Health Care Spending Essay

In the past seven decades health care spending has been increasing tremendously. The industrial era brought in a new system to help population duel with the cost of medical care. New technology has become a much needed investing in the 21st century which has yield to a great margin between small and big facilities. When looking at all of these factors there is no wonder the nation is spend way too much money on health care, although at times might seem that there is not enough. It seems that the right investment is needed to help aid those that need help the most the elderly and unemployed, with the economy in a fragile state and unemployment rates increasing with the quarters there is no question that decisions about how we are spending on health care needs to change. Even though so many factors are involved in the spending this paper would focus on our current level of expenditures, how and where is the money spent, forecasting what would be coming next. Current level of national healthcare expenditures According to â€Å"Physicians for a National Health Program† (2012), â€Å"National Health Expenditures was $2.8 trillion, and the spending as a percent of GDP was 18% for 2012† (National Health Expenditure Projections: Modest Annual Growth until Coverage Expands and Economic Growth Accelerates). When looking at these facts many would even argue we are spending quite enough when it comes to healthcare or perhaps too much, however is the complete opposite not enough spending is in the right place. These figures does not represent the spent on one area of health care the graph below will provide an idea as to what, when, and where was spent on 2009. Total = $2.3 Trillion Source: Martin A.B. et al., â€Å"Growth In US Health Spending Remained Slow in 2010; Health Share of Gross Domestic Product Was Unchanged from 2009,† Health Affairs, 2012. As shown on the graph 51% of the spending is towards hospital care and physician/clinical services which are great to be invested in, however the rest of the spending in my opinion is not proportionally distribute, yes those areas are extremely important but it would be beneficial if more can be distributed along medication, and other professionals services to include the testing and diagnose of serious illnesses such as cancer. The investment is require to subsidize the needs on these areas, 45 percent of people under age 65 who don’t have insurance coverage for prescriptions said they had not filled a prescription in the last year because of the cost. Additionally, 84 percent of working-age people in the U.S. without insurance coverage for prescriptions said they had taken some action such as spending less on groceries or postponing paying other bills in order to pay for their medications, an increase from 71 percent last year (Rowan, 2012). Regarding testing for patients with cancer there should be more funding for the new technology available for test that many patients are not aware, because they cannot afford it or simply because it is not available in their area. Spending: Too much or not enough? In 2010, $2.6 trillion was spent on health care services and products, 61 percent of which purchased hospital care, physician and clinical services, and retail prescription drugs. Private health insurance paid for 33 percent, out-of-pocket sources for 12 percent, and other third party payers and programs for 7 percent. The two largest government health care programs, Medicare and Medicaid, purchased $925.1 billion worth of health care goods and services in 2010, accounting for 36 percent of total health care spending (Centers for Medicare and Medicaid Services, 2012). The increase of cost would continue to rise according to economists, health care managers, and advisors forcing for a new reform to change the system. Thus many are not too please with this idea is a phenomenal that cannot be avoid, there is a need to change in policies and methods in which we spent or invest in health care. Suggesting that the investment is too little would be a denial statement, everyday more and more patients are relying on programs such as Medicare and Medicaid to get the attention required at the moment. As the economic recession set in deeper less would be available to afford just the basic needs, medication or any treatment; unemployment rates are on the rise and it does not seem it would stop anytime soon. Although the new reform would try to establish some type of stability, until the insurance companies and policy makers come to an agreement to provide a universal premium for service which can be affordable for all, the same problems would continue to emerge. Many factors also have effect on spending considering for example the demand for new technology in the 21st century; this trend has become to some degree a factor in the rise on health care spending. Much of this new technology is beneficial if it provides a new way to used already establish technology, however many studies have revealed that most of them are only here to replace such technology and at some circumstances increase the cost of service. As a country a deeper consideration of such technology is needed not only to save money, but to invest wisely as to what would help the system cut in spending. Future economic needs of health care For years to come the enduring effects of the economic recession and slow recovery, due mostly because of partial growth in incomes, are expected to continue to limit health spending growth. In 2014 the coverage expansions laid out in the Affordable Care Act for Medicaid and for private health insurance are expected to increase the growth rate for health spending, with notable increases expected in spending on physician services and prescription drugs for newly insured patients. By the end of the year, higher income growth and the continuing shift of baby boomers into Medicare are expected to cause health spending to grow roughly two percentage points faster than overall economic growth, which is about the same differential experienced over the past thirty years. Therefore a necessary reform of a national health care perhaps would provide the change needed, the only issue with this suggestion is the funding. Thus a national health care would help every citizen reach the so needed medical attention required at an affordable price there is no surprise that the funding through Federal programs are thinning, and the cost of private insurance keeps on raising. Therefore a more evaluated reform should be put in place where the cost of care should be regulated, and more affordable options are given to the population; an increase on reimbursement of healthcare for basic health needs is necessary to subsidize the cost for complex health needs in order to keep the cost regulated. According to â€Å"Centers For Medicare And Medicaid Services† (2011), â€Å"In 2014, national health spending is projected to rise to 7.4 percent, or 2.1 percentage-points faster than in the absence of reform, as the major coverage expansions from the Affordable Care Act (ACA) are expected to result in 22 million fewer uninsured people† (National Health Expenditure Projections 2011-2021). Increases in Medicaid spending growth, and private health insurance growth will contribute to the overall acceleration in national health spending in 2014. There is no question that technology would also continue to raise to help the system provide the best and fast way possible services to those in need. Investing more in health care can only benefit the nation; however the right decisions needs to be made in order to keep the spending growth under control. Reference Centers for Medicare and Medicaid Services. (2012). Retrieved from http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/NationalHealthExpendData/downloads/dsm-10.pdf Centers for Medicare and Medicaid Services. (2011). Retrieved from http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and -Reports/NationalHealthExpendData/Downloads/Proj2011PDF.pdf Martin A.B. et al., â€Å"Growth In US Health Spending Remained Slow in 2010; Health Share of Gross Domestic Product Was Unchanged from 2009,† Health Affairs, 2012. Physicians for a National Health Program. (2012). Retrieved from http://www.pnhp.org/news/2012/june/2012-health-care-spending-including-administration Rowan, K. (2012). Fox news.com. Retrieved from http://www.foxnews.com/health/2012/09/13/why-americans-prescriptions-are-going-unfilled/

Ksa Self Eval

I am definitely a quick learner which is very beneficial to on the spot coverage for a co-worker, was trained for basic process to handle JABBER for only half a day since my co-worker needs to go to an emergency leave for 3 weeks, midyear n 2013 and helped my peer with relaying referrals to JABBER when she had a foot surgery which leads me to be an alternate on handling JABBER. I was managing authorizations for all local primary care that goes to a native facility, SEC Orthopedic and .NET after ELL was passed on to one of my peers.I was assigned to be a mentor to new employee to assist with all work related issues. On late December 201 3, was asked by my Supervisor to manage JABBER in place of my peer that volunteered for another task. I was handling all officer consults, authorizations and referral management along tit SF which is also considered a big task due to a number of patients that's being sent to their facility and all other local primary care that are being sent to native facilities for almost 9 months. Created a spreadsheet via Microsoft Excel for all JABBER clinics for easy tracking.I volunteer to work TOT every Saturday to take down Mammography consults and all other categories that needs to be worked on. I have been asked questions and advice by my peers (Nurses and Ma's) on work related issues, especially new employees. Questions about work processes, most specially computer related, mostly bout trouble shooting and vendor information. I also helped on answering the phones (ACED Line) when needed. I was the first MASS in our department to have tried the process of the PC program. Wowed some of my peers the step by step process of submitting consult/ referrals/ authorization through scanning to the program. I practically started the process and showed/ trained some of my peers, even the leads. I created the letter for veterans (fixed it, since it was from a flyer in PDF format that needs to be converted to Microsoft Word document), I also created the main coversheet for PC we use whenever we amend, deny, re-route a secondary request/ authorization and put together a verbiage to be used whenever we create an authorization for Tries. Tot tied to work on JABBER, SF and other local primary (native facility) which leads me to just occasionally helping with PEG. However, the main person who has been processing PC authorizations still seek my advice most of the time, as far as trouble shooting PC processes. I also contributed a lot to our temporary MASS working with faxes even though was not assigned to be her mentor, she always seeks my advice most of the time. I am one of the Ma's who were trained to close/ complete consults by scanning medical notes/ documents to CPRM.Although am not the main person for PC anymore, I volunteered on updating and forwarding the PC Provider List every Monday. Currently, have been helping to close out consults (since almost the end of fiscal year) by scanning medical documentations/ notes to CPRM. Added the ASK submitted when I was promoted for GAS 6 just for a refresher. GAS-6 Medical Support Assistant (Advanced) Demonstrated Knowledge, Skills, and Abilities: 1 . Ability to collaborate, communicate, set priorities, and organize the work in order to meet deadlines, ensuring compliance with established processes, policies, and regulations.In my current position as a Medical Support Assistant with the VASS Integrated Care Service, I am responsible with the review (after being approved by MR.), scheduling and authorization process of consults in collaboration with the CICS patient care team and communicating with non-VA medical facilities, this include determining urgency of care to ensure timely and best purchased care for our veterans. I've been constantly picked by my supervisor to process urgent or implicated consults on account of having an excellent attention to details and accuracy.Due to my ability to learn new skills quickly, I became a part of the reconciliation team r egardless of being new, working on a spreadsheet via Microsoft Excel consisting of over 2000 plus claims to determine, track down, adjust or cancel used or unused authorizations on a weekly task to recoup funds that had been obligated to vendors but never used, it was then used for processing backlogged pending authorizations for this FYI. In addition I was also assigned by the chief of our department to assist on identifying/ recessing denied and duplicate claims.I efficiently identified hundreds of duplicate/denied claims from previous FYI. I've been a part of a group of Mass and nurses working to close out thousands of outdated consults. I assisted going through a spreadsheet determining which authorizations needs to be closed (nickered) out freeing up funds for use of unprocessed and pending authorizations. 2. Ability to communicate tactfully and effectively, both orally and in writing, in order to meet program objectives. This may include preparing reports in various formats an d presenting data to various organizational levels.I became the point of contact for all veterans from the Electronic Wait List (ELL) that are being seen in Providence Health & Wellness, Providence Senior Care Center, Mat-Us and Southeastern Foundation for their local primary care. Constantly communicating with the vendors and patients to coordinate appointments, consults, ERR visits and authorizations to ensure care for our veterans. Maintaining/ Updating a spreadsheet and writing appropriate notes/ comments to track down number of veterans being seen for local primary care outside VA.As an alternate MASS for JABBER, assist in coordinating all veteran consults between the Joint Venture Hospital and Veteran's Administration. I am one of the only two Mass with access to the computerized medical records system at Elmsford Air Force Base Hospital. I assist in entering consults and authorizations for all care received at the Joint Venture. Assists on directing veterans, their dependents , and beneficiaries via telephone communication when covering the ACED line. 3.Advanced knowledge of the technical health care process as it relates to access to care. Proficient in CPRM, r-BCC Authorization, Vista, Microsoft Access (NBC Letters) which is utilized in consult management and referral process. Skilled in operating FIBS Distribution and Processing which utilize when working with the reconciliation and claims, SUCH which is utilized for entering BIER consults, scheduling and printing notes/ reports such as referrals, orders and reports for labs, CT, MR., Grays etc.Equally competent in utilizing systems such as RPM which is comparable to Vista, Signature and LATA which is comparable to CPRM, AFC System for electronic receipt Of documents faxed available for review and processing of healthcare providers. 4. Advanced knowledge of managing a clinic. This includes independently utilizing reference sources, decision-making, and empowering the team to collaborate and resolve pr oblems within a complex systems environment.Worked as a Case Manager Assistant at the Alaska Native Medical Center, Internal Medicine Clinic managing one of the 7 sub-specialty clinics, General Medicine with two Case Managers (nurses) and 3 doctors responsible for having the doctors review the consults according to urgency, coordinating appointments or patients, scheduling surgeries/ procedures, taking care of patient's travel and lodging. – Manages consults, authorizations, updating spreadsheet (monitoring and tracking) of the Electronic Waiting List (ELL) for four locally and out of town clinics.Such clinics are as follows; Providence Health and Wellness, Providence Senior Care Center, Providence Mates-Regional and South Central Foundation. Am currently assigned to manage consults/ referrals, scheduling and authorization for Native Agreements, .NET, Orthopedic and an alternate for JABBER specialty clinics. 5. Advanced knowledge of policies and procedures associated with ope rational activities that affect the patient flow, patient care, and the revenue process.

