Saturday, August 17, 2019

Views on The Role of Public Opinion

The constitution in America has been changed with regards to the public opinion-related parts and stated, echoing the founding fathers, that the public in the modern world, due to the complexity of the modern world, are not interested in political issues, and are particularly ignorant of matters they do not have experience with, specially foreign affairs.According to Walter Lippmann, an American sociologist, ordinary people working only, with what he named, stereotypes are not capable of understanding politics. Which is quiet a discriminative theory. People understand their needs, their wants, and their needs for well-being; those should be the only policy and are the sole fundamentals of political economy. Politicians should not care about investment and whatever else. They should only care about the well-being of the peoples. That is why governments should be elected from the people, and by the people here I mean the working class.Because the working class is the core of the societ y, and the vast majority of the population. And without whom the rest of the population would not feed, dress, or even be able to work on the streets. Without the proletarians, all the capitalists’ farms, factories, businesses would stop and get bankrupt. And eventually people would starve if the proletarians stopped working. Imagine the mass of efficiency the proletarians have on any society. In conclusion, since the efficiency of the proletariat has been displayed, technocracy and popular governments is the answer opposing Lippmann’s theory.Lippmann added that the primary problem of popular governments is that the members are always violently prejudging matters, apathy, and preference curious trivial and dull important matters, and are hungry for side shows and three legged calves. And that even if they improved their characters they would not be of any aid to the governments because they do not spend enough time to study political issues they do not know about. And as if though Lippmann considers academic politicians live in another world or come from another planet, he continues to under-estimate the masses and the populace.And goes on even further and calls the masses shallow minded and think of unimportant matters. And that actually is the problem; Lippmann thinks that rational and educated peoples should be standing amongst noble and aristocratic ruling class. Meanwhile, what we think is that they should be standing amongst the working class, supporting them with their knowledge  and rationalism, against the government in their decisions that increases the suffering of the working class or the poor class, supporting the government when they work on the decreasing of such pains and sufferings.It would be a lot easier this way. While as matter of fact, technocratic governments would only think of making the average citizen’s life easier, because they, themselves, have suffered the everyday, equally as the average citizen before, and while, being in office. It would be a lot easier. Collaboration between the government and the people would be at its upmost.

