Alzheimer Disease Not Just Memory Loss

Alchemist's Disease: Not Just Memory Loss Introduction Memory loss is like an old age where it is a condition which mankind has always reluctantly recognized and always – with resignation. Memory loses are sometimes trivial and meaningless and go unrecognized. However, when these losses are so great that a person does not know who or where they are the concerns are quite grave. Although It Is realize that Alchemist's disease destroys the brain memory function, many do not realize precisely how the memory is destroyed once one is aware of the process; it becomes faster to work forward to alleviate the destruction.Walkout memory there Is no knowledge to recreate or reproduce past perception, emotions, thoughts and actions that are so vital to live a full and functioning life. Memory is the key that unlocks doors that keep us functioning, not only mentally but physically. Discussion As a new era dawns upon us many people find themselves asking the question; â€Å"What is Alchemi st's Disease? † Alchemist's Disease today affects almost all people in some way. Since the amount of lives this disease affects continues to increase epidemiologists have named Alchemist's Disease, â€Å"The Disease tot the Century†. Edwardian, 2007, IPPP-362) In 1906 a German neurologist Allis Alchemies performed a neurological autopsy on a 56-year-old woman who had suffered deteriorating mental health for many years before her death. Alchemies noticed a disorientation of nerve cells in her cerebral cortex, the area of the brain responsible for controlling memory and reasoning. There were two oddities he found. The first was an accumulation of cellular debris surrounding the nerves he called this senile plaque. The second oddity were groups of nerves that were bunched and twisted he called this neurotically tangles.In the following years as more autopsies were inducted the same oddities that were found in 1906 were found in patients displaying the same symptoms. At tha t time a prestigious German psychiatrist, Emil Grapnel, proposed naming the disease In honor of Its discoverer Also Alchemies. (First 2008, #6-88) Alchemist's Disease American's Disease is a chronic brain disorder that destroys one's ability to reason, remember, imagine and learn. The disease Is also known as â€Å"senile dementia† or â€Å"pre-senile dementia†. Dementia refers to the lost tot mental health. The term â€Å"senile† meaner old. Pre-Senile† refers to those patients less than 65 years of Lesions on brain cells that take the form of senile plaques and neurotically age. Tangles cause Alchemist's Disease. Healthy brain tissue is normally arranged in an organized pattern These knots and tangles throw the brain into mass confusion taking over and destroying healthy brain tissue. This causes the brain cells to stop functioning. Recently a protein Taut NAS been discovered in these tangles and knots This protein is found in healthy brain cells, but is found in much larger quantities surrounding areas affected by this disease.Other ailments have been linked to the onset of the disease. These include head trauma, problems with the immune system, blood cancer, thyroid problems and Downs Syndrome. Stages of Alchemist's Disease There are four distinct stages of progression. The progression of Alchemist's can take from three to fourteen years. This time span is based on the time from diagnosis to death. All patients go through these stages Just at different rates. The first stage of Alchemist's the patient experiences a slowing down of many factors of behavior. They have less energy, slow to learn new things, and their reaction time decreases.Patients experience only mild forgetfulness of recent events, familiar people and places. They have a decrease in Judgment, and trust. Also, they become increasingly stubborn and restless. Many people are unaware of the presence of a disease because frequently memory loss is common in the elderly due to fatigue or a period of sickness. (Gel, 2006, Pl 393-1400) In the second stage the patient becomes increasingly forgetful and has more trouble recalling recent occurrences. They have difficulty in skills such as decision making, planning and Judgment.The patient's speech and comprehension become much slower and often loose their train of thought often. They are usually able to complete common tasks but need assistance with more complicated ones. They must be given clear and repeated instructions by caregivers. Victims start to become aware of illness and become depressed, irritable, restless, and socially withdrawn. In the third stage Alchemies patients loose all ability to recognize familiar people and places. They have trouble completing simple everyday tasks like eating, bathing, getting dressed and using the toilet.They lack interest in personal hygiene and loose all sexual instincts. They have difficulty communicating verbally. Patients are easily agitated and deny they are ill. The fourth stage of Alchemist's Disease is the stage that ultimately leads to death. Patients are unable to recognize themselves and close family members. They become bedridden; and only slight useless movements are made. The only way of communication they use is screaming out. Diagnosis of Alchemist's Disease Diagnosis of this disease is very difficult. Doctors are only 100% certain of the presence of the disease from autopsies after death.Diagnosis is based on the lodgment of physicians and their experience with Alchemist's Disease. Current accuracy of correct diagnosis is 90%. Recently they have discovered a way to test the level of Taut protein; this has helped with correct diagnosis. Sometimes mental tests are run to test the memory, learning skills, language skills, and the ability to follow instructions. (Harmon, 2005, Pl 55-187) Many people also question the heredity of the disease. It has been found that some forms of the disease are hereditary. The â€Å"Pre-Seni le† Alchemist's which usually sets on in a person around 40, 50 years of age is found to be hereditary.There are three types of genetic proteins that have been inked to Alchemies patient's pollinate E, E, and E. Those who inherit E have a higher chance of developing the disease. One scientist, Barbara Talon, has discovered the tissue found in the upper nose goes through the same changes that the cerebral cortex tissue goes through. She plans on tinning oh it t t his tissue taunt in the nose deteriorates at the same rate of that found in Alchemies patients. If so this could lead to the early diagnosis of Alchemist's. Treatment of Alchemist's Disease Currently treatment is focusing on slowing progressions and coping with symptoms.One drug, THAT, is a drug that helps to boost levels of acetylene's, a chemical that is involved in memory. Two FDA approved drugs being tested are Tactile and O'Donnell these drugs are also to help memory. Although, these drugs cause side affects, O'Do nnell is found to cause nausea, cramps and lose of appetite. Estrogen for women has been found to have a positive affect on Alchemies patients mental decline. It helps memory, language skills, and the ability to concentrate. Nicotine has also been found to slow the formation of senile plaque, improve memory, learning and concentration.Doctors do not suggest this use of treatment at all; nicotine causes lung cancer, emphysema, high blood pressure, heart attacks and strokes. Currently 4 million people in America have been diagnosed with Alchemist's Disease. It is projected with the aging â€Å"Baby Boomers† that 14 million people will be diagnosed in the upcoming years. (Sails, 2008, app-43) Drugs to Aid in the Treatment There are currently two drugs to aid in the treatment of Alchemist's disease. These drugs are only effective during the first couple years of the disease. The drugs are called Cogent and Airiest.Both of these drugs work by increasing a chemical in he brain that works with memory. They do not cure the disease, but they do produce some improvement in patients. This disease is obviously a horrible one. It can rip a family apart, and there is nothing that can be done about it. Hopefully, one day a cure will be found, but in the mean time, Alchemies ¤? ¬was disease has total control over a person who is afflicted with it. It also has control over the family of the person afflicted with it. Almost everyone in this country has some sort of tie to this disease, and this is why more research should be done in hopes of finding a cure.This asses affects 10% of those over 65 years old and 50% of those over the age of 85. One-Half of those living in nursing homes are living with Alchemist's. Seven out of 10 patients live at home; family members care for 75% of them; the other 25% of them are cared for by hired caregivers. It has also been found that 55% of caregivers show some signs of depression. Alchemist's occurs more often in women and in Afri can Americans or Hispanics. (Sloane, 2007, app-132) Alchemist's Disease – A Costly Disease Alchemist's Disease is a very costly disease; it is the third most costly disease after heart conditions and cancer.In 1998 the U. S. Government spent approximately $90 billion on medical care and $400 billion to research. This disease costs a family $174,000 a year on care giving and another $42,000 a year on nursing homes. Medicare is a retirement benefit to those over 65 years old. Medicare does cover some the costs to provide help to the patient such as nursing homes. The extent of help varies by state. When seeking help people find themselves asking, â€Å"Where should I go? † â€Å"When should I go? † When you tell that a Tamil member may nave the disease or in need of mental attention you should first see you family physician.The physician will determine if they believe the problem to be Alchemist's. You should also bring medical records and a list of all medication the patient is on because certain medications or the combinations of medications may resemble Alchemist's. In every community there are services offered to assist those people affected by Alchemist's, for patients, family and caregivers. The Illness And The Caregivers Alchemist's disease affects the person with the illness and the caregivers. It is estimated that 1-4 people are caregivers. The disease has a long duration which impacts more on the caregivers.It can cause a great deal of emotional stress to caregivers. It also has a financial impact on those who provide care for patients suffering from Alchemist's disease. It is estimated that the national costs of caring for patients with Alchemist's disease is $100 billion. It can also indirectly cause loss productivity, absenteeism and worker replacement. (Edwardian, 2007, IPPP-362) Many people with Alchemist's disease do well at home during the initial stages. However eventually there is the need for long term care facilities. Lo ng term care is defined as help from family and friends.It can also mean regular visits by home health aides. It might also mean moving the patient to an assisted or nursing home that can provide twenty four medical attentions. There are two major types of long term facilities for Alchemies disease patients. One of them is Nursing home which provides room and board with twenty four hour skilled care. A licensed nurse provides this type of care. There are special units for people with Alchemist's disease. The environments, activities, philosophy of care and staff training are based upon the needs of Alchemist's disease patients.Nursing homes usually have rained and supportive staff who have knowledge about how to adjust to the patient. They have information about each patient to individualize care and to eliminate behavioral symptoms. There are special activities which reduce anxiety and agitation. A nursing home has pleasing sights, sounds and smells. They also have a low noise leve l and non glare lighting. Some facilities also have security measures to prevent wandering. Another type of long term facility is assisted living. This type of facility is suitable for people who require personal care and general guidance but do not require any specialized medical care.They are good for people with moderate functional impairment. This type of long term care promotes self direction and participation in decisions. It also focuses on independence, privacy and dignity. It attempts to create a home based environment. It is an attractive option for patients who seek assistance and independence at the same time. (First, 2008, app-88) Conclusion In conclusion Alchemist's disease is a very serious condition that affects many people. They do not know what causes this disease or why people get it, due to the fact that there is a chance for anyone to get this disease.People must take recreation and seek the advice of healthcare professionals to be tested for this disease. This way they have a chance to go on living there lives for as long as possible. If they do not seek care then they have a lesser chance of living a longer life. Obviously, knowledge regarding Alchemist's disease has progressed far from thinking that it is Just a loss tot memory. Choosing the best type tot long term care can be difficult for caregivers. Assisted living facilities are the best option for people with early stages of the disease. Nursing home facilities are best for patients who suffer from advanced stages of the disease.This disease produces a full-blown dementia in its patients and affects millions of people and their families. These people and their families have special needs. Consequently, programs, environments, and care approaches must reflect this uniqueness. Developing an effective care/service plan for a person with dementia requires careful assessment of that person, a detailed plan, and attention to the individualized needs of persons with dementia. Alchemist's disease can cause emotional and financial stress to the patient and the caregivers. However there are many choices available which can improve the quality of life.

