A New Health System for the 21st Century.

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I will pay for the following article A New Health System for the 21st Century. The work is to be 2 pages with three to five sources, with in-text citations and a reference page. 2. Why did some speak of the death of managed care

Both organizations and individuals in the U.S. managed care system is faced with a challenging situation. First of all, the requirement for high-quality care, doubled by the social responsibility to patients, is counterbalanced by an increasing pressure to lower costs and to remain afloat financially. For this reason, numerous health care providers are doomed to fail from a business perspective, being forced to close. More and more practitioners will perform as part of groups or systems, but the process of integration will not impose itself in the short term. Based on these considerations, it can be asserted that no standard model will emerge as dominant.

The Institute of Medicine released a few years ago a report that red-flagged the poor quality of health care in the US (Institute of Medicine 2001). A number of facts that contributed to this situation were identified, and special emphasis was put on the structure of the present health care payment system. Traditionally, doctors and medical institutions are paid regardless of the quality of the health care they provide, leading to no financial incentives or, in the case of certain clinical situations, even to disincentives for quality. These findings lead to an increasing demand to link payment to performance.

The concept of pay-for-performance in health care is an innovation of the new millennium and it has spread quicker than a virus. The major issue taken into consideration is the previously unexplored potential of the health care payment system to bring change into physician and health care system behavior. Scientific literature and popular press alike have become crowded with materials linking payments to performance in the medical world. The desired purpose of the payment system is to encourage a high level of quality in health care. However, any initiative has to be measured on account of its results, and the effectiveness of the above-mentioned programs has not yet been systematically evaluated. A theoretical approach based on logic would indicate that financial incentives are capable to stimulate high-quality health care. However, passing on to a more practical level, numerous questions arise. Any pay-for-performance program involves a number of policy choices and judgments.

3. What is the current state of managed care in the U.S. health care system

The most important external force forecasted to affect the U.S. health care system is of demographic nature. There are a number of aspects that should be taken into consideration when analyzing the future of the industry. First of all, the U.S. population is currently undergoing a process of fast aging. However, paradoxically, the life expectancy of the senior population is gradually extending. On the other hand, the aging population will put great financial pressure on the medical system. Predictions are pessimistic, as no less than 78 million baby boomers are expected to turn 65 by 2011 (Plunkett Research 2005). Hence the demographic factor has negative implications on the U.S. managed care system.

submit a 1500 words paper on the topic International Accounting Standards.

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Hi, need to submit a 1500 words paper on the topic International Accounting Standards. The International Accounting Standards Board (IASB) replaced the IASC which had stopped operations in April 2001(Schioppa,2004). The new replacement board concentrated its efforts developing the International Financial Reporting Standards starting in the year 2001. Furthermore, the International Accounting Standards Board in London is a privately-funded and independent accounting standard-setter that headquartered in London, United Kingdom(Buthe,2005). They say that accounting is an art. Meaning, any accounting data can be written in whatever style the bookkeeper or accountant wants provided information is understood.

In summary, the International Accounting Standards (IASs) had been issued by the IASC from 1973 to 2000. Also, the International Accounting Standards Board had been replaced by the International Accounting Standards Council in 2001. Since then, the IASB has amended some IASs, it had inclusively proposed to amend other IASs, it had proposed to replace some IASs with new International Financial Reporting Standards (IFRSs), and had adopted or even proposed certain new IFRSs on topics for which there was no previous IAS. With the help of their separate committees, both the IASC and the IASB had issued Interpretations of Standards. Finally, the financial statements must comply with all of the requirements of each applicable standard and each applicable interpretation to be described as complying with IFRSs.

In terms of interpreting the international accounting standards, the International Accounting Standards Board has replaced the IASC’s Standing Interpretations Committee (SIC) with the International Financial Reporting Interpretations Committee (IFRIC). The replacement took place in the year 2001. This committee is mandated to reviews or not. on a regular basis inside the context of current International Financial Reporting Standards (IFRSs) and the IASB Framework, all accounting issues that will likely receive differing or unacceptable treatment in the non- appearance of authoritative guidance.&nbsp.