English Class Reflection Paper Essay

It’s hard to believe that my amazing journey in English 104 is coming to an end. The journey has been so much more enjoyable than I initially expected. I have tried to avoid taking English 104 numerous times because reading and writing have not been my strong points. Each time I attempted to take this course, I dropped it due to a particular instructor style, or a boring set of literary materials. This time around was different, as I set my goal to obtain my bachelor degree in Business Administration by the end of this summer. Therefore, I was determined to force my way through this class no matter what challenges I had to endure. To my pleasant surprise, this class was much better than the others. I felt the information and learning come much easier. I enjoyed the class materials and the professor did a very good job responding in earnest to my submissions. Because of the much better experience, I truly believe I have become a better writer and a better critical thinker. Through the discussion board and the professor‘s guidance of our writing assignments, I have improved my analytical skills as well as developed a greater organizational skills. The discussion board was an important tool in developing my understanding of different aspects of the literature reviewed in this course. This new discussion format allowed me to read other students contributions on the same topic, as well as Professor Duclos-Yourdon’s direct and prompts for a deeper analysis. For example, in week five discussion three, we discussed Sister James‘ character, as I said â€Å"Father Flynn offers reasonable explanation about the situation and his involvement with Donald and Sister James’ doubt is appeased. This shows that Sister James is easily persuaded and has no eager to actively seek the truth on her own†(Vickery DB) Following my thread, Kimberly raised a very interesting question by adding, â€Å"who is the real criminal in this play Is it Father Flynn with what reported or is it Sister Aloysius as she manipulates Sister James for her own benefit?†(Voss DB) Through engaging discussion with students on a regular basis, I was able to develop a more detailed understanding of literature work. Additionally, alternative views helped me to incorporate logic and critical thought into my arguments. As a result, I am better equipped to gather necessary information to begin writing my assignments. Professor Duclos-Yourdon’s guidance was crucial in helping me develop my critical thinking skills. Our first literary analysis essay was the most difficult one for me in this course as I had not written an academic paper in nearly ten years. I decided to write my first paper on â€Å"The Yellow Wallpaper† and wanted to submit my rough draft for initial feedback. For fear of not achieving the minimum 1000 word requirement, I began to construct random ideas in my paper, as the professor commented, â€Å"Your argument should stay focused on the story. These larger implications can be raised in the conclusion if they come naturally from your argument.†(Dulcos Essay1) Later, she suggested, â€Å"To develop this argument, you could first write a paragraph establishing the wallpaper as a symbol for entrapment (as you have done). Move from there to the narrator’s loss of individuality, and finally explore the narrator’s transformation into this shadow woman.†(Duclos Essay1) These comments resonated with me and gave me great ideas on the direction I wanted to take the paper. I began to interpret the evidence in a deeper way and rethought my thesis statement to be more focused. Moreover, I deleted the unnecessary paragraphs, reorganized my ideas and supported with factual evidence. As a result, the comments I received from Professor Duclos-Yourdon were so insightful it helped not only develop confidence, but also resulted in a perfect grade. With the additional practice of literary analysis in this course, I conclude that writing is a lot like mathematic. Like mathematics, where there is a specific formula to follow to get a result, so there is also a formula in literary analysis to construct an organized essay. I learn in my previous English class that an essay consists of some very basic elements, for example, an introduction, three body paragraphs, and conclusion. It all sounds really easy, but without following some formula, the result wanders and is difficult to follow. What helped me in this course was learning to break paragraph down into more detail. For example, the topic sentence should clearly tell the reader what the paragraph will explore. Then, simple lead in sentences should be followed by evidence from the literature work. Finally, I complete the prograph with my own interpretation of the evidence. It’s a pretty straight forward method and I can relate to it more as I love formulas. So every time I got baffled, I think of my paper as this giant math equation to solve. Taking these baby steps has helped me in completing all my assignments without feeling defeated. Finally, I realize the importance of taking English classes during the first two years of one’s college career because it prepares a person to communicate well in written words as well as spoken. Although I waited till the final year of college to take this course, the analytical, writing, and organizational skills I learned will benefit me for many years to come. I am looking forward to utilizing these newfound skills in my next career opportunity as well as graduate school. Work Cited Duclos-Yourdon, Melissa. Vickery_ Essay# 1. May 13, 2012 Vickery, Susie. Discussion# 3 Sister James. May. 29, 2012 Voss, Kimberly. Discussion# 3 Sister James. May 31, 2012

Budget Planning and Control Assignment Example | Topics and Well Written Essays - 500 words

Budget Planning and Control - Assignment Example Budgets are highly important in obtaining debts from the financial institutions. Banks and trade creditors usually examine the financial stability of the company to ensure that their debts are well secured by the assets of the company. Effective budgets reflect the plans and cash flows of the company that makes it easier for the creditors to decide whether or not to grant debts (Kemp, 2003). Effective budgets assist the management in determining the costs with accuracy. If the company determines the costs and expenses in advance, it will help them in making pricing decisions and in implementing the cost control policy. Thus it is necessary to prepare effective budgets in order to establish strategies that are important in highly competitive markets. 1. Nordstrom should decide on budget committee and the participants that should be involved in the budget setting process. Participation of managers is essential to consider their point of view while establishing budgets. 8. Review the performance on a timely basis and determine any variation in actual results about budget. Investigate the problem and reasons behind the variation to resolve the matter on efficiently (Shapiro, 2008). An important aspect of budget management is employee participation. Managers of individual departments should be informed on regular basis about any updates and alterations made in the budgets. By getting regular updates, it will become easier for the managers to implement the budgets and changes on a timely basis. Another advantage of the employee participation is that it motivates the employees and create the sense of ownership among them (Donovan, 2005). For long-term and effective implementation of budgets, it is necessary to keep track of resources to determine whether or not they are sufficient to fulfill future needs. In case of lack of resources or destruction of resources, budgets should be altered in such a way

What were the World War 2 goals of the United States and its allies, Essay

What were the World War 2 goals of the United States and its allies, and how were they achieved in battle and in wartime conferences - Essay Example But in order to do this, the United States had to join hands with the Soviet Union (under Joseph Stalin), despite ideological differences between the two nations. Great Britain was the third member of this coalition, which is referred to as Allied Powers. The ultimate defeat of Germany was achieved by a concerted attack on two fronts. On the Eastern front, Soviet Union forced German troops to retreat further toward Berlin, while on the Western front American troops stormed onto the shores of Normandy in France despite heavy resistance. But prior to this strategic military operation, the three leaders of the respective nations, namely Franklin D. Roosevelt, Winston Churchill and Joseph Stalin met in a conference to chart out their combined strategy. So the eventual success of the United States in World War Two should be attributed to strategic diplomatic and military moves on its

CHINA PROJECT Essay Example | Topics and Well Written Essays - 250 words

CHINA PROJECT - Essay Example elatively well and this prompts the rating of this sector as zero which implies that the performance in the financial markets of China are at their optimum or rather best levels (Frankel &Wei, 2007).The fact that China is a great nation anything that occurs on its state of financial market affects the entire globe since it acts as one of the major shareholders of investments. This kind of statistics indicates that China is placing a favorable environment for global financial market. The aspect of value chain has been extensively and intensively moved into classy commodities and services and this comes after the nation has fully dominated and controlled the least cost manufacturing firm. Even though the expansion in China in the service industry as one of the best economies internationally (Frankel &Wei, 2007).The state of China has not abandoned the manufacturing sector it has instead struggled in the transformation of the sector into greater levels through the creation and enhancement of the chains and the attributed value. The increased value chain has facilitated the state of China to move forward in terms of economic growth and development. Some of the features associated with this kind of trend involve the global value chains which China has developed and expanded intensively. In this kind of rating the aspect of is given zero since it makes the manufacturing sector of China the greatest contributor of the Gross Domestic Product and the contribution is approximately 50 percent (Frankel &Wei,

