Managing Health and Safety at Work Act Essay

Review of health and safety roles and responsibilities Identify 2 pieces of legislation relating to health, safety and welfare relevant to the workplace I have identified, The Health and safety at work act 1974 and Management health and safety at work regulations 1999. The health and safety at work act 1974 is the primary piece of legislation covering all work related health and safety in the UK. It sets out employers responsibilities for your health and safety at work. The Management of health and safety at work regulations make the assessment of risks a cornerstone of UK health and safety requirements. Duties statute law imposes on both the manager and the team and the managers responsibilities contained within the organisations health and safety policy. The most important responsibility as an employee is to take reasonable care of your own health and safety and if possible avoid wearing jewelry and tie hair back when using the machines. To take reasonable care not to put other people , fellow employees and members of the public at risk by what you do or don’t do in the course of your work. You should co-operate with your employer, making sure you get proper training and you understand and follow the company’s health and safety policies. An employee should never interfere with or misuse anything that’s been provided for your health, safety or welfare. It is your duty to report any injuries, strains or illnesses you suffer as a result of doing your job. You should always tell your employer if something happens that might affect your ability to work eg becoming pregnant or suffering an injury. All employers must make the workplace safe and prevent risks to health and ensure that the machinery is safe to use, and that safe working practices are set up and followed. The employer needs to provide adequate first aid facilities and tell you about any potential hazards from the work you do and give you information, instructions, training and supervision as needed. Emergency plans need to be set up in case of emergency. Make sure that ventilation, temperature, lighting, and toilet, washing and rest facilities all meet health, safety and welfare requirements. Check that the right work equipment is provided and is properly used and regularly maintained. Ensure that the right warning signs are provided and looked after.Report certain accidents, injuries, diseases and dangerous occurrences to either the Health and Safety Executive (HSE) or the local authority, depending on the type of business. Explain what is meant by a ‘competent person’ in your workplace A competent person is someone who has sufficient training and experience or knowledge and other qualities that allow them to assist members properly. The level of competence required will depend on the complexity of the situation and the particular help you need. When getting help you should give preference to those in your own organization who have the appropriate level of competence which includes the employer themselves before looking for help from outside. You must consult health and safety representatives in good time on the arrangements for competent help. Identify 2 ways you can provide health and safety information, instruction and training in your team One way you can provide health and safety information is by using leaflets and posters around the work place. You can get these from various sites including: – Sector Skills Councils (www.sscalliance.org.uk); – UK Commission for Employment and Skills (UKCES)(www.ukces.org.uk); – trade unions or trade associations; – further education colleges; – private training organisations; – independent health and safety consultants; – employer bodies (eg Chambers of Commerce); and – qualification-awarding bodies. To find a course leading to an accredited health and safety qualification look at the Qualifications and Curriculum Authority website www.qca.org.uk/qualifications. Secondly you could offer on the job training or classroom based learning individually or in groups. Computer based or interactive learning is a very fast, accurate and fun way of teaching the employees.

Effects of Facebook Essay

Social networking sites, most notably Facebook have become so popular today that they are the leading words on the lips of every teenager. Facebook has more than 750 million users today. You love to spend most of your time checking your Facebook updates, but do you know that there are many negative effects of using Facebook. Effects of Facebook on Teenagers Most of the teenagers don’t realize then negative impact of Facebook on their life. And, the main reason is because they are already addicted to it. And, this addiction can lead to several negative developments. You will find 7 negative effects of this social networking site that should encourage you to start avoiding it. The first negative effect of Facebook is that a teenage user starts losing interest in his or her surroundings. You would be addicted to Facebook and the only thing you would be concerned about will be your â€Å"own† world, which is inside Facebook. The second negative effect is that your real-world social interaction will start diminishing. There is no doubt that you are going to have hundreds of friends on Facebook, but with how many of them would you be interacting out in the real world. As a human being, you are a social creature and you naturally require real-world social interaction. When you are going to spend maximum of your time on the Internet, you are going to decrease your communication and social skills. Another negative impact will be on your health. There is a very high chance that excessive use of Facebook leads to the users becoming obese. You would be sitting most of the time in front of the computer, eating snacks and without any physical activities. And, over a period of time you are going to accumulate all the extra pounds. Facebook is also going to minimize your study time. Rather than spending your time on Facebook, you would better start browsing some educational sites that relate to your school course. For Facebook users, family doesn’t come first, but Facebook does. For them their online friends are more important than their family members. The sixth negative effect of Facebook is that your personal data becomes public on this social site, threatening your privacy. This is not reasonable, unless you want to be contacted by hundreds of people that don’t know you. The seventh negative effect of Facebook is that it increases the chances of online conflict. Facebook is populated with immature individuals who create bizarre statuses, upload awkward images and carry out absurd actions. And, this can lead to conflicts between people. Given these negative effects of Facebook it is up to you to decide the degree to which you want this social networking site to enter into your life. Getting addicted to Facebook is certainly going to increase problems in your life, but if you can restrict or avoid the use of this non-productive aspect of your life, you are going to stay away from troubles. Hence, it is up to you to decide how you want to use Facebook.

Cartoon Channels Essay

With the advent of satellite broadcasting technology during the mid 1970’s it became possible for Television networks to air their programs all over the world. By the 1980’s, Television established itself as a powerful medium of communication and new strategies were devised by television companies to stay ahead in the game. One such strategy was the development of programmes that targeted specific sections of the community. A few of the television channels decided to focus on children and began developing programmes that would appeal to them. It was to leverage this niche market that channels like Cartoon Network came into existence. It was launched in October 1992 in the US by one of the world’s leading media companies, Turner Broadcasting System. It offered animation programmes from TBS’s extensive library of more than 10,000 Warner Bros, Hanna-Barbera and MGM cartoons. Over the next few years the channel launched in different parts of the globe showing not only their famous cartoons, but also developing original shows. Cartoon Network entered India in October 1995, sharing airtime with Turner Network Television (TNT). As the pioneer in the Indian cartoon and animation market, Cartoon Network quickly gained popularity and had a huge fan base in the metropolitan cities. When Cartoon Network entered India, there were no established players and it was not very difficult for the Network to entrench itself in the minds of the children and register itself as a channel synonymous with cartoons. It established itself very quickly as a major player in the Indian satellite Television market and became a household name. In the 1990’s the entry of other leading children’s channels like Kermit and Nickelodeon created intense competition and Cartoon Network had to rethink their strategy to stay ahead in the game in the Indian cartoon market. The strategy that it worked out was the emphasis on ‘localization’. It localized the content by dubbing its cartoons first in Hindi to appeal to the Hindi-speaking audiences and then taking its localization efforts further it introduced Tamil-dubbed shows in 2000. The first dubbed programme was ‘Toon Tamasha’ and very soon it started offering localized versions of its popular cartoons. Localization is the key to success in television programming. Localizing the content to suit the needs and tastes of the audiences is the key to garner more viewership and television rating points. When Cartoon Network introduced Tamil-dubbed shows, Kathy McClaure, Vice President Programming, Turner Network, Asia, said, â€Å"The bringing in of Tamil-dubbed cartoons is to further reinforce Cartoon Network’s commitment to bring localized programming. † Some of cartoon shows that were dubbed in Hindi and Tamil were Scooby Doo, Flintstones, Swat Kats, The Mask, The Addam’s Family, Johnny Quest and Captain Planet. On account of its growing popularity it started its 24-hour non-stop service in July 2001. The 24-hour service was part of the channels global strategic mission to place cartoons and animation in level with general entertainment that appealed not just to the children but to the adults also. Today the appeal of cartoon network is not just to children between 4 and 14 years, but also to the teenagers and adults who constitute 30 to 40% of the channel’s viewership. Cartoon Network in India is the most popular cartoon dedicated television channel in India. Chutti TV was launched on April 19, 2007 and is a 24-hour Tamil language television channel owned by the Sun Network. It is Sun TV Network’s first ever television channel for kids. The target audiences are children aged between 3 and 14. It is a free-to-air channel available on most local cable television networks. It broadcasts cartoon shows of foreign countries and networks translated into Tamil. Some of the famous and most popular shows are Jackie Chan, He-Man, Astro Boy, Avatar, Dora the Explorer, Bob Morane, Lucky Luke, Spider Man, Bumba and Danny & Daddy. Disney XD or Disney Channel is another famous cartoon channel and it telecasts cartoons like The Donald Duck Show, Dennis and Gnasher and television shows like Shararat Karishma Ka Karishma, Shaka Laka Boom Boom and many more. The Donald Duck Show is based on the typical Mickey Mouse Series and there are other shows like Chip and Dale, The Rescue Rangers and Dennis the Menance. POGO is a cable and satellite television channel created by Turner Broadcsting, a unit of Time Warner for India, which primarily shows animated programming. It was launched in January 2004 as a children’s entertainment hannel like its sister channel Cartoon Network and its primary target audience is children aged 3+ to young adults aged up to 40. Pogo airs in multiple languages in India. The channel carries a number of popular animated shows as well as live action shows. Turner produces exclusive shows for Pogo under the brand name Pogo Originals. The Music Art and Dance show M. A. D. is India’s No. 1 do-it-yourself show. A super-hit 2D animated series is ‘Chhota Bheem’ which won the Best Animated TV series award at the ‘Golden Cursor Awards 2009 held in Mumbai. Chhota Bheem is produced by Green Gold Animation, Hyderabad.

