Action Potentials and The Cardiac Cycle Essay Example | Topics and Well Written Essays - 1750 words

Action Potentials and The Cardiac Cycle - Essay Example ld take approximately 200 to 500 milliseconds to complete and conducted from cell to cell, slower compared to less than 2 milliseconds in the action potentials in skeletal muscles (Seeley, Stephens, and Tate, 2007: 333). The following figures depict the stages or phases of an action potential: resting potential, depolarization, repolarization, and returning to resting potential or the final repolarization phase. The resting potential is the stage when the cell is not conducting an impulse (Rothenberg and Chapman, 1989). At this resting stage, the concentration of sodium (Na+) ions is higher outside the cell than the inside. On the other hand, the potassium (K+) ions are evidently higher inside the cell, compared to the outside. In this manner, the sodium-potassium pump is constantly at work to ensure a more positive ionic environment outside the cell membrane, thus leaving the cell interior highly negative (MCB-HHMI Outreach, 2005). Depolarization marks the first step in sending a signal or action potential, wherein the negatively charged cell interior is disturbed by the entrance positive Na+ ions, as we can see in the above figure (MCB-HHMI Outreach, 2005). Further, it is in this stage that Na+ channels open to give way to the diffusion of Na+ into the cell, at the same time, the K+ channels would just begin to open but closes immediately to decrease the permeability of cell to K+ (Seeley, Stephens, and Tate, 2007: 333). We can notice in figure 2 that the potassium and sodium channels are like gates that open to give way to their respective ions. Accordingly, the opening and closing of these membrane channels are responsible in the production of action potentials, as a result of the changes in cellular membrane permeability (Seeley, Stephens, and Tate, 2007: 333). In addition, calcium (Ca++) channels slowly open to cause Ca++ ions to diffuse into the cell, which also mimic depolarization (Seeley, Stephens, an d Tate, 2007: 333). An action potential triggers

Bloomington IN, and corn field Research Paper Example | Topics and Well Written Essays - 750 words

Bloomington IN, and corn field - Research Paper Example ll therefore address culture and cultural centers in Bloomington Indiana and equally draw a relationship between Indiana University students and the corns in the neighborhood of Bloomington Indiana. Corn that refers to maize grain in the US was plant domestication by the indigenous people in Mesoamerica and specifically in Bloomington Indiana. Indeed, settlers, Tibets stopped at the fertile Whitewater Valley in 1800s to initiate the cornfields in Bloomington Indiana. Moreover, the Wayne County farmers, Tibets still embrace their traditions in course of their grain farming that include corn, soybeans, oats, wheat, and canola (Waynet Web). As such, culture and attached traditions are fundamental factors in the cornfields and in Bloomington Indiana where they are located. Indeed, even Indian university embraces this culture in its school curriculum. As such, where culture is a dominant aspect in Bloomington Indiana and the neighboring cornfields, it is only fair to analyze this culture. This culture is enshrined and preserved in Tibetan Cultural Center. Hence, culture as reserved in the Tibetan Cultural Center is a relevant topic in relation to Bloomington Indiana and the cornfiel ds. Corn farming is a cultural activity in Bloomington Indiana. Bloomington Indiana has been the only Tibetan Cultural Center in the United States since 1979. In addition, Bloomington Indiana hosts then Dagom Gaden Tensung Ling Tibetan Monastery that came to being in 1996. Dagom Gaden Tensung Ling Tibetan Monastery follows the Buddhas teachings as transmitted by the Gelugpa lineage of Tibetan Buddhism. It is thus significant in offering the Indiana community with diverse sources of cultural and educational programs applied in this society especially in the cornfields. Tibetan Cultural Center came up in the 1970’s courtesy of an Indiana University professor, Thubten J. Norbu. The main aim of the cultural centre was to preserve the memory and culture of Tibetans and bring awareness to the

The Concept Of Toyota Production System Management Essay

The Concept Of Toyota Production System Management Essay This report briefly discusses the concept of Toyota Production System/ Lean manufacturing that Japanese Methodology introduced by Saichi Toyoda, the concept of value chain established by Professor Michael Porter in 1985 and lower waste and competitive advantages of the Lean Manufacturing. All through this report discus about the Toyota Company. In the first part of this report describe about the Lean Manufacturing of selected company. It is critically evaluate the Lean Production which is seeking a high level of production with minimum cost of the Toyota Company that originally Japanese Methodology. At the second this report is highlighting what the recommendations for managing wastes that associates with value chain of the Toyota Company. It is categorised in two categories that primary activities and supply activities in Value Chain. Thirdly discuss what are the implications of recommendation, which discussed before on organizational resources and justify those recommendations which effect on competitiveness sustainability and social responsibility of the company Finally this report describes the Porters Value Chain as a templates and a frame work which support to the front line managers in danger signals and how to face that Danger Signals and identifying wastes. 