a decade later, in his explorations of ultraprecision machining, Professor Norio Taniguchi coined the term nanotechnology. It wasnt until 1981, with the development of the scanning tunneling microscope that could see individual atoms, that modern nanotechnology began. Once scientists had the right tools, such as the scanning tunneling microscope (STM) and the atomic force microscope (AFM), the age of nanotechnology was born. Although modern nanoscience and nanotechnology are quite new, nanoscale materials were used for centuries. Alternate-sized gold and silver particles created colors in the stained glass windows of medieval churches hundreds of years ago. The artists back then just didnt know that the process they used to create these beautiful works of art actually led to changes in the composition of the materials they were working with. Todays scientists and engineers are finding a wide variety of ways to deliberately make materials at the nanoscale to take advantage of their enhanced properties such as higher strength, lighter weight, increased control of light spectrum, and greater chemical reactivity than their larger-scale counterparts. Manufacturing at the nanoscale is known as nanomanufacturing. Nanomanufacturing involves scaled-up, reliable, and cost-effective manufacturing of nanoscale materials, structures, devices, and systems. It also includes research, development, and integration of top-down processes and increasingly complex bottom-up or self-assembly processes. A product of nanomanufacturing: A 16 gauge wire (above), approximately 1.3 millimeters in diameter, made from carbon nanotubes that were spun into thread. And the same wire on a 150 ply spool (below.) Courtesy of Nanocomp. In more simple terms, nanomanufacturing leads to the production of improved materials and new products. As mentioned above, there are two basic approaches to nanomanufacturing, either top-down or bottom-up. Top-down fabrication reduces large pieces of materials all the way down to the nanoscale, like someone carving a model airplane out of a block of wood. This approach requires larger amounts of materials and can lead to waste if excess material is discarded. The bottom-up approach to nanomanufacturing creates products by building them up from atomic- and molecular-scale components, which can be time-consuming. Scientists are exploring the concept of placing certain molecular-scale components together that will spontaneously self-assemble, from the bottom up into ordered structures. Within the top-down and bottom-up categories of nanomanufacturing, there are a growing number of new processes that enable nanomanufacturing. Among these are: Chemical vapor deposition is a process in which chemicals react to produce very pure, high-performance films Molecular beam epitaxy is one method for depositing highly controlled thin films Atomic layer epitaxy is a process for depositing one-atom-thick layers on a surface Dip pen lithography is a process in which the tip of an atomic force microscope is dipped into a chemical fluid and then used to write on a surface, like an old fashioned ink pen onto paper Nanoimprint lithography is a process for creating nanoscale features by stamping or printing them onto a surface Roll-to-roll processing is a high-volume process to produce nanoscale devices on a roll of ultrathin plastic or metal Self-assembly describes the process in which a group of components come together to form an ordered structure without outside direction Structures and properties of materials can be improved through these nanomanufacturing processes. Such nanomaterials can be stronger, lighter, more durable, water-repellent, anti-reflective, self-cleaning, ultraviolet- or infrared-resistant, antifog, antimicrobial, scratch-resistant, or electrically conductive, among other traits. Taking advantage of these properties, todays nanotechnology-enabled products range from baseball bats and tennis rackets to catalysts for refining crude oil and ultrasensitive detection and identification of biological and chemical toxins. A high resolution image of a graphene transistor with a sheet of carbon only one atom thick. This high speed electronic device was createdÂÂ   using nanoscale processes, and may one day be used for better computerÂÂ   hips. (Courtesy of James Yardley, Columbia University Nanocenter, an NNI-sponsored NSEC) Nanoscale transistors may someday lead to computers that are faster, more powerful, and more energy efficient than those used today. Nanotechnology also holds the potential to exponentially increase information storage capacity; soon your computers entire memory will be able to be stored on a single tiny chip. In the energy arena, nanotechnology will enable high-efficiency, low-cost batteries and solar cells. For more products and applications that use nanotechnology, see Benefits Applications or browse our database of the NNIs Major Achievements in Nanotechnology. Nanotechnology RD, and the eventual nanomanufacturing of products, requires advanced and often very expensive equipment and facilities. In order to realize the potential of nanotechnology, NNI agencies are investing heavily in nanomanufacturing RD and