Thursday, October 31, 2019

Philosophy of Education Assignment Example | Topics and Well Written Essays - 500 words - 1

Philosophy of Education - Assignment Example Personally, I consider teaching as a platform where the pupil’s future will be greatly shaped by the kind of teachings they receive from me. Concerning the teachings offered at kindergarten, the approach is rather different in comparison to other levels. Normally, it does not just entail a curriculum that is easy to understand. Rather, the first days are usually vital for every kindergarten student because it is here that a relationship between the teacher and the pupils need to be established. That means the teacher has to understand the personalities and backgrounds of the pupils. Once this is done, the children need to be made lively always, if possible, in order to make the learning atmosphere easier. Upon exciting the learners, the education for pupils at this level starts with making them understand the alphabets. That is to say, training them how to pronounce correctly as well pointing out the ones that have a variance in terms of sound. Unlike in other teaching levels, this one has to be with minimal strictness, and is brief. My beliefs concerning teaching have to do with using this career to impart children with the right kind of teachings. In short, teaching is not a career as such, but rather a calling-like pursuit meant to bring a positive change. Because of strongly believing in this way, I often find myself going beyond the expectations. Besides teaching what is only listed, encouraging discipline, socialization among the children and thinking critically is often done in the class. Due to this approach, I normally set a goal for myself as well as that of pupils where I help students to achieve it even as I commit myself to doing so. Earlier, it was stated that a teacher is more than an employee; a role model is what every teacher is. Therefore, the goals I set are not just for the students but mine as well. Concerning the

Tuesday, October 29, 2019

Case Study on the Feasibility of a new venture Essay

Case Study on the Feasibility of a new venture - Essay Example The initial success of the Cool Moose Creamery in Ontario should be studied for comparison purposes prior to the financial commitment of a franchise investment. Of considerable interest is the notion of whether the initial location of the first business contributed to its success? Moreover, what were the location factors that contributed to the success of the first business? A common refrain in real estate is location, location and location again. This maxim, of course, is not only limited to home prices. Consideration must be given to visibility and accessibility. Obviously, a highly visible location along an extremely busy thoroughfare where the eyes of all passer-bys will be drawn to your sign, thus, making business almost ideal. In a highly competitive business environment, start-ups may find these prime locations already long occupied by established players. There are still options for the establishment of a new business or franchise: buying out an unsuccessful business in an ot herwise useful location or appropriating a property as close as one can get to prime real estate, yet on the fringes. In this case a choice made here could prove to be influential with respect to every other subsequent factor. If a prime location for your franchise of Cool Moose Creamery can be determined, and is theoretically available then, as with most other material decisions, the cost/benefit analysis must come into play. It may be possible to purchase or lease a property in a highly visible location, but this cost must be weighed against future earnings. There must be a sense of the likely revenue within a particular time frame, as well as one should realize how high the benefits of visibility might be depending on a prime location. Even if the money does not come directly out of pocket, such as it is in the case with the $20,000 bank loan that must be sought, too much capital invested in the initial start up could lead to more debt, or more complex financing arrangements that could make the business more trouble than profit. These factors are never easy to predict, but the small business owner must do the best he can while examining – whenever possible examples of similar businesses, and the local operations in similar situations as guides for cost and profitability. Other factors that will influence the success of any franchise may be forces less visible and tangible than location or the initial equipment that must be purchased. Local zoning ordinances must also be taken into account, with respect to both above board and clandestine forces. Even if the zoning regulations and requirements are obeyed with precision, investigation is warranted concerning under-the-table problems or restrictions. Have other business owners complained about a particular individual in city government with control over regulatory decisions that might impede small businesses? Could there be zoning ordinances that have unusual sub-clauses or interpretations that are not obvious at cursory examination but which prove surprisingly problematic after an investment has begun? Question such as these can only be addressed through word-of-mouth, largely from anecdotal accounts, and of course – prior personal experience. This leads the small business owner into the complex question of a financial 'cushion'. One must consider whether it is possible, or feasible to determine minimum initial start up money, and then wait until it is possible to acquire extra funding held in reserve