Strategic Analysis of a Restaurant.

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I will pay for the following article Strategic Analysis of a Restaurant. The work is to be 8 pages with three to five sources, with in-text citations and a reference page. A new concept of the BM modern baguette factory production line is visible to the public that will offer its customers an opportunity to observe “the Art of Baking” through the guard-glasses and witness what and how BM manufactures superior quality productions, to ensure consumer awareness and loyalty.&nbsp.The BM is unlike other typical sandwich shops, it attracts a diverse crowd from historic Vietnamese-European to a younger crowd, which is wowed by equipping with a cool-forum for communication and entertainment through the medium of the Internet and big-flat screen TV that customers can quickly check e-mail at the BM Internet Zone Counter or plug in your laptop at a designated area and watch update news, popular music, and sports from a luxury leather chairs with fireplace to the unique modern seats while enjoying an extensive menu of delicious items. BM is a suitable response to a gradually increasing demand. The effective community wants a place to socialize and share these experiences with friends and colleagues.

The BM generously contributes its patrons the ability to drive up or walk-in and orders their selection of a wide range of exciting products. We offer BM’s very owned cultures to its customers the finest traditional hot & cold beverage and delightful food highly increase in determination introduced Vietnamese “Banh Mi” and European sandwiches, Vietnamese iced cafe, Pho (noodle soups), and spring-rolls. Also, BM will offer East meets West individual people with desserts, freshly baked gourmet pastries, and other confections, plus other custom drinks such as fruit-smoothies, original drink juices, flavored milkshakes, and freshly roasted coffee on site.

The Original BANH MI Factory will reinvent the sandwich experience for individuals, families, and take out customer’s discretionary income by offering superior quality, innovative products at a reasonable price, designing tasteful, convenient locations, and providing industry-benchmark customer service. Your pride is the BM’s ultimate goal.

Write an article on Cognitive-Behavioral Treatment Modalities for PTSD in Police Officers.

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I will pay for the following article Cognitive-Behavioral Treatment Modalities for PTSD in Police Officers. The work is to be 7 pages with three to five sources, with in-text citations and a reference page. CBT modules that may be utilized in the cure of PTSD (posttraumatic stress disorder) either independently as “varieties” of CBT or utilized in combination comprise cognitive restructuring, exposure, a variety of coping abilities, or apprehension management, as well as psycho-education.

Whereas the diagnostic PTSD category has subsisted only ever since 1980 after it was principally included within the DSM III, numerous clinical trials have pursued to identify means of bettering its disturbing symptoms. These means have varied from pharmacological methods that directly remedy PTSD and associated symptoms to CBT (cognitive-behavioral treatments), which are grounded on standards of learning and conditioning. For instance, exposure therapy, a cognitive-behavioral treatment approach, is presently deemed as the leading-line therapy for PTSD granted its well- renowned clinical effectiveness. Police officers who experience traumatic or distressing incidents are more probable to quit the work within some years and seem to strain with suicide, spousal abuse, substance abuse, and split-up at rates, which are noticeably higher than witnesses in the overall population are. Therefore, it is not shocking that a proficient and popularized works now subsists with the purpose of tackling the privations of police officers dealing with traumatic events (Cahill et al., 598).

Exposure is a cure that encompasses confrontation with terrifying incentives and is sustained until apprehension is reduced. Varieties of exposure comprise either imaginal exposure that encompasses exposure to the distressing events via mental imaginings, memory fabricated by the client’s own description, or scene staged by the therapist centered on the provided information, also in vivo, in which a clientele confronts the real scene or related happenings in life.

prepare and submit a paper on the police code of silence. The Code of Silence

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Your assignment is to prepare and submit a paper on the police code of silence. The Code of Silence

The Code of Silence takes its roots from military law which states that “what you see, what you hear, when you leave, leave it here” phrase. This means that you are not allowed to divulge any matters and events that you have observed or noticed in a certain societal setting such as in the government or an organization. Generally, a Code of Silence is when a person opts to withhold what is believed to be vital or important information voluntarily or involuntarily. The logic behind this principle is that being a whistleblower may endanger the rest of the association or organization.