infrastructure. Over 90 NNI-funded centers and user facilities across the country provide researchers the facilities, equipment, and trained staff to develop nanotechnology applications and associated manufacturing processes. The NNI helps drive the nanomanufacturing field by providing researchers and small businesses with access to this specialized equipment in order to maintain global U.S. competitiveness. To assist in agency coordination in the area of nanomanufacturing, the Nanoscale Science, Engineering, and Technology (NSET) Subcommittee created the Nanotechnology Innovation and Commercialization Ecosystem (NICE) Working Group. The Presidents FY 2017 Budget provides $1.4 billion for the National Nanotechnology Initiative, including an estimated $37 million for nanomanufacturing. The National Nanomanufacturing Network (NNN) is an alliance of academic, government and industry partners that cooperate to advance nanomanufacturing strength in the U.S. The NNI and its member agencies actively participate in, support, and contribute to the NNN in its mission to advance nanomanufacturing. The NNN functions as part electronic resource, part community of practice, and part network of experts working on the development of nanomanufacturing. The NNN fosters technology transition and exchange through a host of activities including reviews and archiving of emerging materials, processes, and areas of practice, strategic workshops and roadmap development. InterNano is the information arm of the NNN-a digital library resource of timely information on nanomanufacturing and a platform for collaboration, providing information archiving in areas of processes and tools, standards, reports, events, and environmental health and safety databases. A scanning tunneling microscope (STM) is an instrument for imaging surfaces at the atomic level. Its development in 1981 earned its inventors, Gerd Binnig and Heinrich Rohrer (at IBM ZÃ ¼rich), the Nobel Prize in Physics in 1986.[1][2] For a STM, good resolution is considered to be 0.1 nm lateral resolution and 0.01 nm (10 pm) depth resolution.[3] With this resolution, individual atoms within materials are routinely imaged and manipulated. The STM can be used not only in ultra-high vacuum but also in air, water, and various other liquid or gas ambients, and at temperatures ranging from near zero kelvin to over 1000ÂÂ °C.[4][5]Â   Â   STM is based on the concept of quantum tunneling. When a conducting tip is brought very near to the surface to be examined, a bias (voltage difference) applied between the two can allow electrons to tunnel through the vacuum between them. The resulting tunneling current is a function of tip position, applied voltage, and the local density of states (LDOS) of the sample.[4]Information is acquired by monitoring the current as the tips position scans across the surface, and is usually displayed in image form. STM can be a challenging technique, as it requires extremely clean and stable surfaces, sharp tips, excellent vibration control, and sophisticated electronics, but nonetheless many hobbyists have built their own. Atomic-force microscopy (AFM) or scanning-force microscopy (SFM) is a type of scanning probe microscopy (SPM), with demonstrated resolution on the order of fractions of a nanometer, more than 1000 times better than the optical diffraction limit. The information is gathered by feeling or touching the surface with a mechanical probe. Piezoelectric elements that facilitate tiny but accurate and precise movements on (electronic) command enable very precise scanning. The AFM has three major abilities: force measurement, imaging, and manipulation.

Wednesday, September 4, 2019

african americans Essay -- essays research papers

African Americans continued to live as second class citizens in the 1950’s and 1960’s, especially in the South, despite the Fourteenth Amendment and the Fifteenth Amendment, which prohibited states from denying anyone the right to vote due to race. States passed laws directed at separating the races and keeping blacks from the polls. During these times, African Americans and other Americans led an organized and strong movement to fight for racial equality. The movement often met with strong opposition, such as in Birmingham, Alabama, where police sprayed protestors with high pressure fire hoses.   Ã‚  Ã‚  Ã‚  Ã‚  In the early 1900’s W.E.B. Du Bois established the NAACP, (National Association for the Advancement of Colored People) which fought to end segregation, the separation of people on the basis of race. In the case of Brown vs. Board of Education, the Supreme Court struck down segregation as unconstitutional.   Ã‚  Ã‚  Ã‚  Ã‚  On December 1, 1955, Rosa Parks, a seamstress and an NAACP officer, took a seat in the front row of the â€Å"colored† section of a Montgomery bus. As the bus filled up, the driver ordered Parks and three other African American passengers to empty the row they were occupying so that a white man could sit down without having to sit next to any African Americans. The leaders of the African American community, including many ministers, formed the Montgomery Improvement Association to organize a boycott. They elected the pastor o...