Friday, August 16, 2019

The Battle Against Emotions

Emotion is a word that best represents the feeling of a person. An individual can have more than one emotion and explore how it impacts him/herself as a whole. The growth of an individual is well attached to their emotions; and often times, emotions are used as a weakness. However, weakness of emotion also allows for growth in an individual. In the novel Soucouyant, written by the Canadian author, David Chariandy explores the theme emotion as weakness. Chariandy explores this common theme, as the growth of the character develops using the relationship between the mother and son. This relationship is used to show how different emotions have been created in use of a weakness to the character. Caramba, the son of an ill mother, tries to the best of his ability to be a successful care taker. However, the emotions of Caramba unfold as he reveals how he truly feels. Caramba learns to overcome his guilt about abandoning his mother as he comes to terms with his remorse that portrays his anger, his mother’s failing memory that connects to his childhood and the patience he discovers he has when care-taking for her. However, the result leads to Caramba crumbling furthermore inside and attempts to commit suicide. The growth of the character will slowly unfold the weaknesses caused by emotion in connection to the actions of the character. There are several different emotions that a human can feel. There are times where emotions over take the power and ability to control our minds. The greatest difficulty one can experience is to feel that they are responsible for a problem which has no solution to it. Just as Caramba, the protagonist of the novel, shows how he let his emotions over-rule his ability to think with a stable mind. The fact that his mother is unwell and he cannot help her frustrates him. His anger is shown as he screams â€Å"†¦because she’s not just some goddamned patient of yours, she’s my mother†¦! † (Chariandy 82). The frustration of Caramba and the anger he holds within himself shows as he yells at the nurse for treating his mother as an ordinary patient. The emotions of Caramba over took his sense to think straight, causing an outburst which created a moment of weakness for him. The emotion allows the character to evolve showing how much he cares for his mother. As the protagonist realizes this, he pitches in a helping hand to the nurse trying to fix his mother a meal. However, patience is lost by him when his mother does not reply to him. He then shouted to his mother, â€Å"can you shut up and tell me, Mother? Can you please just shut up for a moment and tell me? † (Chariandy 46). The character conveys his emotion of anger as he does not get a response from his mother when trying to help her. Caramba’s character understands and acknowledges the way he had spoken to his mother which appalled him and all the others. It is evident from this quote however, that Caramba understood the indecency in which he spoke to his mother allowing him to better recognize that he cannot repeat that mistake once again. The constant battle with his inner self presents itself yet again as he cries to the nurse screaming in a fit of rage â€Å"who the f*** are you to judge me, anyway? † (Chariandy 85). Caramba learns from this outbreak how much he is hurt deep down inside for leaving his mother and realizes that his inner conflict with himself has taken over him. As much as he tries to act normal and speak politely, he finds himself losing his anger in fits of rage making him understand how much trouble he is having coping with his mother’s illness and his absence from her. The unmistakable remorse and guilt are both apparent and these huge outbursts were just a cry of anger for him to release how he truly felt. The fact that he had his emotions trapped inside him troubled him and caused these flare-ups. However, the growth of his character through these explosions of anger fighting his inner conflict made him realize that his guilt and remorse cannot be an excuse to justify his actions and rude behavior. The growth of his character shows, as he understands that his emotions were just a weak moment for him to cry out loud by releasing anger to those in front of him. Caramba’s development shows for every single quote and supports the thesis showing an inner conflict which he expresses by crying aloud in anger to his mother and the nurse. Eventually, he understands that he cannot continuously carry the burden of his mother’s illness upon his shoulders. He learns to accept that his mother’s condition is not due to him leaving her. Caramba’s behavior proves how anger is used as a weakness as the guilt he had within himself for leaving her is still existent. He understands after each of these incidents that he needs to overcome the guilt and continue living ithout guilt or sorrow. A person’s past can play a huge role in their present. The connection that’s created may form a greater effect on the person more than the present moment they may be living. Other times, the connection from childhood memories to present day may introduce a sense of vulnerability. Caramba, the main character witnesses this happening to him as he reminisces of the past. He tries to see into his mother’s expression and cannot do so. This makes him wonder what is going through the mind of his very ill mother. He thinks to himself, â€Å"I remember Mother looking up into a cloudless sky, an infinite blue. I couldn’t read the expression on her face. After this, everything seemed to change. † (Chariandy 38). As much as he wanted to understand what his mother was thinking, it was difficult for him to do. Therefore, he left his mother alone letting her stay at peace with her own thoughts. Moreover, the bond of the two became stronger as they spent more quality time together. The growth of his character shows in the time that he spends with his mother reconnecting his bond and has flashbacks of memories. He understands he cannot help her but also realizes that he cannot see her as she is either. Caramba does not like to know about his mother’s illness and what stage it has processed to as he was just a little boy at the time. They visited the doctor once as a family for his mother; the doctor provided them with information about the condition his mother has. Returning home, he tried to read through the pamphlets provided and wasn’t strong enough to fulfill his need of becoming knowledgeable about his mother’s condition. His actions spoke louder than his words. Caramba thought, â€Å"I couldn’t use this. I couldn’t go further. I put the pamphlet back and joined Mother in the living room, determined to see her my own way. † (Chariandy 41). The vulnerability of Caramba exceeded far beyond words as he was a little boy at the time who wanted to believe his mother was not suffering from a serious case of Dementia. This allowed for a stronger bond between mother and son, as he did everything he could to help her through her illness as a child. The fact that he was not able to help her financially, being so young made him feel sad which is why he just wanted to view his mother in his own way; normal. Coming back to present day in the novel, as he returns home to see his mother, he sees first-hand how fragile she’s become. The older she got, the sicker she became. However, despite being so old and ill, she still knew how to have a good time. Mother and son got up for a dance and he was impressed at his mother`s memory. Caramba thinks â€Å"She moves briskly about the room. I struggle to keep up, astonished both by her energy and her memory of the moves. † (Chariandy 44). The bond between them grew even more so as they dance with one another. Caramba is speechless seeing his mother dancing and remembering every move as he struggles to keep up. This makes him feel fragile while she demonstrates the stronger character despite being ill. He feels weak and does not know how to express his feelings of vulnerability and astonishment at the same time. The growth of Caramba is impacted throughout the novel with vulnerability and flashbacks of his childhood strengthening the bond between mother and son. As he better understands that he cannot be blamed, rather help her with her illness like his childhood days; he would be happier. However, the little boy inside of him feels helpless trying to understand how his mother can remember some things and not others. The failing memory of Caramba’s mother proves how fragile Caramba had become. He understands that his past and present are two different times. However, there are times when Caramba is reminded of his past, proving this to be a weakness for him. His emotions take control of him as he realizes the difference in his mother and himself from the past and the present. Patience is a virtue, so it’s said. It’s much easier to rehearse the saying then it is to demonstrate it. However, Caramba shows patience fairly well as he understands that the condition his mother is suffering from is not his fault. Instead of feeling guilty further, he could help her with the things she is nott capable of doing herself which is exactly what he does. As he knows his mother does not have the ability to do much for herself, he becomes more caring and nurturing, and helps her with everything he possibly can. Caramba says, â€Å"I can bathe you. You can? I can do it too. I’m your son. She nods warily at this. I accept the bag of sugar from her and guide her upstairs to the bathroom. † (Chariandy 83). Although there is a nurse to provide assistance to Caramba’s mother, he chooses to help his mother on his own showing patience opposed to outbursts of anger. He really shows patience with his mother as he leads her upstairs to bathe her. This mother and son time also strengthens the bond between them helping him to stay patient longer when helping her. His character builds a stronger support system by helping his mother with his every task and creates an awareness and strength for greater patience as well. His mother has an accident shortly after she had been bathed and Caramba being kind and caring tries to help her yet again. However, this time around, he was in for a surprise as his mother refuses his help feeling embarrassed at the incident that had occurred. Caramba witnesses â€Å"She’s soiled herself again and she’s standing in a corner of her room with liquid clots running down her legs, her face breaking. ‘It’s alright, Mother. Let’s go to the bathroom and clean up. No. Go away. Come, Mother. We have to go now. No! Go away! Way, way. Don’t be silly, Mother, you can’t stay in that†¦state. Leave me! ’ She screams. † (Chariandy 84-85). Caramba was brave and extremely patient with his mother knowing that it was not going to be easy to make her understand that it was going to be alright. Therefore, he slowly tried to make his way and instead, his mother screamed aloud as if he’d done something wrong. Despite the loud screaming and shock that he felt, he still stayed calm and tried to help his mother into another set of clothing after bathing her yet again. Caramba demonstrated patience very well in these events that occurred. The fact that he was not able to explain to his mother in words how he could help her however, show her when the opportunities were granted increased his tolerance for his mother; allowing him to present his patience. Caramba had the opportunity to display his patience once more when his mother grew a little older and acted more childish than ever before. He said, â€Å"I eventually persuade her to trust me with the fuzzy noose†. (Chariandy 108). These series of events caused Caramba to recognize how much his mother needed him, built patience and made him understand that this was the only way he could really overcome his guilt for leaving her in the beginning. He became more aware for his mother’s needs and satisfied her by taking care of her. Patience really portrayed the weakness as an emotion for Caramba because his patience was limited before. Though, he began to understand better that his mother’s illness is not of his fault which means there was no need for guilt. Once he overcame his guilty feeling that had been hurting him for so long, he realized the more he lent a helping hand to his mother, the more she would appreciate him and their bond would strengthen. The strength and patience used by Caramba is shown as a weakness because he slowly breaks apart inside himself. He examines his ill mother very carefully and tries to take care of her the best he is capable of doing so. He watches his mother become sicker however, still shows endurance until the end. Emotions always play a big role in a person’s life as they are the main key to understanding people. Caramba, the protagonist of the novel, tries his levels best in trying to understand his very sick mother. As he tries to do so, he understands many things which allow him to make an emotional connection. Caramba overcame his guilty feeling that had possession of him for a long period of time. He understood that his character developed more as he accomplished relieving himself of anger, strengthening his bond with his mother with her empowerment to lose memory, and patience being used to help her with her inabilities to fulfill tasks. In conclusion, emotion is portrayed as weakness and shows how a human can express and grow from how they may be feeling. Emotions should never be able to control our minds and disable our ability to think wisely and correctly. Moreover, emotions should be used to explore and understand ourselves better.