Digital Fortress Chapter 85-87

Chapter 85 Greg Hale lay curled on the Node 3 floor. Strathmore and Susan had just dragged him across Crypto and bound his hands and feet with twelve-gauge printer cable from the Node 3 laser-printers. Susan couldn't get over the artful maneuver the commander had just executed. He faked the call! Somehow Strathmore had captured Hale, saved Susan, and bought himself the time needed to rewrite Digital Fortress. Susan eyed the bound cryptographer uneasily. Hale was breathing heavily. Strathmore sat on the couch with the Berretta propped awkwardly in his lap. Susan returned her attention to Hale's terminal and continued her random-string search. Her fourth string search ran its course and came up empty. â€Å"Still no luck.† She sighed. â€Å"We may need to wait for David to find Tankado's copy.† Strathmore gave her a disapproving look. â€Å"If David fails, and Tankado's key falls into the wrong hands†¦Ã¢â‚¬  Strathmore didn't need to finish. Susan understood. Until the Digital Fortress file on the Internet had been replaced with Strathmore's modified version, Tankado's pass-key was dangerous. â€Å"After we make the switch,† Strathmore added, â€Å"I don't care how many pass-keys are floating around; the more the merrier.† He motioned for her to continue searching. â€Å"But until then, we're playing beat-the-clock.† Susan opened her mouth to acknowledge, but her words were drowned out by a sudden deafening blare. The silence of Crypto was shattered by a warning horn from the sublevels. Susan and Strathmore exchanged startled looks. â€Å"What's that?† Susan yelled, timing her question between the intermittent bursts. â€Å"TRANSLTR!† Strathmore called back, looking troubled. â€Å"It's too hot! Maybe Hale was right about the aux power not pulling enough freon.† â€Å"What about the auto-abort?† Strathmore thought a moment, then yelled, â€Å"Something must have shorted.† A yellow siren light spun above the Crypto floor and swept a pulsating glare across his face. â€Å"You better abort!† Susan called. Strathmore nodded. There was no telling what would happen if three million silicon processors overheated and decided to ignite. Strathmore needed to get upstairs to his terminal and abort the Digital Fortress run-particularly before anyone outside of Crypto noticed the trouble and decided to send in the cavalry. Strathmore shot a glance at the still-unconscious Hale. He laid the Berretta on a table near Susan and yelled over the sirens, â€Å"Be right back!† As he disappeared through the hole in the Node 3 wall, Strathmore called over his shoulder, â€Å"And find me that pass-key!† Susan eyed the results of her unproductive pass-key search and hoped Strathmore would hurry up and abort. The noise and lights in Crypto felt like a missile launch. On the floor, Hale began to stir. With each blast of the horn, he winced. Susan surprised herself by grabbing the Berretta. Hale opened his eyes to Susan Fletcher standing over him with the gun leveled at his crotch. â€Å"Where's the pass-key?† Susan demanded. Hale was having trouble getting his bearings. â€Å"Wh-what happened?† â€Å"You blew it, that's what happened. Now, where's the passkey?† Hale tried to move his arms but realized he was tied. His face became taut with panic. â€Å"Let me go!† â€Å"I need the pass-key,† Susan repeated. â€Å"I don't have it! Let me go!† Hale tried to getup. He could barely roll over. Susan yelled between blasts of the horn. â€Å"You're North Dakota, and Ensei Tankado gave you a copy of his key. I need it now!† â€Å"You're crazy!† Hale gasped. â€Å"I'm not North Dakota!† He struggled unsuccessfully to free himself. Susan charged angrily. â€Å"Don't lie to me. Why the hell is all of North Dakota's mail in your account?† â€Å"I told you before!† Hale pleaded as the horns blared on. â€Å"I snooped Strathmore! That E-mail in my account was mail I copied out of Strathmore's account-E-mail COMINT stole from Tankado!† â€Å"Bull! You could never snoop the commander's account!† â€Å"You don't understand!† Hale yelled. â€Å"There was already a tap on Strathmore's account!† Hale delivered his words in short bursts between the sirens. â€Å"Someone else put the tap there. I think it was Director Fontaine! I just piggybacked! You've got to believe me! That's how I found out about his plan to rewrite Digital Fortress! I've been reading Strathmore's brainstorms!† Brain Storms? Susan paused. Strathmore had undoubtedly outlined his plans for Digital Fortress using his BrainStorm software. If anyone had snooped the commander's account, all the information would have been available†¦ â€Å"Rewriting Digital Fortress is sick!† Hale cried. â€Å"You know damn well what it implies-total NSA access!† The sirens blasted, drowning him out, but Hale was possessed. â€Å"You think we're ready for that responsibility? You think anyone is? It's fucking shortsighted! You say our government has the people's best interests at heart? Great! But what happens when some future government doesn't have our best interests at heart! This technology is forever!† Susan could barely hear him; the noise in Crypto was deafening. Hale struggled to get free. He looked Susan in the eye and kept yelling. â€Å"How the hell do civilians defend themselves against a police state when the guy at the top has access to all their lines of communication? How do they plan a revolt?† Susan had heard this argument many times. The future-governments argument was a stock EFF complaint. â€Å"Strathmore had to be stopped!† Hale screamed as the sirens blasted. â€Å"I swore I'd do it. That's what I've been doing here all day-watching his account, waiting for him to make his move so I could record the switch in progress. I needed proof-evidence that he'd written in a back door. That's why I copied all his E-mail into my account. It was evidence that he'd been watching Digital Fortress. I planned to go to the press with the information.† Susan's heart skipped. Had she heard correctly? Suddenly this did sound like Greg Hale. Was it possible? If Hale had known about Strathmore's plan to release a tainted version of Digital Fortress, he could wait until the whole world was using it and then drop his bombshell-complete with proof! Susan imagined the headlines: Cryptographer Greg Hale unveils secret U.S. plan to control global information! Was it Skipjack all over? Uncovering an NSA back door again would make Greg Hale famous beyond his wildest dreams. It would also sink the NSA. She suddenly found herself wondering if maybe Hale was telling the truth. No! she decided. Of course not! Hale continued to plead. â€Å"I aborted your tracer because I thought you were looking for me! I thought you suspected Strathmore was being snooped! I didn't want you to find the leak and trace it back to me!† It was plausible but unlikely. â€Å"Then why'd you kill Chartrukian?† Susan snapped. â€Å"I didn't!† Hale screamed over the noise. â€Å"Strathmore was the one who pushed him! I saw the whole thing from downstairs! Chartrukian was about to call the Sys-Secs and ruin Strathmore's plans for the back door!† Hale's good, Susan thought. He's got an angle for everything. â€Å"Let me go!† Hale begged. â€Å"I didn't do anything!† â€Å"Didn't do anything?† Susan shouted, wondering what was taking Strathmore so long. â€Å"You and Tankado were holding the NSA hostage. At least until you double-crossed him. Tell me,† she pressed, â€Å"did Tankado really die of a heart attack, or did you have one of your buddies take him out?† â€Å"You're so blind!† Hale yelled. â€Å"Can't you see I'm not involved? Untie me! Before Security gets here!† â€Å"Security's not coming,† she snapped flatly. Hale turned white. â€Å"What?† â€Å"Strathmore faked the phone call.† Hale's eyes went wide. He seemed momentarily paralyzed. Then he began writhing fiercely. â€Å"Strathmore'll kill me! I know he will! I know too much!† â€Å"Easy, Greg.† The sirens blared as Hale yelled out, â€Å"But I'm innocent!† â€Å"You're lying! And I have proof!† Susan strode around the ring of terminals. â€Å"Remember that tracer you aborted?† she asked, arriving at her own terminal. â€Å"I sent it again! Shall we see if it's back yet?† Sure enough, on Susan's screen, a blinking icon alerted her that her tracer had returned. She palmed her mouse and opened the message. This data will seal Hale's fate, she thought. Hale is North Dakota. The databox opened. Hale is – Susan stopped. The tracer materialized, and Susan stood in stunned silence. There had to be some mistake; the tracer had fingered someone else-a most unlikely person. Susan steadied herself on the terminal and reread the databox before her. It was the same information Strathmore said he'd received when he ran the tracer! Susan had figured Strathmore had made a mistake, but she knew she'd configured the tracer perfectly. And yet the information on the screen was unthinkable: NDAKOTA = [email protected] â€Å"ET?