Tuesday, September 3, 2019

Ayn Rand, Aristotle, and Selfishness :: essays research papers

Ayn Rand, Aristotle, and Selfishness Selfishness is an act that humans innately have implanted within them. Ayn Rand being a rational egoist had many moral beliefs, one being especially about selfishness. She believed that: â€Å"Self-interest, properly understood, is the standard of morality and selflessness is the deepest immorality.†( Ayn Rand 279) This basically emphasizes that you should see oneself, as an end to oneself. A person’s own life and happiness are their highest values, and that they don’t exist as servants or slaves to the interests of others. In the same way, others as well don’t exist as servants or slaves to a person’s own interests. Each person's own life and happiness is his/her crucial end. Ayn Rand, Aristotle, and Frederick Nietzsche all had theories behind this, which was that Humans are innately selfish. Threw out society today all humans are selfish and it is proven by these philosophers that it is naturally developed and there is no cure to prevent it. Ayn Rand, a great Russian philosopher, once questioned why shouldn’t one be selfish. Ayn Rand responded to that question with her theory which she called objectivist ethics. This theory states that humans are innately selfish. â€Å"Everyone does what they really want to do otherwise, they wouldn’t do it†.(Ayn rand 66) Rand believed that humans are rational beings and maintained the idea that rational people will help others if they get something in return. This idea is a voluntary co-operation, which applies to dealings with trade and justice. It also applies to human relationships. In developing her theory she criticized the ethics of altruism, which says that people should act out of selfish concern for others. Ayn Rand says in her book called â€Å"The Virtue of Selfishness† that the proper method of judging when one should help another person is by reference to one’s own rational self-interest and one’s own hierarchy of values. Ayn Rand followed Aristotle’s point of view. However unlike Aristotle she focused on an individual other than a community. â€Å"There is no such thing as ‘society’ †¦ only individual men† (Ayn Rand 279) Ayn Rand followed her great acknowledged teacher Aristotle. She changed her view slightly different from Aristotle which was to focus on an individual rather than focusing on a whole community. Aristotle believed that one’s own life is the only life one has to live for. Aristotle also stated that the â€Å"good† is what is objectively good for a particular man.

Monday, September 2, 2019

Triple X :: Movie Film Essays

Triple X Original Budget $50,000,000, or the annual per capita income of 250,000 people in Nepal. Who owns it: Sony Number of Sony plugs: about a half dozen, if you include Tony Hawk, who is more or less owned by Sony Number of total plugs: enough to make my ass hurt. Twice. Length: 2:04 or long enough to make you seriously wander what the hell is point to go on living. Before sitting down and spending 2 hours of my life to watch "Triple X", I had previously heard a few friends, acquaintances, and others describe the action movies of Vin Diesel, including "Triple X" as "cool", "sexy", "fun", "good", and, perhaps above all, "exciting" (ok, Pitch Black is almost watchable). If you happen to be one of these individuals, I would like to kindly ask that in the future, you actually take the time to watch a movie before speaking positively about it to me. It is pure intellectual dishonesty to do otherwise, which is what obviously happened regarding "Triple X", a movie which could only be spoken positively of by those who haven't seen it. Or, as a friend of mine commented, "Triple X" acts as a good retard test, because if you really do like this movie, you're retarded. The movie has some problems. These include plot, acting, script, dialogue, and pacing. But we will forgive all those. This is a mindless action movie after all, and being a bad movie is par for the action genre course. "Triple X" isn't just a bad movie, it is a *terrible* action flick, ranking in wretchedness with the likes of Rambo III. Why? Several reasons follow, in no particular order. Middle class skate/punk/psuedo-rebel/"extreme"/hardcore-straightedge/wanker niche market This movie tries so hard to hit this target audience I actually felt like someone was trying to molest a child while watching this. This movie might score the highest corporate plug per scene ratio of any movie I've ever seen. And, unlike say Austin Powers, it does it completely straight-forward, even writing in plugs at key parts (insofar as they can exist) of the movie directly into the dialogue. Most notably here is the "Stop thinking secret agent and start think playstation" (at least something very close to that) towards the end of the movie when he picks up the random heat seeking bazooka which, when fired, targets *the heat from a burning cigarette* as opposed to the collected body heat of Diesel and company.