How does family contribute to juvenile delinquency Essay

How does family contribute to juvenile delinquency - Essay Example If all these functions, especially those of child protection and affection are neglected, this would inevitably lead to a juvenile delinquent in our midst. Structural Functionalism is the theory which focuses on society as an entity in which all of the components work together cooperatively and cohesively for the betterment of the overall society (http://ryoung001.homestead.com/AssessingTheory.html). It is said that the goal of structural functionalism is equilibrium or balance in society. As the basic unit of society, the family also has an important role to play as pertaining to this theory. The child should be nurtured and cared for, brought up in a loving environment, and given all the support and affection he/she needs. All members of the family should work for this goal. If the family cannot fulfill this function in society, then the functionalism theory can be deemed fruitless. An example of this would be if the child had no father and was being supported by a step-father. If the stepfather always yells at the child when he makes small mistakes, and gets a whipping when he commits bigger mistakes, then the child will develop inn er hatred for the stepfather, which may develop into something else later on. This will become even a bigger problem if the mother ignores the way the stepfather treats her child and even consents to it. Hence the child grows up in an unstable family environment which may lead to juvenile delinquency later on. The Conflict theory shows how conflict is the catalyst of social change and societal growth, rather than cooperation and cohesion. (http://ryoung001.homestead.com/AssessingTheory.html). This theory is said to be the opposite of Structural Functionalism and it thrives on the concept of conflict as the precursor of change. Sometimes, it is the conflict itself in the home which reinforces the possibility of social problems arising. When there

Asia Pacific Business Essay Example | Topics and Well Written Essays - 1250 words

Asia Pacific Business - Essay Example Here we look at the relations with the two countries post 9/11 attacks and then we try to mention how relations affect the policy makers of Australia. Before making a SWOT and PEST analysis on the whole scenario leading to US and China relations and subsequent impact on Australia, lets give a brief introduction the present day scenario of relations between US and China. Here one thing to note is that the relations between these countries post September 11 attack on World Trade Center is significant (Christensen Thomas, 2003). It is known that the relations between these countries were not in bright terms when the Bush Jr took over the office in 2000 and from 9/11 till his re-term in 2004; situation was not that great to make an impact over the bilateral relations between the countries. Later in 2002 and 2003, we see that both USA and china work closely on various international issues like North Korean Crisis and Taiwan issue (Friedberg Aaron 2002). This shift in the whole scenario and so called honeymoon period has started from September 2002 and has continued to flow even during the re-term. There is deeper understanding of socia l, political factors which we will discuss now. One thing is that it the whole honeymoon relationship between US and China can be real benefit to Australia. ... Major relationship improvement between two countriesOne important thing, which can benefit USA from the relationship, is the renewed improvement in relations between two countries. Even though Beijing has been reticent and hesitant regarding its relationship with USA post 9/11, its cooperation with USA in matters dealing with International Terrorism has been remarkable. This can be attributed by the fact that Beijing has started giving out information to Washington regarding Islamic activities, it thus initiated intelligence sharing activities, it allowed FBI to set up an office in Beijing and allowed itself to participate in rehabilitation of Afghanistan. These actions are enough to give an idea that relations between the two countries could go in the history as an important event and that these relations could help both the countries (Christensen Thomas, 2003). 2. Chinese attempts to improve the ties between the countries One significant advantage that USA has in order to gain foothold in business relationship with China is the Chinese attempt to continue friendship with USA even though the ideologies of the two countries are vastly different. China did not like the USA invasion of Iraq but at the same it did not oppose to the situation. It was Beijing long term plan to keep the friendship between the two countries.3 North Korean crises Korean Crisis actually brings these nations on the same plane as both the nations are apprehensive of nuclear program of North Korea. China because of the regional implications and USA because of the global shift which the program can cause and hence the relations between them can improve and thus Korean crisis could prove as a major strength in the whole analysis. Weakness 1 Difference in ideologies The major

Ethics in Flatliners Essay Example | Topics and Well Written Essays - 250 words

Ethics in Flatliners - Essay Example Flatliners is one of the movies that depict the theme of ethics among other themes. Flatliners explores the issue of life and death in an articulate and ingenious way. The characters in the movie, led by Nelson seek to experience life after death by â€Å"flatlining.† The whole experience by Nelson and his medical students is centered on ethics. At one instance, Rachel Manus told Julia Roberts that she is doing much better. This paper briefly discusses why it was ethical for Rachel Manus to say that.The scenario happened when Manus was treating Julia as one of her patients. Manus, a medical student with Nelson, was mandated to oversee the recovery of patients. It happened that one of the patients, Julia, was struggling with recovery. In their conversation, Manus told Julia that she was doing much better in recovery. Although Julia was not on the best route to recovery, Manus encouraged her. This was an ethical approach. It is undeniable that telling the truth is one of the pri mary codes of ethics, especially in the professional field. However, there are times when the truth will do more harm than good. For instance, telling patients that they are not likely to recover from an illness will surely jeopardize their recovery. Therefore, it is ethical to give them encouraging words that would stimulate recovery even when there is little hope. In this context, Manus was ethically justified to tell Julia Roberts that she was doing much better. This is because she had good intentions when she was saying the words.

How does the rise of ethical consumers effect corporate social Essay

How does the rise of ethical consumers effect corporate social responsibility - Essay Example While taking price and quality into consideration, ethical consumers apply to the decision making process some additional criteria, which may be their priority issues in some cases. Corporate social responsibility (CSR) encompasses the relationship between corporations or other large organizations and the societies with which they interact. CSR also includes all the responsibilities which are a part of these relationships, for both the organizations and the societies. All stakeholders and constituent groups that have an interest in the organization’s operations are included in CSR’s wide and multiple-level definition of society. Corporate social responsibility can be defined as â€Å"the broad concept that businesses are more than just profit-seeking entities and therefore also have an obligation to benefit society† (Werther & Chandler, 2006: 6-7). Strategic corporate social responsibility is the concept that for long-term benefits to the organization, CSR should be made a part of the firm’s strategic perspective and operations. It has been recognized that the activities of an organization influence the external environment, hence it is important that the organization should be accountable to not only its stakeholders, but also to a wider community. This concept initially took root in the 1970s, and grew as a concern for the company as a member of society, with a wider view of company performance including its social performance (Crowther & Rayman-Bacchus, 2004: 3). Though community accountability was acknowledged as essential, the focus of big business on financial results was observed to be an impediment to social responsiveness, especially in the early years of the accountability concept taking shape. There is now an increasing move towards accountability of companies towards all participants, and this recent phenomenon is getting established as the

Processing and Production of orange in California Research Paper - 1

Processing and Production of orange in California - Research Paper Example A characteristic of orange production in the US is that more than half of the fruit juice sold is orange juice. Orange products in the US come in various forms including orange juice concentrates, smoothies, fresh squeezed juice, mixed fruit juices and marmalades. There is also orange oil that is a non-food product that is used in surface conditioning for wood furniture and mixtures with other citrus oils for grease removal and hand cleansing. All of the orange fruit is utilized because waste from cut fruit and juice processing is used as an animal feed. The context of this paper is going to dwell on processing and production of oranges in California by focusing on safe methods of storing, preserving and consuming oranges. This will be guided by the fact that orange production in California is primarily for fresh market. Fresh oranges and freshly squeezed orange juice and other citrus are richly endowed with vitamin C and Folate. According to Snart, they also provide significant amounts antioxidants, flavonoids, beta-carotenes and antioxidants (Snart 2). Orange varieties include Temple, Pineapple, Hamlin, Valencia and Navel with the Navel and Valencia varieties being grown commonly grown for commercial purposes in California. Navel oranges are generally seedless, but they might occasionally contain some seeds. The Valencia variety contains what is regarded as too many seeds according to professionals concerned with orange quality standards (Lobell, Kimberly and Christopher 189). The amount of seeds in an orange is determined by growth conditions, nearness to other citrus trees and availability of bees. Orange trees for commercial purposes are grafted onto seedling rootstocks that have been chosen for their disease tolerance in various soil conditions. Various rootstocks are also selected for their vigor, fruit quality and productivity. Common with all citrus trees, oranges go through a juvenile phase of about two to three