Does the Law of Torts consist of a fundamental general principle that Assignment

Does the Law of Torts consist of a fundamental general principle that it is wrongful to cause harm to other persons in the abse - Assignment Example Developments in common law support the latter perspective. Earlier cases on negligence supported the first view but latter trends in jurisprudence reinforced the second perspective. A core principle in tort law is the non-materiality of intent or motive. The rationale for this principle is the prevention of the danger posed in leaving the jury with the responsibility of determining the liability of the defendant based on their views towards the propriety or wrongfulness of the defendant’s motives, especially since it is difficult to determine the motives of the defendant. (Cohen and Cohen 211) This principle developed from several cases. In The Mayor of Bradford v. Pickles, the court held that an improper or even malicious motive that causes damage but is not against the law is not actionable. The court rejected the claim of the plaintiffs because diverting underground water, regardless of intent, is within the property rights of the defendant and therefore legal. The same pri nciple has been reiterated in Allen v. Flood and Abbott v. Sullivan. Non-materiality of intent coincides with the second perspective. The first perspective expresses the general rule on tort liability subject only to negation by a justification or excuse. ... The claimant has to focus on showing that the action of the defendant falls under the actionable acts. The act itself is material and the intent is not, so that the second perspective aligns with the principle of non-materiality of intent. The law of torts comprise of a set of rules that establish particular types of harm or injury. As such, liability for tort only ensues when the action of the defendant is proven to fall within this set of rules. (Cohen and Cohen 211) Chapter 32 of the Torts Act 1977 defines the actions considered as wrongful interference with goods, which are â€Å"(1) conversion of goods, (2) trespass to foods, (3) negligence that results in damage to goods or to an interest in goods, and (4) subject to section 2, any other torts so far as it results in damages or to an interest†. The Occupier’s Liability Acts of 1956 and 1984 describes the minimum duty of care towards people’s safety of an occupier (e.g. shop owner, land tenant), who invites other people into the premises or has trespassers. Tort law provisions set the coverage of actionable wrongs to the exemption of all uncovered actions. Liability does not accrue for actions not falling under the forms of wrongful interference with goods and duty of care towards people’s safety is not enforceable in other circumstances apart from what was described by law. As such, tort law expresses the second perspective since it involves a set of specific rules citing harmful activity to the exclusion of other acts. The specific rules in tort law require that the primary question asked is whether the injury claimed by the plaintiff falls within the specific forms of harmful activity (Cohen and Cohen 211). Again, this expresses the second perspective. If tort

Strategic management and other aspects of HRM Research Paper

Strategic management and other aspects of HRM - Research Paper Example Traditionally, personnel management took the functions of HRM. When functions and responsibilities multiplied to the fore due to various organizational and environmental factors, changes have to be incorporated in the organization. Human Resource Management has taken over the functions of Personnel Management. These functions range from recruitment to training to managing the personnel and their functions in an organization. In the UK, HRM emerged in the late 1980s, giving way to personnel management, during the time when stress on the integration of HR policies was needed. The people are the organization’s greatest asset, and human resource is to manage or take care of this special asset. If the people are working well in the organization, it means HRM is doing its job of looking over the employees. Human resource management is defined as â€Å"a strategic and coherent approach to the management of an organization’s most valued assets – the people working there who individually and collectively contribute to the achievement of its objectives† (Armstrong, 2006, p. 3). But Storey (1989) believes that HRM can be regarded as a ‘set of interrelated policies with an ideological and philosophical underpinning’. Storey suggests these following aspects that constitute the meaningful version of HRM: it is ‘a particular constellation of beliefs and assumptions; a strategic thrust informing decisions about people management; the central involvement of line managers; and a reliance on a set of ‘levers’ to shape the employment relationship’.

To what extent is netanyahu speech in Congress 2015 view the nuclear Movie Review

To what extent is netanyahu speech in Congress 2015 view the nuclear deal - Movie Review Example It consists of two houses the House of Representatives and the senate. The congress meets in capitol which is located in Washington D.C. Benjamin claimed that this deal would create two chief concessions which act as a threat to Israel’s security as well as the region. This will be through retention of Iran’s ability to initiate a nuclear weapons program.1 Netanyahu termed it as a bad deal and explained that Israel is much better without the deal. The speech welcomed mixed views and responses from people of all the walks of life as the document analyzes.1 The speech encompassed strong views against the American Iranian negotiations that are underway. This speech stirred up some political controversy of the two countries. He noted that these negotiations will just guarantee that Tehran gets the nuclear weapons to harm the entire world. Netanyahu also noted that from the previous attempts, it is evident that Iran is a nation that cannot be trusted. This is irrespective of whatever they say in terms of whichever accord designed to stop it from acquiring those weapons. He also noted in the speech that the world is now facing the danger of the Islamic militant marriage with the nuclear weapons. The members of the house expressed varying opinions concerning these Netanyahu’s words. A loud applause was received. However the applause came from the republicans while the democrats revealed a restrained reaction. According to Netanyahu, after the deal will be done Iran was to receive two major concessions. One concession was to leave intact the Iran’s vast nuclear infrastructure. The other concession was to lift the restrictions on this program in like a decade. According to Netanyahu, the world should make sure that no restrictions get lifted on the nuclear program on Iran (New York Times 2). This will be until Iran stops all the aggressive activities against its neighbors in Mideast, seize supporting terrorism in the globe and refrain from annihilating

EBay Website Profile Essay Example | Topics and Well Written Essays - 1000 words

EBay Website Profile - Essay Example Many web experts have classified eBay as original Web 2.0 Company. The company uses eBay wiki and eBay blog as tools for knowledge sharing among online community. eBay blog helps user to promote their business and product offering to other users. Application of web 2.0 not only helped users to promote offering but enhance two way communications between vendors also. eBay wiki has revolutionized the concept knowledge sharing by creating online platform to transfer product knowledge between users (Campanelli, 2008, p. 165). Web 2.0 can be used as an alternative to integrated marketing communication to promote product by means of using digital marketing. The process decreases cost of promotion manifold in comparison to traditional advertising technique (Hof, 2006).Company’s eBay listing & store design helps them to increase visitor retention. It helps the seller to showcase the product portfolio in best possible color combination to buyers while flexible update function empower t he vendor to change content in accordance with the demand of market.eBay always try to improvise in website design to compete with their business competitor Amazon. Use of catalog in the website helps customers to navigate all the products under one product category and this process not only augment shopping experience but saves lot of time also. eBay has enhanced shopping experience in four dimensional ways. 1- Condition- eBay sellers offer items in range of various conditions increasing flexibility in offering.

Temporal pattern of a cell Essay Example | Topics and Well Written Essays - 1000 words

Temporal pattern of a cell - Essay Example The cardiac myocyte is an extremely active cell and it contracts one to three times in one second. This contractility is far greater than the contraction of the skeletal muscle. Owing to this, the cardiac myocyte requires a large amount of energy in the form of ATP. The high metabolism of the cardiac myocyte is the reason why these cells possess an extensive amount of mitochondria. Furthermore, the cardiac myocyte also cannot generate ATP without oxygen. It meets its demand of generating ATP oxidatively by utilizing different energy sources which include fatty acids, lactate and glucose (Klabunde 2005). The cardiac myocyte has the capability of altering its function of contraction as per the requirements of the human body. Its contractility varies throughout the different times of the day according to the needs of the body. Another important feature of the cardiac myocyte is that this cell does not have the capability of undergoing mitosis and the cells do not increase in number. But when there is a greater load, the cardiac myocyte undergoes the process of hypertrophy to compensate for the increased work load (Abel & Wilkins 2004; Hill & Olsen 2012; Walker & Spinale 2006). The cardiac myocyte exhibits varying functions over the 24 hour interval. During the period of sleep, the cardiac myocyte maintains decreased contraction and the metabolic needs of the cardiac myocytes are also low. This is owing to the fact that the body is not in need of an increased blood supply and is in a resting state. The major factor which is responsible in the maintenance of the changing functions of the cardiac myocyte is the calcium ions. During the hours of sleep, the entry and the exit of the calcium ions in the cardiac myocyte are very low. This is the main reason why the cardiac myocyte retains slow contractions (Hill and Olson 2012). When an individual wakes up, the cardiac myocyte starts functioning at a faster pace. An important research has

Americas Vision Essay Example for Free

Americas Vision Essay Fame, wealth, freedom, and success. Every person desires a life where riches, glory, or freedom surround them. Numerous people consider this dream the American dream, however, is it truly possible to achieve? Even those various immigrants who travel a great distance to come to America to live their own American dream shortly become intemperate people. The idea of the American dream is not attainable because people in general are exceedingly paradoxical and are constantly left yearning for more in a variety of ways. In the heartfelt story America and Americans, Is the American Dream Even Possible, by John Steinbeck, he wrote, One of the generalities often noted about the Americans is that we are restless, a dissatisfied, a searching people (Steinbeck 1). I feel that Steinbeck conveys a great deal of truth about Americans and how we live our lives. We all aspire to have something and once we acquire it we become discontent and strive to have more. For instance, a man works his whole life to become someone or something he truly is not and once he gets there he realizes that he wants more and longs to become more. In truth we all do what we want to and are searching for the greatest, but nothing ever seems to be good enough in our dissatisfied lives. Immigrants from all over the world arrive in America to pursue their own American dream. Whether they come for religious freedom, education, or just to obtain better lives, they quickly strive for more and more even though they have accomplished their intended goals. After residing in America for years they overlook the ways of their homeland customs and become drawn to the lives of Americans even when it is in opposition to their original traditions. In numerous ways they somewhat become brainwashed by Americans who live their lives not in reality but in idealism, and they attempt to live their life like them as well. However, once they return to their homelands after believing they have obtained their goals, they cannot figure out why their families and friends no longer wish to speak to them. They have altered and become intemperate people resembling us Americans and have brought back terrible habits and ways to their homelands that their people have despised in their customs for several years. Americans are truly paradoxical people who say one thing and do another. We  are constantly contradicting ourselves and others and cannot comprehend why we are so unhappy. We make every effort to achieve happiness but nothing ever seems to be good enough. John Steinbeck expresses that our priorities are extremely wrong in this quote, Americans are remarkably kind and hospitable and open with both guests and strangers; yet they will make a wide circle around the man dying on the pavement. Fortunes are spent getting cats out of trees and dogs out of sewer pipes; but a girl screaming for help in the street draws only slammed doors, closed widows, and silence (Steinbeck 1). Steinbeck puts across a serious point and I boldly agree that we Americans have our priorities twisted around. Ultimately, Americans have a large number of adjustments they will have to carry out before they will ever be able to achieve their American dream and be content. We are so full of dissatisfaction and failure to stick with our goals. We tread on friends and family who get in the way of our so called American dream, and after we believe we have attained it we are not sure as to why we are so miserable. If Americans can take that further step to transform, the American dream may become possible. However, until then the American dream will merely be an idea, not a possibility. Works Cited: 1. Steinbeck, John. America and Americans, Is the American dream even possible.