Sunday, September 1, 2019

Hotel and Marketing Mix

B629- Managing 2: Marketing and Finance EMA Problem related to marketing mix and performance measurement By Yennifer Pereira (PI: A8407709) August 2012 Contents Word count: 2415 Section: 1. Description of my organisation 2. Description of the marketing mix 3. Identify, analyse and summarise a problem relating marketing mix 4. Solution 5. Identify, analyse and summarise a problem relating performance management 6. Solution 7. References 1. Description of my organisationTravelodge is budget hotel brand that was launch on the UK in 1985 and currently operates more than 450 hotels in Ireland, Spain and the UK. The company is growing very fast and is planning to operate more than 70,000 rooms, approximately over 1000 hotels by 2020 and be the biggest hotels operator in London by the 2012 Olympics. Around eight million people stay with Travelodge every year, booking the rooms online at the company’s webpage. The chain employs more than 6000 staff and is currently owned by Dubai inte rnational Capital which acquires the chain on 2006.I had been working in Travelodge for three years, working my way through from chambermaid, receptionist to assistant manager, currently been in position lest that 6 months and still learning the company targets and focus in the market. Currently Travelodge is undergoing their biggest remodelling in their hotels in order to gain back the customers lost to Premier Inn their biggest competitors in the low budget market, due to the poor quality in customer service and the quality of service in the previous years. . Description of the marketing mix Marketing mix is refer as creating the right product that will attract the attention of their customers and this can be done by creating the right product, at the right price, in the right place using the appropriate promotions. Travelodge uses the marketing mix technique on their daily basics as part of the revenue team to generate the savers prices that we use online.Travelodge proud itself from providing low prices and clean and fresh rooms to our main stakeholders which are our customers, but in order to achieve that they must have a revenue team in charge of controlling the prices and promotions put online according to the location of the hotel, time of year and other issues, our revenue team works in this by using the 7 Ps of marketing. To start of they focus in the: Product: Our product will always be de same in all the hotels a clean and fresh rooms Price: This is taking into consideration after the hotel is analysing depending the time of year, location, size and other features.For example to book a room in February during the week in Bournemouth will cost you if book in advance as little as ? 19 per night, the same hotel also book in advance for the same day of the week will cost you as much as ? 80, due to the location and the season, in the other hand if you book a hotel in Bournemouth town centre will normally cost you around 20% more that a road side hotel near Bournemouth. That is why is crucial to analyse all the perspectives before setting the prices.Place: This is crucial when planning the revenue of the hotel as a road side hotel will not be as busy as a city centre hotel, or a seasonal hotel is not as profitable in winter as a London hotel in the main shopping street in the same period. Promotion: Travelodge on the daily basic our coming out with promotions to encourage customers to stay with us, a good example of this is that if you book online or by phone on the day, you will get a 10% discount rather that booking direct over the desk.We also encourage guest to purchase food and beverages by always making sure we have promotions available. People: Travelodge focus on hiring the correct team to ensure that our customers has the best service as possible from the moment they book all the way to the moment they check out. This can only be achieved by providing the right training and developing the right skills to ensure customers receive the best customer service. Processes: Travelodge nsures that all our hotels provides the same process across all the company, by ensuring that customers are deal correctly, that layout looks fairly similar, that we provide same services across the hotels and that we always are providing the correct service. Physical evidence: This is the evidence that our customer sees when he comes into a Travelodge and sees that staff all in uniform, everything branded, currently this is our main problem that not all the hotels look the same due to the layout and most of then require a brand update. . Identify, analyse and summarise a problem relating marketing mix Identify Our main focus in Travelodge is pleasing our customers by providing affordable, clean and fresh rooms, but as Travelodge been open since 1985, is difficult to provide the same standard in every hotel, the main problem that we currently have is that our hotels look completely different due to the different refurbishment that we had have over the years, as Travelodge opens a new hotel a new trial runs in that hotel and is use for a few years.Currently when a customer walks into a room in Travelodge they never know what to expect as no all Travelodge’s look the same. Analyse As a customer you expect when you walk into a hotel that will look as similar to the other