Sunday, October 27, 2019

The Problems In The Emergency Department Of Services

The Problems In The Emergency Department Of Services The report contains the actual hypothetical findings from which every prospective general public can benefit because the hospital is basically for public. The drastic differences between the government and private hospitals have revolutionized the private hospitals by creating more competition day by day. This report will discuss all the problems and issues of the Emergency Department of Services Hospital. This report has been accomplished by analyzing the recruitment statistics for Emergency Department as well as their whole process of their methodology. There were several problems in the department which we observed. This report will discuss about the patient problems, doctor problems, facilities, corruption and the hygiene environment and it will also discuss their solutions. The word hospital comes from the Latin hopes which refers to either a visitor or the host who receives the visitor. From hopes came the Latin hospitalia, an apartment for strangers or guests, and the medieval Latin hospitale. Hospital Hospital only took on its modern meaning as an institution where sick or injured are given medical or surgical care Emergency It is a place where person got first aid and doctors suggestion immediately Background Lahore is the second largest city of Pakistan. It is the Capital of Province, Punjab. Lahore has many hospitals and services hospital is one of them. It is located in Jail road, near Punjab cardiology. Before giving a brief introduction about services hospital I want to tell you about the hospital. In 1958 a separate outpatient department of Mayo hospital, was setup for the government employees. In 1960 it was converted into 55 beds and named as Wahdat hospital. It had medical and surgical facilities together with laboratory and X-rays unit. Later on it was named as Services Hospital. In 1977 it was became the teaching hospital of the Llama Iqbal medical college and now it has its own medical college known as SIMS. It was declared autonomous institute in 1999. In order to make to make the emergency department fully functional, a comprehensive ATLS training progress undergraduate MBBS and nursing student is being organized. In addition staff working in the emergency department is being trained on regular basis to handle emergency patients and disaster victims. The description of problems is the patients problems that what kind of problems are being faced by patients. Hygiene environment that what is the current condition of hygiene in the department. Facilities that kind of facilities are being provided to doctors, staff and patients and the corruption. This research proposes to study the major problems of Emergency Hospital and to find out the causes of these problems, to find out what improvements have taken place in the past for the betterment of this department from 2005-2009 As Services Hospital is one of the biggest and oldest Hospital of Lahore; and is currently facing many problems that are why a detailed research must be conducted, so that we should be able to make people and the Government aware from the situation of the hospital. The scope of this research is to cover all the major problems that the Emergency Department is currently facing like environment pollution, hygiene/ cleanliness, patients problems, doctors and staff problem, security, parking, and then to find out what steps can be taken to solve these problems. We divided the problems among group members. Each member contains two domain. Sundus Farooq has covered the Problems of patients and Hygiene environment. Ahsan Akram covered the Facilities and Corruption. Literature Review One thing is for sure the people who are living near the hospital face many problems. One of the big is the dispose of syringes and other material near the residential areas which creates many problems and causes severe kind of diseases. We were searching the newspapers to get some information about the hospitals. We got various regarding the issues about the hospitals, but we are just writing the two news. One thing is for sure the people who are living near the hospital face many problems. One of the big issue is the disposed of syringes and other material near the residential areas which creates many problems and can cause multiple diseases. (Ali Raza, 2010) also discuss the problem of waste disposed. He said that the Environment Protection Department (EPD) has initiated legal action against hospitals for disposing hospital waste in residential skins on Jail Road. The sources EPD said that first we would issue Environmental Protection Orders (EPO) after which the case will send to the Environmental Tribunal. The EPD said that they had too many complaints that surgimed was disposing of its hazardous medical waste in the local garbage container. Experts say the reuse of hospital waste posses serious threat to the health of citizens besides the workers and other people affiliated with the recycling purposes. If the infected content is not disposed properly, it will causes many fatal diseases like Hepatitis and AIDS, Beside this it will also causes skin ,respiratory and eye diseases. Sources discover that private parties bring tons of infectious hospital waste from across the province in the city for recycling purposes. They bring these waste packets in sacks through trucks. Mafia is also involved in all this. A senior official of CDGL Environment department said that hazardous and waste material, earning more than Rs 15 million per day out of which the value of Lahore waste was more than Rs 5 million per day. We analyze that their waste material is causing many problems.) There should be taken some steps by the managements of hospitals to control all this. In another article the author discusses the emergency department. The facilities which are mostly provide in every emergency department of hospital. The author said the emergency departments require different equipments and approaches than most other hospital division. Patients frequently with