Persusive research paper on stem cell research and why it needs to

Persusive on stem cell and why it needs to continue and be funded by congress - Research Paper Example The present enthusiasm over prospective stem cell-produced remedies radiates from the new innovations of genetic biology. Though one cannot forecast the results from basic research, there is enough information available to suggest that a good deal of this enthusiasm is justified. This enthusiasm is not shared by those of the religious right. This faction is opposed to embryonic stem cell research which they claim as immoral and characterize as devaluing human life, much the same as does abortion, drawing a link between the two. This discussion will provide a brief overview of stem cell research and its benefits to society, the debate surrounding the issue and the arguments for continued research. Embryonic stem cells possess the ability to restore defective or damaged tissues which would heal or regenerate organs which have been adversely affected by a degenerative disease. Cell therapy has the very real potential to provide new cures for diabetes, cancer, kidney disease, macular deg eneration, multiple sclerosis and many other kinds of diseases. Cell therapy has also demonstrated a great potential to help repair and regenerate spinal cord injuries which would help paralyzed patients recapture lost body functions. The possibilities are limitless including greatly advancing the human lifespan because aging organs could be replenished. â€Å"We may even have the ability one day to grow our own organs for transplantation from our own stem cells, eliminating the danger of organ rejection† (â€Å"Future of Cell Therapy†, 2006). The three main objectives given for pursuing stem cell research are obtaining vital scientific information about embryonic development; curing incapacitating ailments and for testing new drugs instead of having to use animals. The scientific techniques for obtaining stem cells could lead to unparalleled advances and even cures for these and other ailments. It has been substantiated from animal research that stem cells can be diff erentiated into cells that will behave appropriately in their transplanted location. For example, the transplantation of stem cells following treatments for cancer has found much success for many years. There are numerous potential sources. The first is bone marrow stem cells. This type of stem cell is probably the most recognized of the stem cells. It has been used routinely to treat a variety of blood and bone marrow diseases, blood cancers and immune disorders. Leukemia is the most recognized disease that has been treated with a bone marrow transplant. New evidence suggests that bone marrow stem cells may be able to differentiate (the process by which an unspecialized cell acquires the features of a specialized cell) into cells that make up tissues outside of the blood such as liver and muscle (â€Å"Stem Cells In Use.† Learn.Genetics). The second type of stem cell is the adult stem cell. An adult stem cell is thought to be an undifferentiated cell, found among differentia ted cells in tissues or organs. These cells can renew themselves and can differentiate to become some or all of the major specialized cells types in the tissue and muscle it resides in. The primary function of this type of stem cell is to maintain and repair the tissue in which they reside. Because there are a very limited number of adult stem cells in each tissue coupled

REVIEW THIESIS Essay Example | Topics and Well Written Essays - 3250 words

REVIEW THIESIS - Essay Example Additionally, the study also discusses past research findings pertaining to the connection between education and creativity, particularly on how it contributed to success in business education. Moreover, the study will discuss the role of creativity in real life situations and the challenges of incorporating creativity within education with special emphasis on the business sector (Fasko, 2001, p.321). The twenty-first century is an age of globalization, telecommunication and digitalization of various forms of technologies. Therefore, this rapidly changing world demands people to multi-task and have the relevant skills in order to adapt. People need to have the ability to be flexible and process information quickly and efficiently. To succeed in the twenty-first century workforce, it is important for an individual to have certain skills: for example, problems, solving, goal setting and creative thinking skills. According to Jeffrey and Woods (2003, p. 122), an education system can develop these skills by raising and encouraging creativity among students. Education can encourage flexibility, innovation and positive creative thinking among students. Unfortunately, the education system in most institutions also contributes to avoidance of creativity among students. Despite the importance of formal education in the lives of people, most educational systems are failing to recognize the importance of developing creativity among the students. As Shaheen and Robinson (2010) argue, the education system is limiting the extent to which students can discover their creative potential. This is because creativity is not the main objective of the learning and assessment process in education. Most educational systems put more emphasis on the importance of meeting the objectives and goals of the school program but fail to address the importance of creativity among the

Literacy Essay Example | Topics and Well Written Essays - 1250 words

Literacy - Essay Example Through learning of vowels a kid is able to learn the different sounds and later how to make a syllable. Syllables are the basic units of words which are further joined with helping words to make a meaningful word or a sentence. Every literate person learned how to write or read through some formal or informal education. Informal institutions like the kindergartens and baby cares play a big part in the society regarding this matter (Holbek 7). At this period am proud to say my parents played a major role in what I am today. In class I never understood how to pronounce some vowels, finish my homework and majorly how to write my name. The latter, on many occasions made me skip writing my name on writing books or the quizzes we were frequently given. Pronunciation was a big burden in my kindergarten life, especially words that had two or three syllables (Kozol 194). Each day after school, my parents used to teach me these problems countless times before I slept, which was kind of a torture for me at some point. At times when I was stubborn, I was occasionally punished through spanking and some grounding. Through the frequent teachings and memorizations, I learned how to write my name and even learned some pronunciations beyond my level. Pronunciations and writing of my name is one practice that I believe would never end any time soon, because I still use them up to now (Kozol 199). Apart from the basic learning of writing and pronunciations, the kids are also given time to play.