hotels of the same brand, but when a company has been open for more than 26 years is difficult to maintain the same standard across their hotels. Travelodge is currently having an issue with the Physical evidence in his marketing mix, which is affecting the corporate image in overall.This issue has arise due to cost issues, the company main target in previous years was to spend revenue in building and opening new hotel, as new building arise new refurbishment ideas follow, and different layout happen without been concern on the image and standardization of the brand. Even though Travelodge has been very good in maintaining a set a st rict rule about the advertisement provide in each hotel, all the leaflets and brochures were the same and similar supplier use, the actual hotels rooms due not comply with the corporate image. This in overall affects the perspective not only of the customer, but the staff members.This links with the concept that there are four critical areas of success, the customer perspective that if is currently no been meet, the internal process perspective which are no satisfying customer needs as we are providing in some cases old, out of date and damage rooms, the innovation and learning perspective, also no been accomplish as the repeats customers keeps using this Travelodge’s but no does not sees any improvement or change and the financial perspective which is also no been meet due to having to spend more money in opening hotels and not focusing on refurnishing the old ones.Summary To summarise the problem Travelodge has spend too much money focusing in building new hotels, that focu sing in the corporate image, due to the different layouts in rooms, location of hotels customers expectations are no been meet and this is affecting the perspective no only of their customers but also they employees. 4. Solution Travelodge has realise that this is a major issue and after 26 years has started to listen to our customers complaints and request to update the brand image and improve the rooms.Travelodge has decided to fight back and restructures the image of the company by spending ? 57 million pounds in refurbishment, which 80% of hotels should be completed by autumn, they are planning to change the room design by updating the colours, curtains, acquiring to of the range beds, updating the bathroom to a state of the art power shower, and repaint and redecorate all of the hotels in the company. 5. Identify, analyse and summarise a problem relating performance managementIdentify Travelodge Bournemouth Seafront is currently facing a major problem in performance that is aff ecting the hotel overall and is that due to a fall in cleanliness of the rooms we are receiving a considerable amount of complains on the daily basics that are affecting the way the customer sees the hotel, due to this issues are WYR is not as target by the company. Analyse Every Travelodge receives at the end of the month a scorecard in which it ill inform the hotel what is expected from us, there are targets sets on how many rooms are sold and how much is sold over the bar, but one of the most important things that we look for in the score card is the WYR (Would you recommend), this are the rating that are customers gives us after they have stay with us. Unfortunately there has been a significant drop in are WYR that is affecting us dramatically. SummaryAfter investigating and speaking with our customers we have draw to he conclusion that this is due to the poor standard of cleanliness in the hotel, this was due to the manager been promoted to a new hotel and the hotel had to run through a period without manager on site, due to been the period the hotel was all the time fully book resulting on the staff having to work 6 days a weeks or overtime during all the summer period and the housekeeping department did not have the amount of staff that was needed on the daily basics, as a result they had to clean everyday between 12 to 18 rooms plus there were many issues of not having the right equipment to work. To summarise the problem when the new manager took over he had to face with a big challenge, the performance of the hotel and the targets are not been meet. As a company we use a scorecard (figure 1) that helps us measure the performance of the hotel this divides the hotels into different areas and is clear for as to know that areas that we are failing from the scorecard, if we are doing well a green scorecard can be seen and if is moderate performance will be amber and bad performance will be show in red which is what we are facing in the WYR.Are WYR is spec ifying that room cleanliness is not what customers are expecting this is a result of the issues seen above but also poor management for the last few months as there is not set of measurements in place in the hotel at that moment to see or compare to what is a good room to what in reality we are offering, we did not have the appropriate budget to buy the materials that we require in the hotel or is not been manage appropriately in order to last the time that is require to last. In overall due to poor management during the last month as the consistent of the hotel cleanliness are not been meet and as there was not a manager to be responsible for the hotel or to set targets, the hotel performance drop. 6. SolutionThere are many solutions to resolve