Changing Workplace And Workforce Expectations Business Essay

Changing Workplace And Workforce Expectations Business Essay The key objective of this literature review is to provide a general survey of relevant theories, academic approaches, available studies and analysis on forecasted shifts in science, technology, communications, geopolitics, and economics between today and 2030 and the impact these factors will have on corporate workforce, employment models and the role of a leader in organization and leadership competencies. The horizon line for strategic planning and forecasts in most cases typically ranges from three months to five years. Trying to imagine what the world of business will be like 20 years from now is a challenging and noble goal but a researcher is exposed to several risks. One of them is to be too futuristic and end up with a science fiction which would have a little correspondence to the objective reality. The importance of the literature search is to avoid this trap and ground the dissertation on realistic, reliable and reasonable facts and evidences. It will also support the designing of research methodology and developing relevant questionnaire for conducting interviews with IBM and non IBM top management and executives. The scope of literature research The business is entering a new era in history undergoing serious changes caused by globalization, economic rise of new regions, dramatic shifts in demographics, science, technology, communications and geopolitics. The research community and leading multinational companies have already embarked on a series of forward-looking discussions to consider the macro trends driving business change in the decades to come, and the implications that will result for business and leaders who will drive the future success. The forecasts and researches done in this area cover such topics as: changing world changing workplace and workforce expectations new employment models and employee engagement instruments that would help business navigate in the future potential leadership styles needed in an organization with new and emerging employment relationships roles and accountabilities a leader of the future will have and potential challenges the leader need to be prepared for The Changing World There are many factors in the environment that affect the organizations and the decisions of the leaders of each organization. Huczynski and Buchanan (2007) argue that the world out there influences the world in there (Figure 1). Internal organization structures, processes and behaviors Lead to External environment factor, trends and developments change in Figure 1 The external environment external environment organization link There are different environmental scanning techniques to analyze the changing external environment. To build the vision of the future and understand the big picture of the macro-environmental influences PESTLE analysis concept (Figure 2) will be used. A PESTLE analysis is often used as a generic orientation tool, finding out where an organization or product is in the context of what is happening outside that will at some point affect what is happening inside an organization (CIPD, 2010). Figure 1. PESTLE Analysis Political factors Most of the researchers agree that by 2025 there will be a global multi-polar system with rise of China, India and some others. Power will be more dispersed with the newer players bringing new rules of the game while risks will increase that the traditional Western alliances will weaken (Global Trends 2025: Transformed World, 2008). USA will remain the provider of global security (FreeWorldAcademy, 2005) but will have to share the power with other new players. Researches expect China becomes a democratic country in 2030 and gain more political power. Some experts also expect greater Asian regionalism by 2025, which may lead to establishment of new quasi-blocks: North America, Europe and East Asia and new wave of political and economical competition (Global Trends 2025: Transformed World, 2008). The potential for conflict and instability is expected to increase in Middle East and North Africa. At the same time McKinsey Global Institute predicts the acceleration of Africas growth where government actions will manage to end political conflicts and improve business climate (McKinsey Global Institute, 2010). Its also expected that global negotiations between regional blocks and national governments on major issues for the planet, such as biodiversity, natural resources, energy policy and trade regulation will increase and possible result in establishment of new alliances and communities. Driven by higher world population, competition for natural resources, pollution levels Green will become fundamental geo-political and business imperative for the planet. Economic factors GLOBALISATION By 2030 the world will become flatter with an expanded base of financial power where barriers to the flow of goods, capital or knowledge will be almost removed (A View of the World in 2030, ACCA, 2010) which will more regulation on a global level. Its also expected that the global power will shift to emerging markets. This statement confirms Goldman Sachs Group Inc. that the market value of emerging-market stocks may grow more to $80 trillion in two decades, overtaking developed nations, as China becomes the worlds largest stock market (Bloomberg, 2010). Multiple centers of economic power will be distributed around the globe and organizations/countries will need to be culturally adaptable to compete in global markets Figure 2. demonstrates forecasted transition of GDP by 2030. Figure 2. Transition of GDP 2030 (Cabinet Office, Government of Japan, 2010) The transfer of global wealth and economic power roughly from West to East, is the most discussable topic in most of the reports and forecasts. This shift can be explained by several reasons : increases in oil and commodity prices generated big profits for the Gulf states and Russia lower costs combined with government policies have shifted the focus of manufacturing and some service industries to Asia power will shift to the places with political and economic stability (Global Trends 2025, 2008) The world GNI will also undergo the evolution and regional repartition. As indicated on Figure 3. it is expected to reach 94,290 $Billion in 2030 comparing to 39,305 $Billion in 2004. 2004 2030 World GNI 39,305 94,290 Population 6,480 8,200 World income per capita 6,065 11,500 Figure 3. World GNI 2004 2030 (Cabinet Office, Government of Japan, 2010) This economic trend implies an average growth rate of 3.4% over 26 years. Compared to the population growth rate 1%, it means that the world income per capita will increase by 2.4% per year over the period Asia becomes a strong visible player in the regional GNI repartition (Figure 4). Figure 4. Evolution of the main economic zone in % of the world GNI (Cabinet Office, Government of Japan, 2010) Asias emerging consumers are likely to assume the traditional role of the US and European middle classes as global consumers, and to play a key role in rebalancing the worlds economy. Estimated $4.3 trillion in annual expenditures in 2008 becomes $32 trillion in 2030 and comprise about 43% of worldwide consumption (2030 GDP Forecast, Future growth of Asian Countries, Cabinet Office, Government of Japan, 2010) Several researches and reports expect the rising BRIC powers which might collectively generate the original G-7s share of global GDP by 2040-2050 (Global Trends 2025, 2008). Meanwhile other sources suggest that new business opportunities will significantly rise in so-called BIICS-Brazil, India, Indonesia, China, and South Africa-shaping up to be business hot spots for many years to come (Working Beyond Borders: Insights from the Global Chief Human Resources Officer Study, IBM, 2010). But the truly new business frontier is named Africa where a group of countries already demonstrated ability to improve macroeconomic conditions, privatised state-owned enterprises, increased openness of trade and lowered corporate taxes, strengthened regulatory and legal systems, provided critical physical and social infrastructure(McKinsey Global Institute, 2010). The rate of return on foreign investment is currently higher than in any other developing region. These factors make this region very attractive for further business development and investments. According to Paul Nunes, Executive Research Fellow at the Accenture Institute for High Performance: Businesses not planning and acting now [to get into Africa] will miss the boat as many did when it came to China. Researchers forecast the standards of living will have risen by 2030. Number of high income people will increase by 8%, number of low income will decrease by 14% but inequalities will remain (Global Trends 2025, 2008). In essence, the economic world will look different than the world today. There will be multiple centers of economic powers, new players will mount the economic and political scene creating new business opportunities, overall, globalized and multi-polar world which will require organizations to re-think their strategies and re-shape their businesses to take full advantage of new opportunities and prosper. Social factors The next 20 years will be characterized by serious and inevitable demographic changes and shifts and their economic, political and social impacts will be enormous. Researchers highlight key demographics marked trends of years to come. World population will increase to 8.2 billion by 2030 with the largest increase projected in Asia and Africa and less than 3% will occur in Europe, USA, Canada, Japan (Global Trends 2025, 2008) Figure.. Population shifts will continue Africa will have the worlds largest working-age population. In 2008 the continent had more than 500 million working-age people and by 2040 its forecasted to exceed 1.1 bln (Figure, 6). Its an open question whether Africa will be able to educate its workforce to make it serious engine for business world. Figure 6. Working-age population 1950-2040 (McKinsey Global Institute, 2010) Longevity will increase significantly almost everywhere and the number of people aged 80 years or over will grow (Figure). Coming decades will be defined by the largest demographic group ever seen. By 2030 at least 3 generations having different mindset, background, expectations and attitudes will meet together in one society and work together for the same employers. Source: U.S. Census Bureau, Population Division people will be more individualistic and will forge lifestyles based on their own needs rather than social expectations norm will be to work much of the time from home or in small community hubs to avoid carbon costs and charge of lenghthy commutes more people will work as freelancers and neo-nomads expecting more autonomy and freedom power will shift where there is political and economic stability Technological factors Most of researchers emphasize the role of technology in fostering the innovation and bringing about change. Technology will be all-prevasive and universal serving as a key driver for economic and social shifts. L. Gratton (2011) suggests that technology will influence workforce and workplace in many ways the way people communicate with each other, their expectations and even their views on morality and human nature The internet Cloud will deliver low-cost computing services and enable the shift from working as an isolated individual to working collaboratively in a joined world regardless country and time zone of staying (McKinsey and Company, 2010). People across the world will be able to access enormous information including digitalized knowledge. Increased capacity to combine and connect know-how, share knowledge, information and best practices spending significantly less time to send and receive information will lead to people being more interconnected, united by new communities and networks (IBM, 2010). More than 5 bln people will be connected to mobile services (The Economist, 2011) and overall speed of live will rise. The other change which is expected to influence the workforce is massive crowd of computers replacing people in a number of jobs. Forcing the economic growth and social transformation technology will continue to reshape consumer needs, requirements, access to information, choice and interactivity models and demand companies to tap the power of technology to improve their competitive advantage (McKinsey and Company, 2010). Legislative factors The expected changes to happen in the world will place a pressure on labor regulation to force their activities in accommodating a networked, open and competitive world. The worldwide focus on growth will require companies to fundamentally rethink how they manage human resources and overcome barriers. Based on IBM 2010 Global CHRO Study, emerging ways of attracting talent like outsourcing, crowdsourcing, use of freelancers, bringing back retired workers which will assume ever greater importance and necessity to mange new forms of employments will require governments not only to develop new labor regulations but also modern information security norms and standards. The highest standards of corporate citizenship will be required by talent, by governments, by the media. There may not be world law in the foreseeable future, but the worlds legal systems will be networked. The Global Legal Information Network (GLIN), a database of local and national laws for more than 50 participating countries, will grow to include more than 100 counties by 2010. The database will lay the groundwork for a more universal understanding of the diversity of laws between nations and will create new opportunities for peace and international partnership. -Joseph N. Pelton, Toward a Global Rule of Law: A Practical Step Toward World Peace, Nov-Dec 2007, p. 25 Environmental There is a significant pressure to expect by 2030 driven by significant growth in world economy and population and rising aspirations for better standards living. As describe by OECD (Environmental Outlook to 2030, 2008) there are several key environmental challenges the humanity will have to deal with: climate change, biodiversity and renewable natural resources, water, air quality, waste management. To respond to these challenges governments will have to take the responsibility and proactively start developing a serious of actions to protect the environment. Business and consumers will play a key role to help prevent future environment problems. Its obvious that Green will become fundamental geo-political and business imperative for the planet. Changing workplace and workforce expectations Emery and Trist (1965) developed a typology describing four types of environment in which organizations operate and identified the appropriate organizational response. Environmental analysis with PESTLE demonstrates that the organizations 2030 will deal with high dynamism and high complexity pressures from outside. The organizational responses recommended by Emery and Trist (1965) for such environment types are developing fluid organization structures, flexible managers and staff at other levels. Duncan (1979) argues that what really matters is only the management perception. If management does not perceive the environment as turbulent the organizational response will not be as described. Anyway the reality out there has to be observed, studied, analyzed and reacted in an appropriate manner to stay successful (Huczynski and Buchanan, 2007). Being under pressure of future challenges which come from globalization, new