Summary The Health Care Quality Book Essay Example for Free

Summary The Health Care Quality Book Essay Chapter 1: science and knowledge foundation Two notable contributions to the industry from the Journal of American Medical Association: 1. Assessment of the state of quality ïÆ'   serious and widespread quality problems 2. Categorization of three defects: a. Underuse: many scientifically sound practices are not used as often as they should be b. Overuse: can be seen in areas such as imaging studies for diagnosis in acute asymptomatic low back pain or prescription of antibiotics when not indicated for infections. c. Misuse: when the proper clinical care process is not executed appropriately, such as giving the wrong drug to a patients. To Err Is Human: publication that shows the severity of the quality problems in a way that captured the attention of all key stakeholders for the first time ïÆ'   this report spoke about the negative, not how it should be improved. Crossing the quality chasm: provided a blueprint for the future that classified and unified the components of quality through six aims for improvement, chain of effect and simple rules for redesign of health care. Six dimensions of quality (Berwick): Outcome measures and goals (IOM) = Institute of Medicine’s Safe Percentage of overall mortality rates/patients experiencing adverse events or harm Effective: science and evidence should be applied and serve as the standard for delivery of care. How well are evidence based practices followed? Percentage of time diabetic patients receive all recommended care at each doctor visit.. Efficient: Care and service should be cost effective, and waste should be removed. Analyzing the costs of care by patient, organization, provider or community Timely: no waits or delays in receiving care Measured by waits and delays in receiving needed care, service, and test results. Patient centered: system should revolve around the patient, respect its preferences and put the patient in control Patient or family satisfaction with care and service Equitable: Disparities should be eradicated. Examining differences in quality measures by race, gender, income or other factors. The underlying framework for achieving these aims depicts the health care system in four levels: Level A: what happens with the patient Level B: the micro system where care is delivered by small provider teams Level C: organizational level: the macro system or aggregation of the Microsystems and supporting functions. Level D: external environment where payment mechanisms, policy and regulatory factors reside (verblijven) Chapter 2: Basic concepts of health care quality The following attributes relevant to the definition of quality of care are important: Technical performance ïÆ'   refers to how well current scientific medical knowledge and technology are applied in a given situation (it is usually assessed in terms of timeliness and accuracy of the diagnosis, appropriateness in of therapy) Management of the interpersonal relationship ïÆ'   refers to how well the clinician relates to the patient on a human level. The quality of this relationship is important because: By establishing a good relationship with the patient the clinician is able to fully address the patient’s concerns, reassure the patient and relieve the patient’s suffering It can affect technical performance: the clinician is better able to elicit from that patient are more complete and accurate medical history, which can result in a better diagnosis Amenities (voorzieningen) ïÆ'   refers to the characteristics of the setting in which the encounter between patient and clinician takes place, such as comfort, convenience and privacy. Amenities are valued both in their own right and for their effect on the technical and interpersonal aspects of care. Amenities can yield (opleveren) benefits that are more indirect. Access ïÆ'   refers to the degree to which individuals and groups are able to obtain needed services. Responsiveness to patient preferences ïÆ'   respect for patients’ values, preferences and expressed needs affects quality of care as a factor in its own right. Equity ïÆ'   the amount, type or quality of health care provided can be related systematically to an individual’s characteristics, particularly race and ethnicity, rather than to the individual’s need for care or healthcare preferences, have heightened concern about equity in health care. Medicine does not fulfill its function adequately until the same perfection is within the reach of all individuals. Efficiency ïÆ'   refers to how well resources are used in achieving a given result. Cost-effectiveness ïÆ'   how much benefit, typically measured in terms of improvement in health status, the intervention yields for a particular level of expenditure. For each stakeholder in health care, quality can be differently defined: page 30 + 31. These definitions have a great deal in common: Each definition emphasizes different aspects of care Definitions conflict only in relation to cost-effectiveness All evaluations of quality of care can be classified in terms of one of the three aspects of caregiving they measure: Structure: when quality is measured in terms of structure, the focus is on the relatively static characteristics of the individuals who provide care and of the settings where the care is delivered. These characteristics include the education, training and certification of professionals. Process: refers to what takes place during the delivery of care, also can be the basis for evaluating quality of care. Outcomes: Outcome measures, which capture whether healthcare goals were achieved, are another way of assessment of quality of care. Outcome measures have to include the costs of care as well as patients’ satisfaction with care. Which one is better to use? ïÆ'   none of them, all depends on the circumstances. To assess quality using structure, process or outcome measures, we need to know what constitutes good structure, good process and good outcomes. We need criteria and standards we can apply to those measures of care: Criteria = specific attributes that are the basis for assessing quality Standards = express quantitatively what level the attributes must reach to satisfy preexisting expectations about quality. For example ïÆ'   type of measure: structure and focus on primary care group practice: Criterion: percentage of board-certified physicians in internal or family medicine – Standard: 100% of physicians in the practice must be board certified in internal or family medicine. Optimal standards: denote the level of quality that can be reached under the best conditions, typically conditions similar to those under which efficacy is determined ïÆ'   useful as reference point. Structural measures are well suited to detecting lack of capacity to deliver care of acceptable quality. They are also only as good and useful as strength of their relation to desired processes and outcomes. To evaluate structure, process and outcome measures criteria and standards are essential. Whereas the formulation of criteria is expected to be evidence driven (efficacy). The setting of standards is not similarly tied to scientific literature. The decision to set standards at a minimal, ideal or achievable level is most meaningful if driven by the goals behind the specific quality of care evaluation for which the standards are to be used. Chapter 3: Variation in medical practice and implications for quality Variation ïÆ'   the difference between an observed event and a standard or norm. Without this standard, or best practice, measurement of variation offers little beyond (biedt niet meer dan) a description of the observations. Random variation = physical attribute of the event or process, adheres to the laws of probability and cannot be traced to a root cause. (houdt zich aan de wetten van waarschijnlijkheid en kan niet worden herleid tot een oorzaak). It is not worth to study it in detail. Assignable variation = arises from a single or small set of causes that are not part of the event or process and therefore can be traced, identified, and implemented and eliminated ïÆ'   subject to potential misunderstanding because of complexity of design and interpretation. 1. Process variation = the difference in procedure throughout an organization (use of various screening methods for colorectal cancer) Technique ïÆ'   multitude of ways in which a procedure can be performed within the realm of acceptable medical practice. 2. Outcome variation = difference in the result of a single process (mostly focus on this measure) the process yielding optimal results ïÆ'   outcomes research 3. Performance variation = the difference between any given result and the optimal ideal result. This threshold or best practice is the standard against which all other measurements of variation are compared. Performance variation tells us where we are and how far we are from where we want to be, and suggests ways to achieve the desired goal. Variation can be desirable? ïÆ'   a successful procedure that differs from other, less successful procedures is by definition variation. The objective then for quality improvement is not simply to identify variation but to determine its value. How can the variation be eliminated or reduced in the ways that focus on the variation rather than on the people involved? So, understanding the implications for quality of variation in medical practice is not simply learning how eliminate variation but learning how to improve performance by identifying and accommodating good or suboptimal variation from a predefined best practice. Variability plays a role in identifying, measuring and reporting quality indicators (effective, efficient, equitable..) and process-of-care improvements. Some hospitals are reluctant to use quality improvement measures (they perceive them as biased towards academic medical research centers or large health care organization) ïÆ'   untrue! Quality improvements efforts can be and have been successfully applied to small organization and practices. The size of an organization also effects the ability to disseminate (verspreiden) best practices. Large organization tend to have rigid frameworks or bureaucracies; change is slow and requires perseverance (doorzettingsvermogen) and the ability to make clear to skeptics and enthusiasts the value of the new procedure in their group and across the system. An organization ‘s commitment to paying for quality improvement studies and implementation is equally affected by its size and infrastructure, but there are some minimum standard levels of quality and linked reimbursement schemes to achieving goals established by the Joint Commission, CMS and Medicare ïÆ'   all organizations obligated to meet these standards. Quality improvement effort must consider organizational mind-set, administrative and physician worldviews, and patient knowledge and expectations. Physician buy-in is critical to reducing undesired variation or creating new and succesfull preventive systems of clinical care, therefore: training physician champions and inciting (aanzetten) them to serve as models, mentors and motivators and it reduces the risk of alienating (vervreemden) the key participants in quality improvement efforts. Patient education in quality of care is equally subject to variation; patients are aware of the status of health care providers in terms of national rankings, public news of quality successes and so on. Educating patients about a health care organization and its commitment to quality makes variation and process-of-care measures available to the public. Organizational mind set ïÆ'   organizational infrastructure is an essential component in minimizing variation, disseminating best practices and supporting a research agenda associated with quality improvements. Economic incentives may be effective in addressing variation in health care by awarding financial bonuses to physicians and administrators who meet quality targets or withholding bonuses from those who do not. Goals of incentives: to help people understand that their organization is serious about implementing quality changes and minimizing unwanted variation to ensure alignment with national standards an directions in quality of care and to encourage them to use the resources of the organization to achieve this alignment . Chapter 4: Quality improvement: the foundation, processes, tools and knowledge transfer techniques Different leaders of quality improvement systems: page 63 – 67 Quality improvement approaches (derivatives and models of the ideas and theories developed by thought leaders): PDCA/PDSA, Associates for Process Improvement’s Model for Improvement, FOCUS PDCA, Baldrige criteria, ISO 9000, Lean, Six Sigma. PDCA/PDSA cycle Basis for planning and directing performance improvement efforts. 1 Plan: Objective: what are you trying to accomplish? What is the goal? Questions and predictions: What do you think will happen? Plan to carry out the cycle: Who? What? When? Where? 2 Do Educate and train staff Carry out the plan (try out the change on a small scale) Document the problems and unexpected observations? Begin analysis of the data 3 Study/Check Assess the effect of the change and determine the level of success as compared to the goal/objective Compare results to predictions Determine what changes need to be made and what actions will be taken next 4 Act Act on what you have learned Determine whether the plan should be repeated with modifications or a new plan should be created Perform necessary changes Identify remaining gaps in process or performance Carry out additional PDCA/PDSA cycles until the agreed-upon goal or objective is met API improvement model Simple model for improvement based on Deming’s PDSA cycle. The model contains three fundamental questions that form the basis of improvement: What are we trying to accomplish? How will we know that a change is an improvement? What change can we make that will results in improvement? FOCUS/PDCA model Building on de PDCA cycle the FOCUS PDCA model is created: more specific and defined approach to process improvement. The key feature of this model is the preexistence of a process that needs improvement. The intent of this model is to maximize the performance of a preexisting process, although the inclusion of PDCA provides the option of using this model for new or redesign process. F: FIND a process to improve O: ORGANIZE a team that knows the process C: CLARIFY current knowledge of the existing or redesigned process U: UNDERSTAND the variables and causes of process variation within the chosen process S: SELECT the process improvement and identify the potential action for improvement Baldrige criteria The criteria can be used to assess performance on a wide range of key indicators: health care outcomes; patient satisfaction; and operational, staff and financial indicators. The Baldrige healthcare criteria are built on the following set of interrelated core values and concepts (page 70). The criteria are organized into seven interdependent categories: Leadership Strategic planning Focus on patients, other customers, and markets Measurement, analysis and knowledge management Staff focus Process management Organizational performance results Baldrige’s scoring system is based on a 1000 point scale. Each of the seven criteria is assigned a maximum value ranging from 85 to 450 maximum points. The most heavily weighted criterion is the results category (450). The weight of this category is based on an emphasis Baldrige places on results and an organization’s ability to demonstrate performance and improvement in the following areas: Product and service outcomes, customer-focused outcomes, financial and market outcomes, workforce-focused outcomes, process effectiveness outcomes, leadership outcomes. ISO 9000 The international Organization for Standardization (ISO) issued the original 9000 series of voluntary technical standards in 1987 to facilitate the development and maintenance of quality control programs in the manufacturing industry. In 2000, ISO made major changes to the standards to make them more relevant to service and health care settings. Focused more on quality management systems, process approach, and the role of top management, the most recent standards include eight common quality management principles: Customer-focused organization Leadership Involvement of people Process approach System approach to management Continual improvement Factual approach to decision making Mutually beneficial supplier relationships Lean thinking Lean ïÆ'   to describe production methods and product development that, when compared to traditional mass production processes, produce more products, with fewer defects, in a shorter time. The focus of Lean methodology is a ‘back to basics’ approach that places the needs of the customer first through the following five steps: 1. Define value as determined by the customer, identified by the provider’s ability to deliver the right product or service at an appropriate price. 