1) The critical evaluation of lean production in the Toyota Company. It is very important to overview what is the Lean Manufacturing and seeking higher level of output with minimum possibilities such as low labour cost, law material cost, low time and low inventory space, Lean manufacturing produce at a higher level by reducing wastes from the system and simplifying the methods. Toyota Production System is based on two concepts one is jidoka which can translate to automation with a mans touch. It can stop once avoiding the malfunctioning of products when problems arise in the equipment. Wastes can be occurred from several reasons such as, overproduction, waiting, transportation, inventory, defective units, motion and over-processing. Hence Lean Manufacturing in eliminating wastes. Toyota production system/ Lean Manufacturing is introduced by Toyota cooperation which is event of four gentlemen. Sakichi Toyoda, who is father of Toyota Group, Kiichiro Toyoda, son of Sahichi Toyoda, Eiji Toyoda, who was Managing Director from 1950 to 1981 and Taiichi Ohno the father of the Kanban System and chairman in 1981 to 1994. Toyota Use 7 techniques to attain Lean Manufacturing Reduction of set up times Set up activities are wasteful until they tie up labours and equipment with procedures by charts and training to employees and organizing activities. Toyota manages to avoid the setup times. Miner production The organization has to face higher cost on high capital, new machinery, more inventory, set up expenses, high lead times and defect costs when they manufacturing large quantities of products. But Toyota has turned towards low setup and it leads employees to produce in small quantities. Empowerment and Involvement of employees The Toyota Company organize the employees in the organization in to teams and appoint team leaders those having an authority to handle many specific tasks. The company provides training of minor equipment repair and housekeeping and leaders have to work with their teams in the lines 02. Quality at the source If there is some fault it should be able to identify immediately and need be corrected. Totoya has idoka and stop functioning. Equipment maintenance Toyota workers are more conscious about the failure, because they have been well trained to do basic maintenance. Employees have been trained to relevant to maintenance and enhance the quality of the equipment, so they need specialist fix only for complex problems. Pull production Pull production is always target on minimize cost of stock holding, this was introduced by Kotelnikov in 2001 and this is cause to minimize cost of stock holding and time saving. Next stage of materials demand lead to work performs at each step. kanban organize the movement of small containers of miner material between steps. Supplier involvement Toyota Company trains their suppliers to minimize the setup times, maintain stock and reduce failure. And also they consider their suppliers as their partners in the business. Source: Kotelnikov (2001) 2)Recommendations on the ways how waste is managed in Toyota company. The value chain is providing proper method to indicate the improvement of competive advantage in the business. There are number of stages in value chain process for make to value, these all steps are altogather effeted of company value delivering process. What is the way of basic activities can effect to reduce waste in operation process. Inbound logistics The good which needed for production buy from suppleirs and they are stored until they use for the prduction assembly line. Goods are tranfering all over the orrdanization. The Toyota company collect high quality rawmaterials from the best suppelirs in all over the world and keep countinously that quality. They purchase best quality rawmaterials to minimise the watages in prodution line. To handle rawmatrial, The Toyota company practice with JIT (Just In Time) and they keep close relationship with suppleirs to maximise the availability. Operations At this operational level raw materials used to manufacture and assemble. At every separate part of the assembling, includes producing new cars and modifying new cars engine. The Toyota use different and efficient methods for assembling and modifying the car manufacturing to reduce wastages. Outbound logistics They need to be sent to wholesalers, retailers or customers along the supply chain when production is finished. Toyota has opened their show rooms all over the world and made the products more quantifiable to reduce wastages. Marketing and sales They introduce some offers based on target customers. Toyota is true customer oriented company. The Toyota Company mainly focus on the Marketing and promotion Mix to minimize the wastages. Service Toyota provides training on final checking practices and after sales service to Toyota value customers to eliminate wastes from final delivery. Support activities to reduce wastes Procurement This is accountable for purchasing materials for Toyota. It is very important to make the transaction that is high quality product at the lowest price. The Toyota going with some activities such as, outsourcing and e-purchasing to make the effectiveness and free from wastes Development of Technology Technology is front-runners to competitive advantage, as manufacturer of vehicle Toyota is innovating to increase and sustain competitive advantage. Human resource management The Toyota considers their employees as the asset