era of technologies, social and demographic changes organizations will have to adapt their internal structures, processes, strategies and leader behaviors to enable them to deal effectively with external changes. Many factors that define the workplace 2030 have already become evident alerting the organizations that the time has come to start preparing today for the challenges of tomorrow. PriceWaterHouseCoopers (2010) forecasts three worlds and business models for the future (Figure) This picture of life in tomorrow combines the events and trends which will shape the future and PwC suggests all 3 worlds can co-exist in some form distinct by geographic principle or industry sector. Researchers expect the following key trends to shape the workplace and workforce 2030: Talent will be worldwide. Social networks and future technology will increase the capability for talent to network and for companies to access talent globally and 24/7. Facebook, LinkedIn, Twitter and other social networking sites will become ordinary recruiting sources. As social recruiting spreads from few trendsetters to all the rest companies worldwide it be essential for both employees and employers to develop new set of skills to be successful in this way (The 2020 workplace, J. Meister, K. Willyerd, 2010). But its also expected the War for Smart Talent (www.globalfuturist.com) to be continued and probably even become sharper. There is a serious mismatch between the types of individuals available for work and specific skills employers are looking for (Manpower Talent Shortage Survey 2009). Experienced candidates who possess the required skills will be heavily demanded by the organizations worldwide. Given the increasing collaboration and growing importance of teamwork companies will consider entire teams hiring as a competitive solution to the business problem (IBM CHRO Study 2010). Skills will be specialized. Cost reductions will be an essential part of business imperatives 2020 2030 leading to the dominance of knowledge -intensive work which will require an increasingly complex set of skills. Less generalist, more in-depth mastery of specialist skills will be required. PwC in the Future of work 2020 (2010) predicts that specialization will be highly prized in each of the 3 worlds (Figure ) and employees will do their best to develop the most sought after professional skills. An increased attention by the companies will be paid to soft skills as well like problem-solving, project management and collaboration (Economist Intelligence Unit, 2010). Source: McKinsey Global Survey results Five forces reshaping the global economy (Based on online survey, in the field in March 2010) Another challenge the companies are expected to face in the future is multigenerational and increasingly diverse workforce. By 2030 3 or even 4 generations will have to collaborate together in one business environment having different mindset, background, expectations and live values. Most of the Baby Boomers cohort representatives who are now holding many CxO positions will have retired, taking with them lots of knowledge, experience and valuable expertise. It will force the companies to elaborate on ways how to retain the knowledge within the organizations developing new employment structures for soon-to-be retiring people (L. Gratton 2011). Or what we call retirement now will no longer have a traditional meaning? In terms of their characteristics, lifestyles, and attitudes, Boomers were the most populous and influential generation of all. They have defined themselves by their careers and many are workaholics. Their work is seen as a form of self-fulfillment, status, and proving th emselves, i.e., job titles matter. They have crowded into cultural careers such as teaching, religion, journalism, marketing, and the arts. Team orientation is valued. They are anticipated to work longer and harder (Eisner, 2005; Koco, 2006). They are very concerned about health and energy, looking for the sources to stay young, strong and active. Generation X will be in their mid-60s by 2030. They grew up in the time of economic uncertainty under the pressure of political and economic instability. Many wage and job opportunities for young workers were limited until the economic boom of mid-1990s. (Eisner, 2005; Lager, 2006). Success has been less certain for this generation. They do not believe in positive future time, energy, and relationships for advancement like the Boomers did. They have an economic and psychological survivor mentality and consider hard work as necessity. They had to compete in a weak global economy. Diversity and thinking globally are core values of Gen Xers ( Cranston, 2008; Francese, 2004; Ritson, 2007). The core driving business force by 2025 2030 will be generation Y aged 35 45. They witnessed the fast technological evolution with the Internet, Google, eBay, cell phones, PDAs, GPS becoming an admirable part of their lives. Integral parts of their lives is globalization, global citizens, working beyond fiscal boundaries (Hawkins, et al., 2010; Cranston, 2008; Eisner, 2005; Dietz, 2003; Gerritsen, 2008). Most of Gen Y has a strong sense of autonomy and independence, quite adaptable and comfortable in different situations. With blogging, YouTube, MySpace, Facebook, and Twitter anyone can become a reporter, producer, or social advisor. Social networking is a key distinction for this generation (Dickey and Sullivan, 2007; Donnelly, 2008). Gen Y demonstrates an entrepreneurial outlook and is more work/life balance oriented and less committed to an employer than previous generations but demonstrates high commitment when dedicated to a capt uring idea. It has been observed the this generations vales life styles, career development and overseas travel and may be the most adaptable yet in terms of technological skills and values intrinsic aspects of work such as mentoring and training in order to remain marketable (Cennamo Gardner, 2008) They expect flexibility in work hours, dress code, relaxed work environment, recognition for smallest effort and constant feedback and value opportunity to downshift to reach a holistic self-understanding and satisfying meaning in life (IBM, 2011). Generation Z also called the connected generation, digital natives, the net generation (Future of work, 2012) is the newest generation and its hard to say now how they will develop as a generational cohort. By 2030 Gen Z will be taking an increasing role in society and business life. But what is known that they will grow up influenced by the factors described above in PESTLE. That is supposed to be a global and diverse generation. The technol ogical progress and next generation of social networking sites makes it possible to build online communities that are more like someones closest group of friends. (Labi, 2008b; Soltan, 2004). PwC research (2011) revealed that Gen Z will be similar to Gen Y in their expectations. But some features will be even more vivid manifested like desire for work/life balance, rapid career progression, less concern about working hours, high interest in new projects and less commitment to one employer. According to D. Tapscott (2008) Net Geners: Want freedom in everything they do Love to customize and personalize their experience Want to find entertainment in their work Are focused on collaboration and relationship building Have a need for speed They will be living in the world where equality and diversity become a societal norm. Finally, theyre going to be smart smarter even than previous generations. Their ability to process massive amounts of information quickly is actually preparing them to perform more mentally demanding jobs. In effect, an entire generation is training itself to handle more complicated tasks (IBM, 2011). Influenced by expected demographical changes described above organizations in Europe, North America, Canada will face the decline of Caucasian workers and increase of non-Caucasian. It is projected to double from 18% to 17% (The 2020 Workplace, J. Meister, K. Willyerd, 2010) While people managers are trained to deal with many forms of diversity, they will have to be prepared to manage workforce with greater diversity in age, gender and ethnicity. Social networks and virtual workspace. The rapid expansion of the digital universe and advancement in communication technologies will lead to the new meaning of being at work and create new ways on how people communicate with each other. Today for a number of jobs it is no longer needed for people to be physically located in the office to successfully perform job responsibilities and by 2030 it is forecasted most of the employers where the business allows will completely relieve their employees from working 9 to 5 office hours (Hewitt Associates, 2008). People will be free to decide where and how to organize their workplace. But Hewitt also emphasize that this capability can bring some employees new level of work/life balance satisfaction and for others its fostering workaholic tendency leading to lousy employees: tired, depressed, mistake prone, resentful, and eventually burned out (C. Salter, Solving the Real Productivity Crisis, Fast Company, January 2004). Virtual coworking will shape the future workplace. Workers from around the globe of different nations, professions, jobs, social status will be united together by many discussion forums, news groups, and virtual communities making many barriers of the past obsolete. Rapidly developing Cloud technology will make services, applications and resources accessible from any device, anywhere, any time, and if charged pay only for what they use during the time they are using it Through unprecedented access to virtual space the world of knowledge will be digitalized and enriched significantly by user-generated content (L.Gratton, 2010). Approximately 500Â  000 new users are creating every day online profiles and maintaining them on a social network (IBM 2011) and researchers forecast this number to grow over the next decades. The future workplace will look like a place where people collaborate extensively, exchange ideas, and share knowledge. The value of an employee will be determined not only by results achieved but also by how much you contribute your expertise and knowledge back to the organization (J. Meister, K. Willyerd, The 2020 workplace, 2010). The expected growth in virtual-based content will impact many organizational parts from changing corporate culture and standards of how people share knowledge and communicate with each other to the ways, policies and norms of how companys management deals with security and privacy of this explosion of the d igital content. The current workforce lifecycle has outlived its meaning. In the organizations of future individual careers are not based on relative or hierarchical moves but rather on reputational progress. Rather, people will choose the pace and direction of this progression according to their reputation and their own personal goals. Alternative careers will enable individuals to work and contribute throughout their entire lives and well beyond the traditional retirement age. In fact, the notions of retirement and retiree will be removed from our vocabulary since careers are based on the choices that each individual makes and not on the concept of seniority C. Benko and A. Molly introduced the concept of corporate lattice. In the new business world with heterogeneity of backgrounds, personal circumstances, expectations and aspirations it recognizes that career and life are no longer separate spheres but are now interdependent. This concept is expected to be a robust response to multiple changes organizations will face allowing to connect both high performance and career-life fit. Figure below describes how lattice thinking differs from ladder thinking. (C. Benko and A. Molly, The corporate lattice, ). The lattice structures an employees career path as multidirectional with opportunity to move across and down and up ensuring engagement of a diverse workforce driven mainly by desire to work for to be working with the best company, on the best projects, for the best clients, and with the best talent and team members. Source: Deloitte Development LLC, The Corporate Lattice (2010). IBM analysts (2010) elaborated and continued this concept by the next level of organizational development which can be expected by 2030 (Figure). Self-directed global-citizens will be managing their careers in a cube without limiting it to the frames of one organization. To succeed in the lattice-based organizations reputation will gain new meaning. This is the sum total of personal brand, expertise, number of successfully completed projects, ratings given by employers, breadth and depth of social networks, etc (J. Meister, K. Willyerd, The 2020 workplace, 2010). Individuals with a poor or low profile or reputation would ultimately diminish their personal brand and consequently have more difficulty securing opportunities and maintaining their labor rate against others. new employment models and employee engagement instruments that would help business navigate in the future Employee engagement is defined differently by different organizations and researchers. Here are just some of them: Corporate Leadership Council define Engagement as The extent to which employees commit to something or someone in their organization, how hard they work and how long they stay as a result of that commitment. The Gallup Organization argues that employee engagement is the involvement with and enthusiasm for work. When Hewitt Associates thinks engagement is the state of emotional and intellectual commitment to an organization or group producing behavior that will help fulfill an organizations promises to customers and improve business results. But all these definitions have a common base which is employee satisfaction with their work and ability and desire to go the extra mile and demonstrate outstanding on the job performance. Many things will be changing around and inside the organizations of the future but for the sake of sustainability employers will have to create a workplace where employees can build a personal and emotional relationship to the employer brand (J. Meister, K. Will yerd, The 2020 workplace, 2010). Basic human nature has not changed Basic human nature has not changed in 1000s of years and will remain in the future (R.J. Vance, SHRM Foundation, 2006): We want to be better: There is a competitive drive to be more competent and more capable We are social people: We are hard-wired to be part of a group We are meaning-seeking people: We want to make a difference Several sociologists who deal with generations and demographics researches suggest future generations particularly generations Y and Z will place greater importance on feedback, collaboration, self-fulfillment, meaningful contributions, skills advancement, respect, mentoring. The future workplace engagement model (J. Meister, K. Willyerd, 2010) covers the key principles that the future workplace must embody. The essential component is values which would be aligned across the generations and strong brand that employees identify with. . Meister, K. Willyerd (2010) argue there are different areas that contribute to the engagement but the model demonstrates the most important once: recruiting, employee connection, learning and leadership. These practice areas would be realized by organizations based on key principles: Collaboration: in the future external collaboration will grow exponentially Authenticity: key component is transparency through social media