unstable conditions and so, must be treated quickly. They may be unconscious, and information such as their medical history, allergies, and blood type may be unavailable. Emergency Department staff are trained to work quickly and effectively even with minimal information. . They may be unconscious, and information such as their medical history, allergies, and blood type may be unavailable. Emergency Department staff are trained to work quickly and effectively even with minimal information. . They may be unconscious, and information such as their medical history, allergies, and blood type may be unavailable. Emergency Department staff are trained to work quickly and effectively even with minimal information) Research Questions Primary Research Question What are the present conditions prevailed at the emergency department of services hospital Lahore? Subsidiary Research Questions Q1:- What is the emergency department? Q2:- How many doctors are available at a time in emergency department? Q3:- what is the qualification of the employees of the department i.e are they fresh graduates or senior doctors? Q4:- Where and how  are the syringes and other waste material disposed? Q5:- What is the method of sterilizing the surgical instrument? Q6:- Why do people complain about non-availability of doctors? Q7:- What facilities are being provided to the doctors? Q8:- At the time of an emergency such as a blast, how do doctors  handle the large number of casualties? Q9:- What is the quality of  the sterilization? Q10:- What is the condition of machinery and equipment in the department? Q11:- Does the dept, provide any research and teaching facility? Q12:- Why do patients mostly prefer this hospital even though  it is far from their houses? Method Sample We have taken the sample of 50 by distributing the questionnaire. Data Collection The primly source of data will be collected through questionnaire and interviews with different people having different opinions. Most of the secondary data and information is obtained from electronic sources, annual reports, news papers, articles, case studies, books, and journals. Research Tools The research tools are field study, distributing questionnaire; and then finally taking interview from the Dr.Mushtaq Khataq (DMS of Services Hospital) and the interview from the of affectee. Field study This will be general source of data collection in which the data will be represented on the basis of our personal experience in the same field. Time frame For the research we did field study on January 19, 2010; we started our work on January 22, 2010. We have taken interview on March 25, 2010 from the D.M.S of Services Hospital and from the affectee and we have also distributed the questionnaire on March 10, 2010. Date of Interviews March 25,2010 Date of dist. Of Questionnaire March 10,2010 Rough Draft March 20,2010 Final Draft April 2, 2010 Date of Submission April 12, 2010 Analysis of Data and Discussion We visited the services hospital 3 to 4 times to evaluate the condition of the emergency department. In our first survey we had observed a lot of issue. The main problem which we faced was parking. There was no empty place for parking in the hospital. People parked their car according to their on will. There was no well organized order for parking and even had no security arrangements. One can easily steal your vehicles. Other issues were: we heard that there should not be noise and crowd in the parameters of hospital, but there was too much noise and it was overcrowded. There was no place to stand for one second in emergency department of the Services Hospital. Numerous people were standing there which had nothing to do their. They were sitting their ideally and even not giving the seat to any patients. Patients problems The emergency department of the Services Hospital is double story but still it was considered an insufficient place for patients. Numerous patients were sitting in the floor. There were insufficient beds in the emergency department and also there was no place for the relatives of patients or visitors. The visitors or relatives were also sitting with the patient on the bed. Nobody was asking them that not to sit here. With every patient there was 2 or 3 person who had made the emergency department overcrowded and noisy. Doctors and nurses were not asking anything to them. Even many visitors were standing in the way of a patient which was making many difficulties for patients. We saw from our own eyes that a patient was in the bed, he was on drip in his arm. He was screaming with pain but doctors were not examining him even not his relatives. The reason of his screaming was that his mother was also sitting on bed and she was continuously shaking the bed due to which the drip stand was moving and the patient gets pain, nobody feels that. There was numerous patients which were sitting in line and waiting for their turn mean while their came one gentleman with his two security guards. The doctors left the list of patient and moved towards him to examine him first, though he did not have any big problem. He just had the minor headache. There was a medical store in the Emergency Department but there were insufficient medicines in the medical store. The person who was sitting in the medical store was giving the patients alternative medicines instead of giving them the prescribed medicines and when the patients asked him he argued with them vaguely. We went to the person who was sitting in the medical store. We asked him that why you are giving alternative medicines instead of the prescribed one. He said that those medicines also had the same effect. We asked him that we know this and it is fine if you do not have the 2 or 3 prescribed medicines but you are giving every patient alternative medicine. We asked him why the prescribed medicines are not available and who is fallible for this? He said very ambiguously no one is responsible for this. The medical store of Emergency Department needs variety of medicines. The medicines which were available were not enough. Hygiene Environment After the medical store we observed