of company. Toyota practice with, recruitment and selection, Training and development, Maintenance and compensation to maintain their employees with higher satisfaction, 3) Recommendation for long term sustainability and corporate social responsibility. Toyota was number one and most admired car producer (Manufacture) in the world according to the annual rating of fortune published in 2001 included such as General motors and Ford .The umbrella policy of Toyota company is the reason and basic philosophy to success in global market environment and its lead to the make company decision and activities. Toyota has penetrated to USA market and invested there. Now they are well established in USA market it is match with its lean manufacturing system. Toyotas way encourages and motivates their employees and they consider it as capital, their main purpose is ultimately winning the employee motivation. All these empowering of employees are lead to more innovation and increase employee participation for manufacturing process and improve its productivity. Toyota way leads to product development and offer very friendly and loyal manner for their customers and they always target to be market oriented. Toyota use out sourcing and it plays a very i mportant part of their manufacturing process and it cause to reduce more direct cost and reduce market risk. Meanwhile Toyota has understood of the importance of engaging with particular specialized suppliers. Toyotas competitive advantage is mainly attributable to the schedule and the coordinate of activities among the network of 300 components suppliers. Toyotas competitive advantage was gained by a strategic commitment to produce exclusive automobiles. Toyota borrowed technology from established car manufacturers and made the procedures what effectively helped to regain customer demand. Customer demand has been the most important strategic initiate of the company. Behind the success of the Toyota Company there are three main components, A network of suppliers in Japan and in US which can be interpreted as world class. An effective Just in time system to manage inventory, which is dependent upon the activities of supplier network. Robot technology incorporated assembly system, the Japan and North America has both won the platinum plant quality award for this function. The processes and procedures sped up when the waste is eliminated from the companys main stream. Even the quality of the product increases when the waste is eliminated. This means the customer and the manufacturer are equally benefited by the Toyota production method. The company and the customer are in a win- win situation and the profits reflect the improvements. Toyota is famous for its innovations and became the largest manufacturer of cars in 2007 ahead of many leading car manufacturers achieving the competitive advantage by innovations. Toyota production system has given Toyota company competitive advantage on a global scale. This advantage is gained through elimination of waste by earlier recommendations by the combination of their human recourses management policies, their highly effective network of suppliers which provide them with raw materials whenever they need it and machine manufacturers that produce machines which are used in the product lines continuously. The management philosophy is more important for their long term sustainability, Toyota is known for its corporate culture which enhances the employee empowerment. According to Hub pages (2010) In an average year more than 700,000 improvement suggestions were submitted by Toyotas employees. That is an average of over 10 improvement suggestions per employee per year. What is perhaps most impressive is that over 99% of suggestions were implemented. This shows how employee centered the company is. Toyota knows that the employees are the key to continuous im provement, their ability and creativity leads to innovation in-house. When the employees are well looked after the company will earn their trust, their loyalty and they will work with an improved morale. Toyota Company has strived to with subsidiaries, suppliers to contribute towards a sustainable development of society making good quality automobiles. When lean manufacturing is used to eliminate waste and improve quality, as it is doing so it is effective to reduce the environmental impact as well. The ways in which Toyota has reduced environmental impact are Engaging in venture capital partnerships where the Toyota Company examines the innovator to establish a new technique to commercial development and success. Building working teams and groups of employees to research and development in sustainable practices in technology Bonding with community organizations which are environmental friendly and working in sustainable issues in order to support and help the community work. Toyota targets for growth that is in harmony with the environment by minimizing the impact which is causing by operational activities, For example reducing the impact on the climate change and biodiversity by vehicle emissions. Toyota is building a relationship between the environment and economic activities to coexist parallel. They create bonds between the individuals and the organizations that are involved in the environmental preservation. Toyota honors individualism by their philosophy of respect for people and concerns about the culture, customs, history, laws of each country which they are operating in. The evolving needs of sustainable mobility is achieves through continuous use of safe, clean and