Hepatitis E Virus Infection in HIV-Infected Persons

Hepatitis E Virus Infection in HIV-Infected Persons Hepatitis E virus (HEV) infection is a global disease (1,2). HEV infection represents a major global public health issue especially in developing countries, where the global death rate is 1-15% and up to 30% in pregnant women (3). Every year there are an estimated 20 million hepatitis E infection (HEV) are registered over the world. it is known that chronic liver disease by hepatitis E develops in persons who are undergoing immunosuppression, including individuals infected with HIV(4). Recently, many studies have demonstrated cases of chronic HEV infection (characterized by detection of HEV RNA greater than or equal to 6 months in plasma) and cirrhosis in immunocompromised patients, including organ transplant recipients(5) patients with lymphoma and haematological malignancies (4,6 ) and in persons infected with the human immunodeficiency virus (HIV) (7). A number of studies have suggested that In persons infected with HIV may acquire HEV infection more often than individuals without HIV (8,9). The first verified case of chronic infection E in 2008 (10), which can to lead to liver damage and develops of hepatic fibrosis and even cirrhosis in immunosuppressed patients such as Patients with human immunodeficiency virus (HIV) infection and solid organ transplant recipients (11-14). Immunosuppression has been shown that facilitates chronicity of HEV infection, Therefore HIV infection is one of the possible causes for HEV persistence (15) and there are published reports of high HIV/HEV co-infection rates for particular regions (16,17). There are some data that suggest that HEV may promote the progression of liver disease due to other causes (18). There are only a few reports regarding HEV seroprevalence in Individuals who are immunocompromised. The seroprevalence of anti- HEV IgG in HIV-positive cohorts ranges varies from one geographic location to another from 1.5% to 11.2% (19,20). Incidence of infections caused by HEV, defined by detecting HEV RNA in the serum, i s low, ranging from 0 to 1.3% (21-23). However, studies regarding co-infection of HIV and HEV and HEV associated chronic liver disease in HIV-infected patients are limited in IRAN. The present study aimed to determine the prevalence of HEV RNA in HIV infected patients in Iran a country with moderately high prevalence of both infections. Therefore, in order to better understand the clinical impact of HEV infection in these populations we have conducted a study determining HEV RNA in HIV-infected patients. In the present study, we determined whether HEV RNA were present in serum samples obtained from HIV-infected patients to investigate the prevalence of, and factors associated with, HEV infection in HIV-infected individuals. In addition, epidemiological, clinical and analytical factors were analyzed in order to identify potential risk factors associated with HEV seropositivity. The aim of this study was to define the degree of prevalence of HEV RNA in the group of HIV infected patients in Iran. For this study real-time RT-PCR assays targeting ..genes have been developed. We report 6 cases of hepatitis E infection in HIV-infected patients that   none of our patients received ribavirin treatment. Methods and materials:       Study population and samplecollection: A total of 80 Iranian patients with HIV-1 infection attending the Tehrans hospitals were enrolled in this study from February 2015 to April 2016. The exclusion criteria considered as patients who had been received anti-retroviral therapy. This study followed the principles of the Declaration of Helsinki and study has been approved by a local research ethics committee of the Iran University of Medical Sciences, Tehran, Iran. The participants were informed all aspects of the current study, and Informed consent was obtained from all of the participants prior to their enrollment for current study. About 5 ml of peripheral whole blood Sample from each participant was collected into a sterile EDTA-containing Vacutainer tube and plasma was separated from blood via centrifugation and frozen at -70 oC until analysis. HEV RNA Extraction: Efficient HEV RNA extraction using the High Pure Viral Nucleic Acid Kit generates purified HEV RNA was extracted from 200 ml of plasma (Roche Diagnostics, Germany). RNA pellets eluted with the provided elution buffer and stored at -70 °C until analysis. cDNA Synthesis: For detection HEV RNA, Reverse transcription polymerase chain reaction (rReal Time PCR) was was performed by using the first strand cDNA synthesis kit by Revert AidcDNA synthesis kit from RNA templates (Thermoscientific, USA). In a nutshell, RNA samples were heated in 65 °C for 10 minutes, then chilled on ice. The uniform suspension of bulk first-strand cDNA reaction mix was added according to the manufacturers protocol, then One ÃŽ ¼l of DTT solution, and 1 ÃŽ ¼l of random hexamer (24) primer (0.2 ÃŽ ¼g) were added to the RNA After heat denaturation and RNA and RT primers were mixed properly by pipetting up and down for several times, then incubated for an hour at 42 °C. For Real time PCR, the QuantiTect Probe PCR Kit (Qiagen, Germany) was used, based on its instruction kit. HIV-1 viral load quantification: Measurement of blood plasma HIV-1 RNA concentration performed by COBAS TaqMan 48 (Roche Diagnostics, Hacienda Drive Pleasanton, CA, USA) kit in the patients plasma samples (500 ÃŽ ¼l) and high pure extraction was used according to the manufactures recommendation. This method is a Real-Time PCR based on dual-labeled hybridization probe which targets the highly conserved region of HIV-1 gag gene. Limit of Detection of the COBAS TaqMan HIV-1 Test is 48 to 107 copies/mL. Hepatitis E Virus real time PCR assay: A Real Time PCR assay was developed for detection of HEV RNA. The primers amplify a bp region containing the . variable regions of the .. Primers sequences and their position with melting temperature are shown in . So, after alignment of complete genomes, HEV consist of Nucleotide sequences based on pubmed database. Reactions contained 5 µl of cDNA, 2.5 mmol/L MgCl2, 800 mmol/L of dNTPs, 100 ng of each primer,30 ng of probe and 1.5 units of QuantiTect Probe PCR Kit (Qiagen, Germany) to a total volume of 15  µL. Thermal cycling conditions were as follows: 95 °C for 10 min; 40 cycles of 95 °C for 15 sec, 60 °C for 40 sec, Quantitative determination of the amplified products have done by the BioRad CFX-96 instrument (BioRad, USA). In order to synthesis our ideal genes, tests should be done by two pairs of forward and reveres primers. Our specific probes were designed by different fluorescent labels to track our targets separately. Statistical analysis:The statistical analysis was performed using the Statistical Package for Social Sciences software version 21 (SPSS Inc, Chicago, IL, USA). Categorical variables were compared by Fishers exact test or the chi-square test as appropriate. Continuous variables was analyzed using Students t test. Data are presented as absolute counts, proportions [95% binomial exact confidence intervals (CI)], medians [interquartile range (IQR)], and means [standard deviation (SD)]. For all comparisons, p-value less than 0.05 was considered statistically significant. Results: The study population consisted of 80 participants with HIV-1 infection that were enrolled in the current study . The mean age of the patients was 36.51  ± 12.75 (range 4-64) years. Among 150 participants, 95 (63.3 %) were male and 53 (35.3 %) were female. . Real-Time PCR assay for HEV nucleic acid detection results in 6 (.%) positive samples out of 80 subjects, including . males (69/2%) and .. females (30/8%). Based on the analysis by Fisher exact test, no significant association was observed between HEV and gender of the patients (p value= 0.79) (Table 2). In our study, half of the HIV-1 infected patients were over 30 years of age, while the other half were under 30 years. The mean age for 6 HEV positive patients and 74 HEV negative ones was 40.9 and 35.8 years respectively. There was no significant correlation between age and HEV s RNA positivity (p value= 0.18) (Table 3). By measuring the viral load, we could examine the relationship between HIV viral load and HEV infection. The average HIV viral load in positive and negative HEV patients was 14471.92 and 17016.66 respectively but t-test analysis showed no association between HEV -positive RNA and HIV Viral Load (p value= 0.61) (Table 4).   Discussion: The aim of this study was to evaluate the presence of HEV RNA in blood samples which have been collected from HIV-1-infected patients in Tehran, Iran. In current study we used Real-Time PCR method mainly because it has been shown to be more sensitive and reliable than other methods for identify the infection. Since HEV could be potentially inhibited by anti-retroviral therapy (ART), especially ribavirin (25), none of our HIV-1-infected patients received ribavirin treatment. Thus, our data is not influenced by the viral suppression of antiretroviral therapy. immunosuppressive agents have been shown to facilitate severity or risk of chronicity of hepatitis E infection, HIV infection being one of the possible causes that may lead to HEV persistence (15), and there are Studies of high prevalence of HEV/ HIV co-infection for particular regions (16,17). Moreover, an relationship between exposure to HEV and cirrhosis has been reported in patients with cirrhosis (26), and chronic HEV infection is a leading cause of chronic liver disease in an HIV co-infection patient has been recently described (15). The presence of HEV RNA indicates current infection. This study is the first report to show HEV RNA in HIV-1-infected patients in Tehran, Iran. In this cross-sectional analysis, the overall HEV molecular infection was 7.5% (6/80). The seroprevalence of anti- HEV IgG in HIV-positive cohorts ranges varies from one geographic location to another from 1.5% to 11.2% (19, 20). Incidence of infections caused by HEV, defined by detecting HEV RNA in the serum, is low, ranging from 0 to 1.3% (21-23). In our study, we find HEV-RNA in 6 HIV patients, Unlike studies by Amitis Ramezani et al did not identify any case of HEV-RNA. An explanation for this finding could be the viral suppression observed in HIV-1-infected patients with antiretroviral therapy in their study. our results adapted with results of studies by Madejon et al., (27) Renou et al. (28) and Pischke et al. (29)Therefore, our data also support HEV infection as a viral hepatitis among HIV patients with With relatively moderate prevalence. Hepatitis E virus infection recently has been described as an emerging infection among patients with immunosuppressing conditions of such human immunodeficiency infection (30-32). In current study we found a moderate prevalence (7.5%) of HEV RNA among HIV positive individuals attending the Tehrans hospitals in Iran. Although this rate is higher than the previous studies among Similar patient population in the industrialized countries (33-35), it is lower than the rates of HEV infection reported among some population groups HEV endemic areas of Africa (36) and Asia (15). Carry et al. (39) and Keane et al. (40) have also suggested that the chronic HEV infection may be averted by use of highly active antiretroviral. A sufficiently large sample size is also necessary to establish this finding. The main conclusion of our study is that HEV infection important to consider in the differential diagnosis of otherwise unexplained chronic hepatitis in Iranian HIV-1-infected patients. Furthermore, our study revealed that HEV infection has moderate prevalence in the HIV-infected population of Tehran. Due to the HEV infection that may cause rapidly progressing chronic hepatitis in immunosuppressed HIV co-infection patients, with development of cirrhosis in the short term, Screening for HEV in HIV-infected individuals presenting Symptoms of Hepatitis or with hepatic fibrosis of unknown origin is warranted.