the hygiene environment in the Emergency Department of the Services Hospital. The condition of the cleanliness in the Department was satisfactory. There were 2 or 3 sweepers present in the department who cleaned the floor after an hour. Patients were throwing trash in the dustbins, but still there was a stingy smell in the Emergency Department and also wrappers were lying in the floor. The sweepers were using a kind of acid (final) to clean the floor and the microscopic germs but it had a very strong smell, which caused headache. The condition of some patients was becoming critical due to the smell of that acid. The doctors and other was throwing the used syringes and other disposed material into the dustbin which was collected by the sweeper after some time and there was a room where the sweepers throw the disposed material and outside of that room. There was written Dispose Room. The dispose room was locked. The management told us that this dispo sed material is very useful after process of purification it uses for several purposes. In the news paper it was written that the government had sent notice to many hospital in which services hospital was also cleared that their method of disposed material was not right. It is dangerous for the residential areas and for the other people. Patients problems On our second survey, we went to the patients and general public to know their problems and issues. Numerous people had many problems with doctors and nurses and some were completely satisfied with the current situation of Emergency Department and also from the doctors and staff. People said that commonly doctors did not come on time and also did not examine them with complete satisfaction. Patients also told that sometime doctors did not tell them the actual disease. Patients said that doctors are also running their personal clinic due to which they mostly came late or suggest them to come to their personal clinic. People said that the doctors are earnings good revenue from their personal clinics. They also said that doctors did not take interest in them that means sometime do not become satisfied with the doctors. After the discussion with patients about the doctors we started to discuss with people about the staff. 30% of people said that the staff does not take the good care of t he patient. They do not listen anybody an also discern between the people. They pleased the well known and rich people and often ignore the middle class or poor people. Numerous people said that they did not have any sense that how to talk with the patients and the visitors. Patients said that the staff do what they want to do. It totally depend on them that what they want to do. They do not listen to anybody and sometime they quarreled with other staff during their duty times which create disturbance for the other patients. Some people point out that the character of the staff is not good. One patient told us that he caught one nurse who had stolen his mobile. Some patients had no issue with the staff. They were satisfied with the behavior of the staff. They said that the staff is caring, but 80% protest against the staff and doctors behavior. When we came out from the Emergency Department we have seen that there is just one ambulance standing outside the emergency. When we asked about it to the management they replied that the ambulances are standing in front of different departments. Then we asked from the management how many ambulances are available at a time in the hospital. They told us that there are 8 ambulances present every time, and they also told us the process that how ambulances reach to the given addressed. They select person who can drive fast but not rough and who also know the all way of the city. We asked if by chance no ambulance is present or if you need more ambulances then what you do? They told us if we need more ambulances then we asked for it to others departments and if no ambulance is present at a time then we have the record and numbers of all the drivers. We just call them and said them to reach in the addressed immediately. After our second and third surveys we went in the parameters to fill the questionnaires. The sample size of the questionnaire was 40.The questionnaire was distributed among the general public and patients in the Emergency Department in of the Services Hospital. On that survey we again find to talk with the different peoples. We all divided the questionnaire among over selves and float it among people. We first filled questionnaire from the student of that Hospital (SIMS). They were girl students. She prefers the private hospital because she said that there were more facilities and good hygiene environment. She said that in the condition of emergency she will prefer to come to Services Hospital because she is student of this Hospital and she know the staff and get good care and discount here. Then we filled our questionnaire from the nurse she said that salary of staff should be increased so that the staff can work with more diligence. She also said that there should be more arrangements for cleanliness and management Numerous people told us that we came here because it is cheaper than other hospital. We discuss all these problems with the doctors. Doctors said us that though we are running the personal clinic but we checked the patients of here with our complete satisfaction. we also filled our questionnaire fr om the doctor and the doctor also prefer the private hospital and said that the private hospitals had better facilities and take good care of the patients, he also accept that the government hospitals are not in better conditions. 