† Susan demanded, her head swimming. â€Å"Ensei Tankado is North Dakota?† It was inconceivable. If the data was correct, Tankado and his partner were the same person. Susan's thoughts were suddenly disconnected. She wished the blaring horn would stop. Why doesn't Strathmore turn that damn thing off? Hale twisted on the floor, straining to see Susan. â€Å"What does it say? Tell me!† Susan blocked out Hale and the chaos around her. Ensei Tankado is North Dakota†¦. She reshuffled the pieces trying to make them fit. If Tankado was North Dakota, then he was sending E-mail to himself†¦ which meant North Dakota didn't exist. Tankado's partner was a hoax. North Dakota is a ghost, she said to herself. Smoke and mirrors. The ploy was a brilliant one. Apparently Strathmore had been watching only one side of a tennis match. Since the ball kept coming back, he assumed there was someone on the other side of the net. But Tankado had been playing against a wall. He had been proclaiming the virtues of Digital Fortress in E-mail he'd sent to himself. He had written letters, sent them to an anonymous remailer, and a few hours later, the remailer had sent them right back to him. Now, Susan realized, it was all so obvious. Tankado had wanted the commander to snoop him†¦ he'd wanted him to read the E-mail. Ensei Tankado had created an imaginary insurance policy without ever having to trust another soul with his pass-key. Of course, to make the whole farce seem authentic, Tankado had used a secret account†¦ just secret enough to allay any suspicions that the whole thing was a setup. Tankado was his own partner. North Dakota did not exist. Ensei Tankado was a one-man show. A one-man show. A terrifying thought gripped Susan. Tankado could have used his fake correspondence to convince Strathmore of just about anything. She remembered her first reaction when Strathmore told her about the unbreakable algorithm. She'd sworn it was impossible. The unsettling potential of the situation settled hard in Susan's stomach. What proof did they actually have that Tankado had really created Digital Fortress? Only a lot of hype in his E-mail. And of course†¦ TRANSLTR. The computer had been locked in an endless loop for almost twenty hours. Susan knew, however, that there were other programs that could keep TRANSLTR busy that long, programs far easier to create than an unbreakable algorithm. Viruses. The chill swept across her body. But how could a virus get into TRANSLTR? Like a voice from the grave, Phil Chartrukian gave the answer. Strathmore bypassed Gauntlet! In a sickening revelation, Susan grasped the truth. Strathmore had downloaded Tankado's Digital Fortress file and tried to send it into TRANSLTR to break it. But Gauntlet had rejected the file because it contained dangerous mutation strings. Normally Strathmore would have been concerned, but he had seen Tankado's E-mail-Mutation strings are the trick! Convinced Digital Fortress was safe to load, Strathmore bypassed Gauntlet's filters and sent the file into TRANSLTR. Susan could barely speak. â€Å"There is no Digital Fortress,† she choked as the sirens blared on. Slowly, weakly, she leaned against her terminal. Tankado had gone fishing for fools†¦ and the NSA had taken the bait. Then, from upstairs, came a long cry of anguish. It was Strathmore. Chapter 86 Trevor Strathmore was hunched at his desk when Susan arrived breathless at his door. His head was down, his sweaty head glistening in the light of his monitor. The horns on the sublevels blared. Susan raced over to his desk. â€Å"Commander?† Strathmore didn't move. â€Å"Commander! We've got to shut down TRANSLTR! We've got a-â€Å" â€Å"He got us,† Strathmore said without looking up. â€Å"Tankado fooled us all†¦Ã¢â‚¬  She could tell by the tone of his voice he understood. All of Tankado's hype about the unbreakable algorithm†¦ auctioning off the pass-key-it was all an act, a charade. Tankado had tricked the NSA into snooping his mail, tricked them into believing he had a partner, and tricked them into downloading a very dangerous file. â€Å"The mutation strings-† Strathmore faltered. â€Å"I know.† The commander looked up slowly. â€Å"The file I downloaded off the Internet†¦ it was a†¦Ã¢â‚¬  Susan tried to stay calm. All the pieces in the game had shifted. There had never been any unbreakable algorithm-never any Digital Fortress. The file Tankado had posted on the Internet was an encrypted virus, probably sealed with some generic, mass-market encryption algorithm, strong enough to keep everyone out of harm's way-everyone except the NSA. TRANSLTR had cracked the protective seal and released the virus. â€Å"The mutation strings,† the commander croaked. â€Å"Tankado said they were just part of the algorithm.† Strathmore collapsed back onto his desk. Susan understood the commander's pain. He had been completely taken in. Tankado had never intended to let any computer company buy his algorithm. There was no algorithm. The whole thing was a charade. Digital Fortress was a ghost, a farce, a piece of bait created to tempt the NSA. Every move Strathmore had made, Tankado had been behind the scenes, pulling the strings. â€Å"I bypassed Gauntlet.† The commander groaned. â€Å"You didn't know.† Strathmore pounded his fist on his desk. â€Å"I should have known! His screen name, for Christ's sake! NDAKOTA! Look at it!† â€Å"What do you mean?† â€Å"He's laughing at us! It's a goddamn anagram!† Susan puzzled a moment. NDAKOTA is an anagram? She pictured the letters and began reshuffling them in her mind. Ndakota†¦ Kadotan†¦ Oktadan†¦ Tandoka†¦ Her knees went weak. Strathmore was right. It was as plain as day. How could they have missed it? North Dakota wasn't a reference to the U.S. state at all-it was Tankado rubbing salt in the wound! He'd even sent the NSA a warning, a blatant clue that he himself was NDAKOTA. The letters spelled TANKADO. But the best code-breakers in the world had missed it, just as he had planned. â€Å"Tankado was mocking us,† Strathmore said. â€Å"You've got to abort TRANSLTR,† Susan declared. Strathmore stared blankly at the wall. â€Å"Commander. Shut it down! God only knows what's going on in there!† â€Å"I tried,† Strathmore whispered, sounding as faint as she'd ever heard him. â€Å"What do you mean you tried?† Strathmore rotated his screen toward her. His monitor had dimmed to a strange shade of maroon. At the bottom, the dialogue box showed numerous attempts to shut down TRANSLTR. They were all followed by the same response: SORRY. UNABLE TO ABORT. SORRY. UNABLE TO ABORT. SORRY. UNABLE TO ABORT. Susan felt a chill. Unable to abort? But why? She feared she already knew the answer. So this is Tankado's revenge? Destroying TRANSLTR! For years Ensei Tankado had wanted the world to know about TRANSLTR, but no one had believed him. So he'd decided to destroy the great beast himself. He'd fought to the death for what he believed-the individual's right to privacy. Downstairs the sirens blared. â€Å"We've got to kill all power,† Susan demanded. â€Å"Now!† Susan knew that if they hurried, they could save the great parallel processing machine. Every computer in the world-from Radio Shack PCs to NASA's satellite control systems-had a built-in fail-safe for situations like this. It wasn't a glamorous fix, but it always worked. It was known as â€Å"pulling the plug.† By shutting off the remaining power in Crypto, they could force TRANSLTR to shut down. They could remove the virus later. It would be a simple matter of reformatting TRANSLTR's hard drives. Reformatting would completely erase the computer's memory-data, programming, virus, everything. In most cases, reformatting resulted in the loss of thousands of files, sometimes years of work. But TRANSLTR was different-it could be reformatted with virtually no loss at all. Parallel processing machines were designed to think, not to remember. Nothing was actually stored inside TRANSLTR. Once it broke a code, it sent the results to the NSA's main databank in order to – Susan froze. In a stark instant of realization, she brought her hand to her mouth and muffled a scream. â€Å"The main databank!† Strathmore stared into the darkness, his voice disembodied. He'd apparently already made this realization. â€Å"Yes, Susan. The main databank†¦.† Susan nodded blankly. Tankado used TRANSLTR to put a virus in our main databank. Strathmore motioned sickly to his monitor. Susan returned her gaze to the screen in front of her and looked beneath the dialogue box. Across the bottom of the screen were the words: TELL THE WORLD ABOUT TRANSLTR ONLY THE TRUTH WILL SAVE YOU NOW†¦ Susan felt cold. The nation's most classified information was stored at the NSA: military communication protocols, SIGINT confirmation codes, identities of foreign spies, blueprints for advanced weaponry, digitized documents, trade agreements-the list was unending. â€Å"Tankado wouldn't dare!