this issue the best way possible but it has to be a solution that will benefit the hotel performance and quick and effectively as possible so to improve I come out with a list of effects that can be taking place to start improving the cleanl iness of the rooms. The first issue that the manager should so is decentralise the hotel into areas and give different areas for the assistant managers to focus on, for example one to be responsible for food and beverage, one for health and safety and one for housekeeping area, with the manager overlooking all the department and making sure that everything runs smoothly.The assistant manager or person responsible in the housekeeping department will have to implement the following plan in order to success in the task set firstly is crucial to start by re training the entire housekeeping department in order for then to know what is expected of then and the standards that we need to achieve, secondly an order of products will need to be process in order for housekeeping to have the materials needed to clean the rooms and get the cleanliness up to date, retrain the staff in effectively using the products that they have available without wasting anything, next step will be to make sure t hat a set of task are in place of the linen porter such as cleaning the public areas and making sure that linen and materials are in hand to be use by housekeeping so they do not waste any time having to find then, extra cleaning activities must be set for housekeeper to carry out then every month that can be from a range of task such a kettle discalers, changing shower curtains, mattress protectors and making sure that all the rooms have all the high level dusted done regularly, to top it all daily room checks will have to be carry out by the managers, housekeepers and staff to make sure that every room that is given to a customer is clean as is expected not only by the customer but also by the company. If all of this issues are been done as instructed there such be a difference in the rooms in a short period of time that will help the WYR that in overall will help not only in getting a green scorecard but will make customers satisfy with their stay and willing to repeat their stay with us.Is important to notice that to be able to achieve this a considerable amount of money will have to be spend in getting all the cleaning materials that are require in order to turn around the state of the rooms and a lot of time will be needed to retrain all the housekeeping department in achieving the task but all the managers and hotel staff in making sure the correct rooms checks are carry out daily. 7. References Open University (2009) B628, Managing and managing people; OU: Milton Keynes. www. travelodge. co. uk B629 Understanding Marketing and Financial Information EMA Part 2 Activities and outputs (weeks 15-19) Week 15, Activity 1 Table 15. Advice on outsourcing parks and gardens maintenance operations |Problem identification |Outsourcing parks and gardens maintenance in order to be in | | |budget for the next three years | |Analysis (investigation) |The company has the option to either try to outsource or to | | |maintain the team they already have and try to save the money if | | |possible. Analysing what their currently expenses are and what | | |the company is offering then is better to outsource as the | | |company will run why all the extra costs if they are needed such | | |as extra staff, equipment and other materials. |Conclusion to the analysis (results of the investigation) |To conclude is a better idea to contract the maintenance company | | |for 3 years as they will maintain the same price for the three | | |years and the council will be already aware of how much is | | |expending | |The solution, listed as a set of SMART recommendations |It may take time to adapt to the changes to a new company and as | | |a result staff will suffer from downsizing and being transfer but| | |in overall will result in a profitable result for the council | Week 15, Activity 2 Activity 2- Comparison of absorption and marginal costing The major difference between one and another is that the marginal costing will take into consideration all the variable costs that take to get the product which as a result will always vary from the absorption costs as this will only show just the percentage that the person that wants to sell will want to add on MARGINAL COST = |VARIABLE COST DIRECT LABOUR | | |+ | | |DIRECT MATERIAL | | |+ | | |DIRECT EXPENSE | | |+ | | |VARIABLE OVERHEADS | Week 15, Activity 3 Activity 3- 1. Why organisations prepare budgets: To control better the resources they have and make the company profitable 2. Differences between direct and indirect costs? Both costs should be represented in the financial report to make a clear picture of the reality of the financial situation of the company 3. Fixed and variable costs?Fixed costs are those that will never change and variables can change at any time so is important to present both clearly in the financial reports Week 16, Activity 1 Activity 1 Smallville accounts The differences between creating a income and expenditure account rather that receipts and payments account is that the income and expenditure will explain all that goes on in the business including the loss and profits, will show any outstanding payments from creditors and provides a clear understanding of what is expend and in what areas as how much of the stock is being use. Week 16, Activity 2 Activity 2 Balance sheet for Musical instruments Business Sources ? 