2. Identify the value stream: the set of specific actions required to bring a specific product or service from concept to completion 3. Make value added steps flow from beginning to end 4. Let the customer pull the product from the supplier, rather than push products 5. Pursue perfection of the process Six sigma The aim of six sigma is to reduce variation (eliminate defects) in key business processes. By using a set of statistical tools to understand the fluctuation of a process, management can predict the expected outcome of that process. Six sigma incluses five steps, commonly known as DMAIC: Define: Identify the customers and their problems. Determine the key characteristics important to the customer along with the processes that support those key characteristics. Identify existing output conditions along with process elements. Measure: Categorize key characteristics, verify measurement systems and collect data Analyze: Convert raw data into information that provides insights into the process. These insights include identify the fundamental and most important causes of the defects or problems. Improve: Develop solutions to the problem, and make changes to the process. Measure process changes and judge whether the changes are beneficial or another set of changes is necessary. Control: If the process is performing at a desired and predictable level, monitor the process to ensure that no unexpected changes occur. The primary tool of six sigma is that focus on variation reduction will lead to more uniform process output. Secondary effects include less waste, less throughput time and less inventory. Quality tools: three categories (also six categories distinguishing on page 74) Basic quality tools Control chart: upper and lower control boundaries that define the limits of common cause variation. It is used to monitor and analyze variation from a process to determine whether that process is stable and predictable or unstable and not predictable Histogram Cause-and-Effect/Fishbone diagram: the problem is stated on the right side of the cart, and likely causes are listed around major headings that lead to the effect. It can help organize the causes contributing to a complex problem. Pareto chart: 80% of the variation of any characteristic is caused by only 20% of the possible variables. Management and planning tools (75) Affinity diagram: a list of ideas is created, and then individual ideas are written on small note cards. Team members study the cards and group the ideas into common categories. The affinity diagram is a way to create order of a brainstorm session. Matrix diagram: helps us to answer two important questions when sets of data are compared: Are the data related? How strong is the relationship? Priorities matrix: uses a series of planning tools built around the matrix chart. Other quality tools Benchmarking: compares the processes and successes of you competitor of similar top-performing organizations to your current processes to define, through gap analysis, process variation and organizational opportunities for improvement. Benchmarking defines not only organizations that perform better but also how they perform better. Failure mode and effect analysis: examines potential problems and their causes and predicts undesired results. FMEA normally is used to predict product failure form past part failure, but it also can be used to analyze future system failures ïÆ'   both in patient safety toolbox. 5S: is a systematic program that helps workers take control of their workspace so that is actually works for them instead of being a neutral or, as is quite common, competing factor. Sort: means to keep only necessary items Straighten: means to arrange and identify items so they can be easily retrieved when needed. Shine: means to keep items and workspaces clean and in working order Standardize: means to use best practices consistently Sustain: means to maintain the gains and make a commitment to continue the first four S. Theory of Transfer of Learning ïÆ'   page 77 Rapid cycle testing/improvement Developed by IHI, rapid cycle testing/improvement was designed to create various small tests involving small sample sizes and using multiple PDSA cycles that build on the lessons learned in short period while gaining buy-in from staff involved in the change. It is designed to reduce the cycle time of new process implementation from months to days. Read 78/79/80/81 Chapter 5: Milestones in the quality measurement journey Many health care providers struggle to address the measurement mandate proactively, which leads organizations to assume a defensive posture when external organizations release the data. In such cases, the provider usually responds in one of the following ways: data are old, data are not stratified and do not represent appropriate comparisons, our patients are sicker than those in other hospitals. A more proactive posture would be to develop an organization-wide approach to quality measurement that meets both internal and external demands. This approach is not a task, but a journey that has many potential pitfalls and detours. Key milestones exist that mark your progress and chart your direction. Milestone 1: Develop a measurement philosophy (strategic step): What is/should be the role of performance measurement in the organization? Should it be done periodically or a day-to-day function? The first step toward this milestone should be the creation of an organizational statement on the role of measurement. Three simply questions should be explored when developing a measurement philosophy: 1. Do we know our data better than anyone else does? 2. Do we have a balanced set of measures that encompasses clinical, operational, customer service and resource allocations? 3. Do we have a plan for using the data to make improvements? Milestone 2: Identify the concepts to be measured (types and categories of measures) (strategic and operational step) The second milestone consists of deciding which concepts the organization wishes to monitor. There are three basic categories of measures: structure (s): represents the physical and organizational aspects of the organization processes (p): every activity, every job, is part of a process. outcomes (o): structure combine with processes to produce outcomes. The relationship between these categories usually is shown as follows: s + p = o Another categorization that can be made is (more specific) according to the six aims for improvement: 1 Safe, 2 Effective, 3 Patient centered, 4 Timely, 5 Efficient, 6 Equitable Regardless of the method used, an organization must decide which concepts, types, or categories of measures it wishes to track. Milestone 3: Select specific measures What aspect of (patient safety) do we want to measure? What specific measures could we track? Choose a specific indicator In this step you need to specifying what aspect of for example patient safety you intend to measure and the actual measures. Within the patient safety, you could focus on medication errors, patient falls, wrong site surgeries etc. Within the medication error you can measure different things: number of medication orders that had an error, total number of errors caught each day, percentage of orders with an error etc. Milestone 4: Develop operational definitions for each measure An operational definition is a description, in quantifiable terms, of what to measure and the specific steps needed to measure it consistently. A good operational definition: Gives communicable meaning to a concept or an idea Is clear and unambiguous Specifies the measurement method, procedures and equipment Provides decision-making criteria when necessary and Enables consistency in data collection The problem created by poor operational definitions should be obvious: if you do not use the same operational definition each time you record and plot data on a chart, you will either miss a true change in the data or think a change has occurred when in fact one has not. Using the same operational definition becomes even more critical if you are trying to compare several hospitals or clinics in a system. Milestone 5: Develop a data collection plan and gather data (giving special consideration to stratification and sampling) Direct start with data collection may cause teams to collect the wrong data in the wrong amounts. The data collection phase consists of two parts: Planning for data collection: what process will be monitored? What specific measures will be collected? What are the operational definitions of measures?.. The actual data gathering: how will you collect the data? Will you conduct a pilot study? Who will collect the data? (page 94) Once you have resolved these issues, the data collection should go smoothly. Sometimes improvement teams do not spend enough time on data collection plans. This can lead to the following problems: (1) collect too much, or too little data (2) collect the wrong data (3) become frustrated with the entire measurement journey. Consequences can be: the team tends to (1) distort (verdraaien) the data (2) distort the process that is produced the data or (3) kill the messenger. Two key data collection skills – stratification and sampling enhance any data collection effort. Stratification = the separation and classification of data into reasonably homogeneous categories. The objective of stratification is to create strata, or categories, within the data that are mutually exclusive and facilitate discovery of patterns that would not be observed if the data were aggregated. Stratification allows understanding of differences in the data caused by different factors (page 95). If you do not think about how these factors could influence your data you run the risk of making incorrect conclusions and having to filter out the stratification effect manually after you have collected the data. Sampling (steekproef) ïÆ'   the most important thing you can do to reduce the amount of time and resources spent on data collection. There are four conditions for developing a sampling plan: accuracy, reliability, speed and economy. Sampling consists of a series of comprom ises and trade-offs. The basic purpose of sampling is to be able to draw a limited number of observations and be reasonably confident that they represent the larger population from which they were drawn. There are two basic approach to sampling: Probability sampling techniques: based on statistical probability (systematic sampling, simple random sampling, stratified random sampling, stratified proportional random sampling) Non-probability sampling techniques: should be used when estimating the reliability of the selected sample or generally applying the results of the sample to larger population is not the principal concern. The basic objective is of this type of sampling is to select a sample that the researchers believe is typical of the larger population. (convenience sampling, quota sampling and judgement sampling) 99-102 Milestone 6: Analyze the data using statistical process control methods (especially run and control charts) Translate data into information. Milestone 7: Use the analytic results to take action (implement cycles of change, test theories and make improvements) Chapter 6: Data collection Quality measurements can be grouped into four categories: Clinical quality Financial performance Patient satisfaction Functional status To report on each of these categories, several spate data sources may be required. The challenge is to collect as much data as possible from the fewest sources with the objectives of consistency and continuity in mind. Retro prospective data collection: involves identification and selection of a patient’s medical record or group of records after the patient has been discharged. Prospective data collection: relies on medical record review, but it is completed during a patient’s hospitalization or visit rather than retrospectively. Disadvantage: time consuming and can distract nurse from their direct patient care responsibilities, expensive method, mostly full time data analyst needed. Source for data for quality improvements: Administrative databases: are information collected, processed and stored in automated information systems. Excellent source of data for reporting on clinical quality, financial performance, and certain patient outcomes. Advantages: less expensive source of data, they incorporate transaction systems, moest of the code sets embedded are standardized, the database are staffed by individuals who are skilled, the volume is great, data reporting tools are available.. Disadvantages: some argue that these data is less reliable than data gathered by chart review. Patient surveys: especially when teams are interested in the perceptions of patients, either in terms of the quality of care or the quality of service provided. A team can design the survey itself, hire an expert to design a survey, or purchase an existing survey/survey service. Functional status surveys: usually measured before and at several points following the treatment or procedure. (for example a baseline before the knee procedure and then assessments are made at regular intervals after the surgery) Health plan databases: excellent source of data for quality improvement projects, particularly projects that have a population health management f ocus. These databases are valuable because they contain detailed information on all care received by health plan members. It provides a comprehensive record of patient activity and can be used to identify and select patients for enrollment in disease management programs. Used properly: rich source of data for population management, disease management and quality improvement projects. Health plan databases limitations: considerations include accuracy, detail and timeliness. Recoding may make some data inaccurate, they do not contain detailed information on outcomes of care . Patient registries: powerful source of quality improvement data. Advantages: rich source of information because they are customized, can collect all the data that the physician or health system determines are most important, can be used for quality improvements, they are not subject to the shortcomings of administrative or health plan databases, collection techniques can be combined to provide a complete picture of the patient experience. They are versatile and flexible. Example case study in clinical reporting: page 123-127 Conclusion: there are many sources and data collection approaches from which to choose. Rarely does one method serve purposes, so it is important to understand the advantages and disadvantages of all methods. A combination is also possible. Knowledge of different sources and techniques will help you to use data more effectively and efficiently in your clinical improvement effort. Chapter 7: Statistical tools for quality improvement Three fundamental purposes for performance measurement: Assessment of current performance: identify strengths and weaknesses of current processes Demonstration and verification of performance improvement And control of performance Performance measurement benefits organizations in several ways: provides factual evidence of performance, promotes ongoing organization self-evaluation and improvement, illustrates improvement, facilitates cost-benefit analysis, helps to meet external requirements and demands for performance evaluation, may facilitate the establishment of long-term relationships with various external stakeholders. May differentiate the organization from competitors, may contribute to the awarding of business contacts and fosters organizational survival. .. Chapter 13: Leadership for quality Leadership = working with people and systems to produce needed change. Individual leadership = this set of leadership is about what people must be and what they must know how to do, if they are to influence others to bring about needed changes. Both being and doing are needed, especially when the changes required for quality improvement involve reframing core value or remaking professional teams. Many improvements in health care will require these kinds of deep changes in values. These changes are sometimes labeled as transformational changes to distinguish them from transactional changes, which do not require changes in values and patterns of behavior. Organizational leadership = about creating a supportive organizational environment in which hundreds of capable individual leaders’ work can thrive (groeien). One way to view this level (system-of-leadership level) is as a complex set of interrelated activities in five broad categories: Set direction: every organization has a sense of direction, a future self-image. A leader should set that direction. Establish the foundation: leaders must prepare themselves and their leadership teams with the knowledge and skills necessary to improve systems and lead change (and reframe values) Build will: to initiate and sustain change takes will, which seem to be highly sensitive to discord and often grind to a halt because of one loud voice opposing change ïÆ'   therefore making logical and quantitative links should be made between improvement and key business goals. Generate ideas: quality challenges require innovation. Page 313 Implementing quality as the core organizational strategy Implementing a culture that has quality improvement at its core is an important goal for providers who want to serve patients better, gain the support of healthcare providers, stay ahead of government regulation, meet consumer’s demand for transparent information on quality and costs, an gain a competitive advantage in the marketplace. Recent history: many efforts have not resulted in the sustainable quality improvements that the leaders hoped to see. Quality improvement strategy should start with leadership from the board of trustees, the CEO and the executive team, but it is a challenge for health care organizations because of the many internal competing agendas, the rapidly changing environment, employees and so on. First step: to establish an organizational culture that will support the hospital on their journey to quality ïÆ'   starting point: leadership! Kaplan Norton: Balanced Scorecard ïÆ'   this approach includes the perspective of the patient and family, internal processes such as clinical pathways, learning and growth opportunities that focus on employees and financial performance. Role of leadership: leaders ask financial questions about market share, margins and quality implications. They raise questions related to the satisfaction of their internal and external customers and the way in which business processes must change to improve and sustain quality. Primary focus on creating a culture of quality. Baldrige National Quality Program Creating the change towards quality starts with leadership. Road map for change Eight stage change process, modified form Kotter’s seminal work (Leading Change 1996) serves as a realistic and viable framework to guide leaders who are managing a change to quality: 1. Unfreezing the old culture This is the most difficult step because of culture’s influence on employee behavior and some employee’s to desire to resist change and impede progress. 2. Forming a powerful guiding coalition 3. Developing a vision and strategy 4. Communicating a vision and strategy 5. Empowering employees to act on the vision and strategy 6. Generating short-term wins 7. Consolidating gains and producing more change 8. Refreezing new approaches in the culture View as multi-pages