In the legal setting, the code of silence is believed to be prevalent in the armed forces where data regarding operations and technological developments are kept secret for the sake of national security. It could also be found in the corporate setting especially in banks which can keep the anonymity of clients.&nbsp.&nbsp. The code of silence is usually either kept because of force or danger to oneself or being branded as a traitor or an outcast within the unit or organization which particularly holds true in a police setting as studies would show. It was famously practiced in Massachusetts police departments in cities such as Charlestown, South Boston and Somerville. All over the world, there are many stories about police abuse of authority or police/military brutality and death of a criminal and most of these stories are linked with the code of silence. The code also exists among many organizations even those which are criminal in nature. A more famous example of the code of silence is Omerta which made the Mafia such an indiscrete and almost impenetrable organization.

CODE OF SILENCE: GOOD OR BAD?

&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp. If we are to determine whether the appropriateness of the code, we will need to include a discussion on what constitutes the goodness or the wickedness of an act. However, venturing into this would be exhaustive and too wide a discussion. I would rather argue that the Code of Silence is inappropriate when it makes loyalty to people a higher priority than loyalty to principles. To qualify further, the principles should be within the bounds of moral and legal codes.

Policemen, for example, pride themselves in being the vanguards of society. Ideally, they should be promoting law and order. However, a study conducted by the National Institute of Ethics in the United States revealed that there were many cases of abuse of police officers particularly that of superiors that were undisclosed. This included excessive use of force, having sex on duty and taking marijuana. The Code of Silence was indeed prevalent and officers observed it as they fear for their life, employment and social status (Trautman, 2000).In this case, the code of silence was used to protect the people that were offenders themselves rather than upholding the principles that govern the institution. We ask then, in what situations will the code of silence be justifiable?

&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp. If we are to think critically, there seem to be no grounds for the code of silence to be justified in the first place. The code is applied when an offense has been committed. An act only needs to be kept in the dark when it violates some of the fundamental virtues social norms in any setting such as an organization even if one might argue that the code of silence is necessary especially in matters that would place the majority of the stakeholders in a harmful position.

However, if we allow our selves to be unconcerned even for petty matters we may become too indifferent even on offenses that are indirect content of our principles. In any case, an offense that is deemed to be beneficial could turn out for the worse as it usually does.

REFERENCES

Kusy, Mitchell (2004). Breaking the Code Of Silence: Prominent Leaders Reveal How They

Rebounded From Seven Critical Mistakes. Taylor Trade Publishing

Trautman, Neal (2000). POLICE&nbsp.CODE&nbsp.OF&nbsp.SILENCE FACTS&nbsp.REVEALED. Legal Officers

Section, Annual Conference International Association of Chiefs of Police.

Create a 6 pages page paper that discusses a social problem in the field of clinical psychology.

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Create a 6 pages page paper that discusses a social problem in the field of clinical psychology. Upon examining individual neurological, behavioral, and psychiatric hazard factors, he recapitulated that perpetrators of intimate partner violence were affected by either one or more of these features – neuroanatomical factors, personality disorders, chaotic or insecure attachment, neurobiological factors, developmental psychopathology, post-traumatic symptoms or cognitive distortions. Thus, he established a very core relationship between psychological variables and intimate partner violence.

Intimate partner violence constitutes not just physical and sexual violence but also entails in its ambit emotional and to some extent financial abuse, all of which leave a very severe impact on its victim. The U.S. Bureau of Justice Statistics (BJS) approximated that in 2008, intimate partner violence comprised 22% of all violence against females and 5% of all violence against males in the country (Truman, 2011). The National Intimate Partner and Sexual Violence Survey (Black, et al., 2011) estimates that nearly half of them (48.4%) females and (48.8%) males in the United States have experienced psychological aggression by an intimate partner in their lifetime. Another study by BJS (Catalano, Smith, Snyder, & Rand, 2009) states that intimate partners killed an estimate of 1,640 females and 700 males in 2007, about 14% of all the homicides in the country.