95% people told us that there is too much corruption. You need high reference or any other kind of source to meet the doctors. We also use the resource and reference to meet the Principle of the hospital. We face too many problems to take the interview from the authority. Nobody was ready to give us interview. They thought that we were also the member of press then after a lot of struggle they just give us the permission to take the interview of DMS and make the movie of emergency department in a condition. Ahsan Akram conducted the interview. The expression of DMS was very offensive. He just wanted to get rid of this. Ahsan asked many questions from him. He answered in vey good attitude. He told us that us that the number of doctors presents depend on the quantity of patients. Sometime patients are large in amount and sometime there are fewer amounts of patients. He also told us that in the time of emergency we made the Emergency Department large, we discharge patients who had recover maximum, shifts the other patients in to the ward and we bring the more beds and call the more doctors. He also told us that there is a separate department where the whole surgical instruments were sent for sterilization. Facilities A satisfactory number of facilities are providing to the patients, doctors, nurses and the relatives of the patients. Some of them are listed below There is an outside counter present from where a patient has to receive his/her file. This file maintains record of the patient. Every patient has to buy his/her file in Rupees 10 only. There is a guard and a ward boy present at the gate of the each emergency. There is nursing counter from where patients can get information. Nurse is always present on the table. If a patient or relative of the patient have any query then he/she might talk to the nurse from the nursing counter. There is a special monitoring room present where every one cannot enter with shoes and patients relatives are also not allowed in special monitoring room. Monitoring room is the room where patients can be checked with full care and attention. Monitoring room is like a small operation Theater. There are 20 beds available for men and 11 beds are available only for women. Total capacity of beds 20+11=31. There are three counters of nurses from where patients or the relative of patient can get information. Emergency department is fully air condition. Patients do not feel uncomfortable during treatment. There are two separate waiting rooms for the relatives of the patients in the surgical emergency of the hospital. 9 persons can sit in one waiting room and 24 people can sit in the second waiting room. There is an X-Ray room present in the surgical Emergency. So patient can X-Ray themselves immediately. There is an Ultrasound room present in the surgical emergency only for surgical emergency patients. This facility is very good facility for patients because they do not have to travel from one place to another. They immediately get their medicines, X-ray, ultrasound in the emergency. Pharmacy is also present in the surgical emergency. There is a changing room. Small Operation Theater is also present in the emergency. 3 ward boys, 5 nurses, 6 post graduate students and 4 house officers are present in the surgical emergency all the time. There is blood bank present in the surgical emergency. Patient can take blood from the blood bank. If a patient is bleeding due to accident on the road and he needs a bottle of blood then he can take blood from the blood bank. There is a nursing head office. Head is always present in the room. There is a gents and ladies toilet present in the surgical emergency of the services hospital but they are not separate from each other. There is a prayer area in which 4 people can Offer their Pray at one time. There is a children emergency ward present in the medical emergency. 24 beds are present in the children emergency room. There are 27 beds present for men and 28 beds are present in the women area. There is a guard and a ward boy present at the gate of the each emergency. There are two separate wash rooms are available in the medical emergency of the services hospital. There is a Parmonology ward present in the medical emergency of the services hospital. There are security cameras present everywhere in the medical emergency of the hospital and TV`s are present in the DMS of the Medical Emergency DMS is always watching that what is happening everywhere Problems There is infinite number of problems present in the emergency. Some of them are given below. There are 20 beds present for men and 11 beds for women only. The number of beds is too small. They should increase the number of beds in the surgical emergency. Patents have to wait for the empty bed. Mostly 2 patents are present on the single bed. In a critical situation (such as bomb blast in the city) 100-150 injured person came to the emergency but the staff and doctors cannot handle that injured people. Administration of the hospital should take steps to increase the number of doctors and nurses. There are men and women toilet present in the surgical emergency but they are not separated from each other. They should be separated from each other because women need a separate washroom. They feel shy to enter in men`s washroom. Head should take action and make 2 toilets for men and two toilets for women separately. In the medical emergency there are two separated toilets but. There is a leakage of water from the upper roof in the washroom. There is one wash room which has no lock. Washrooms are in very bad situation. Washrooms are in very poor condition. No exhaust fans are present to clean the atmosphere. Administration should take notice and give new sinks to the women`s toilet and put at least 2 to 3 exhaust fans in the toilet so the cleanliness of the washroom. Cat is wondering in the medical emergency. No one was there to take off that cat. Animals are free to move in the emergency. Head should heir a person who can control all this problems. Corruption Corruption is present everywhere in our country. It is very difficult to handle corruption. Everyone wants black money. There is too much attraction in black money. Sometimes very responsible and honest person wants black money. It is in human nature. Man wants more, more and more money. Corrupted people do not care that it is HALAAL or HARAAM money. It is very difficult to control corruption but our leaders and heads can control this bad habit. (((Corruption is primarily of two types, Need Based Corruption (NBC) and the Greed Based Corruption (GBC). Both