Thursday, August 15, 2019

Human health as a concept established in culture Essay

Introduction Culture may be considered as an array of notions, behavior, and customs that a group of people shares within a given community. These notions are the ones that give identity to each member of a given community. Culture encompasses a number of subsets one of which is a group’s religious and spiritual beliefs, as it is in Haiti. Culture exists in two categories at both extreme trimmings of a continuum. Culture may be considered individualistic or collectivistic. Global cultures reside somewhere in between. In addition. Within a given culture, there are a number of variations. Being familiar with both forms of culture assists medical practitioners to understand where a given segment of a population lies within a given cultural band such that patient care is able to be personalized. Individualistic or collectivistic forms of culture create multiple views relating to the concept of healthcare (Collin, 2004). In this regard, therefore, it can be argued that human health is itself a concept entrenched in the culture. This is true primarily due to the fact that culture I responsible for framing and shaping our perception of our world together with our experiences. Therefore, health practitioners are able to develop a positive interaction with their patients leading to better health care once they grasp the distinction that exists in each of their patient’s cultural values, practices, and beliefs separate from their own. Literature Review Select global cultures and influence in healthcare practice Haitians are inherently spiritual people who believe in the power of healing. They have a strong belief in the concept of miracles channeled through a number of media such as dreams, traditional and scientific medicine. Health is thought of as being an individual’s responsibility and self-treating is considered one of the many ways of ensuring good health. Haitians resort to home-based remedies prior to any form of hospital treatment. Home-based treatment may include the use of herbs, massages or non-prescription medicine. They reach out to doctors and hospitals once it is clear that an illness requires advanced care. It is recommended that clinicians inquire as to which home based remedies a patient has indulged in prior to offering any form of treatment. It is common to find Haitians taking prescribed and herbal medication at the same time. Haitian culture ascribes to use of nebulous terms. It is common to find patients describing the nature of an illness rather than its ass ociated symptoms. In essence, a visit to the hospital is mainly confirmatory of an individual’s self-diagnosis (Nicolas and DeSilva, 2006). In most cases, patients assess individual symptoms and then institute diagnosis bases on the experience of another patient who has contracted the same illness previously. It is common to find Haitians making use of biomedical jargons inappropriately. The extent to which Haitians comply with a given treatment is dependent on their view of an illness’ severity. In essence, some diseases are considered serious such as diabetes and cancer. Others are only considered serious because someone else succumbed to them. Once a doctor expresses an illness’ severity, then can they comply with the course of treatment. Pregnancy, not being an illness, Haitians do not indulge in any form of prenatal care as it is not considered to be of any importance. In addition, birth control is considered undesirable as children are considered a blessing. Haitian culture does not recognize a man’s contribution towards issues of birth control, men do not ascribe to protection during intercourse as it is considered a killer of pleasure (Norris, 2005). Discussions about issues of sexually transmitted diseases are frowned upon. Haiti is one of the countries in the world fraught with some of the worst indicators of health. For this country to overcome such challenges and improve the health of its people, the government needs to address some of the common health challenges currently facing its people. Some of its international partners such as the U.S, and those from the private sector have made efforts to help this country to improve the people’s access to health services. Although there are a lot of ch allenges to contend with, the Haitian government has made efforts, there have been significant positive efforts to encourage family planning and childhood malnutrition (Pierre, 2012). The number of births per person has gone down considerably as a result of a change in culture from the refusal to embrace contraceptives to an increase used of up to 31 percent. Problem statement Health care is one of the most sensitive areas due to its close relation to global cultures. Examining the interaction of culture and health care helps build cultural competencies appropriate during healthcare service provision by medical practitioners. In this respect, it is essential to examine select global cultures and how they influence healthcare provision. Most communities experience immense challenges in terms of access to healthcare. In most cases, such challenges are related to a communities religious and spiritual beliefs.   Therefore, it is important to evaluate how such religious beliefs affects healthcare provision in a multifaceted community based on moral and ethical reasoning, such as in Haiti. Challenges in healthcare access for Haitian cultures Haitians do not ascribe to scientific medicine which involves hospitals, medication and illness diagnosis. They believe in Vodou as a healthcare system. This form of treatment goes over and beyond dimensions of caregiving that is found in most other religions. This form of healthcare is common as practiced in Haiti’s countryside and is based on ontology. However, Haitian possess a stoical approach to disease and illness which is inherently seen in one of their common adages, God is good. Their belief is based on the fact that whatever happens to an individual is God’s doing. They view illness as a form of punishment or battering of bodies that possess natural etiologies (Pierre, 2012). Access to proper treatment and medication is considered pointless since illness is commonly short-lived. One of the most common explanations for the sickness experienced by Haitians is that it is caused by their interaction with the environmental aspects such as cold, food, gas and heat. The existence of supernatural sicknesses is attributed to the wrath of spirits. The cure for such illnesses is based on advice offered to Voodoo ecclesiastics by spirits and as such they must wait upon the spirits for enlightening. Such voodoo practices limit the need to access health care by Haitians (Vonarx, 2011). Challenges associated with diversity in healthcare Haitians in other countries, such as in the United States, encounter linguistic, economic and cultural issues that make integration within such communities difficult which affects their access to health services and their utilization. During demographic, Haitians in America are considered African American. This enables them to hide their cultural, environmental and behavioral diversity amongst other such immigrants. This includes health beliefs, diet, migration experiences, language, and education. Most of the Haitians in America, for instance, do not go for annual checks up. Those who are about 18 years of age may have had a checkup once while those who spoke poor English were not likely to visit a doctor for medical check or treatment (Vonarx, 2011). Barriers to healthcare access and quality care Haitians face a number of issues that limit their ability to access healthcare services, particularly those who reside in countries other than their own, such as those in the U.S. One of such issues is a language barrier. Haitians speak French as their national language, although Creole is technically Haiti’s key undocumented language. Creole is commonly spoken around homes and in daily communication needs. This is the language used by those who do not have an education. Those who move to the U.S encounter a lot of language barrier. Those who are unfamiliar with terms used in the medical field encounter much more difficulty (Saint-Jean & Crandall, 2005). Practitioner-patient difficulties base on beliefs has posted a lot of challenges for Haitians in America seeking healthcare services. A majority of Haitians visit doctors with the expectation that they are knowledgeable on matters of healthcare. Those health practitioners who ask a wealth of questions are thought of as having insufficient knowledge. There is immense lack of adherence to regimes during treatment as a result of Haitians’ perceived lack of urgency in relation to individual health. Families of Haitian descent are commonly matrifocal. Mothers are the ones who make important decisions in which case they have an influence on compliance. Haitians who are culturally entrenched tend to show hesitancy towards discussions involving sexual health (Mccaffrey, 2008). They believe that illnesses are a consequence of a lack of balance in nature. They, therefore, ascribe to use of homemade remedies such as oils and herbal tea which form the initial step of treatment for a majority of illnesses. Legal, ethical and moral reasoning in decisions related to improving healthcare safety Currently, Haiti’s immunization levels of DPT3 is estimated at about 53 percent. This is an indication of this country’s need for improvement as was seen during humanitarian efforts after Haiti’s earthquake. A number of publications have highlighted cases of amputation in Haiti, although none of these have documented such cases in the context of Haiti’s culture. Amputees in Haiti have survival chance socially. However, this new found disability becomes a threat in terms of morbidity together with the need to survive within the streets. Such patients face an increased risk of malnourishment, infection, and maltreatment. In addition, such patients will encounter discrimination within Haiti’s resource strained healthcare system. They further face immense difficulty in terms of getting employment. Medical practitioners encounter dilemmas in which they are forced to decide between performing an amputation and saving a life in which case the patientâ€⠄¢s prospects of living a normal life are diminished. In this case, amputations provide short-lived solutions which are coupled with long-term negative effects (Saint-Jean & Crandall, 2005). Evidence-based practice into the care of the client, the community, and the healthcare environment Evidence-based practices demand an approach that is works based on clinical as well as organizational decision-making. This involves strategies during practice based on three key sources of evidence-based practice. This includes research results, knowledge of clinical practices as well as values that patients hold dear. The main goal of this kind of practice in healthcare is to employ healthcare intervention in the process of improving healthcare access to those who seek medical attention. This will develop healthcare results for patients. Currently, few studies have been done with the aim of testing cultural congruence in terms of health interventions. Cultural competency in the care of the client, community, aging and vulnerable populations Multicultural practices in the area of human health encompass knowledge in the area of cultural diversity and worldwide views coupled with self-awareness of one’s own culture. This includes a health practitioner’s views relating to differences in culture. Multicultural assessment starts with an evaluation of cultural foci, psychological and physical as grounds on which to provide healthcare services. The cultural aspect of an assessment involves examination of ethical, socio-cultural and political elements uniquely embedded within a healthcare continuum of Haitians. One of the important aspects of assessment is communication skills in a multicultural environment.   