advanced technology. Illegal means are prohibited by the company to ensure long run sustainability with government and non-government agencies. The enrichment of the society is highly valued by Toyota when they are engaging in business with suppliers and customers. This will strengthen the community of the country which is involved. a) Identify the types wastes in both primary and support processes The processes Associated Wastes Primary Processes Inbound logistics Operations Out bound logistics Marketing and sales Services Support Activities Procurement Technology development Human resource management Motion Processing Transportation Inventory Waiting time Motion Defects Waiting time Transportation Inventory Transportation Inventory Defects Inventory Motion Processing Transportation Inventory Transportation Defects Inventory Processing Waiting time Processing Motion. Over production When demand reduces overproduction creates a huge problem with unsold stocks and wasted by products which include material handling inventory space, interest charges, machinery and equipment, and overhead expenses and costs. Manufacturing should be limited to only the adequate quantity with a quality standard, low cost and correct time Waiting time This is created due to worker idleness or due to employees who spend time not knowing the way to avoid the malfunctioning of the machines. When the work is specified for an assembly line the speed and volume of the work can be monitored. To reduce the waiting time only the machines and people that are needed to do the work itself can be hired. Transportation This occurs due to poor layout of the factory, basically within the assembly floor or storage facilities, which lead to over handling of goods. Long supplier lines will increase the transportation costs, while making higher fuel prices. Processing Using best practices to ensure the machinery and fixtures are undergoing regular maintenance. Inventory Stocks can be an excess charge to the company unless it is organized well. It has to be minimized to achieve higher level of standards in production. The things that should be avoided to removing unintentional inventory are Unavoidable and unreliable supply, forecasting errors, poor accuracy is the things that should be avoided to eliminate unintentional inventory. Motion This is the time spent without adding value to the product or the process. Even though there is a movement it does not indicate that the work is accomplished through it. The carefully planned layout and fixture selection can be used to eliminate this. Defects The company may lose customer satisfaction and demand for products if there is a defect of products it may reason for waiting time, material costs, labour costs in the long run. b) The danger signals of each waste Type of Waste The danger signals Faults or Defects Exceed the target production/Overproduction Stocks/ Inventories Over- Processing Human motion Transportation and Handling Waiting Confusion Unsafe or un-ergonomic Underutilized human potential Errors in Data entry errors at the office level activities Toyota company Errors on ordering and invoicing Error that can be gone to the assembly line that can be identified or corrected Change engineering orders Employee turnover Absenteeism Design flows Processing an order before it is needed. Any processes done base on routine with unpredictable demand. Producing products in advance they are needed. Any procedure of batch processing Generating processes for avoiding errors than depends on inspection Entering data into system several times by mistake Creating extra copies of unnecessary folders and providing un useful reports. Walking around production floor Walking around departments Inventories Movement Unnecessary attachments to the unpackaged to be delivered Distributing unwanted stocks to the people that are not needing them Reducing work speed because of the slow machinery. Waiting for approvals Waiting for customer and supplier information Waiting for confirmation from the management Missed data, any objectives, concepts that may reason the employees uncertainty as to what have to be done. The issues that may reasons the employees with health conditions such as back pain eye fatigue etc. This will reason because of the repetitive work they are involved in. Escaping the employees in taking regular decisions. They restrict the authority responsibility. Paying high amount of salary wages on routine tasks where their expertise is hidden in some other area. Business tools and Employees assigned work are not measured. Employees Not trusting the to perform jidoka which is to stop work to fix a problem. Employees not trusting to be clean and tiding up their work area. Employees not trusting the work for the continuous improvement. c) How Toyota Company respond to the danger signals To escape the danger signals in over production By using a sell one buy one method The Company can change their order replacement of repetitive stock. The Toyota planned Order cut-off times for delivery. When finished this process of order then selected filled and distributed. While improving performance of the delivery, smoothing demand increase significantly demands of the supplier and efficiency. By Eliminating or taking out the created demand the Toyota can cut its inventory and improve productivity. If they have surplus of the production The Toyota store, manage and protect them as inventory. As the key response of the worker have to think next step of the process as his/her own customer and provide the required quantity