† she declared. â€Å"Corrupting a country's classified records?† Susan couldn't believe even Ensei Tankado would dare attack the NSA databank. She stared at his message. ONLY THE TRUTH WILL SAVE YOU NOW â€Å"The truth?† she asked. â€Å"The truth about what?† Strathmore was breathing heavily. â€Å"TRANSLTR,† he croaked. â€Å"The truth about TRANSLTR.† Susan nodded. It made perfect sense. Tankado was forcing the NSA to tell the world about TRANSLTR. It was blackmail after all. He was giving the NSA a choice-either tell the world about TRANSLTR or lose your databank. She stared in awe at the text before her. At the bottom of the screen, a single line was blinked menacingly. ENTER PASS-KEY Staring at the pulsating words, Susan understood-the virus, the pass-key, Tankado's ring, the ingenious blackmail plot. The pass-key had nothing to do with unlocking an algorithm; it was an antidote. The pass-key stopped the virus. Susan had read a lot about viruses like this-deadly programs that included a built-in cure, a secret key that could be used to deactivate them. Tankado never planned to destroy the NSA databank-he just wanted us go public with TRANSLTR! Then he would give us the pass-key, so we could stop the virus! It was now clear to Susan that Tankado's plan had gone terribly wrong. He had not planned on dying. He'd planned on sitting in a Spanish bar and listening to the CNN press conference about America's top-secret code-breaking computer. Then he'd planned on calling Strathmore, reading the pass-key off the ring, and saving the databank in the nick of time. After a good laugh, he'd disappear into oblivion, an EFF hero. Susan pounded her fist on the desk. â€Å"We need that ring! It's the only pass-key!† She now understood-there was no North Dakota, no second pass-key. Even if the NSA went public with TRANSLTR, Tankado was no longer around to save the day. Strathmore was silent. The situation was more serious than Susan had ever imagined. The most shocking thing of all was that Tankado had allowed it to go this far. He had obviously known what would happen if the NSA didn't get the ring-and yet, in his final seconds of life, he'd given the ring away. He had deliberately tried to keep it from them. Then again, Susan realized, what could she expect Tankado to do-save the ring for them, when he thought the NSA had killed him? Still, Susan couldn't believe that Tankado would have allowed this to happen. He was a pacifist. He didn't want to wreak destruction; all he wanted was to set the record straight. This was about TRANSLTR. This was about everyone's right to keep a secret. This was about letting the world know that the NSA was listening. Deleting the NSA's databank was an act of aggression Susan could not imagine Ensei Tankado committing. The sirens pulled her back to reality. Susan eyed the debilitated commander and knew what he was thinking. Not only were his plans for a back door in Digital Fortress shot, but his carelessness had put the NSA on the brink of what could turn out to be the worst security disaster in U.S. history. â€Å"Commander, this is not your fault!† she insisted over the blare of the horns. â€Å"If Tankado hadn't died, we'd have bargaining power-we'd have options!† But Commander Strathmore heard nothing. His life was over. He'd spent thirty years serving his country. This was supposed to be his moment of glory, his piece de resistance-aback door in the world encryption standard. But instead, he had sent a virus into the main databank of the National Security Agency. There was no way to stop it-not without killing power and erasing every last one of the billions of bytes of irretrievable data. Only the ring could save them, and if David hadn't found the ring by now†¦ â€Å"I need to shut down TRANSLTR!† Susan took control. â€Å"I'm going down to the sublevels to throw the circuit breaker.† Strathmore turned slowly to face her. He was a broken man. â€Å"I'll do it,† he croaked. He stood up, stumbling as he tried to slide out from behind his desk. Susan sat him back down. â€Å"No,† she barked. â€Å"I'm going.† Her tone left no room for debate. Strathmore put his face in his hands. â€Å"Okay. Bottom floor. Beside the freon pumps.† Susan spun and headed for the door. Halfway there, she turned and looked back. â€Å"Commander,† she yelled. â€Å"This is not over. We're not beaten yet. If David finds the ring in time, we can save the databank!† Strathmore said nothing. â€Å"Call the databank!† Susan ordered. â€Å"Warn them about the virus! You're the deputy director of the NSA. You're a survivor!† In slow motion, Strathmore looked up. Like a man making the decision of a lifetime, he gave her a tragic nod. Determined, Susan tore into the darkness. Chapter 87 The Vespa lurched into the slow lane of the Carretera de Huelva. It was almost dawn, but there was plenty of traffic-young Sevillians returning from their all-night beach verbenas. A van of teenagers laid on its horn and flew by. Becker's motorcycle felt like a toy out there on the freeway. A quarter of a mile back, a demolished taxi swerved out onto the freeway in a shower of sparks. As it accelerated, it sideswiped a Peugeot 504 and sent it careening onto the grassy median. Becker passed a freeway marker: SEVILLA CENTRO-2 KM. If he could just reach the cover of downtown, he knew he might have a chance. His speedometer read 60 kilometers per hour. Two minutes to the exit. He knew he didn't have that long. Somewhere behind him, the taxi was gaining. Becker gazed out at the nearing lights of downtown Seville and prayed he would reach them alive. He was only halfway to the exit when the sound of scraping metal loomed up behind him. He hunched on his bike, wrenching the throttle as far as it would go. There was a muffled gunshot, and a bullet sailed by. Becker cut left, weaving back and forth across the lanes in hopes of buying more time. It was no use. The exit ramp was still three hundred yards when the taxi roared to within a few car lengths behind him. Becker knew that in a matter of seconds he would be either shot or run down. He scanned ahead for any possible escape, but the highway was bounded on both sides by steep gravel slopes. Another shot rang out. Becker made his decision. In a scream of rubber and sparks, he leaned violently to his right and swerved off the road. The bike's tires hit the bottom of the embankment. Becker strained to keep his balance as the Vespa threw up a cloud of gravel and began fish-tailing its way up the slope. The wheels spun wildly, clawing at the loose earth. The little engine whimpered pathetically as it tried to dig in. Becker urged it on, hoping it wouldn't stall. He didn't dare look behind him, certain at any moment the taxi would be skidding to a stop, bullets flying. The bullets never came. Becker's bike broke over the crest of the hill, and he saw it-the centro. The downtown lights spread out before him like a star-filled sky. He gunned his way through some underbrush and out over the curb. His Vespa suddenly felt faster. The Avenue Luis Montoto seemed to race beneath his tires. The soccer stadium zipped past on the left. He was in the clear. It was then that Becker heard the familiar screech of metal on concrete. He looked up. A hundred yards ahead of him, the taxi came roaring up the exit ramp. It skidded out onto Luis Montoto and accelerated directly toward him. Becker knew he should have felt a surge of panic. But he did not. He knew exactly where he was going. He swerved left on Menendez Pelayo and opened the throttle. The bike lurched across a small park and into the cobblestoned corridor of Mateus Gago-the narrow one-way street that led to the portal of Barrio Santa Cruz. Just a little farther, he thought. The taxi followed, thundering closer. It trailed Becker through the gateway of Santa Cruz, ripping off its side mirror on the narrow archway. Becker knew he had won. Santa Cruz was the oldest section of Seville. It had no roads between the buildings, only mazes of narrow walkways built in Roman times. They were only wide enough for pedestrians and the occasional Moped. Becker had once been lost for hours in the narrow caverns. As Becker accelerated down the final stretch of Mateus Gago, Seville's eleventh-century Gothic cathedral rose like a mountain before him. Directly beside it, the Giralda tower shot 419 feet skyward into the breaking dawn. This was Santa Cruz, home to the second largest cathedral in the world as well as Seville's oldest, most pious Catholic families. Becker sped across the stone square. There was a single shot, but it was too late. Becker and his motorcycle disappeared down a tiny passageway-Callita de la Virgen.