000 Resources ? 00 Owners capital 750 Fixed assets 970 Loan 500 Stock 300 Creditors 300 Cash 280 1550 1550 Week 16, Activity 4 Table 16. 2 Advice on maximising reported profit figure |Problem identification |Maximising the report profit figure in order to finish the end of| | |year with a favourable performance | |Analysis (investigation) Robin Williams the owner and chief executive of a catering | | |service business is interested in getting new assesses to his | | |company but in order to do that he needs to provide all the | | |information available to get the financial support he needs, his | | |purpose is to i mprove the financial report by either postponing | | |or going ahead with a few transactions, The focus of this report | | |is to provide as much support in order to make the correct | | |decision. | | |1. First transaction with is spend ? 50. 00 in advertising which | | |will increase in sales by 20% in the next financial year- Perhaps| | |way is a lot of capital that will be invested and will only | | |result in increase in sales for next year. | | |2. Take out goods for his own use- this has to be postponing as | | |will show a lost in goods and not an increase in income. | | |3. Sell goods in credit- this is a great investment as will show | | |in the financial report still as sales but in account. | | |4.Replace a motor van that will cost ? 6000, even though this | | |cost will be divided in 6 years it will still show an investment | | |of ? 1000 this financial year | | |5 . Purchase stocks at a lower price- can be done as will show | | |that we have that quanti ty on assets and has not been a loss to | | |the company. |Conclusion to the analysis (results of the investigation) |To conclude I think that by investing in purchasing goods for a | | |lower price, sell to a customer in credit will help his financial| | |report as even though he will losses in stock he will gain the | | |sales in credit and even though he will lose the capital that we | | |will use to buy stock, will increase his stock | |The solution, listed as a set of SMART recommendations |By making this changes and at the beginning of the financial | | |year invest in advertisement which will help him sell the stock | | |purchase at discount and buy a new van will provide him with a | | |very profitable end of year report and a target for beginning of | | |next financial year. | Week 17, Activity 1 1. Companies hold some assets in form of cash to be able to pay for the expenses they are incurred in the hotel, for example to pay for suppliers, pay bills and other expe nses 2. Holding too much cash in a business can be risky as it is not providing with any investment either in the bank or as stock for the business. 3. The costs of having too little stock is not making the business look very profitable and there is the risk that when stock is needed there is not any cash available to purchase what is needed for the business Week 17, Activity 3 Table 17. Solution to a working capital problem in my organisation |Problem identification |Working capital stock taking too long to be deliver | |Analysis (investigation) |Due to the policy that we have to order food products to be | | |deliver next day, confirmer delivery and process payment which | | |takes 30 days to be pay to the company, there are major problems | | |with the items that are not being deliver to the hotels as it is | | |taking too long for the company to get the payment and realise | | |which item has not been deliver | |Conclusion to the analysis (results of the investigation) |To conclude is crucial that a way is set in which the company is | | |aware of any item that has not been deliver in order to speed up | | |the process of redelivery | |The solution, listed as a set of SMART recommendations |Both companies must agree in the desire idea to resolve the | | |problem which is time consuming | |Strengths and weaknesses of the recommendations |Time consuming, staff needs to be re train which will be cost | | |effectively | Week 18, Activity 3 Financial performance For the hotel that I work for, is required a set of financial reports on the daily basics to be able to get the banking done. These reports consist on the daily trial banking which will explain in detail how much was taking on the daily basics on the different method of payments from example how much was taking in cash, visa, MasterCard, American express and also how much was taking as a prepay before the guest arrive in the hotel.The other report that we use and is very important for us is th e credit cards reports as we need to compare the credit cards against what is showing in the pdq slips reports that are printed 3 times at day at the end of any shift, this will conform that staff is taking the corrected amount of money and reporting it on the system that we use. Third set of reports that are use are the guest on house which explains to use how many guest are in house, which room number are the staying, rate pay and any extra packages, the vacant and occupy rooms which are the reports use in case of a fire and to conclude the arrival list with a list of the guest arriving, rate