Given the serious consequences of intimate partner violence and its very close relationship with clinical psychology, the author deems it fit to select the said topic for this paper.

While thinkers of different thought processes like socio-cultural, feminist, and social learning, have come up with a variety of explanations for intimate partner violence, only psychological and psychosocial theories have been able to provide enlightenment into this area with the least amount of speculation and assumptions.&nbsp.

Write an article on google froogle

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I need some assistance with these assignment. google froogle Thank you in advance for the help! With increased traffic, they put in a 2 level filtering process for weeding our fake faculty profiles. Once any faculty profile was created, the back program would interact with Google APIs and search for clues regarding authenticities of the profile.

For example, if a new profile for Carlos Alva has been created claiming this person to be a faculty with Stanford University, then the program would interact with Google through Google API and search for “Carlos Alva Stanford University”. In case there are any results, the profile will be allowed to be rated. If there are no results of the above-given search, the profile will be flagged for further human review. This twin filtering of profiles created helped RateMyProfessor.com weed out fake faculty profiles. (Swapceinski J., April 2002)

Databases can be categorized under various kinds based on the architecture, and the types of databases include relational databases, flat file databases, hierarchical databases, network databases, and hybrid databases. (Peterson, n.d.)

While flat-file databases mimic the construction of a table where data is contained in cells (rows and columns), a hierarchical database contains multiple levels connected by nodes.&nbsp.

A network database is a type of database where each data can have multiple owners. This is unlike the relational database where there are no owners and a hierarchical database that has only one owner.

Relational databases offer a number of advantages over other databases, namely, reduced redundancy, increased scalability, and data integrity. Google uses a range of factors, including hyperlinks by other web pages, to determine the relative importance of a web page. (Annam V., n.d.)

A relational database offers better results for Google as hyperlinks have been assigned some importance in Google’s algorithm. So, the relative importance of a web page depends on on-site data as well as its relationship with other web-pages (data). A relevant result for a keyword search will require the “assembly” of information from multiple data sources.

Complete 2 pages APA formatted article: Social Psychology: the Effects of Fear.

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Complete 2 pages APA formatted article: Social Psychology: the Effects of Fear. If the functional belief and experiential belief are strong enough to outweigh the negative forces / the effect of the absence of advertisements, the effect of persuasion gets fulfilled and the brand gets automatically established. Symbolic belief is completely evoked and maintained by advertisements only.&nbsp.

To analyze the strength of this claim we can conduct an experiment or quasi-experiment with two groups subjected under study. A control group comprising bald subjects without any liver diseases should be treated the same way as the experimental group of liver disease or diabetes. Since hair loss is usually due to hormonal dysfunction/imbalance, the factor of the chronic illness becoming the predictor is within the limits of measurability. The illnesses that cause hair loss are generally lupus, diabetes and thyroid imbalance.

As such the chronic illness of diabetes can be fixed as an independent variable and the impact of the disease on hair loss could be measured at varying conditions of diabetes. Bald patients could be selected from a cross-section of medical care units or hospitals. Bald patients without diabetes could now be conveniently compared with those diabetic patients. The impact of liver disease on hair loss could also be measured at various levels of diabetes. Such confounding variables of levels of diabetes can be controlled at the control group.

As long as the experiment is confined to the bald patients of diabetes, the impact of hair loss could be measured at various levels of diabetes in an effectively accurate manner and style if the experiment is properly conducted assigning the subjects randomly, that is by chance, to the experimental and control group so that no biases could sneak into the composition of control group.

Similarly, a control condition can also be used either for a single individual or for a group of patients. Instead of testing a separate group of bald patients, the same group of bald patients can be tested at a different timekeeping everything the same as in the experimental condition except for the single experimental condition of diabetes alone i.e. the independent variable of interest. In this style of test, confounding the order of test with the condition-experimental against the control – would be effectively avoided and balancing the order of conditions for single individuals is carefully balanced.