Barbados

Barbados is a small country located in the Caribbean Sea. The capital is Bridgetown with a population of about 8,789. The head of state of Barbados is Queen Elizabeth II and she is represented by General Dame Nita Barrow. The total population of the country is around 252,000. The main language is English and the predominant religion is Christianity. Their date of independence was November 30, 1966. Plagiarism Detection >Barbados is the eastern most Caribbean Island. It is about 200 miles North-North East of Trinidad and about 100 miles East- South East of St. Lucia. It is the second smallest country in the Western Hemisphere. The major urban centers in the area include Bridgetown, Speightstown, Oistins, and Holetown. The land is mainly flat except for a series of ridges that rise up to about 1,000 feet and then falling towards the sea.The climate of the region consists of tropical temperatures influenced by the Northeast trade winds. The average annual temperature is approximately 77 degrees Fahrenheit. The daily temperatures rarely get above 90 degrees Fahrenheit. The dry season is cool, while the wet season is slightly warmer. The main rains come during the months of July, August, September, October, and November. The annual average rainfall is 40 inches in the coastal areas and 90 inches in the central areas.The net migration into Barbados is 4.82 per 1000. The annual growth rate is 0.4%, which is one of the lowest in the world. The annual birthrate is 15.45 per 1000, and the annual deathrate is 8.27 per 1000. Barbados ranks fourth in the World in population density with the overall density being 1526 per square mile. The whole island is inhabited, leaving no sparsely populated areas. The main race is Negro, which is about 92% of the population. The remainder of the population is consists of Whites (3.8%), Mulattoes (3.8%), and East Indians (0.4%). About 70% of the population is Anglican. The other 30% belong to various denominations such as Moravian, Method ist, and Roman Catholic.Barbados was once under British control from 1624. Its House of Assembly, which began in 1639, is the third oldest legislative body in the Western Hemisphere. By the time Britain left in 1966, the island was completely English in culture. The British influence is still seen today in quaint pubs, cricket games on the village greens, and in the common law.Barbados government is British Parliament. The queen is the head of state and she is represented by the governor general. The governor general appoints an advisory council. The executive authority is the Prime Minister who is Owen Seymour Arthur which came into power on September 6, 1994. The Deputy Prime Minister is Billie Miller who also came into power on September 6, 1994. The democratic government works well in the country. They have had three general elections and one smooth transfer of power from the Democratic Labor Party to the Barbados Labor Party. Barbados carries on trade with other Caribbean natio ns and does have diplomatic relations with Cuba. Their closest relations are with the United Stated, and the United Kingdom. Barbados joined the United Nations is 1966.The economy of Barbados is one of the 35 upper middle-income countries of the world. They have a free-market economy, but the dominant sector is private. Their economy is based on sugar and tourism, but the government has encouraged a policy of diversification in order to achieve a more stable nation. They also depend on a light manufacturing industry. Their monetary unit is the Barbados dollar. The coins are made in 1, 5, 10, and 25 cents. The paper money is made in 1, 5, 10, 20, and 100 dollar bills. One U.S. dollar is equal to 2.01 Barbados dollar (1975).About 60% of the land is cropland. The agriculture industry employs 7.4% of the labor force and contributes about 8.7% to the Gross Domestic Product. Sugarcane makes up over half the acreage. Bananas are also grown, but only on a limited scale. Sea island cotton is also grown. All of the farmers are required by regulations to plant at least 12% of their arable land with some food crop.Barbados natural resources include petroleum, fishing, and natural gas. The fishing industry employs about 2,500 people and 500 small boats. Their are no natural forests in the country. Manufacturing contributes about 11.2% to the GDP. Manufacturing and mining employ about 18.9% of the labor force. The majority of the industrial establishments are engaged in some form of sugar processing. Sugar is the principal export. The principal imports include machinery, motor vehicles, lumber, and fuels. Barbados per capita income of $9,200 makes it one of the highest standards of living of all the small island states of the Eastern Caribbean. Barbados is also one of the many transshipment points for narcotics bound for the U.S. and Europe.Some of the current issues in the country consist of the pollution of coastal waters from the waste disposal ships, soil erosion, and i llegal solid waste disposal that threatens contamination of aquifers. Barbados is also plagued with natural disasters such as hurricanes and landslides. Their hurricane season is between the months of June and October, which is the same season as the U.S. Plagiarism Detection >SourcesThe World Factbook 1995. Central Intelligence Agency. 1995. The World in Figures. Showers, Victor. 1973. Library of Congress. Encyclopedia of the Third World. Kurian, George Thomas. 1987. Library of Congress. World Christian Encyclopedia: A comparative Study of Churches and the Religions in the Modern World, AD 1900-2000. Caribbean Week. Barbados. Internet.

PSY 1010-60 - General Psychology Essay Example | Topics and Well Written Essays - 500 words

PSY 1010-60 - General Psychology - Essay Example As the precise description of ethnographic study is established, the patterns which distinguish various groups may be apparent, but the universality in some aspects of culture may also bring a variety of groups in mutual standpoints. In practical example, a brief experiential study on a religious Catholic mass set in a local community had been conducted for more than an hour. Keeping the exact location of the place confidential, a number of relevant observations can be drawn from such cultural sector. Majority of the individuals who attended the mass are white Americans, with several mixtures from other races--including Hispanic Americans. Female population seemed to dominate the congregation, with a few attendance from the male counterpart. Some have been dozing off in their seats, while others prefer to stand while attending the mass. In terms of the ceremony, gospels songs are played in muted tones, while the priest had been quite forceful in delivering his religious speech to the congregation--several of them looked bored while a few are avidly listening. It had been obvious that most attendees are already aware of the routines followed: the cues on when to stand, sing, and perform religious hand gestures.