Security Threats In Cloud Computing

Security Threats In Cloud Computing What is cloud computing? To explain Cloud computing in simple words, lets just say it is Internet computing, if we observe closely the internet is basically the collection of cloud; thus, the cloud computing word can be elaborated as using the internet, to its full potential, to provide organization and people, technology enabled oriented services. Cloud computing let consumers access, by the help of the internet, resources online from any corner of the world without the need to worry about physical/technical maintenance and management issues of the real original resources. What is cloud computing security? To keep it in simple words, cloud security actually points out to a broad set of rules/regulation or policies, maybe set of technologies, or controls deployed solely for the sake of, to protect application data, and the linked infrastructure of cloud computing from the malicious intruder. If all seems good how come security threat became an issue? The cloud computing technology is on the verge of peak. Its really a wonderful news for enterprises and organization who want to get things done with more quickness and easiness as compared to past times but one need to keep their vision open to the possibility of data hijack. The famous Company IBM lies on top of companies providing cloud security with many options in hand to reduce risk. The 9 biggest threats right now according to a report that was released, on 29 February, from the Cloud Security Alliance are: Security Breach in terms of data The companies providing cloud environment face more commonly the same threat i.e. traditional corporate, yet due to the huge amount of data stored on their private servers, they are more vulnerable to the eyes of hackers or intruders. The information being leaked from their servers or exposed becomes headline showing the drawback of the security area. Disaster occur when information such as trade secret, health information or intellectual property data are breached If such event occurs in which hacker or intruder outrun the security checks of cloud environment and data breach occur, then the organization providing the facility may end being washed up on the shore just like a broken ship because they may be filed or sued by the potential customers. To protect their environment, normally cloud owners, deploy security protocols in their services field but in the cloud organizations are responsible for protecting their own data Broken authentication Compromised credentials The most common reasons for data breach are weak passwords, poor key lax authentication or certificate management. Companies often strive with identity management, as they try to give or deny permissions as defined to the users job role. More important, keeping in view, they sometimes dont or forget to remove access of user when a job function changes or when a user leaves the environment of organization. The ways of multifactor authentication systems such as phone-based authentication, one-time passwords smartcards tends to protect cloud services because this make it quite harder for attackers, hacker to log or go in to access with stolen passwords. Many developers dont realize the danger of embedding credentials in source code and make such mistake and upload the source code on famous site where source code is easily accessible such as GitHub and bit bucket. APIs Hacked interfaces Normally every cloud application and service now gives APIs access to its users. IT teams use APIs and interfaces to organize and connect with cloud pool, including those that offer cloud management, provisioning, monitoring, and orchestration. The availability and security of cloud services from authentication to encryption and access control and activity monitoring depend on the security level of that particular API. Risk level increases with commonly third parties that tends to rely on APIs and build an infrastructure on these interfaces, as organizations may feel the need to expose or portray more credentials or service, the CSA warned. Weak APIs and interfaces expose company to security concerns related to integrity, confidentiality, accountability, and availability. APIs and interfaces are the most exposed and weak part of a system because theyre usually accessible and easily gained access from the open Internet. Misuse system vulnerabilities Exploitable bugs, or system vulnerabilities in application and programs, are not new, but theyve become rapidly a huge problem with the inclusion of multitenancy in cloud computing services. Organizations handshake databases, memory and other resources in close range to one another, giving chance to new possible attack surfaces. Hijacking of Account Software exploits, fraud and phishing are still the most successful way for intruders for back door gain access. Above all that, cloud services add a whole new level of dimension to the possibilities of threat because hackers can eavesdrop on various activities, modify data and manipulate transactions. Not only that, hackers may also use cloud application for their advantage to launch various other attacks. Cloud service provider should prohibit user from sharing of account security credentials between services and users Malicious insiders The threat from inside has many faces: a former or current employee, a contractor, system administrator, business partner or a contractor. In a cloud system scenario, a malicious insider can destroy or burn the whole infrastructures to ground or manipulate system data. Systems that solely depend on the various cloud service provider for security implementation, such as data or key encryption, are at huge risk. The parasite Advantage persistent threat (APT) APTs normally and blend in normal traffic move through the network, so it becomes difficult to detect. The major cloud service providers make sure to apply advanced encryption techniques to prevent threat such as APTs from infiltrating or entering their building infrastructure. Common points of entering in the system include direct attacks, spear phishing, USB or pen drives loaded with malware injection, and third-party compromised software networks. Totally Permanent loss of data With the day to day enhancement and cloud services of getting matured, reports of permanent loss of data due to error from provider have vanished into thin air. But intruders or malicious hackers are famous to white wash cloud data just to harm businesses and bring the service provider to ground, and cloud data provider centers are at risk to natural disasters as any common facility. Cloud service providers advice or recommend their user to distribute their data and applications across various multiple layers of zones for much more added protection. Abuse of cloud service power The disaster that can occur from the misuse of cloud service power can never be mapped of any graph scale. It has the tendency to supportÂÂ   various criminal activities such as using the resources of cloud technology to break in to gain encryption key in order to launch various attack such as sending phishing email, messages or filling mailbox with spam mails, launching famous DDoS attack to shut down server or hosting malicious content.