with excellence of quality at the lowest price and right time. To escape the danger signals in waiting The Toyota synchronize the production and distribution process with the cut-off time therefore distributors can avoid having their delivery of products or raw materials delayed cost and waiting for the next delivery by their logistics subordinate. Complete the volume of work required the capability- both speed and volume of each task can be inspected. This helps to utilise the machinery and people that wanted to minimize the method meeting the manufacturing the demands. To escape the danger signals in Transportation The system in Toyota and logistics of JIT minimized variation of demand significantly. In terms of minimization the waste have to be done in the areas of coordination of progress, layout and other general operations. To escape the danger signals in motion By carefully scheduled layout and the matched selection can eliminate this type of wastes. To escape the danger signals in inventory Inventory can be reduced to monthly supply by establishing small quantity of orders through the supply chain maintain at different order levels. The reacts to the wastes of inventory, Disposal of out-dated materials Produce the number of items required by the succeeding process Purchase the materials of required amount. Can achieve savings by volume discounts but must careful with inventory and storage cost. Produce only required quantity to achieve the most appropriate quantity, set up the measuring and measure set up and exchanges the inventory and carrying costs. To escape the danger signals in Product defects A comprehensive system should be established to reduce defect waste of products, therefore employees can get prior knowledge to recognize the defects and they can take prevention actions immediately. To escape the danger signals in processing The philosophies of design should be taken into consideration and should be employed for manufacturing. Before the production begins the processing should be reduced or removed. . Conclusion At the end this report says that The Toyota Company is succeeding their prospective through Lean Manufacturing. This Achievement is not happen coincidence but it continuing progress throughout the Lean Management and Waste Management. The employees those one of primary resources of the Toyota contribute for organizational Success. Understanding of Toyota Production System and achieving organizational gaols is very difficult to any company though it is possible to follow the Toyota Production System. The Toyota has a desire as the first organization which introduced Lean Manufacturing that eliminates wastes at any level of production process. At present many companies are following Toyota Production System and establishing Lean Manufacturing to their organizational system. They have increased the efficiency of work processes. The understanding and the application of Toyota Production System is essential stage of value chain is important.

The Awakening :: essays research papers fc

Every writer has an influence. Some are influenced by the ideas that the author has; some are influenced by the style, which the author writes with. Still others are so intrigued by a writer that they are not only influenced by their way of thinking and their writing, but they actually begin to mimic the author in many ways. This is the case with Guy de Maupassant’s influence on Kate Chopin, who is undoubtedly the greatest influence on Chopin’s writing. "Maupassant was born in Châteaude de Miromesnil, Normandy" (Encarta). He received his education at Yvetot and Rauen and there joined a literary team where he was trained as a writer of fiction by Flaubert, another well know French author (Encarta). He, like Chopin, wrote many short stories, for which he is remembered the most (Encarta). Like Chopin, Maupassant’s ideas were looked at as "immoral" and "mature," dealing with ideas such as "sex," loneliness, and "depression" (Jones 385). He questioned the standards of the day, and was therefore rejected by many people as an immoral person (Jones 385). Kate Chopin’s interest in Maupassant began after her mother died (Toth 181). At that time she had moved to a new location in the city where she lived and began to make new friends who were interested in the writings of Maupassant (Toth181). She described vividly how she felt upon reading Guy de Maupassant for the first time: His writing undoubtedly moved her. Chopin claims to have felt that he spoke to her "directly" and "intimately" (Toth 181). She admired him most for the things that made him the writer that he was. She was intrigued by his escape from "’tradition and authority’ and for having ‘entered into himself and looked out upon life through his own being and with his own eyes’"(Skaggs 205). Eventually Maupassant replaced other writers as her primary influence and "literary model" (Toth 205). Chopin had such and interest in Maupassant that she translated many of his stories from French to English (Toth 273). Due to there content, however, several were never published (Toth 273). Chopin had been taught French by her grandmother, who wanted her to know "how to speak and write French well" (Toth 35). Through this Chopin was able to take the stories of Maupassant and easily translate them. The more Chopin translated Maupassant the more she was influenced by his thinking and writing (Tonth 274). Even in reading Maupassant’s stories, while they are translated, you can still tell that there is a remarkable similarity to Chopin’s writing and his.