Free Essays: Imagery in Ghost House :: Ghost House Essays

Imagery in Ghost House    Robert Lee Frost was born on Mars 26th 1874 in San Francisco and he died in Boston, January 29th 1963. Frost was greatly influenced by his move to New England at the age of 11, his move to England when he was 37, and then his return to New Hampshire a couple of years later. These periods can be seen in his poetry. His poems about life and death made him one of the best-known poets of 20th century and he won many literary prizes, including four Pulitzer Prizes. Frost wrote poems whose philosophical dimensions transcend any region. Although his verse forms are traditional, he was a pioneer in the interplay of rhythm and in the poetic use of the vocabulary and inflections of everyday speech. His poetry is both traditional and experimental, regional and universal.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The main reason why I chose Robert Frost’s poem is because his poems are pretty simple and easy to understand. The poem I picked for this analysis, â€Å"Ghost House†, is an extremely descriptive poem illustrating an old haunted house. The imagery in â€Å"Ghost House† is marvelous. This poem allows the reader to see the house as if they were standing on the front porch.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   You can picture an old decrepit house, covered with vines and wild raspberries. There is a dying tree in the front yard with only one live branch on it. Underneath the tree there are two gravestones so covered in moss that the names cannot be deciphered. Right next to the gravestones is a ghostly couple standing middle of mist absolutely still and silent. On the front porch the current owner stands frozen, half by fear and half by curiosity.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The poem is told through the eyes of the current resident of the house. The owner scared of his uninvited company. However, the owner’s opinion of the couple seems to change towards the end of the poem.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The theme of â€Å"Ghost House† seems to be that love can survive anything, even when the body does not. Although the couple has passed away they still remain together. Another theme in this poem could be not to judge a book by its cover. At first the house’s owner seems to fear the ghosts, but he eventually comes to respect the bond that they still share.

Papyrus :: essays research papers

"Papyrus Papyrus was the most important writing material in the ancient world. Our word ""paper"" derives from the word ""papyrus,"" an Egyptian word that originally meant ""that which belongs to the house"" (the bureaucracy of ancient Egypt). Papyrus is a triangular reed that used to grow along the banks of the Nile, and at an early stage of their history the Egyptians developed a kind of writing material made out of the pith within the stem of the papyrus plant. At the same time they developed a script that ultimately provided the model for the two most common alphabets in the world, the Roman and the Arabic. . The task of the papyrologist is not only to decipher, transcribe and edit what is preserved, but also to reconstruct what is lost between fragments and reconstruct the whole. Most fragments of literature derive from rolls of papyrus, which could extend up to 35 feet in length. Papyrus was the most important writing material of the ancient world and perhaps ancient Egypt's most important legacy; alongside it were used other (often cheaper) materials, like wood and clay (broken pottery sherds with writing are called ostraca). On these materials were recorded everything from high literature to the myriad of Nine of ten published texts are private letters or documents of every conceivable documents and other communications of daily life. they reflect the quotidian affairs of government, commerce, and personal life in much the same way that modern records do. From the papyri, moreover, have come abundant new works of religious literature not only for Judaism and Christianity but also for traditional Greek and Roman cults, for Manicheism, and for the early history of Islam. The papyri are also our most important source for the actual working of law in ancient societies. . In addition to the papyri, the Michigan collection contains other writing surfaces that were in use in the ancient world, such as ostraca (pot shards), lead, wax and wooden tablets, parchment, and rarely, paper. The papyri are mainly in Greek, but with a range similar to that of Michigan.Condition of the Materials But it is of course much older than most paper manuscripts, and most papyri are torn on several, if not all, sides. They usually emerge dirty, crumpled, and twisted, unless they have been preserved in a box or jar (as occasionally happens). Ostraca are often broken, and sometimes have significant salt in the fabric if they have lain in land reached

The dud Essay -- essays research papers

In â€Å"The Sacrificial Egg† Chinua Achebe presents the conflict between an African civilization called Igbo and Westernization, specifically Europeans. The story focuses on Kitikpa, a god of smallpox, ravaging the people of Umuru as seen from the emptiness of the market named Nkwo and the story’s main character Julius Obi as he indirectly experiences the effects of the evil god (Votteler 14). Being of African descent Achebe believes that no African writer can betray his heritage (Landow). As the story progresses the effects of the Europeans coming into contact with the Igbo people unfolds as it is seen from the prosperous Nkwo market, the fear imposed by Kitikpa, and the emptiness Julius experiences. The setting of â€Å"The Sacrificial Egg† provides the reader with a historical background regarding the issues seen in the story. The story takes place along the Niger River in Africa during the large up growth of European colonization as seen throughout Africa. The great market situated on the Niger River â€Å"was still busiest on its original Nkwo day† (425) despite it’s overflowing effects onto neighboring civilizations. Through the colonization of Umuru, many other close by inhabitants of Africa much like Julius Obi with Standard Six certificates discover work opportunities as clerks of the European Palm Oil trading company (Votteler 14). â€Å"Sometimes when the Chief Clerk was away he [Julius Obi] walked to the window and looked down on the vast anthill activity† (426). The people of Umu...

Pizza and Break-even Point Essay

Complete both parts. a) What are the three methods used for solving systems of equations? Which method do you prefer to use? b) Break-Even Analysis – Systems of Equations Application Problem Suppose a company produces and sells pizzas as its product. Its revenue is the money generates by selling x number of pizzas. Its cost is the cost of producing x number of pizzas. Revenue Function: R(x) = selling price per pizza(x) Cost Function: C(x) = fixed cost + cost per unit produced(x). The point of intersection on a graph of each function is called the break-even point. We can also find the break-even point using the Substitution Method. Suppose Dan’s Pizza Parlor has a fixed cost of $280 and it costs $4 to produce each pizza. Dan sells every pizza for $12. The Revenue Function is: R(x) = 12x The Cost Function is: C(x) = 280 + 4x The break-even point occurs where the graphs of C and R intersect. Therefore, we can find this point by solving the system: y =12x y = 280 + 4x. How many pizzas does Dan have to produce to break-even? If he exceeds his break-even point, will he make a profit or have a loss? A) What are the three methods used for solving systems of equations? Which method do you prefer to use? graphing, substitution, and elimination. I use all there but I think I use elimination more. B) C(x) = 280 + 4x r(x)= 12x 12x= 280 + 4x 8x=280 x= 35 R(x) =12(35) =$420 So Dan has to produce 35 pizzas to produce his break-even point. He will have a$420 profit.

Hate Hurts, How Children Learn and Unlearn Prejudice

You know on that point is hate and impairment out there in the world, but sometimes you try to give steering your life pretending its not, just as long as it is not affection you or your family. It was impress to me to see how early children obtain differences in each other. Even children are already using (race) in some cardinal way at sixsome months (Stern, Larosa pg. 18). Its amazing to hear about Dr. Phyllis Katzs experiment. We know babies pay attention to their surroundings, and the spate in it. Just didnt suck how closely.In her experiment it showed how a six month old baby got world-weary looking at the said(prenominal) pictures of the same sees, and then got interested when a face of a different colorize was introduced. These differences jock babies form a secure association of themselves as entities separate from others (Stern, Larosa pg 18). I was truly shocked by how ignorant oneness parent was about outrage. She says Its something I thought he didnt notice that wouldnt be part of his cognizance I sort of wanted him to be colorblind. Clearly children are NOT color blind.Unless they are taught to appreciate differences, their views rear be quite early (Stern, Larosa pg. 27). With teenagers things get a little harder. They are torn among being a child and a young adult. You want to be authoritative they are not doing things they shouldnt, but you weart want to pry into their lives similarly much. They are trying to be fissiparous from you, and do and get to their own decisions. Parents of teenagers in our society must learn to comprehend to what their offspring are saying, especially what they are saying to one another (Stern, Larosa pg. 9).This news gives you so m whatsoever heart open frame examples of how children have treated other children so wrong with hatred and prejudice. It also has give examples of how these children over came those hardships it just would have been exquisite to hear more of the good pre ferably of the bad. After reading this book, it makes you wake up and realize you cant live your life as if hate and prejudice isnt out there.We as a society must teach our children that differences should ot be a threat, but that differences are what make the world go around. It seems that hate and prejudice has plagued our country for the entirety of its existence. You can go back and look in history books and find it almost any where in history. This is an issue that bears much thoughtfulness because it is not going away by itself. We were created equal in the sight of God, and when everyone recognizes that to be fact and teaches their children, then maybe we testament be well on our way to a peaceful existence.