are found in the public as well as private sectors. NBC takes its birth in the lower echelons of the bureaucracy or in poor people who are not paid enough to fulfill their needs and on the top of it also not provided with the subsidized amenities and facilities by the government. Imagine the plight of one such functionary whose child is seriously ill and he has no money even to buy him the medicine! He would do anything to save the life of his child, let alone corruption. I am not trying to justify the NBC, but it needs to be seriously looked into. To control NBC government should increase the salary of poor people and try to give subsidies to them. According to Corruption rate of Pakistan is 2.1. When our researcher team visited the emergency department, patients said us that there is too much corruption present in the emergency of Services hospital. Patients have to give money to the staff to get bed in the Emergency. They have to give money to staff to get the bottles of blood. They have to give money to the nurses to get quick response from them. They have to give money to get medicines. There is too much corruption present in the hospital. Administration should increase the salary of nurses and ward boys. They should give facilities so that ward boy s and nurses leave to earn black money from patients. They want black money because they do not get their salary on time. The amount (price) is increasing of goods day by day. Workers cannot afford to buy anything in a limited amount of salary. Controller of the hospital should increase the salary to control the corruption. When they ask for money from the patient then patient cannot do anything expects giving them money becau se on that time patient is in very bad condition and needs help. In my opinion corruption is of two types. First one is NBC and the second one is covetousness. We have to control all of them by taking strong steps. Services Hospital should hair at least 3 to 4 people who do nothing but they must see what is happening very where. They should control the emergency department. They can control the corruption. If the administrations of the services hospital do nothing to control the corruption then it will increase daily. No doubt corruption is increasing daily but if we do not control now then it will be very dangerous for us. It is our duty to control corruption in the hospital level. If we do not control the corruption in the hospital yet, then what will we say to our new generation? It is our country our hospital we have to control all this. Controller of the emergency should control all this and they can control by haring the team of responsible persons. Security Pakistanis are known as terrorist now-a-days due to some groups or parties who played negative role in a society and made bomb blasts in every look and corner of the city. Lahore is in very critical situation. In 2007, 1,503 terrorist attacks and clashes, including all the suicide attacks, target killings and assassinations, resulted in 3,448 casualties and 5,353 injuries, according to the PIPS security report. These casualties figure 128 percent and 491.7 percent higher as compared with 2006 and 2005, respectively. The report states that Pakistan faced 60 suicide attacks during 2007, which killed at least 770, besides injuring another 1,574 people. In 2008, the country saw 2,148 terrorist attacks, which caused 2,267 fatalities and 4,558 injuries. Human Right Commission of Pakistan (HRCP) in its annual report indicated that there were at least 67 suicide attacks across Pakistan killing 973 people and injuring 2,318. 2009, the worst of any year, 2,586 terrorist, insurgent and sectaria n-related incidents were reported that killed 3,021 people and injured 7,334, according to the Pakistan Security Report 2009 published by PIPS. These casualties figure 48 percent higher as compared to 2008. On the other hand, the rate of suicide attacks surged by one third to 87 bombings that killed 1,300 people and injured 3,600. There is a small list of bomb blasts occurred in Lahore Pakistan from past 3 years shown below. This list is too small and short. 2010 No. Date Place Killed Injured 1 March 08 Model Town / Lahore 15 80 2 March 12 RA Bazaar / Lahore 57 90 TOTAL   72 170 *Data till March 15, 2010 2009 Sl. No. Date Place Killed Injured 1 May 27 CCPO-ISI offices / Lahore 27 326 2 November 2 Lahore 1 25 3 December 7 Moon Market / Lahore 45 100 TOTAL   73 451 2008 Sl. No. Date Place Killed Injured 1 January 10 Lahore High Court 24 80 2 March 4 Pakistan Navy War College / Lahore 8 24 3 March 11 FIA regional headquarters / Lahore 30 200 4 August 13 Dubai Chowk / Lahore 9 35 TOTAL   71 339 There is only security guard present at the gate of emergency of the services hospital Lahore Pakistan. They have no security cameras on the gate. They have no security gates and security alarms. They have no instruments to check the person. There is no security guard present on the main gate of the services hospital Lahore Pakistan. Anyone can enter and can freely move in the hospital. Any terrorist can enter in the hospital and do anything what he wants to do. Controller of the hospital should take steps to avoid this. They have to hair security guards who will check every person entering in the hospital. They should fix security cameras everywhere. No doubt it is a government hospital. There is a lack of money but if the authority does not do something for security then it will prove very dangerous for us and for all citizens. Our leaders use 40 % of security. They cannot move in the city without having security with them. No doubt their lives are very important but they should pr ovide some security to the hospital. When our researcher team entered in the services hospital, we observed many things. Few of them are listed below. There was no parking at that place. Streets were poor in condition. Patients were sitting on the road of the hospital. Some of them are sitting on the stairs of the hospital. Cats are wondering on the roads of the hospital. There were countless people present in the emergency of the hospital. Space of e