Contribution of Tony Garnier and Le Corbusier Essay

Contribution of Tony Garnier and Le Corbusier - Essay Example Le Corbusier contributed to urban planning in a wide variety of contexts. One of his first forays into urbanism occurred during the 1920s when he was asked to develop structural ways of dealing with the growing squalor in the Parisian ghettos. Le Corbusier’s intention was to develop new ways of developing urban settings that would raise the quality of life for residents living in the region. Through a number of buildings and texts Le Corbusier would articulate a theory of urban planning that would become highly influential to 20th century urban planning. This theory was perhaps most comprehensively articulated in his five points on architecture. Within this approach the building structures would be lifted off the ground and walls that could be designed as the architect wished; he also made room for garden terraces and a view of the yard as a means of promoting improved atmosphere. In terms of specific influences, Le Corbusier is recognized as being among the first to recognize the importance of the automobile to 20th century planning. Within his theoretical work in this realm, Le Corbusier made great contributions to the notion of space as a shifting element of the contemporary world that individuals moved between. While this was initially an abstract notion, it would lead to urban developments in the construction of freeways and other pathways for automobiles. Even as Le Corbusier made great contributions to the theoretical development of the freeway system, his ideas did not go far enough in promoting modes of interaction within this space; as a result, later developers would have to change his theories to include exits and increased emphasis on interstate interaction. He is also credited as being among the first to theorize the contemporary city landscape, and many public housing designers in Europe and the United States have adopted his designs. His ideas oftentimes took the form of modernist notions wherein the messy urban landscape was replaced by well-designed and formed city-structures, with meticulously planned green areas. While these notions had great influence on later designers they also came under attack by theorists such as Jane Jacobs who argued that such design structures promoted stolid and boring social landscapes that were bad for modern living. Within the potential negative impacts Le Corbusier’s theories had was in its adoption by post World War II commercial real estate developers who sought artistic and intellectual justification for the construction of high efficiency housing domains that capitalized on land-use for the greatest potential profit. Tony Garnier’s contributions to 20th century urban planning came through a number of theoretical texts and planning projects that he undertook throughout his lifetimes. While his contributions span a wide range of mediums, his overarching theoretical approach is perhaps best articulated in the text Une Cite Industrialle (Hall 2002). In this text Garni er established the cultural context for his theories and linked 19th century planning techniques to the 20th century urban environment. Within the social climate of Garnier’s time were the prominent changes the Industrial Revolution had on daily existence. Among the most notable changes was the influx of individuals into city environments seeking work; this

How DSLR cinematography is affecting the aesthetics of motion picture Research Proposal - 1

How DSLR cinematography is affecting the aesthetics of motion picture for cinema - Research Proposal Example This is in line with the research as I will be studying the effect of one of the technologies (DSLR) in cinema aesthetics. In the research, I will review the aesthetics contained in Reverie by Vincent Laforet, which was shot using DSLR cameras. This is one of the movies that utilized DSLRs for film making instead of the conventional photography. To test this, I will shoot a short movie made of a collection of four scenes using three different media: film stock, digital camera (RAW), and DSLR (compressed). Each camera will produce four scenes under similar lighting and in the same environment. This will enable me compare the scenes and analyze the differences in their aesthetics. The comparison will involve the similarities and differences and their significance in aesthetic quality. I will also look at the limitations encountered and the ways of overcoming these limitations during production and post-production. The conclusion of the research will be a short film that will combine sequences filmed using different media. The production of this film will utilize pro-consumer software, which will be essent ial for proving that independent filmmakers can utilize DSLRs when making movies. This will also prove that DSLR is a professional film making tool and can help filmmakers become professionals. The major part of the film will be shot using DSLR and will be combined with scenes from a film stock camera. This will be necessary for showing that the DSLR has improved the quality of movies. Davis, E. Interview. Indiewire (2011) [Viewed 29 January, 2013]. Available from:

Argument and further work Essay Example | Topics and Well Written Essays - 750 words

Argument and further work - Essay Example To investigate further this hypothesis, this emerging area of research needs further work, where study of interaction of oxaliplatin with survivin may lead to more insight into this phenomenon (Ngan et al. 2008). Since survivin is an expressed protein, its detection would need specific procedure, and hence the question is whether selection of Western Blot test is an appropriate one for this purpose. In Western Blotting, polyacrylamide gel electrophoresis (PAGE) is considered to be the standard tool of protein analysis. The survivin analysis involves reaction with an antibody, and from this perspective, sufficient information can be gathered by employing a staining technique employed for the proteins in the gel. From these two angles deployment of Western Blot analysis offers many advantages, which are improved accessibility to these proteins offering ease of handling and the advantage of storing the immobilized proteins for future analysis (Fowler, 1995). There are several instances in experimental literature on survivin expression in response to oxaliplatin that use Western Blot assay. Fujie et al. (2005) has used anti-survivin rabbit polyclonal antibody to detect survivin under-expression in oxaliplatin treated cancer cell lines with commendable success (Fujie et al. 2005). Wilson et al. (2008) also used Western Blot tests to detect markedly reduced expression of survivin in oxaliplatin treated cells (Wilson et al. (2008). Prewett et al. (2007) also demonstrated how Western Blot could be used to demonstrate oxaliplatin suppressed survivin expression (Prewett et al. 2007). The effect of oxaliplatin on the number of the cytosol can be investigated by immunohistochemistry method. In this method, some antibodies against cytosolic proteins have been used. This proposition is based on the idea that is apoptosis induced by oxaliplatin is partly contributed to by Cytochrome C mediated triggers, then the anticancer activity of oxaliplatin can be quantified by

Comparing two visitors attraction which is based in Sultanate of Essay

Comparing two visitors attraction which is based in Sultanate of - Essay Example .... 14 Tourism in the Sultanate of Oman Introduction Oman is a country on the Arabian Peninsula. The tourism in Oman has grown rapidly in the last ten years, and it is expected to be one of the largest industries in the nation. The country has one of the most diverse environments in the Middle East with various visitor attractions and is particularly well known for cultural tourism. Recently, Lonely Planet Travel Guide named Oman as the 2nd best city to visit for 2012. The capital of Oman has also been selected as the capital of Arab tourism for 2012. The director of tourism Salim Bin Adey Al Mamari said the country had 1.6 million tourists in 2010, and they are expecting to increase this figure by 7% in 2011 (Claire Ferrislay 2011). Between the year 2000 and 2010, the industry of tourism in Oman increased as the government has managed to achieve the following targets: Allowing different types of private sector activities by removing visa barriers and providing the basic need of hot els, international airports, and various natural tourism attractions Developing tourism projects and building roads to improve links to remote areas. Preserving Oman’s historical landmarks and environment to allow its cultural heritage and protect its ecosystem from increasing the number of tourists visiting the country. Generating additional employment opportunities for locals and focusing on hiring from the indigenous population for the majority of jobs in the tourism industry, including the low skilled and low paid employees. This essay will include two attractions under different sectors, which then will be compared and contrasted. Both attractions will be examined for the following areas: Historical Development – a brief overview of the history. Current provisions – what do they offer. Market Potential – current market target. Management issues Suggestions Conclusion In this essay the private sector will be Muttrah Souk as the first attraction and Wa di Bani Khalid as a public sector typed attraction. Both chosen attractions are based in Sultanate of Oman and will be examples for showing the reasons for the increases for the number of visitors in Oman with the historical value of the country being the primary attraction to many tourists from all over the globe. According to B.S. Badan Harish Bhatt (2007), travel and tourism is a major industry across the globe. In the current years the industry has witnessed unprecedented growth. The number of consumers that have increased on a demand of education and participatory travel experience has resulted in a variety of specialty niche markets such as, ecotourism, cultural heritage and agritourism. Lindsay W. Turner (2009) supports the above statement by stating that the â€Å"World international tourism increased by nearly 5.4% between 2005 and 2006. This level of increase represents a return to a stable growth pattern where it would be expected that growth would range between five and six percent. It also provides a benchmark figure against which to measure growth in larger markets. This, of course, was significantly before the world markets began to suffer from economic down turns, which have impacted the level of tourism across the world. However, the types of travel that are still desired have changed because of the earlier growth and less common locales are still seeing an increase in overall tourism from the rates