This is made use of in order to enhance understanding during a health-illness meeting between a health provider and a patient (Saint-Jean & Crandall, 2005). Competence in health provision involving cross-cultural interaction requires the constant interest in enhancing cultural communication. Although health providers may acquire competence in relation to a number of different cultures, competency may not be wholesome. Even then, health providers are likely to acquire competency under a complex blend of knowledge of culture, attitudes, and skills. How well health practitioners become well versed in a number of different cultures depends on their knowledge of different cultures and their ability to implement care that is culturally congruent. However, a comprehensive body of research investigated cultural differences in terms of health care beliefs, values as well as practices which are meant to give guidance to health practitioners while they provide services that show congruence.   Significantly more studies need to be done in order to lower the amount of disparity in terms of healthcare provision. The cultural approaches used currently in Haiti are evocative and experimental. However, they have continued to provide grounds on which to conduct studies meant to increase health access to patients. There is an increasing sense of urgency to work out which intercessions will provide the required level of awareness of health beliefs and values. This also includes social and political aspects that have an influence on healthcare. The effect of political strife as well as globalization has led to a mass movement of Haitians to areas where health practitioners do not understand Haitians’ methods of preserving their health or treating illnesses. In this regard, research has the capacity to provide health practitioners with intervention methods that will work in a culturally assorted environment. Safety, quality, and outcomes in healthcare Deficiencies in terms of quality of health services provided in Haiti is an indication of failure in terms of practitioners compassion and insufficiencies of resources. This results in insufficient knowledge, poor application of technology. It is possible that healthcare systems in Haiti did not work towards aligning health providers incentives to local health practices (Bridges et al., 2011). However, quality of healthcare is the overarching canopy under which patient health and safety reside. Patient safety cannot be separated from the process of delivering health services. Safety practices are those that are meant to minimize the level of risk that patients are exposed to during diagnosis or any other condition. A number of safety approaches have been considered, such as the use of bar codes, simulators, and digital order entry, as some of the methods that are will help prevent errors in healthcare provision. Integration of interprofessional practice models in healthcare Interprofessional education models speak to an instructive system, a group based ordeal, and an interprofessional-recreation experience. The instructional system underlines interprofessional group building abilities, information about callings, patient-focused consideration, administration taking in, the effect of society on human services conveyance and an interprofessional clinical segment. The group based experience exhibits how interprofessional coordinated efforts give administration to patients and how the earth and accessibility of assets affect one’s wellbeing status. The interprofessional-reenactment experience depicts clinical group abilities preparing in both developmental and summative reproductions used to create aptitudes in correspondence and authority (Bridges et al., 2011). One regular topic prompting a fruitful affair among these three interprofessional models included assisting understudies with understanding their own particular expert personality while pic king up a comprehension of other proficient parts of the social insurance group. Duty from divisions and schools, different logbook understandings, curricular mapping, coach, and workforce preparing, a feeling of the group, sufficient physical space, innovation, and group connections were all distinguished as basic assets for a fruitful project. Synopsis proposals for best practices incorporated the requirement for authoritative backing, interprofessional automatic base, submitted personnel, and the acknowledgment of understudy cooperation as key segments to accomplishment for anybody building up an IPE focused system (Bridges et al., 2011). Improvement of the quality of healthcare of vulnerable populations The setting and circumstances of every case will fluctuate, and significant adaptability is required while assessing well-being and searching for markers of disregard or manhandle. Evaluations may include extended time and require a few visits from diverse experts (Mitchell, 2008). Security data is essential and may originate from an assortment of sources, including medical records, family doctors, relatives, companions, home consideration staff, neighbors, landowners, and police. Vulnerable grown-ups are frequently not approaching or dependable witnesses. They may need knowledge and deny help (Culo, 2015). Thorough geriatric evaluation ought to incorporate a customer meeting, physical examination, and audit of medicinal history and pharmaceutical utilization. Lab and radiographic studies may be clinically shown. Fundamental psychological testing and screening for the psychiatric issue are recommended. It is essential to investigate potential budgetary, physical, passionate, and sexual misuse (Hughes, 2008). Care of the client, community, aging and vulnerable populations Enhancing the nature of human services and decreasing incongruities are basic issues for wellbeing change – the basic to catch and saddle our extensive quality in this field is more grounded than at any other time. The mission of the Center for Health Care Quality is to propel examination and grant that advanced proof based consideration, with elevated regard for the needs of the underserved in Haiti (Somnath, 2008). Through cautious study, we recognize the best approaches to enhance nature of consideration at the authoritative and group levels. GCHQ’s endeavors likewise fixate on watchful quality estimation and the interpretation of proof into practice. CHCQ would work in health facility settings all through Haiti to interpret demonstrated, proof-based systems into practice. The collection of learning that is produced will bolster change over the continuum of consideration and will advise policymakers at the group, territorial, state and national levels (Board, 2012).    References Collin M. (2004). Cultural and Clinical Care for Haitians. Indian health services. http://www.in.gov/isdh/files/Haiti_Cultural_and_Clinical_Care_Presentation_Read-Only.pdf Nicolas, G and DeSilva, M.(2006). Haitian Culture. Encyclopedia of Health Care Management. Norris, A. (2005). Mechanics of Conducting Culturally Relevant HIV Prevention Research with Haitian American Adolescents: Lessons Learned, Journal of Multicultural Nursing and Health, 11-11. https://www.bc.edu/content/dam/files/centers/boisi/pdf/s091/Mechanics_of_Conducting_Culturally_Relevant_HIV_Prevention_R.pdf Pierre, F. (2012). Health status of Haitian Americans. 3-3. http://med.stanford.edu/schoolhealtheval/files/FPierre_HaitianAmericans.pdf Saint-Jean, G., & Crandall, L. (2005). Utilization of Preventive Care by Haitian Immigrants in Miami, Florida. Journal of Immigrant and Minority Health J Immigrant Health, 7(4), 283-292. Mccaffrey, R. (2008). The Lived Experience of Haitian Older Adults’ Integration Into a Senior Center in Southeast Florida. Journal of Transcultural Nursing, 33-39. Vonarx, N. (January 01, 2011). Haitian Vodou as a health care system: between magic, religion, and medicine.  Alternative Therapies in Health and Medicine,  17,  5.) Culo, S. (2015). Risk assessment and intervention for vulnerable older adults | BC Medical Journal. Bcmj.org. Retrieved 3 November 2015, from http://www.bcmj.org/articles/risk-assessment-and-intervention-vulnerable-older-adults Bridges, D., Davidson, R., Soule Odegard, P., Maki, I., & Tomkowiak, J. (2011). Interprofessional collaboration: three best practice models of interprofessional education. Medical Education Online, 16(0). http://dx.doi.org/10.3402/meo.v16i0.6035 Board, I. (2012). Transition to Community Care: Models and Opportunities. National Academies Press (US). Retrieved from http://www.ncbi.nlm.nih.gov/books/NBK98460/ Hughes, R. (2008). Tools and Strategies for Quality Improvement and Patient Safety. Agency For Healthcare Research And Quality (US). Retrieved from http://www.ncbi.nlm.nih.gov/books/NBK2682/ Mitchell, P. (2008). Defining Patient Safety and Quality Care. Agency For Healthcare Research And Quality (US). Retrieved from http://www.ncbi.nlm.nih.gov/books/NBK2681/    Somnath Saha, L. (2008). Patient Centeredness, Cultural Competence, and Healthcare Quality. Journal Of The National Medical Association, 100(11), 1275. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2824588/