Limitations and conclusion:

The viability of the experiment could be tested only to a limited source of independent variables since the chronic illnesses that stand predictors of hair loss are a few like lupus, diabetes and thyroid dysfunction. Of these three independent variables, the thyroid dysfunction gets eliminated as the hormonal imbalance has little effect on liver derangement, which the advertiser ascribes to hair loss.&nbsp.The viability of the experiment could be tested only to a limited source of independent variables since the chronic illnesses that stand predictors of hair loss are a few like lupus, diabetes and thyroid dysfunction. Of these three independent variables, the thyroid dysfunction gets eliminated as the hormonal imbalance has little effect on liver derangement, which the advertiser ascribes to hair loss.

prepare and submit a paper on hispanics in the us.

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Your assignment is to prepare and submit a paper on hispanics in the us. Apart from other groups, these Hispanics have less human capital, so they have very few employers in their group and it is indirectly affecting their economic status and social environment also.

Gender inequality always prevailed among the Hispanics. Since they were not the major community and furthermore they were immigrants, they had to face the brunt of racial abuse. One of the reasons for racial abuse was, fear among the US citizens was losing the jobs to these immigrants. Since the Hispanics were ready to work for fewer wages there always lies the danger of losing jobs.

Most of the Hispanics were less unskilled or semi-skilled. This makes them of losing jobs very often. This brings more responsibilities on average Hispanic women. Now she has to work outside to meet the daily requirements and look after the family.

In the Hispanic community, very less skill level people are there and job opportunities are more in the manufacturing sector, women and racial or ethnic minorities are less to possess the human capital and its characteristics are associated with its job opportunities. To get a job one has to be skilled in a particular area. Every company looks for an ideal candidate who should be an asset to the company and should not become a liability.

Hispanic groups earn less compared to whites. So which are different wages for each category or group? In cultural context Hispanic women are not allowed to grow in their career life or in personal life, they prefer not to work outside the home. Compared to Hispanics the Whites are more liberal and enjoy gender equality provided by the US constitutional laws. Whatever the reasons they still exist inequality among these groups.

write an article on Psychology: Addiction.

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Hello, I am looking for someone to write an article on Psychology: Addiction. It needs to be at least 1750 words. This is due to the buildup of physical tolerance. Also, exposure to cues associated with drugs may cause overreacting by the brain, for example, a cigarette addict walking past a smoking zone may feel tempted to smoke. In some cases, people react to being emotionally stressed and end up using drugs and gambling these are psychologically based addiction and are not necessarily caused by physical addiction. An individual with a certain addiction shows overdependence on the substance and it may be difficult for them to carry on their day without the substance (Roy, 2009).

In the past, society was more judgmental towards people with addictions. Addiction was considered a voluntary behaviour where the addicts were considered reckless, indiscipline and immoral. They were seen as having no regard towards others and addiction was seen as a deficiency in character. Then people started viewing addiction as a disease. Addicts were now considered sick and not morally deficient. People stopped criticizing and judging them. The idea of being sick was nothing to be excited about but it was preferred to being considered reckless and immoral. Hence the idea was largely embraced by virtually everyone. The idea continuously attracted powerful emotional support due to the benefits that came with it. Up to date, most people in society still view addiction as a disease.

Although the disease concept was widely accepted, the fact that addiction doesn’t have any characteristics of the disease was overlooked (Dodes, 2011). Addiction is mainly classified as a group of behaviours rather than a disease. For example, in comparing some of the known causes and processes of true diseases such as tuberculosis, diabetes and Alzheimer. Tuberculosis is caused by an infectious agent but this is not so in addiction. Diabetes occurs through a pathological biological process and Alzheimer is caused by a biological degenerative condition. Addiction has none of the above characteristics. (Dodes, 2011). The fact that, if addiction is not dealt with in time might get worse is the only characteristic of addiction that is similar to that of a disease.