FINANICAL MANAGEMENT IN NONPROFIT ORGANIZATION Term Paper

FINANICAL MANAGEMENT IN NONPROFIT ORGANIZATION - Term Paper Example The report is prepared with the sole intent to study the various financial management practices in a non-profit organization. The author of the study will highlight the various financial management practices that ensure smooth operations of the business. It also highlights the difference in the financial management practices between profit and nonprofit organizations. The author of the study will also provide certain inputs which will help in the betterment of the nonprofit organization and help in achievement of goals and objectives. It was essential to conduct this study to understand the impact of financial management practices on the organizational performance of NPO. Introduction: Financial Management in Non-Profit Organization Nonprofit organizations form an essential part of the society and exist to provide certain benefits for the members of the society. They actually vary in size from large to small clubs and the operations are based on receipt of grants, donations, fundrais ing or receipt from members as the principal source of income. In certain instances nonprofit organizations (NPO) supplement income with the trading activities. Although, NPO operate on a nonprofit basis suitable practice of financial management ensures that there are sufficient resources and cash meant for operations of NPO. Attaining profitability is not the main objective of NPO it is necessary to ensure that it is sustainable, capitalized and funded. It should be ensured that the NPOs should have an adequate cash flow to support their technical operations over the duration of the lives and help in contribution to the achievement of goals and objectives. Sound practice of financial management is needed to ensure that the human resource of NPO utilize the resources effectively. The operations and activities of NPO vary and organizations where trading activities are not present stock management practice will not be relevant. Implementation of effective management practices will ena ble in attainment of strategic goals of the organization easily. Implementation of sound financial management practices would require understanding the current financial position of the NPO which is important for the provision of NPO services. Sources of Funds in NPO Gifts and Donations: The donations in NPO usually come from companies, charitable trust, foundations after a fundraising appeal. Gifts and donations are regarded as an important source of income and also attract tax reliefs (Green, 2013). Fund raising activities are time consuming and expensive. Grants: The grants are made by charitable trust and public sector. The donated money is not returned and is usually exempted from tax (KnowHow Non Profit, 2013). Loan financing & equity capital: Loan is the sum of money borrowed to be repaid back with interest and loan financing is potentially used widely in NPO. Equity capital is provided by external investors in return for a stake in the organization (KnowHow Non Profit, 2013) . Contracts: A form of trading activity which involves agreement between two parties and each party has to abide by the terms and conditions failing which will attract penalty or fine (KnowHow Non Profit, 2013). Trading: Many NPO generate income by selling goods and services to the members of the organization (KnowHow Non Profit, 2013). Financial Management Practice in NPO Analyzing the financial position of the organizations will enable the smooth operations of NPO and also help in providing excellent services. Firstly, sound

Adapting Communication for Age of Pupils Essay Example for Free

Adapting Communication for Age of Pupils Essay When working with children each age group requires a different level of support and also a best way to communicate, communication doesn’t just change on the age of the child but also the child themselves. When working with children in the foundation stage F-1 it is appropriate to speak to children n there level whenever possible this helps the child to feel more comfortable as they haven’t got someone towering over them, also for the adult it helps them to hear the child correctly as younger children are likely to not be as loudly spoken and may lack in confidence. Also another non verbal communication in this age is to use lots of facial expression as children will pick up the meaning of a word or what context it is meant in by facial expression as well as tone of voice. Younger children also benefit from the use of actions to go with words such as having a hand action for hello waving etc. this makes language more remember able to them and easier for them to use. The verbal communication for this age needs to be simple, using words which the child will understand both the meaning of the word and the context it is meant in for example clear instructions are helpful such as â€Å" go and get your coats on, its cold today, they need to be done up, and then line up please† a opposed to â€Å" coats on† the children will not know to do up or line up. Clear tone of voice I also needed and children quickly respond to this if a member of staff has a calm happy tone of voice and changes to a stern tone the pupils are likely to recognise she is upset about something as her tone of voice has dramatically changed. Where as if a member of staff always had a flat tone of voice which doesn’t change children are likely to be less aware or able to pick up on the contexts things are meant as they are unable to relate to the changing of tone. See more:  Mark Twains Humorous Satire in Running for Governor Essay In KS-1 pupils have much better language skills and can use more complex words, Verbally I can use more complex words such as time words, and more complex description words when communicating with them light humour is also appropriate as they will be able to understand it. In KS-1 pupils are likely to find it a little unnerving If I were to always speak to them on their level as they are older and may see this as been spoken to like a baby, however eye contact is still important when speaking to them. Hand actions will no longer be needed at this stage, also facial expression is still important but needn’t be as exadrated. As children get older depending on their development they are likely to be able to communicate on a more adult level, exploring language and understanding its context and meaning, using humour and asking questions if unsure of how something is meant. The context of the communication. How I communicate with the CYPs in the settiing will be adapted also to the context in which I am talking for example when in the classroom working with a pupil on a task I will speak in a calm relaxed tone of voice, encouraging them while they do the task, if a pupil had been struggling I may change my tone of voice to a more enthusiastic pitch recognising their achievements. When in a classroom and a pupil might talk whilst the teacher is talking either to myself or another pupil usually saying their name in a stern tone and unsmiling face is enough to get them to correct their behaviour. Whilst in the playground speaking to a pupil on a social subject I can relax use light humour, be interested in what they are saying without asking inappropriate questions. I can use hand gestures and have a more relaxed pose. Communication differences. Pupils depending on their individual needs, preferences may need different communication from their peers for example is a pupil is quiet shy and quietly spoken they may feel more comfortable with the adult to speaking to them in a calm quiet manner whereas a adult being load and confident may make them feel very nervous etc. Pupils who have SEN. may need communication to be different to suit their needs for example if they have additional learning needs they may have difficulty understanding language as well as there peers and need simple language with actions and facial expressions to help them. Pupils with sight difficulties may need more physical communication such as leading around the room by hand or being allowed to explore activity’s by touch. Pupils with a hearing difficulties may benefit from visual aids around the classroom such as school rules such as no running. They may also need adults to repeat things to them if they are unsure and also for adults to always face them when talking to them to enable them to lip read, and speak in a clear load voice. TDA 3.1( 2.3) The differences between communicating with adults, children and young people. The way I communicate with adults and pupils varies depending on the context, however in a professional situation a lot of the communication is the same such as using a calm happy tone of voice, good eye contact and open body language. Some things which are different which may be appropriate for a child but not for a adult such as using a stern tone of voice to discipline a child, wouldn’t be suitable for use on a adult as they are adults and this would cause conflict as it isn’t my place to get them to correct their behaviour, Adults don’t need me to speak to them on their level although in some situations this may be useful for example in a noisy pace to bend down to talk to another adult who is seated. Depending on the age of the child humour used may not be appropriate although as with children as any humour used is likely to be hear by children it will remain light and clear so no one misunderstands its context and also humour must never hurt someone else’s feelings. Hand actions and exadirated facial expressions aren’t needed with adults as they might be benifitual to communicating with children. How to adapt my communication with adults to meet adults individual communication needs. Adults within the setting like children too will have their own needs, preferences when communicating Also their communication preferences may change depending on the situation/ environment they are in for example if a member of staff is outside in a busy playground supervising, they have to supervise the pupils so are unlikely to maintain full eye contact which in some situations may be seen as having bad communication however in this situation the child is paramount and they are putt ing the child’s safety first. Also in a noisy environment they are likely to need me to speak louder and clearly. In a situation where the member of staff may be doing some written work I will approach them quietly so not to disturb them as the written word may be important. Adults may also have a disability or need such as a hearing impairment which will mean I will need to make sure my face is visible when talking to them so that they can lip read, also I would never talk to them across the room but make sure I am stood in front of them when communicating with them, I will also speak in a clear load voice. Managing disagreements with CYP. If I were to become in a situation where myself and a child came into a disagreement I would firstly make sure the child has understood something I said probably by repeating myself and use simpler words. It may be that I may have misunderstood the meaning of something a child said so to confirm I will ask questions to make sure I am clear on the context they meant It in. It may be a achedemic disagreement for example a child telling me they have already read a certain book, I would refer to their home/ school book to check as all books children read are written down. Most disagreements via myself and a child can easily be resolved either by clarifying meaning, they might not have meant what they said in that manner , or if its about their school work I can check with the teacher or through any written records the school has that are relevant. In my setting I will have to maintain professional communication even if I disagree or experience any conflict with another adult. I would keep this unobvious to the pupils within the room instead dealing with the issue outside of the classroom at a appropriate time i.e. in the staffroom at a designated break time. I feel that in most instances I would be able to solve the issue with a verbal open conversation with the other adult explaining to them what I am unhappy about and why. However if the incidence was serious where the other member of staff showed a misconduct of practise i.e. racism poor health and safety etc. I may feel it appropriate to consult the head teacher of what has happen/what I have witnessed. I will refrain from criticizing the member of staff myself. In a more serious event I may be asked to write down what I have encountered if the head teacher needs to seek advice take the incident to the school governors or local authority. TDA 3.1 (3.2) An explanation of the importance of reassuring CYP and adults of the confidentiality of shared information and the limits of this. As part of safeguarding I in some cases am required to break any confidentiality if the information may mean a child is in potential harm or at risk from harm. Any disclosures from children concerning adults both within and outside of the school setting have to be reported to help risk to be assessed and prevented. In the case of adults it may be they a adult has concerns over another adults practise maybe due to a action taken by the adult , their mental health at a certain time or something a child has informed them off. When hearing any concerning information I will always firstly reassure the information giver that they have done the correct thing, I will them tell them that I cannot keep it to myself but will have to tell a appropriate person however it wont be told to anyone just the people who need to know. It is important that I tell them this so they don’t think of me a misusing their trust, or doing something to upset them, they need to know that the children’s safety comes first and any information that is passed on is done so only to protect them and only the relevant people will be told about it.