Strengths and Weaknesses of Crime Statistics and Victimisation Surveys

Strengths and Weaknesses of Crime Statistics and Victimisation Surveys Rates of crime are recorded using two key sources; Police Recorded Crime (PRC) and Victimisation Surveys. Both will be explored and examined to see how they can, effectively assist policy makers in targeting areas for change. In addition the advantages and disadvantages of each method will be discussed along with their similarities and differences. To understand why it is important to record crime levels, three key notions must be clarified. Firstly, crime is legally defined as any act or omission outlawed by the criminal law and thus punishable (Odgers,1911). Secondly, the purpose of the judicial system is to enforce the law and protect victims of crime. Thirdly, criminal guilt relates to premeditated intention. Universal law is non-existent; therefore each country or locality has its own legal system. The shared aim is to hold person/s accountable for their behaviour. Substructures of the judiciary may focus on specific areas of interest. These may include the courts, and penal system and constabulary. The role of the courts and penal system is specific. It is in place to serve and protect the innocent, to pass judgement on the guilt or innocence of persons presented and to serve a proportionate punishment in response to the criminal act committed. Any form of justice served must remember the civil liberties of all concerned, including the offender. Crime prevention and law enforcement are a separate division provided by the constabulary. The term criminal guilt stems from two fundamental Latin principles. These are actus reus which translates as bad act and mens rea guilty mind. The accused must be found to have committed actus reus with the willing intention to perpetrate the act and/or to have assessed the risk i.e. accident or fear may be experienced as a direct result of the action (Dubber, Markus D. (2002). Few exceptions to being found guilty of one of these alone exist, these concern whether a person can be fully answerable for their actions. Examples of mens rea without actus reus can relate to crimes, where although the action is deemed illegal, the act may not have the deliberate intention to harm another. Examples of this could involve driving at excessive speed, an act of accidental manslaughter or self-defence. (law.jrank.org) Two comparable sources are used to measure crime rates within the UK. Police recorded crime measures the volume of notifiable offences committed over a fixed period, within the jurisdiction that the constabulary serves. Crime-related statistics are obtained at request of the British Home Office, where they are collated, analysed, and published throughout the year. The figures provide the government and the public with a summarised account of the information obtained. They aim to reveal and compare crime rates within specific localities. They are also used to demonstrate the effectiveness of policing. This information can be used to suggest areas for improvement and assist in the constant struggle to prevent crime occurring. The second method that is utilised, verifies the extent to which crime is perpetrated and is a valuable tool when combatting crime. Victimisation surveys; primarily recognised as the British Crime Survey (BCS) is a form of crime-related statistical research that was established in 1982. It was introduced in response for an alternative complementary system to exist alongside using police records alone. It aimed to gather intelligence on the public attitudes towards crime and their opinions relating to the judicial system. Although operationally independent from any government body, the BCS is still conducted for the British Home Office (First BCS report, Hough and Mayhew, 1983). The survey confidentially canvasses in the region of forty to fifty thousand individuals (Office for National Statistics, 2005) to uncover various information relating to crime-related experiences, including anti-social behaviour and police interaction and response to criminal activity. The people questioned span various demographics and aim to be representative of society. They are interviewed anonymously via door to door visits or telecommunications. Police recorded crime statistics are easy to conduct and provide a good measure of criminal cases both regionally and nationally. Because the statistics are compiled from police reports readily available, the only additional cost incurred involves the information being sent, analysed and evaluated. Over time re-occurring inclines and declines in illegal behaviour can be identified and used when analysing patterns of crime, in particular to risk assess, highlight and tackle crime hotspots. Crime statistics can also indicate the workload and performance level of police forces throughout the country.  [1]   An indication of a reduction in crime related incidents could boost public morale. If necessary the findings could influence change surrounding governing policy. For example, the allocation or re-allocation of specific resources within a police department could lead to a more efficient service. Identifying the need to place patrol officers where the greatest street crime occurs would be one way to maximise effectiveness of the police service. Unless a crime has been reported to the police and they have classified it as criminal it will not be included. This means that all minor misdemeanours that would be trialled as summary offences in court such as, crimes relating to anti social behaviour, assault, disorderly conduct and criminal trespass, along with most either-way offences for example theft and drug offences are excluded from being recorded  [2]  . This highlights one of the main failings of this form of data collection as it leads to discrepancies when analysing the results, especially when comparing between PRC and victimisation surveys. Data collection and recording of PRC statistics are affected by the regulations implemented by the current governing body  [3]  . The results uncovered may point to a rise in criminal acts being committed. This could have a negative impact on society. As a result the published findings could become biased and used as propaganda to mislead people into believing that crime rates are more favourable than factual. In some situations the volume of crime could be falsely recorded to meet performance and administrative targets (Chambliss, 2001). This is in direct contradiction of providing a good service to the public. British crime surveys are independent from government reports and not affected by changes in how crime is reported and documented. They play an important role in serving the public interest and governing change and policy. They provide a better indication relating to long-term trends of crime within society  [4]  , in particular highlighting crimes which affect different sociological groups. For example, crimes against women and those which affect minority groups such as the vulnerable, mentally ill, the disadvantaged and ethnic minorities. The BCS provides statistics which demonstrate the extent to which crime occurs. It accounts for minor offences, antisocial behaviour and victimless crime such as fraud. It also includes household and personal crime which may not be otherwise reported or deemed a criminal act  [5]  . The BCS is constantly changing to adapt to new concerns affecting society  [6]  . Recent expansion has seen the inclusion of acts committed against minors such as gadget theft which has seen a vast increase as technology advances; however this is only in the testing stage and is yet to be fully implemented. It has also seen the inclusion of crimes relating to identity theft  [7]  . The confidential method of surveying is flexible and can reach a wide proportion of people. Interviews conducted may take place at home, by visiting door to door or over the telephone. This can motivate people to openly speak their mind about their experiences and concerns. It may also lead to the discussion of topics of a sensitive nature for example, being the victim of racially incited or homophobic hate crimes, which they may not have wanted to report. This may be due to shame, embarrassment, a fear of repercussions or not being believed or taken seriously by the police service  [8]  . Over all the BCS appears to paint a broader picture of how a variety of crime-related issues really affect a range of varied people. Perhaps this is because they take the initiative and seek to learn more. Shortcomings surrounding this form of canvassing is that it is very costly to conduct, not only in man power but also time and resources. The effectiveness is questionable as the results gathered rely on a persons honesty and personal insight in to how they have been affected which may provide exaggerated responses or false information. The BCS also excludes the recording of commercial crimes and heinous crime such as murder. However, the Commercial Victimisation Survey and the Offending Crime and Justice Survey are both in place to ensure that crimes outside the boundaries of the BCS are still accounted for  [9]  . In summary, I have explored both methods used to research crime statistics and outlined the strengths and weaknesses of each. For example, The BCS relies on the respondents personal view of the effect of crime. PRC assumes that crime is always reported. Both methods are dependent on the classification of crime. Victimisation surveys fail to provide an accurate depiction of society. This is because surveys of this form assume that people interviewed can and will provide a reliable version of events. An effective source of information can not solely rely on the integrity and factual representation of those it surveys. Individual perception can vary hugely, and factors such as differences between living in a rural versus urban location and coming from differing socio-economic backgrounds can lead to ambiguous results. For example, certain groups of people may be targeted more or less than indicated. If these variables are not taken in to account then the measure of crime rates could be distorted and the overall findings in relation to the sample population unfounded. Overall it can be seen that both the BCS and PRC are adequate methods for collecting information. When trying to measure crime the most effective method is to examine BCS and PRC together as the results combined provide a more com prehensive picture of how crime really affects society.

Laudans Theory of Scientific Aims Essay -- Laudan Science Utopia Argu

Laudan's Theory of Scientific Aims I criticize Laudan's constraints on cognitive aims as presented in Science and Values. These constraints are axiological consistency and non-utopianism. I argue that (i) Laudan's prescription for non utopian aims is too restrictive because it excludes ideals and characterizes as irrational or non-rational numerous human contingencies. (ii) We aim to ideals because there is no cogent way to specify in advance what degree of deviation from an ideal is acceptable. Thus, one cannot dispense with ideals. (iii) Laudan does not distinguish difficult from impossible goals, making his injunction against utopianism imprecise. It is "semantically utopian" and, furthermore, a prescription for conservatism and mediocrity. (iv) Goals often contradict each other or are at least partially incompatible. Since Laudan does not say how to prioritize incompatible aims, axiological consistency is an utopian desideratum. Thus, his constraints on cognitive aims contradict one another. Finally, (v), Laudan's axiological constraints are too weak and in order to strengthen them, he must invoke without justification some implicit pre-philosophical cognitive aims. This opens the logical possibility of axiological relativism, which Laudan attempted from the beginning to avoid. Laudan's Theory of Aims In Science and Values, Laudan has developed the view that our scientific aims can sometimes be rationally selected by imposing two constraints (1) on them: 1. they should be jointly consistent, 2. a pragmatic constraint of empirical realizability, or non-utopianism. This last requisite follows from Laudan`s means-ends conception of rationality, To adopt a goal with the feature that we can conceive of no actions... ...victory, one obtained by just means, i.e., the means employed should not constitute a greater evil than the evil the war was intended to remedy. (13) Since some axiological inconsistencies can be only pragmatic, it is not always clear whether some collection of ideals is mutually inconsistent. (14) Cf., N. Rescher, The Strife of Systems, chapters 7 & 8. (15) When this happens, our passionate nature will decide what our intellect cannot adequately settle. (16) Laudancs meta-aim of axiological consistency is a goal suspect of being 'demonstrably utopian', because it is not likely that we will ever have a theory of rational value priorizations. So it is not reasonable by Laudan's meta-methodology own standards. If so, Laudan's theory would be suspect of being self-referentially inconsistent. (17) Cf., Laudan, 1996, Beyond Positivism and Relativism, p. 16