Wednesday, August 14, 2019

Procter & Gamble Resources, Capabilities and Competitive Advantage Essay

P&G – Procter & Gamble is a consumer product company founded and headquartered at Cincinnati, Ohio in 1837 by Mr. William Procter and Mr. James Gamble. It is now led by Mr. Alan.G.Lafley whom rejoins the company in 2010. P&G success was contributed to the heart of its business model – Innovation; and that is not just for newly invented product or service, it was for the goal of recreating needs for the improvement of consumers’ living. And it is a very long culture started where the roots started from the founders; whom are soap and candles makers. The first innovative product – Ivory; started in 1879, by James Norris Gamble who is the son of the founder and a trained chemist. Ivory at then was an inexpensive white soap equal to high-quality, imported Castile soap. It was introduced nationwide through a weekly newspaper. Today, P&G has its presence across 180 countries and a team of 121,000 employees. Its business operations spanned across various segments like Beauty, Grooming, Health Care, Fabric Care & Home Care and Baby Care & Family Care; it is the house to many of the world leading brands like Head & Shoulder, Gillette, Oral B, Fabrics, Pampers and many more. Touching more than 4 billion consumers worldwide every day, the company sales volume as of fiscal year ending June 30, 2013 was more than 80 billion in sales. The Strategy – Unique Value According to Michael Porter, He argued that organizations that focus solely on operation effectiveness is not enough, they will only be successful if they are able to provide a unique value that is sustainable for a long term. Organizations competing in operation effectiveness will only gauge their performance by benchmarking what others are doing; ultimately providing the same value throughout, which is of no value to the customer. Therefore, for an organization to be able to sustain for long term, an organization would require a competitive strategy by performing a different set of activities to deliver an unique value. According to Jay Barney, he also mentioned that an organization will have a competitive advantage against others if they adopt a value creating strategy not done by others yet. And that value will deem to be able to provide competitive advantage and are sustainable in the long term if they have the four attributes – Valuable, Rare, Non-Imitable and Non Substi tutable (V.R.I.N). Valuable would be that the  resource would be able to add value to the organization; Rare would be that the resource is not common within competitors; Non-imitable would be that the competitors are not able to copy them easily or able to produce the exact same set of resources; And lastly, non-substitutable would be that resources are not easily substitutable by equivalent resources that are valuable. Grant, R.M has a very similar theory to Jay Barney’s; he mentioned that for a resource or capability to establish competitive advantage, it must fit into two conditions: Scarcity and Relevance. Scarcity would refer to that it cannot be widely available, while relevance would refer to that it must be relevant to the key success factors in the market, assisting the firm in creating value for its customers or to survive competition. It is also dependant on their durability and whether are they easily imitable. From the above, we get to understand that a firm can only be successful, if they are able to provide a sustainable value that their rivals are not providing. As derived from the V.R.I.N table above, we can see that P&G competitive advantages would be their strong branding, accumulated understanding of consumer’s needs and innovative culture where it is not achievable by their rivals. Driven by an Innovative Culture In 2011, CEO of P&G – Mr. Robert McDonald mentioned that he is on a mission and that is to make P&G the most technologically enabled business in the world. And he get it all started by digitalizing operations everywhere which has eventually contributed to reduction of cost, time and effort, reaping better product yet higher profitability. Within manufacturing, employees can now use Ipads to download real time data for communication, the goal was to integrate their operational and financial system whereby cost of each product line will be displayed, allowing management to make effective market decision at real time. Within Logistics, there is a â€Å"Control Tower† and Distributor Connect† program that were with the intent to monitor all inbound or outbound activities within internal or external resources, it has since been able to effectively reduce deadhead moments. By bringing innovation into their supply chains to deliver better efficiency and lower cost, it is no surprise that P&G was ranked among the Top 5 in the award for  Gartner Supply Chain Top 25. With the effective supply chain, it has help to keep hiking costs at bay, where P&G can price their product competitively; which ultimately spells benefit for the consumers. For retailers, P&G has developed a sophisticated ordering application whereby retailers can now order via wired phone or wirelessly via a mobile app. With that all done digitally, they can now also upload existing shelf photos and receive best practices on product arrangement to maximize sales. In product development, molecules used for research have also been digitalized. When needed, it will be modeled to predict product effectiveness. Back at the roots of their research and development centre, it is inevitable that one would notice the promotion of innovative thinking within their culture. And this strategy is not only for their employees, P&G has also taken the step out to influence their partners. A program called Connect + Develop has been created to embrace open innovation. Not limiting only to their internal resources, P&G no taps onto the vast knowledge that the world can provide. Riding on this program for the past 10 years, it has brought the value that P&G can offer to the market up by 70%. Recognizing its success, it is now a key strategy that is employed throughout every business units. Some of the well known brands that are generated through this program are Olay Regenerist, Febreze and many more. All these processes are made possible because of the analytical thinking skills found within their employees which plays an important factor since it enabled them to come up with innovative ideas often co-related to analytical data collected. And these processes are not internally focuses; it controlled both the macro and micro environment factors that contribute to their success. With a very strong innovation culture, P&G today are currently at over 55,000 active patent filings globally and, as a subset of the active patent filings, about 41,000 granted patents globally. This makes P&G among the world’s largest holders of U.S. and global patents, puttin g it on a par with Intel, Lucent and Microsoft. Understanding and Reaching Out to Consumers like no others With technology, P&G brings their understanding of consumer’s behavior into the digital age. For the past years, P&G has been able to carry out a successful global rationalization. It is achieved through deep