Atticus, Throughout to Kill a Mockingbird Essay

Throughout the novel, To Kill a Mockingbird, although Atticus Finch appears to be a loving and caring father, he proves himself to be more of a friend through the eyes of his children. The author, Harper lee, created Atticus to be a loyal friend to Jem Finch and Scout Finch. Atticus has potential to be a friend to his children because, first of all, the children call him by his first name. Secondly, he seldom scolds his children. Atticus has little or no rules set for his children to abide by. Lastly he does not try to mold his off springs into something they are not, though he does supply them with good advice. Typically adults and parents think that it is more respectful for children, particularly their own, to not call them by their first names. Jem and Scout refer to their father as â€Å"Atticus.† Scout asks her father, â€Å"Are we poor, Atticus?† (pg. 21) this shows that she calls her father by his first name on a regular basis. Jem says to his father while reque sting permission from him, â€Å"Atticus, if it’s alright with you†¦.† (pg. 61). This shows that even the older son refers to his father as Atticus. â€Å"†¦ Jem asked Atticus if he remembered anybody who ever won†¦Ã¢â‚¬ , as Scout narrates her story, she still refers to her father as â€Å"Atticus.† Throughout the story, Atticus never shows any sign of being offended or upset with his children calling him by his first name, like a friend. All through the novel, never once did Atticus scold his children for inappropriate behavior. The Finch’s had over a poor boy, named Walter. Scout insulted him with out understanding how it was rude,â€Å"†¦Atticus shook his head at me again. ‘But he’s gone and drowned his dinner with syrup†¦Ã¢â‚¬â„¢Ã¢â‚¬ (p24). All Atticus did was shake his head; he left the rest of the punishing up to Calpurnia, the nanny. When Jem and Scout snuck into the court case that they knew they were not supposed to be in, Atticus did not show the slightest bit of aggravation with them. â€Å"†¦A tticus and Calpurnia met us downstairs. Calpurnia looked peeved, but Atticus looked exhausted,†(pg. 206). When Jem got furious with a horrible old lady, Mrs. Dubose, he destroyed her garden out of anger. When Atticus found out that Jem did this, he says, â€Å"†¦I strongly advise you to go down and have a talk with Mrs. Dubose†¦come straight home afterward.†(pg. 104). Normally, if friends get upset with each other, they do not have the right to â€Å"punish† their friend. Atticus has that right as a parent, but chooses not to use it. Many parents set rules and restrictions for their children. Atticus, for some reason, does not feel it necessary for his two young children to have rules to abide by. The only rules that he ever gave to his children were to not go near the â€Å"Radley house† anymore after they had been teasing Boo Radley in the front yard. It is not common for friends to set rules for one another, but very common for parents to want their children to know where their boundaries lye. Jem and Scout don’t have any rules set by their father to follow, and no known consequences for breaking any rules. Atticus Finch does not try to influence his ideas or beliefs about things on his children. He does not â€Å"make† his children into something they are not, just because that’s what he believes. Most parents try to get their off springs to believe the same things they do, or want the same things they want. Atticus just teaches his kids to the best of his ability through his advice. When the teacher, Miss Caroline, was upset with the fact that Scout was being taught how to read by her father, Scout got the idea of not liking school anymore. Atticus made a compromise with her saying that if she was good in class, then he would continue reading to her. This shows that Atticus was not going to force Scout to like school just because he thought it was a good decision. When scout got into a fight with Cecil Jacobs, Atticus said, â€Å"†¦you just hold your head high and keep your fists down. No matter what anybody tells you, don’t let ‘em get your goat. Try fighting with your head for a change, it’s a good one†¦Ã¢â‚¬ (pg. 79) this is important because it shows that he is not forcing his daughter to think some way, or be someone else, he is not even getting mad at her; he is just giving her good advice. When Jem and Scout got guns for Christmas, Atticus told them one thing, â€Å"†¦Shoot all the bluejays you want, if you can hit ‘em, but remember it’s a sin to kill a mockingbird.† This shows that Atticus is not threatening his children with this statement, he is just simply giving them the best advice he can in this situation. Friends do not expect each other believe the same things they believe, but just hope that people will take their advice into thought. Throughout the novel although Atticus Finch appears to be a loving and caring father, he proves himself to be more of a friend through the eyes of his children. He shows himself to have much potential as a loyal friend to his children. Maybe Atticus as a loyal friend to Jem and Scout was more meaningful than him being a father figure.