Are tall buildings necessary for London to remain a competitive world c

Are tall buildings necessary for London to remain a competitive world city? On February 10, 2004 mayor of London Ken Livingstone introduced the London Plan, the first proactive strategy in over thirty years to deal specifically with the planning and development of London. Since an increase in London's population by 800,000 is expected by the year 2020 , the mayor has suggested the construction of high-rise buildings as the method most likely to enable London to grow in a controlled and steady manner and maintain its status as a world city. A key part of the plan, the mayor's proposal for high-density towers throughout the city, has heightened the debate between urban planners and heritage groups as to whether the construction of tall office and housing complexes is necessary and/or appropriate for London. Based on recent documents, articles and essays and London's need to remain competitive with New York and Tokyo as a world class city, the construction of tall buildings in London is a necessity, especially due to certain factors such as the need to preserve historic views, the lack of available space and London's poor transport system. The ongoing debate over whether tall buildings would best serve London and sustain and enhance its status as a world-class city has dominated the political and metropolitan structural-design arenas during the last ten years. On one side are heritage groups and conservationists claiming that an increase in the number of tall buildings would block strategic views of London's historically significant landmarks. For example, the organization English Heritage has stated that the tall buildings are a cultural issue and their role is first and foremost of image and aesthetics rather than economic,... ...22, 16 February 2004 Government of London, 'London's skyline, views and high buildings,' Planners and Development Economists http://www.london.gov.uk 16 February 2004 Government of London, 'The London Plan.' Ken Livingstone. http://www.london.gov.uk 17 February 2004 Hamnett, 'The transformation of London's occupational structure and the rise of the new middle class,' Unequal City. (Routledge) pp. 70 Livingstone, Ken. 'The only way is up,' The Independent. 2 November 2002. London School of Economics, 'London should grow up says new report on tall buildings' http://www.lse.ac.uk/collections/pressAndInformationOffice/newsAndEvents/ archives/2000-2002/Tall_Buildings.htm 13 February 2004 Newman, P, Thornley, A. 'Fragmentation and centralization: Influencing the urban policy agenda in London' Urban Studies 34. The Editors of Urban Studies: 2997. pp 981

Oscar Mayer Case Study

1. ) At first, Marcus McGraw found the challenge so complex and saw it a difficult task because he had not sat down to put down the ideas on paper and evaluate the situation carefully. He was just thinking of the difficult task ahead and not how to assail the problem. He was missing parts of the puzzle, he was not evaluating anything as yet or trying to formulate or implement any strategy. He had no option, no solution immediately after he read the McTiernan report. He had not done any ‘strategic planning’ thus, his perspective was different than after he had read the memos.After reading the memos from his colleagues, he realized that he could count on them since they had great ideas and were persons with great capability for these types of concerns and issues, especially when he read the one of his long time colleague and friend. McGraw pursues that decision making process of gathering information, generating ideas, looking at the ‘pros and cons’ of the sit uation that Oscar Mayer faces through his associates. He follows them and his mind guides him knowing that he can trust on his department managers. Marcus McGraw purses a decision making that is unbiased.He does not go for just one department; he follows all four managers. He was unbiased in this way and was a good strategy as well since the managers have that market-driven strategy which is healthy for the firm. They are well market-oriented and are able to distinguish the capabilities of Oscar Mayer just as they are able to match the customer value requirements to capabilities. They were cognizant that the market is more competitive, they also pointed out that introducing new lines of product could bring prosperity to Oscar Mayer, which is one of the suggestions that McTiernan had brought up.Therefore, McGraw’s decision making process of taking the ideas of all four managers was a wise one. 2. ) If McGraw chooses the favors of only one department then he is risking all othe r departments. In a business you cannot only favor and invest in one department only. All departments are important components for success of the business. If you only focus on one department, then the other departments will eventually collapse thus the company is losing on other areas in the market where profits can be made.This also means that the firm no longer has that diversity in products which reflects negatively on the company. McGraw can mitigate the damage by improving each of the departments so that they become more competitive in the market. He could also diversify in products just as was recommended by a couple of his managers thus making him a tough competitor on the market if adequately and carefully strategized. He will surely need to invest quite a lot on advertising and promotion which will reduce their profits in the short term; however, they will experience growth and profits in the long-term.As mentioned, once each department is improved and with the right strat egy, Oscar Mayer will benefit and improve the sectors of quality, quantity and price. They have done it before and the can only be better and will concentrate in satisfying consumers’ needs and wants. 3. ) First of all, let’s list the Strengths and Weaknesses. Strengths: Well-known Brand, Technology Skills in R&D, Strong Distribution Channels, Relatively High Market Share, High Profit Margin, Successful History and Product Diversification. Weaknesses: Relatively High Price, Not Healthy (High fat content).Oscar Mayer has a relatively high market share already, and a relatively low market growth. Due to its strengths, it already has a high market share and due to its weakness and the new trend in the market which is looking for products with lower fat (healthier), and lower prices, Oscar Mayer is losing its market growth. This is obviously a great threat to Oscar Mayer in terms of competition since the consumers are now looking for lower prices in those products, as well as healthier meats. This is detrimental to the firm on its entirety as fewer products sold would mean fewer sales which mean less profit.The competition also affects the â€Å"second brand† since the decrease in sale of the Oscar Mayer products also affects Louis Rich as it is looked as a total, thus Louis Rich revenues are compensating for the loss in Oscar Mayer. The investment decision then will change. The objectives are to increase annual production growth over the next three years by 4% in volume. Products will need to be reduced due to the competition so this affects how much to invest in quality and on the outstanding strength on Louis Rich in order to keep up the good record.There is much advertising and promotion to do; therefore they might have to lower the budget figures for this expense if sales decrease. They need to advertise on the already existing products, such as the health aspect of it, as well as on new products that will be produced. Therefore Oscar May er needs to ensure that they can prosper in the competition with all the expense that waits. 4. ) From the four departmental options, Jim Longstreet’s advice seems more viable. Not only was Jim’s advice an effective one, but his ideas also passed McTiernan’s wish for improved convenience.What Jim is doing by this is what is called ‘Differentiation Strategy’. The firm will provide a superior performance product uniquely designed to provide value to their target audience and is well appreciated by them. Oscar Mayer will also use their strengths to make this strategy a successful one. Having used their strong ability of R&D, they are already aware of who the target audience is and what that are looking for. Two products have been designed for their needs which are â€Å"Zappetites† and â€Å"Lunchables. † With this innovation, Oscar Mayer has all the potential and resources to remain the leader.The second best strategy I would say is Jane Morely’s idea. To obtain smaller companies that are competent and provide something Oscar Mayer does not provide is indeed a good strategy. The only disadvantage is that OM would have to increase their debt to acquire these companies not being completely sure if these companies would succeed. Advertising and packaging would also have its cost, however it doesn’t mean it won’t benefit in the longer run. Thos have their benefits; they hold great value when you count on consumer convenience and brand growth.If the companies succeed then automatically there are great sales increases which bring about profit. The least viable would be Rob’s idea of backing Louis Rich. Having all the strengths and the brand name of Oscar Mayer and just letting it go would be not just a waste but a huge loss. OM has had the majority of the company’s profits for a long time and has been the leading brand. For one, LR is increasing but at a slow pace. Then advertisements w ill be a huge expense which of course does not mean that it will increase the volume of sales.Therefore centralizing in just one brand, LR would not be a good idea for Oscar Mayer. 5. ) With the statistics given we can observe that McGraw wants a 15% increase on operating income while the managers are projecting a decrease of 5. 2% from the current year. If McGraw were to keep his A&P budget the same as last years, he would save $32MM over the managers' projections. Therefore,  one solution could be to effectively use the strengths of the product lines and the A;P dollars by consolidating his sub-divisions.The Division Performance table demonstrates exactly where the successes and failures of each sub-division are, and also shows their strengths and weaknesses. We can see that A ; P for Oscar Mayer has been decreasing and operating income increasing slowly. On the other hand, Louis Rich’s A ; P expense has been increasing while operating income has also been increasing by a great difference. This is also a key factor in the success of LR and partly, although not much, why OM has had a decrease in sales.Another factor in the decrease of Oscar Mayer brand is due to consumer trend as well as increased competition in the market. Oscar Mayer has so far opted to lose market share rather than lower its price. Based on the analysis, there is more to lose if  the Oscar Mayer brand is allowed to wilt over the Louis Rich Brand. Giving up on Oscar Mayer would mean losing its well established, well recognized OM brand name and its equity. May be even future profitability may be lost if the trend towards white meat is only a temporary one.This can be seen in  McTiernan's Report on consumer satisfaction survey, in which the red meat out performs in overall taste and compares well with respect to convenience. Therefore, another strategy is to build up the Oscar Mayer Brand, to merge the Louis Rich brand under Oscar Mayer, for example co-brand, and to introduce ne w packaging of their products (e. g. Lunchables and Zappetites), some white and some red meat to recapture the lost  market share. To consolidate the distribution and A&P spending around the Oscar Mayer's well established brand.Actions In accordance  with the above strategy we would suggest that Oscar Mayer and Louis Rich Brand modify and develop an integrated strategy which would require altering the existing branding strategy to accommodate the consumer trends, to extend the product line and to competitively price the OM products. Oscar Mayer needs to also not lose the taste when improving the quality of the product healthier, which is another step that would be taken and at the same time be convenient. By maintaining the quality it already is contributing its part to success.Another strategic goal is to achieve is long term gains and accelerate brand growth. With all this said, we need not to forget to invest in LR in order for the brand to grow as well. 6. ) Of the two produ cts Jim Longstreet suggested, I believe â€Å"Lunchables† is less likely to succeed especially since they are completely new to this product. Unlike Zappetites they had previously done Stuff ‘n Burgers so they do have an idea of how to approach the new product. Zappetites would create certain products that could also be used for lunch by certain consumers who desire hat ready to eat product. Lunchables would be more difficult to succeed due to all the details that a lunch entails and the different wants of the consumers. They are already thinking of packing a chocolate treat with it as well; not everyone eats or likes chocolates. Another issue with Lunchables is the ingredients. Some of the ingredients they would want to use have a short shelf life which would turn away many consumers. We need to keep in mind that everyone is different and have a different taste, many individuals are ‘picky. ’