understanding of consumer needs. With digital channels on the rise, consumers are now bringing their feedback of a product or service to the digital space through blogging, tweeting and posting comments. P&G see this advantage and make the most out of it to understand a consumer’s behavior towards a product. But since the comments are all over the place, P&G developed â€Å"Consumer Pulse† which uses Bayesian analysis to scan through the universe of comments and categorizing them into individual product. These real time insights are then sent to respective in charge for real time reaction. They then carry out appropriate go to market strategy. And since the whole world is watching, it is an excellent opportunity for them to tap on the effect and go for the creation of a positive and strong branding. And with those, P&G are able to marry the best of what they have, which are the combination of customer behavior data and their top notch research development team – connecting â€Å"what’s needed† with â€Å"what’s possible†. With a establishment of more than 177 years now, P&G has been making a great deal of awareness in the market. Being one of the biggest media buyers, they have constantly been able to come up with message with an impact for their house brands. With all these activities that happen over the years, P&G has become a very strong and reputable branding among consumers which is a very rare intangible resource whereby new entrants or mediocre players in the industry will not be able to be on par within a short period. Surviv ing Competitions – Conclusion Although an organization’s competitive advantage is able to sustain the company in the long term, it is not forever. A new set of competitive advantage may be required if there are changes in the industry or within the organization structure. An evaluation tool like Porter’s five forces will help P&G understand the structure of its industry and see if it is strategically at a winning position against its long standing on par competitors like Unilever, Colgate Palmolive. If the forces are intense, the firm will not be able to earn attractive returns on investment. If the forces are benign, then it would be profitable. In consideration of the threats above, P&G can easily fence off new entrants with the branding that they established over the past 177 years and also its vast array of products by its own R&D. According to Grant R.M., the value of branding is in the confidence that it has instill in the customer, it is an intangible resources that customers are willing to pay a premium for over an unknown brand and branding is considered a very valuable resources as unlike technology, it is long-lived, unless tarnished. Although retailers can easily switch brands, and the threat is considered high. The retailer’s customers however are brand and product conscious; the retailers buying power are greatly affected by the demand of their customers. Further to this, P&G primed themselves for quality and effective product, this is highly credited to their innovative culture and accumulated understanding of their consumers, therefore although the threat of substitute is considered moderate in this industry, they are able to differentiate themselves with their quality, it is only considering to be a threat for cost conscious shoppers who are not looking at quality – which would be a minority group. Given P&G capacity in production today, suppliers bargaining power is considered a low threat for t hem. As the purchase of raw materials would normally be source globally and in bulk for economics of scope and scale, the negotiation power of P&G would be higher than their suppliers. Another theory to support on its success via its competitive advantage was Porter’s theory on generic competitive strategies. It is said that competitive advantages are classified into Low cost or differentiation, which are in relation to the industry structure. It is the ability of how an organization is able to cope with the five forces better than its rival. The two basic types of competitive advantage combined with its activities to achieve them lead to the three generic strategies – cost leadership, differentiation and focus. In this case, P&G are using Porter’s differentiation generic strategy. This strategy calls for the organization to selects the values that consumers perceive as important and position itself strategically to meet those needs. Although the key focus was to seek differentiation, its cost position was not ignored as P&G strive in operation effectiveness by technologically enabling its operation throughout its organization. P&G is currently in a winning position against its rival. Leveraging on its competitive advantage to provide the unique value to consumers, it has gained market share and the its leader position in sales volume (as supported by above bar chart) among its competitors. REFERENCES: (2009, March 16). Wal-Mart tries to cash in on Store brand boom . Portland, Oregon, United States: The Associated Press. Barney, J. (2004). Firm resources and Sustained Competitive Advantage. Strategy: Process Content Context: an international perspective, de Wit & Meyer , 285-292. Chui, M. (2011, November). Mckinsey & Company. Retrieved June 10, 2014, from Inside P&G’s Digital Revolution: http://www.mckinsey.com/insights/consumer_and_retail/inside_p_and_ampgs_digital_revolution Colgate-Palmolive Company. (n.d.). Online 2013 Annual Report. Retrieved June 24th, 2014, from Colgate-Palmolive Company.: http://investor.colgatepalmolive.com/annual.cfm E.Porter, M. (2008). The five competitive forces that shape strategy. Harvard Business Review , 78-93. Grant, R. (2005). Analyzing Resources and Capabilties. Comtemporary Strategic Analysis, Grant,R.M. , 130-185. Independent, I. (2014, June 24). Global power-player has come a long way from humble roots. Retrieved June 24, 2014, from In dependent.IE: http://www.independent.ie/business/personal-finance/latest-news/global-powerplayer-has-come-a-long-way-from-humble-roots-30321097.html Janessa Rivera. (2014). Gartner Announces Rankings of Its 2014 Supply Chain Top 25. Gartner Supply Chain Executive Conference. PHOENIX, AZ.: Gartner, Inc. Johnson, B. (2012, October 29). Procter & Gamble Co.’s Advertising Spending, 1987 to 2012. Retrieved June 10, 2014, from AdAge: http://adage.com/article/special-report-pg-at-175/procter-gamble-s-advertising-spending-1987-2012/237974/ Lafley, A. (2008, August 26). P&G’s Innovation Culture. Retrieved june 2014, 9, from strategy+business: http://www.strategy-business.com/article/08304?pg=0 M.E., P. (2004). Generic Competitive Strategies. Competitive Advantage, porter M.E , 11-25. P&G Annual Cash Flow. (2014, June 23). Retrieved June 23, 2014, from The Wall Street Journal: http://quotes.wsj.com/PG/financials/annual/cash-flow P&G.com Company. (n.d.). Retrieved June 9th, 2014, from P&G.com Home: http://www.pg.com/en_US/index.shtml Patentdocs. (n.d.). Retrieved June 9, 2014, from The Procter & Gamble Company Patent applications: http://www.faqs.org/patents/assignee/the-procter-gamble-company/ PG Science. (n.d.). Retrieved June 9, 2014, from The Magic behind the brand – PG Science: http://www.pgscience.com/home/home.html Porter, M. E. (1996). What