Friday, October 25, 2019

Bacteria and Foodborne Illness :: contaminated food

Foodborne illness results from eating food contaminated with bacteria (or their toxins) or other pathogens such as parasites or viruses. The illnesses range from upset stomach to more serious symptoms, including diarrhea, fever, vomiting, abdominal cramps, and dehydration. Although most foodborne infections are undiagnosed and unreported, the Centers for Disease Control and Prevention estimates that every year about 76 million people in the United States become ill from pathogens in food. Of these, about 5,000 die. Causes Harmful bacteria are the most common causes of foodborne illnesses. Some bacteria may be present on foods when you purchase them. Raw foods are not sterile. Raw meat and poultry may become contaminated during slaughter. Seafood may become contaminated during harvest or through processing. One in 20,000 eggs may be contaminated with Salmonella inside the egg shell. Produce such as lettuce, tomatoes, sprouts, and melons can become contaminated with Salmonella, Shigella, or Escherichia coli (E. coli) O157:H7. Contamination can occur during growing, harvesting, processing, storing, shipping, or final preparation. Sources of contamination are varied; however, these items are grown in the soil and therefore may become contaminated during growth or through processing and distribution. Contamination may also occur during food preparation in the restaurant or in the person's kitchen. When food is cooked and left out for more than 2 hours at room temperature, bacteria can multiply quickly. Most bacteria grow undetected because they do not produce an "off" odor or change the color or texture of the food. Freezing food slows or stops bacteria's growth but does not destroy the bacteria. The microbes can become reactivated when the food is thawed. Refrigeration may slow the growth of some bacteria, but thorough cooking is needed to destroy the bacteria. Symptoms In most cases of foodborne illness, symptoms resemble intestinal flu and may last a few hours or even several days. Symptoms can range from mild to serious and include  · abdominal cramps  · nausea  · vomiting  · diarrhea  · fever  · dehydration [Top] Risk Factors Some people are at greater risk for bacterial infections because of their age or immune status. Young children, pregnant women and their fetuses, the elderly, and people with lowered immunity are at greatest risk. Complications Some micro-organisms, such as Listeria monocytogenes and Clostridium botulinum, cause far more serious illness than vomiting or diarrhea. They can cause spontaneous abortion or death. In some people, especially children, hemolytic uremic syndrome (HUS) can result from infection by a particular strain of bacteria, E. coli O157:H7, and can lead to kidney failure and death.