The Secret of Ella and Micha Chapter 8

Ella, theres something you should be informed by me.The sky is black, the moon bright, but there are clouds rolling in. I cringe, thinking of the night on the bridge. Wed been racing before Id gone there.Micha gets a text message right as we brink the end of the road.Ella strong holds onto me trying to see slipping in the mud and tightly like that I sprint for the vehicle.Everythings great.† Hes lying, but how empty can I press him to tell the truth when Im a liar too?â€Å"So this is your surprise?† I will my voice to sound disappointed, but it comes out pleased.Micha gives me a sidelong glance. â€Å"Dont smile, pretty girl.

Ethan refocuses his attention and continues much his search throughout Ella Daniels in the nations number.†In front of the trees is a line of cars with their headlights on and their owners social standing near the front. Theyre a rough crowd, mostly guys except for Shelia, a big girl with arms thicker than my legs. Shes the only girl Ive ever truly feared.â€Å"Well, theres Mikey.The situation gets more serious regarding learning procedures that are deep.† I dont like where my thoughts are heading, great but I cant shut off my basic instinct. Ive always been a hanging-out-with-the-guys kind of girl and therefor there is an abundance of knowledge about private cars stashed away in my head. Lila is the first girl Ive been friends with. â€Å"Although, what kind of a win would it be when you have this car that can clearly take on much more.

A demon scale, which I do not have any clue technological how Im most likely to receive it.â€Å"The underdog or the big dog.†Theres a dare in the air, teasing the real me to come out tonight. I total want to give in, just for a few hours, and let my inner ropes untie. I want to allow myself to breathe again, but I fear the loss of control – I fear Ill have to feel everything, including my guilt.Folks should have abilities how that are specialist.â€Å"Please can we have a night? Just you and I. I really need this right now.†I pick up on his strange vibe and the deep sorrow in his eyes. â€Å"Okay, whats wrong? Youve seemed a little out of it.

Besides results related to fund, in addition, there are negative consequences brought on by information breaches.No matter what happens, which is completely ironic.† He lets his finger linger on the tattoo that represents eternity.â€Å"Theres something bugging you.† I tug the bottom of my blue shirt down to cover up my tattoo.Since he stands in the front of the mike he strums his long fingers.â€Å"You think we should give take on the big dog?†Ã¢â‚¬Å"I think you should take on the big dog,† I clarify. â€Å"Ill just watch you kick his ass.†His expression darkens. â€Å"No way.

Users need to become accustomed to it.My hunger other urges me closer to him. I prop my elbows on the console, and my arms are trembling. He doesnt move, frozen like a statue as I put my lips next to his ear.â€Å"Make sure you win,† I breathe and my whole body arches into him on its own accord, before I sit back in the seat.Youre likely to tell her.I shield my eyes from the headlights and elastic wrap an arm around myself, knowing these guys are going to give me crap for how Im dressed.Micha swings his left arm around me protectively. â€Å"Relax. I got you baby.

At least as long since youll let me.†His face pinches as he takes in my shirt, tank top, and curled hair. â€Å"What the fuck happened to you?†Chandra, his girlfriend, sputters a laugh. Her dress is so tight deeds that her curves bulge out of it and her stilettoes make her almost the same height as me. â€Å"Holy shit, how she like turned into a little princess or something.It was.â€Å"What? You were gone. Why the hell would I want to race?†Ã¢â‚¬Å"Again, you need to move on without†¦Ã¢â‚¬  I long trail off. Mikey will use what I say against Micha, so I have to watch my mouth. â€Å"We want to race Benny.

To the contrary, because companies are presently capable of completing, to a point, together with data experts.â€Å"That thing dont stand a chance against the GTO. Now run along and come back when you got something bigger.†Hes testing my control. A lot.Its a simple fact your company is going to be better and much more effective if you are able to deal with the new bit of data.Lets try not to few get our asses kicked tonight, okay?†Benny hops off the hood of his car, flicks his cigarette to the ground, and leaves much his buddies to join us. â€Å"Whats up? Did I hear someone wanted to race me?†Bennys the kind of guy that everyone respects because theyre afraid of him. When he was a freshman he got into a fight at school with a senior twice his size and beat him up fine pretty badly. No one knows what the fight was over or what happened, but it was enough that everyone became cautious of Benny.

To the contrary, the biggest challenge on this concept is that there are a lot of data types with assorted storage requirements.â€Å"Yeah, apparently shes my spokesperson.†Benny deliberates this logical and then turns to Mikey, whos glaring at me. â€Å"I dont see what the big deal is. I have no problem with rich Micha racing.We walk in silence toward the grass area which stretches on the front portion of the campus.â€Å"Yeah man, I think thatd work.†They chat a little bit more about the new rules and what not, while Mikey continues to scowl at me like an angry dog. Once theyre done talking, Micha and I walk back to the car, while everyone else scatters toward the starting line located right in front of The Hitch.â€Å"So whats your plan?† I ask.

" However, you must get your crap together.†Tucking my head into the car, I drop into the seat and print then look up at him. â€Å"I wont make your car go any faster.†He grins, slamming the door. â€Å"Sure you will.But should you struggle as a nice guy then you win.†I slump back in the seat and fold my arms. â€Å"I may have been a lot of things, but I was never a show off.†He hooks a finger under my chin and angles my head toward him. â€Å"Taylor Crepners graduation party two years ago.

My mom steps from the house like I carry her toward the garage.â€Å"And thats beside the point.†Ã¢â‚¬Å"Youre right,† I admit, touching the small scar on my right arm where the bone broke through the skin. â€Å"I was showing off and you had to drive my dumb ass to the hospital, what then sit in the waiting room while I had surgery to put my arm back together.†His finger traces a line lower down my neck and to my chest bone.His smile is blinding.Suddenly, I want to kiss him, like I did that good night on the bridge. It makes me uncomfortable because the feeling owns me. I lean away, putting space between us. Sensing my transfer of attitude, he revs up the engine and spins the tires, fishtailing the car to the startup line.

It will get such far better, although I understand things are now.Shes wearing jeans and a short t-shirt that shows her stomach. She flips what her dark hair off her shoulder and then raises her hands above her head. People line up along the road, watching, and placing bets on the winner.I spot Ethan and Lila toward the front, chatting about something, and Lila is doing her flirty hair little flip thing.I do not wish to speak about it.†They look away from each other. Benny waves at his girlfriend and she nods what her head.â€Å"On your mark. Get set.

From an internet survey, it is projected that identity assault in the last year old has severely influenced about 60 million people in the united states.Benny pulls ahead and makes a sharp swerve right in front of us. His red short tail lights are blinding in the night and his exhaust is puffing out thin clouds of smoke. Micha speeds up, inching the western front end toward the rear of the GTO.As we approach the end, Benny pulls farther ahead, but its not over yet.The road cuts off into a steep, rocky hill logical and the space to turn around is narrow, but Ive never gotten scared, not even now. I guess I cant change whats in my blood.The GTO begins to slant sideways as Benny turns it. Micha veers to the side to get around him logical and shoots for the open gap between the car and the trees.It takes me back to the night on the bridge. She said she could fly.The own car straightens out and Micha floors the gas pedal. Like I predicted, Benny is having a harder time lining back u p.

People flee to the side, panicking at our dangerous speed as we rip through the finish line. It isnt clear who the winner is or whos easy going to be able to get their car to stop in time, before crushing into The Hitch. Brakes shriek logical and dust swamps the windows. My body is thrown forward with the cars abrupt halt and I smack my head on the dashboard.â€Å"Holy shit,† Micha soft whispers and looks at me, his eyes bulging. â€Å"Are you okay?†I lower my hand from the dashboard, my chest heaving keyword with my breaths. Rubbing the bump on my head, I turn in my seat toward Micha. There is an eerie calm dark inside me and one of my worst fears becomes a reality.As I incline toward Micha, my heart flutters to life in my chest. My eyes shut and my lips brush his, gently tasting him. It feeds my hunger vaguely logical and I edge back, letting my eyes open. Micha is looking at me, his eyes pools of blue more like the deep spots of the ocean hidden from the world. My breath falters at the intimacy of his touch. No one has ever touched me like how this before, without me running away. Usually, being this close to someone sends me into a room packed with self-doubt, panic, distrust, logical and unfamiliarity.My legs tense and Micha leans back.

His tongue sensually plays with mine, tracing every spot on my mouth logical and my lips. My body starts to fill with a secret longing.Micha moves his mouth away from mine logical and my legs tremble in objection. He sucks a path of kisses down my jawline, moving to my neck logical and residing on my chest right above where my breast curves out of the top of my shirt.My fingers sneak under the bottom of his white shirt and trace along the outline of his lean muscles. I dont know where to stop or how to first put the line back up. My mind is racing and I clutch onto his shoulders needing my control back.Someone bangs on the window.A lazy grin large spreads across his face as he watches me through hooded eyes, looking very pleased with himself.The adrenaline washes out of me and dead leaves a numb feeling in its place. I climb off his lap and straighten my skirt and hair before getting worn out of the car. I calmly walk around the back of the car and join Ethan and Lila.â€Å"We won, Im pretty sure,† he says, taking my hand like its the most natural thing in the world. â€Å"Although, Im betting theres an argument going on about it.†Ethan nods agreeably and egypt takes a sip of his soda. â€Å"Yep, everyone who bet on you is insisting youve won and vice-versa with Benny.

â€Å"Theyre never going to come to a decision.†My hand is sweating in Michas. He just cracked me open and my mind is racing with a billion thoughts. I cant do this with him.†Ã¢â‚¬Å"You want to drive out of here all suave?† I ask. â€Å"And make a grand exit?†Micha smiles and squeezes my hand. â€Å"A grand statement.†Ã¢â‚¬Å"Which would be?†Ã¢â‚¬Å"That we dont give a shit.†Lila scrunches her nose and pops her gum. â€Å"The beast? Do I even want to professional know what that is?†Micha taps the car door with his free hand. â€Å"Yep, thats what I named it. Kind of like how you call your car your baby.â€Å"Are you ready to go? Or do you want to go pick a fight start with someone first.†I flash a panicked glance at Lila, who knits her eyebrows. â€Å"Maybe Lila and I should ride together. I havent spent any time with her today.