Beaches

The beach is a beautiful natural shape. Each is different from the others. Some may be rocks, some are white sand, some are black, some are small, and some are big. I like all kinds of beaches. All the beaches I visited were unforgettable experiences, but one of them was particularly striking. When I was a junior, I went to a resort in Jamaica where there was a wonderful beach. This is a large beach with white sand beach and extraordinary palm trees. There is also a long and huge rocky row spreading in the Caribbean. Well, I have a beach with sand and water. The beach is made of sand, made of small rock. The beach absorbs heat from the sun. Skeet shooting is better than hunting, but still very few are shooting. Beach, beach, beach. I am thinking about the beach. If you wear a stud on the beach, you may break the shell. If I live on the beach it may have shells, but they will all be in the wreckage. I allow a bear to be at my beach, but only in the summer. They will step on the shell before I arrive, but I will never announce that it is open season. In winter, Jim Carrey stood on the beach. Can I take off the hair of Kate Winslet's eternal sunshine? I hope that someone can invent that memory. Do not forget that you are on the beach. understood. On my beach it is always sunny and there is no breeze. Because God's love does not feed bears. Let's think about a bit. A part of the idle is a shell. They are playing games on the beach. On the beach there are hundreds of shells, if not thousands. Most of the shells are indistinguishable from each other, and there is no one who really looks at the shell Loren captured during the immune attack. Why did Lauren not give Mike a completely random shell? Thus, she keeps the entire idle safe, Mike feels that he has the power of Lauren, and everyone will win I like beaches. This is not unusual. California people from Reading to most rivers of Riverside love the beach. We escape the sun and our daily lives at the beach. But there are 100 different ways to love the beach. Beach leader, beach sleeper, surfer, body border, parasailer, beach athlete, sand castle architect, kite flyer, kayak, treasure hunter, bird watcher, whale watcher, people observer, teenager, drinker, bonfire architect, Pit Master, Dog Walker Beaches The beach is a beautiful natural shape. Each is different from the others. Some may be rocks, some are white sand, some are black, some are small, and some are big. I like all kinds of beaches. All the beaches I visited were unforgettable experiences, but one of them was particularly striking. When I was a junior, I went to a resort in Jamaica where there was a wonderful beach. This is a large beach with white sand beach and extraordinary palm trees. There is also a long and huge rocky row spreading in the Caribbean. Well, I have a beach with sand and water. The beach is made of sand, made of small rock. The beach absorbs heat from the sun. Skeet shooting is better than hunting, but still very few are shooting. Beach, beach, beach. I am thinking about the beach. If you wear a stud on the beach, you may break the shell. If I live on the beach it may have shells, but they will all be in the wreckage. I allow a bear to be at my beach, but only in the summer. They will step on the shell before I arrive, but I will never announce that it is open season. In winter, Jim Carrey stood on the beach. Can I take off the hair of Kate Winslet's eternal sunshine? I hope that someone can invent that memory. Do not forget that you are on the beach. understood. On my beach it is always sunny and there is no breeze. Because God's love does not feed bears. Let's think about a bit. A part of the idle is a shell. They are playing games on the beach. On the beach there are hundreds of shells, if not thousands. Most of the shells are indistinguishable from each other, and there is no one who really looks at the shell Loren captured during the immune attack. Why did Lauren not give Mike a completely random shell? Thus, she keeps the entire idle safe, Mike feels that he has the power of Lauren, and everyone will win I like beaches. This is not unusual. California people from Reading to most rivers of Riverside love the beach. We escape the sun and our daily lives at the beach. But there are 100 different ways to love the beach. Beach leader, beach sleeper, surfer, body border, parasailer, beach athlete, sand castle architect, kite flyer, kayak, treasure hunter, bird watcher, whale watcher, people observer, teenager, drinker, bonfire architect, Pit Master, Dog Walker Beaches The beach is a beautiful natural shape. Each is different from the others. Some may be rocks, some are white sand, some are black, some are small, and some are big. I like all kinds of beaches. All the beaches I visited were unforgettable experiences, but one of them was particularly striking. When I was a junior, I went to a resort in Jamaica where there was a wonderful beach. This is a large beach with white sand beach and extraordinary palm trees. There is also a long and huge rocky row spreading in the Caribbean. Well, I have a beach with sand and water. The beach is made of sand, made of small rock. The beach absorbs heat from the sun. Skeet shooting is better than hunting, but still very few are shooting. Beach, beach, beach. I am thinking about the beach. If you wear a stud on the beach, you may break the shell. If I live on the beach it may have shells, but they will all be in the wreckage. I allow a bear to be at my beach, but only in the summer. They will step on the shell before I arrive, but I will never announce that it is open season. In winter, Jim Carrey stood on the beach. Can I take off the hair of Kate Winslet's eternal sunshine? I hope that someone can invent that memory. Do not forget that you are on the beach. understood. On my beach it is always sunny and there is no breeze. Because God's love does not feed bears. Let's think about a bit. A part of the idle is a shell. They are playing games on the beach. On the beach there are hundreds of shells, if not thousands. Most of the shells are indistinguishable from each other, and there is no one who really looks at the shell Loren captured during the immune attack. Why did Lauren not give Mike a completely random shell? Thus, she keeps the entire idle safe, Mike feels that he has the power of Lauren, and everyone will win I like beaches. This is not unusual. California people from Reading to most rivers of Riverside love the beach. We escape the sun and our daily lives at the beach. But there are 100 different ways to love the beach. Beach leader, beach sleeper, surfer, body border, parasailer, beach athlete, sand castle architect, kite flyer, kayak, treasure hunter, bird watcher, whale watcher, people observer, teenager, drinker, bonfire architect, Pit Master, Dog Walker