Thursday, October 24, 2019

Deception Point Page 15

Finally, Rachel spotted the hazy outline of land. But it was not what she had expected. Looming out of the ocean before the plane was an enormous snowcapped mountain range. â€Å"Mountains?† Rachel asked, confused. â€Å"There are mountains north of Greenland?† â€Å"Apparently,† the pilot said, sounding equally surprised. As the nose of the F-14 tipped downward, Rachel felt an eerie weightlessness. Through the ringing in her ears she could hear a repeated electronic ping in the cockpit. The pilot had apparently locked on to some kind of directional beacon and was following it in. As they passed below three thousand feet, Rachel stared out at the dramatic moonlit terrain beneath them. At the base of the mountains, an expansive, snowy plain swept wide. The plateau spread gracefully seaward about ten miles until it ended abruptly at a sheer cliff of solid ice that dropped vertically into the ocean. It was then that Rachel saw it. A sight like nothing she had ever seen anywhere on earth. At first she thought the moonlight must be playing tricks on her. She squinted down at the snowfields, unable to comprehend what she was looking at. The lower the plane descended, the clearer the image became. What in the name of God? The plateau beneath them was striped†¦ as if someone had painted the snow with three huge striations of silver paint. The glistening strips ran parallel to the coastal cliff. Not until the plane dropped past five hundred feet did the optical illusion reveal itself. The three silver stripes were deep troughs, each one over thirty yards wide. The troughs had filled with water and frozen into broad, silvery channels that stretched in parallel across the plateau. The white berms between them were mounded dikes of snow. As they dropped toward the plateau, the plane started bucking and bouncing in heavy turbulence. Rachel heard the landing gear engage with a heavy clunk, but she still saw no landing strip. As the pilot struggled to keep the plane under control, Rachel peered out and spotted two lines of blinking strobes straddling the outermost ice trough. She realized to her horror what the pilot was about to do. â€Å"We're landing on ice?† she demanded. The pilot did not respond. He was concentrating on the buffeting wind. Rachel felt a drag in her gut as the craft decelerated and dropped toward the ice channel. High snow berms rose on either side of the aircraft, and Rachel held her breath, knowing the slightest miscalculation in the narrow channel would mean certain death. The wavering plane dropped lower between the berms, and the turbulence suddenly disappeared. Sheltered there from the wind, the plane touched down perfectly on the ice. The Tomcat's rear thrusters roared, slowing the plane. Rachel exhaled. The jet taxied about a hundred yards farther and rolled to a stop at a red line spray-painted boldly across the ice. The view to the right was nothing but a wall of snow in the moonlight-the side of an ice berm. The view on the left was identical. Only through the windshield ahead of them did Rachel have any visibility†¦ an endless expanse of ice. She felt like she had landed on a dead planet. Aside from the line on the ice, there were no signs of life. Then Rachel heard it. In the distance, another engine was approaching. Higher pitched. The sound grew louder until a machine came into view. It was a large, multitreaded snow tractor churning toward them up the ice trough. Tall and spindly, it looked like a towering futuristic insect grinding toward them on voracious spinning feet. Mounted high on the chassis was an enclosed Plexiglas cabin with a rack of floodlights illuminating its way. The machine shuddered to a halt directly beside the F-14. The door on the Plexiglas cabin opened, and a figure climbed down a ladder onto the ice. He was bundled from head to foot in a puffy white jumpsuit that gave the impression he had been inflated. Mad Max meets the Pillsbury Dough Boy, Rachel thought, relieved at least to see this strange planet was inhabited. The man signaled for the F-14 pilot to pop the hatch. The pilot obeyed. When the cockpit opened, the gust of air that tore through Rachel's body chilled her instantly to the core. Close the damn lid! â€Å"Ms. Sexton?† the figure called up to her. His accent was American. â€Å"On behalf of NASA, I welcome you.† Rachel was shivering. Thanks a million. â€Å"Please unhook your flight harness, leave your helmet in the craft, and deplane by using the fuselage toe-holds. Do you have any questions?† â€Å"Yes,† Rachel shouted back. â€Å"Where the hell am I?† 17 Marjorie Tench-senior adviser to the President-was a loping skeleton of a creature. Her gaunt six-foot frame resembled an Erector Set construction of joints and limbs. Overhanging her precarious body was a jaundiced face whose skin resembled a sheet of parchment paper punctured by two emotionless eyes. At fifty-one, she looked seventy. Tench was revered in Washington as a goddess in the political arena. She was said to possess analytical skills that bordered on the clairvoyant. Her decade running the State Department's Bureau of Intelligence and Research had helped hone a lethally sharp, critical mind. Unfortunately, accompanying Tench's political savvy came an icy temperament that few could endure for more than a few minutes. Marjorie Tench had been blessed with all the brains of a supercomputer-and the warmth of one, too. Nonetheless, President Zach Herney had little trouble tolerating the woman's idiosyncrasies; her intellect and hard work were almost single-handedly responsible for putting Herney in office in the first place. â€Å"Marjorie,† the President said, standing to welcome her into the Oval Office. â€Å"What can I do for you?† He did not offer her a seat. The typical social graces did not apply to women like Marjorie Tench. If Tench wanted a seat, she would damn well take one. â€Å"I see you set the staff briefing for four o'clock this afternoon.† Her voice was raspy from cigarettes. â€Å"Excellent.† Tench paced a moment, and Herney sensed the intricate cogs of her mind turning over and over. He was grateful. Marjorie Tench was one of the select few on the President's staff who was fully aware of the NASA discovery, and her political savvy was helping the President plan his strategy. â€Å"This CNN debate today at one o'clock,† Tench said, coughing. â€Å"Who are we sending to spar with Sexton?† Herney smiled. â€Å"A junior campaign spokesperson.† The political tactic of frustrating the â€Å"hunter† by never sending him any big game was as old as debates themselves. â€Å"I have a better idea,† Tench said, her barren eyes finding his. â€Å"Let me take the spot myself.† Zach Herney's head shot up. â€Å"You?† What the hell is she thinking? â€Å"Marjorie, you don't do media spots. Besides, it's a midday cable show. If I send my senior adviser, what kind of message does that send? It makes us look like we're panicking.† â€Å"Exactly.† Herney studied her. Whatever convoluted scheme Tench was hatching, there was no way in hell Herney would permit her to appear on CNN. Anyone who had ever laid eyes on Marjorie Tench knew there was a reason she worked behind the scenes. Tench was a frightful-looking woman-not the kind of face a President wanted delivering the White House message. â€Å"I am taking this CNN debate,† she repeated. This time she was not asking. â€Å"Marjorie,† the President maneuvered, feeling uneasy now, â€Å"Sexton's campaign will obviously claim your presence on CNN is proof the White House is running scared. Sending out our big guns early makes us look desperate.† The woman gave a quiet nod and lit a cigarette. â€Å"The more desperate we look, the better.†

Wednesday, October 23, 2019

Dsdds

Travis Hunter RL 201 Professor Lauer 11 October 2013 Page 137 Response Sikhnet. com is a website that deals with Just about everything that a Sikh needs to know. In addition, it's a good website for those who are not Sikh's to gain more knowledge about this particular religion. The website contains a great amount of news, past and present about the Sikh religion. Furthermore, it includes blogs where people can talk to each other about the Sikh religion online as well as the Sikh calendar.There are many audio clips as well as quite a few video clips for the visual learner. They thoroughly explain what meditation is and they explain how one would go about meditating. The website includes lectures in case one is looking to practice their religion or if one is Just curious to learn about this unique religion. In addition, the website includes a radio as well as a link to where you can purchase CD's and DVD's. The site even includes mobile apps so that you can have easy access on a martph one.I was very surprised that the website even includes a link called â€Å"Sikh Matrimonials† where Sikh's can enter their information and look for a significant other that is also a Sikh. An event calendar is also available so that they always know what is going on with the Sikh religion. They also make the site kid friendly by having a bunch of different mint-games. Overall, the site essentially has everything that one needs to know about the Sikh religion.