Theory of Management in Health Care

The essentials of management, by far, are not historically new. One can imagine the management that was needed to build the Egyptian pyramids or the Greek Parthenon. The requirement was to have people work efficiently together toward a successful common end. However, with the rise of industrialization and now with the rapid speed of change and technological advancements, effective management is needed more than ever. Healthcare, which is having such a significant impact on today's society and also undergoing many transitions in a short period of time, is a prime example of an industry that requires the best management possible. Peter Drucker, an economist and journalist, is regarded as the founding father of the study of management by experts in the worlds of business and academia. According to Drucker (2001, pg. 10), management is based on several essential principles: 1) Management concerns first and foremost human beings, who must be made capable of joint performance, their strengths effective and weaknesses irrelevant; 2) Management is thoroughly a part of individual cultures and is variable; 3) Each organization must have a commitment to common goals and unifying objectives that are set my management; 4) Management must find ways of encouraging growth and development of the organization and its members as opportunities change; 5) Within every organization are individuals with different skills and knowledge accomplishing different types of work. This necessitates effective communications as well as each person assuming responsibility for setting individual goals, making those goals known, and working with others to accomplish them; 6) Management is measured on such factors as innovation, market share, quality and people development, not by the bottom line or output quantity; and 7) Most important, results exist only on the outside with a satisfied patient, client or customer. In the early 1960s Drucker read Abraham H. Maslow's theory of management, which is based on the belief that each person has specific needs. He â€Å"became an immediate convert† (Drucker, 1999a, p. 17). Essentially, this means that different groups of employees have to be managed differently, and that the same group of workers has to be managed differently at different times (pg. 21). However, stressed Drucker, â€Å"one does not ‘manage' people. The task is to lead people. And the goal is to make productive the specific strengths and knowledge of each individual (pg. 21-22). In these days of global competition, such a leadership style is essential to point individuals in the most productive directions. One also has to prepare for continual change. In the past, management commitments for the future were based on the question, â€Å"What is most likely happen?† Now, it is necessary to plan for uncertainty by asking â€Å"What has already happened that will create the future?† (Drucker, 1995, pg. 40). All organizations, especially ones in the healthcare field, have to look at such factors as demographic trends; changes in industry, market structure, values, science and technology already in place but yet to have full impact; and trends in the economy and structure of society. They must then convert these â€Å"what is most likely to happen† into opportunities for the organization based on its strengths and competence. Further, it must develop the knowledge and people to be able to respond to these opportunities. Global society is in the midst of a major transformation, where knowledge is the primary resource if, and only if, it is integrated into a task. For managers, this dynamics of knowledge requires building change into the organizational structure. The organization must commit itself to continually creating something new (Drucker, 1995, pg. 79). As a result, management must emphasize continuous improvement or kaizen, exploit its knowledge to develop the next generation of applications from its successes and learn to innovate in a systematic process. This means that organizations must continually make changes. This may even lead to closing down a hospital when changes in medical knowledge, technology and practice make a hospital with less than 200 beds uneconomical and unable to provide excellent care (pg. 81). The organizations of the future must also routinely say, â€Å"People are our greatest asset,† and loyalty is gained through offering employees exceptional opportunities for putting their knowledge to work. Ironically, however, knowledge about the knowledge worker productivity is minimal. For example, a fair-sized U.S. hospital of 400 beds has several hundred physicians and a staff up to 1,500 paramedics divided among 60 specialties, with specialized equipment and labs. â€Å"But we do not yet know how to get productivity out of them† (Drucker, 1992, pg. 336) What is known, Drucker says in Management Challenge for the 21st Century (1999b, pg. 142), are the six major demands that underlie this productivity: 1) need to ask, â€Å"what is the task?