pay and any packages or special requested. Week 19, Activity 2 |Problem identification |Advice MD about ways in which he can restructure Spellman in | | |order to improve performance. |Analysis (investigation) |Currently Spellman is a very profitable company that focus on | | |buying and selling machinery for ice cream manufactures and also | | |is focusing in providing repairs to their m achinery. | | |The problem that they are facing is that there is one person in | | |charge of making all the decisions and coming out with all the | | |solutions, resulting in problems within the company as there is | | |de motivation, lack of product information and other issues. | |The best propose idea to resolve this problem is for the MD to | | |hire a group of managers that will focus in different areas of | | |the country, in order for every employee to have a manager to | | |respond to and get support, and this managers to have the | | |responsibility of making decisions and solving problems, in order| | |to improve the slow decision problem that the company face before| | |and provide the support needed. |Conclusion to the analysis (results of the investigation) |By having this group of managers available the MD will have more | | |time to focus in improving the business and will have to focus on| | |dealing with this groups of managers rather that all the compa ny. | |The solution, listed as a set of SMART recommendations |Is important to understand that this is a time consuming activity| | |that will require and investment to hire this managers and the | | |time to hire and train the correct staff, and will take time to | | |get the managers train correctly and aware of the business. | | | | |But this will result in staff motivation restore and customers | | |will get the support and solutions quicker. | Week 19, Activity 3 The critical success factors and key performance indicators for airline scorecard The balance scorecard is a strategic planning and management system that focus on the current business activities and compares this to the vision of strategic of the organisation, and it focus in looking at four different perspectives of the business and see how they are performing , this are the financial perspective, customer perspective, internal business process and learning and innovating.Focusing in Ryanair a low cost airline which operates with over 300 airlines with over 30 destinations, their strategic focus in having the low cost in the market and their entire major decisions and focus on this making this their success factor. In order to achieve this they had to take into consideration what do they customers expected for them as a company, which are a cheap, straight forward flight, as they are not expected to get any luxuries in their flights, another key performance indicators apart for their customers’ expectations, is the financial perspective which focus in making sure they are still been profitable, this is achieve by Ryanair by always cutting the luxuries and making sure everything is to their basics.For example charging customers for extra luggage, making sure they print their own boarding pass or pay the penalty which is up to ? 60, offering services such as seat selection and priority boarding for an extra charge, these techniques helps the company reduce costs and increase profits . Focusing in the internal business perspective this can be providing customer support when any issues arise and making sure that their flights are meeting their schedules and as innovation perspective Ryanair is very clever with this as they innovate by finding new routes for their customers and competitive prices in order to maintain market position. Week 19, Activity 4Hospital cancer unit performance indicators of each of the E’s Economy: One performance issues that I’m sure must be important is to maintain cost to certain quantity when referring to getting new beds or material because the other ones are too old, this affects the patient comfort and the staff will have to deal with this resources that can be unsafe to use due to no having a reasonable budget, another one is no having the resources to innovate the drugs, no enough financial support to investigate and get new drugs that can help their patients. Efficiency: Referring to using the minimum amount of reso urces specially when referring to drugs can affect the patient health and the time of recovery, also no having the laboratory services available due to maintain the performance measurement can affect the quantity of patients treated and the staff motivation.Effectiveness: No having the time or resources due to maintain the performance can affect the health of any patient, in the other hand no having the resources to hire and train staff that can deal and provide this treatment is very concerning Equity: Proving access to everyone is crucial, due to the lack of resources and staff this is not always possible and this affects many life’s, is crucial to provide the treatment as soon as possible and often as needed to the patients to be able to save as many as possible. Personally I believe that a performance indicator in a hospital should not be the amount of money spend in treatment, in drugs, in innovating new treatments, training staff or proving comfortable atmosphere to the ir patients but the amount of life’s save.