Tuesday, August 13, 2019

Denial of Service Attacks (DoSs) Essay Example | Topics and Well Written Essays - 1750 words

Denial of Service Attacks (DoSs) - Essay Example In this scenario, this extra data is used to corrupt and overwrite the available memory. As a result it allows an attacker to put in random actions on the web server or destroy the system completely. It is commonly seen that the majority of web applications fails to effectively avoid the actions inserted or performed by random code into the system which can only be performed with the administrator rights of the operating system. For instance, an attacker can insert an executable instruction like that , inside a legal web site form below the appearance of an HTTP (hypertext transfer protocol) request in an attempt to get access to that particular web server. However, if an attacker gets a success in deceiving security configuration, he/she can be able to get access to the /etc/passwd file as well as can get all files and, in the end, the usernames and passwords which are stored on the web server (Kennedy, 2005). In order to mitigate these security attacks, organizations can take follo wing initiatives: First of all, an organization needs to recognize buffer overflows by putting huge values into header, form inputs, and cookie fields. They must implement effective techniques to stop illegal users from inserting unauthenticated code. They must authenticate the input field length. Cross-site Scripting (XSS) In this kind of attack a web application works as a source of help for launching an attack to an end user's browser by making use of the web browser of other web users who visit the page. In this scenario, an attacker develops and launches a web site that takes benefit of a cross-site scripting defect and a simple user can view this attacker’s web site such as by clicking on a link mentioned in an e-mail received from a friend and the attacker’s nasty program or that fake web site can then be opened on the user's computer. If an attacker gets a success in this attack then he/she can be able to get access to the end user's session token, spoof conten t to fool the user or attack the local machine (Kennedy, 2005). In order to mitigate these security attacks, organizations can take following initiatives (Kennedy, 2005): An organization must adopt strict measures to scan all the possible inputs in order that end-user data cannot be translated as scripted content. A variety of data integrity checks should be carried out on data before their distribution to make sure the data are sensible. If it is possible, limit all end-user input to alphanumeric content. Denial of Service Attacks DoS attack (denial of service) can be defined as an event that prevents un-authorized access to the resources or make interruption in those operations that are critical with time factor. Additionally, DoS attack is sometimes called distributed denial-of-service attack  (DDoS attack). This sort of attacks (denial of service attack) may target users in an attempt to stop them from creating links on the network. However these connections may include outgoi ng transmission. In addition, a DoS attack may also target a whole corporation. In this scenario, it can stop incoming traffic or to prevent outgoing traffic towards network related applications. In this way this attack tries best to stop the victim from being usage of network links. Moreover, denial of service attack is straightforward in accomplishment as compared to gaining managerial access to a specific system from distant location. That’s why DoS attack gains popularity on the Internet (Chan et al., 2010) and (Tech-FAQ, 2011). DoS attacks can easily halt our computer machine or our network connection. However, it totally depends on the

Monday, August 12, 2019

Waste Management Reseach Paper Research Example | Topics and Well Written Essays - 750 words - 1

Waste Management Reseach - Research Paper Example Sampling is concerned with selecting a section of the population (sample) to carry out research, in order to find out certain characteristic of a population. The objective of carrying out the sampling exercise will be to determine if there is any connection between operating street sweepers and contraction of chronic diseases. Random sampling method will be used. The sample population will consist of one hundred street sweeper operators and the same number of city staff who work in the office. Confidentiality of the informants will be paramount and no one will be required to give their names or any other personal information. They will have to give their consent before the experiment begins. The questionnaires will be administered to the two groups separately, together with focus group discussions. This method will be used because it is cheap and not time consuming. A set of questions will be administered to the target audience. The type of questions will include the number of years that they have been doing the street sweeper operator job, their medical history and other socio-demographic factors. The two groups of respondents will be required to fill in the questionnaires. The medical history will look at respiratory diseases such as bronchitis and asthma. End results will be presented in the form of graphs for analysis. If from the medical history, the street operators are proved to have acquired new infections, then, more studies will need to be conducted into the issue. The work environment of the street sweepers will therefore, be a hazard, requiring to be controlled or eliminated (Ericson, 2005). 2) What is the pel of the substances that you might detect? Permissible exposure limits are enforced to protect workers from the negative effects of being exposed to substances that are a hazard to their health. They are divided into two according to the United States Environmental Protection Agency; PM 10, basically are particulates with a diameter of less than ten microns in diameter. The other is PM 2.5, which are particulates with a diameter of less than 2.5 microns. Particulates with a diameter of less diameter are inhaled and easily absorbed into the cells of the body and consequently to the bloodstream. Consistent exposure to the particles will lead to contraction of respiratory diseases. The waste removed by the street sweeps is mainly composed of sulphates and nitrates from wearing out of roads and rubber form vehicle tires and gasoline combustion. Dust is also a crucial component, composed mainly of silica and metal. The following permissible exposure limits are established by the Occupational Safety and Health Administration (OSHA). Sand has a permissible exposure limit of is 0.1mg/m3 , whose overexposure can lead to pulmonary diseases such as silicosis. The pel of dust, on the other hand is 15mg/m3 ,can also damage the respiratory system. 3) What are your recommendations? Occupational health and safety should be available to th e operators, which should among others include regular medical examination. Through these processes, infections will be able to be detected earlier on and treated. Other occupational health steps to reduce infections in the work place will include provision of protective gears such as masks (Sullivan, 2010); through such a process, infections will