†; 2) individuals assume responsibility for themselves; 3) continuing innovation; 4) continuous learning and teaching; 5) quality over quantity; and 6) individuals recognized as an asset. Making knowledge workers productive necessitates changes in basic attitude of the entire organization. Knowledge-worker productivity is the largest of the 21st century management challenges. In the developed countries, it is their first survival requirement (Drucker, 1999b, pg. 157). One of the biggest changes is that workers will have to manage themselves and place themselves in the location where they can make the greatest impact. They will have to learn how to develop themselves and continuously better themselves. They will have to ask themselves: â€Å"What are my strengths?†; â€Å"Where do I belong?†; â€Å"What is my contribution?†; â€Å"Where can I take relationship responsibility?†; and â€Å"How can I plan for the second half of my life?† The lesson, concludes Drucker (1998, pg. 187) is that productivity of knowledge has both a qualitative and quantitative dimension. Managers (actually executives is a better word, he says) must manage both specialists and synthesizes of the different fields of knowledge. The healthcare industry will be significantly involved in all these changes if they are not already. In an online article â€Å"The Next Information Revolution,† Drucker said of healthcare: â€Å"In healthcare a similar conceptual shift is likely to lead from healthcare being defined as the fight against disease to being defined as the maintenance of physical and mental functioning.† The battle against illness remains an essential aspect of healthcare. However, it is rather a subsection of it. The traditional healthcare providers nor the hospitals and general practice physicians may survive this change, and definitely not in their present structure and function. In healthcare, the stress will therefore transition from the â€Å"T† in IT to the â€Å"I,† as it is transitioning in business and in the general economy. Is it possible that the information people in MIS and IT prepared for such changes? He sees no sign of this so far. The 21st century is heralding in a huge transition the healthcare focus (Drucker, 1999b) While the country spent most of the prior century managing disease, it will now spend time emphasizing life extension, or maximizing the length and quality of life. The key is having a work force of nurses and allied health professionals who are educated and skilled as a chronic care coach. It is a step that goes beyond case management since it involves most patients instead of those just with the most complicated cases and situations. Overall, it will involve a major redefinition of healthcare.

How to Become a Respiratory Therapist

How to Become a Respiratory Therapist For patients who struggle with the most essential thing in the world- breathing- respiratory therapists can be literal lifesavers. The Day-to-DayRespiratory therapists work directly with patients of all ages to manage chronic respiratory conditions like bronchitis, sleep apnea, asthma, and emphysema. They also work with patients who have had heart attacks, infants who were born prematurely, and other patients who suffer from breathing issues. On an emergency basis, respiratory therapists might also treat victims of shock, heart attacks, or drowning to restart breathing after sudden distress.Respiratory therapists typically practice under the supervision of physicians, and work with doctors, nurses, and patients to create and execute respiratory treatment plans. Therapists also handle specialized medical equipment like ventilators and artificial airways for patients who can’t breathe on their own. Respiratory therapists also educate patients on long-term care and managing chron ic conditions. Most of these therapists (about 75%) work in hospitals, but they can also be found in sleep clinics, patient home care, diagnostic laboratories, emergency care centers, eldercare facilities, and other healthcare centers.For more on what it’s like to be a respiratory therapist, check out these videos:Be Something Amazing – Respiratory TherapistWalk in My Shoes: Hospital CEO Turns Respiratory Therapist for a DayLife and Breath- A Presentation of the Respiratory Therapy Career  The RequirementsRespiratory therapists need to have at least an associate’s degree from an accredited respiratory therapy program. Many respiratory therapists also go on to get their bachelor’s or master’s degree in the field. They can get certification via multiple-choice exams offered by The National Board for Respiratory Care- and although this is technically voluntary, at this point 49 states require some form of licensing or certification. Be sure to check your own state to see what’s required of respiratory therapists.The SkillsThe respiratory therapy field calls for a number of special skills and knowledge bases, including:Attention to detailCritical thinkingPatient evaluationAnatomy and physiology (especially cardiopulmonary physiology and pathophysiology)Disease managementMedical technologyThe PayPer the U.S. Bureau of Labor Statistics (BLS), the median salary for respiratory therapists is $56,730, or $27.27 per hour. According to PayScale, the field has a â€Å"very strong† job satisfaction rating among surveyed therapists.The OutlookAs with so many Allied Health careers, the respiratory therapy field is expanding, and will continue to do so. The BLS  expects that the job will grow by at least 12% by 2024, which is faster than average.Interested? APPLY HERE