Providing quality healthcare

Providing quality healthcare Health Care Quality 1.0 Background To The Study The Client enters the health care delivery service with needs, concerns and expectations, requiring various interventions. Identifying and providing appropriate care to meet these needs in a cost effective way without compromising the standard of care is one of the challenges facing health care providers today. Other challenges facing them include consumer’s demands, professional demand for excellence, high cost of healthcare and demographic shifts. In order to provide quality care that meets the client’s need and increase his satisfaction the client’s views must be respected and his preferences taken into consideration. Studies to identify clients’ preferences have shown that providing physical comfort adequate and timely information, coordinated and integrated care, emotional support, respect for clients’ values and rights are powerful predictors of client satisfaction (Gerteis, 1993; Potter and Perry, 2001). Other studies also showed that irrespective of cultural background and beliefs, providers’ behavioural attributes such as showing respect, politeness, provision of privacy and reduction in clients’ waiting time influence clients’ satisfaction with care (Population Report, 1998). Clients satisfied with the care they received have been found to pay compliments, comply with instructions, keep clinic appointments and recommend the hospital to friends and family members (Larson and Ferketich, 1993; Kotler and Armatrong, 1997, in contrast, those not satisfied have been found to complain, take legal actions, change providers or even leave the orthodox health care services for complementary therapies or alternate medicine (Luthert, 1990; World Bank Report, 2000; Jegede, 2001). These activities have affected the health care delivery system. In recent times, several changes have also emerged. This includes a change in the stereotyped image of the patients. Historically the patient had been viewed as a passive recipient of healthcare in a paternalistic relationship with the caregiver. This is no longer the case, as today the client is a well-informed consumer with a strong negotiating power of choice, which he uses to his advantage (Melville, 1997, Alagba 2001). This position was strengthened by the Consumers’ Bill of Rights of 1965 and the Patients’ Bill of Rights of 1975 (smelther and Bare, 2000, Alagba, 2001). The Bills emphasized Client satisfaction with services provided more so as satisfaction has been accepted as a major indicator of quality care. Furthermore, as consumer of the services the client is in the best position to say if a service has met his needs or not. The client’s perception of care is therefore of paramount importance to any provider. However, in spite of all these, healthcare workers’ care alone may be inadequate to meet all the client’s needs. Client-centered care required that healthcare delivery system provide client-friendly hospital policies, adequate number of professionals, safe and clean environment, appropriate equipments and functional laboratories. These facilities provided at affordable prices are necessary to complement healthcare workers’ efforts and guarantee client’s satisfaction. Unfortunately the major hindrance to the achievement of this goal is the high cost of healthcare services, for example, Stanhope and Lancaster (1996), Potter and Perry (2001) reported that there was a great hike in health care delivery system in United States of America. Then the health care costs inflation was said to have been higher and faster than the consumer price index between 1950 – 1980, and in 1993 it was said to have increased twice above the national inflation index. This hyper inflation, Stanhope and Lancaster (1996) further stated led to consumers’ outcry and great demands for cost effective healthcare services. Chapter Two Literature Review Concept of Satisfaction Several authors have defined the word satisfaction severally, for example Webster’s dictionary defines satisfaction as â€Å"the fulfillment of a need or demand and the attainment of a desired end†. The Oxford Advanced Learner’s Dictionary defines it as â€Å"the feeling of contentment felt when one has or achieves what one needs or desires†. Satisfaction can also be simply defined as a sense of contentment emanating from perceived needs met. These definitions suggest the need for needs identification and goal setting before satisfaction can be attained. It would also appear that satisfaction is subjective with only the individual attesting to his/her satisfaction. In today’s provider-client relationship the onus lies on the providers to strive at client satisfaction. Studies to identify the antecedents of client satisfaction have shown that client satisfaction is one of the results of the provisions of good quality service; consequently it has become an important quality indicator (Filani, 2001; Vuori, 1987). The need to provide quality care is based on several factors including the principle of equity. Clients and consumers who pay for services are entitled to value for money paid. Satisfaction is also found to depend on client’s expectations. Each individual has an expectation of the outcome of an interaction, a relationship or an exchange. Positive outcome engenders client satisfaction. This view is well articulated by Kotler and Armstrong (1997) who stated that â€Å"when a client’s expectations are not met, the client is dissatisfied, when it is met the client is satisfied and when it is exceeded, the client is delighted, and keeps coming back†. Consequently service providers should assess clients’ expectation at the inception of a relationship in order to consciously plan to satisfy the client. Sometimes clients may not be sure of what to expect, it becomes necessary for service providers to develop an expectation of good quality in the client so that they can insist on it. Otherwise the client may be satisfied with relatively poor services (Shyer and Hossan, 1998). This is not in the interest of the client or the service providers. Therefore counseling the client and informing the public on what constitutes appropriate care or service should be seen as efforts to develop and sustain client satisfaction. This is especially important in the light of current reforms in the health care delivery system. Recently, certain forces have occasioned reforms in the healthcare delivery system; these forces include population demographics such as increasing number of the aging population, cultural diversity, changing patterns of disease, technology, economic changes and clients’ demand for quality care (Smeltzer and Bare, 2000). These forces demanded that care providers developed innovative ways to meet clients’ needs and increase clients’ satisfaction. Today healthcare is viewed as a product to be purchased and patients hitherto seen as passive recipients of healthcare have metamorphosed into empowered consumers. As consumers the clients command the attention of providers and healthcare managers who have a duty to ensure their satisfaction. This view was supported by the British Government when dealing with the National Health Service (NHS) inability to cope with problems increasing demand on it by the aging population, the advancements in medical technology and the rising expectations of healthcare users (Melville 1997). Also like consumers it has been noted that healthcare clients are getting increasingly associated with rights, power and empowerment. Their present status enables them to take control of their circumstances and achieve their own goals. Adams (1990) observed that it also enables them to work towards the maximization of the quality of their lives. Using their power, clients demand for good quality healthcare: their demand is supported by the World Health Organization, Alma Ata declaration of 1978, and the constitution of the World Health Organisation (1966). The latter, stated that, â€Å"good health is a right of all people†. This is interpreted to mean a right to availability, accessibility and affordability of good quality health care. It follows that healthcare should be provided in a way that is acceptable and satisfactory to the consumer, who also has the power of choice. Literatures abound on the clients’ power of choice (Rogers, 1993, Melville 1997). However, suffice it to note that the client as a consumer uses this power to select between alternatives and chooses what gives him/her best satisfaction. This fact was also noted by Alagbe (2001), who citing the Law of marginal utility stated that â€Å"Consumers are rational and have the ability to measure the utility or satisfaction they derive from each commodity consumed, and given a total rationality consumers elect a combination of goods and services that will maximize their satisfaction†. This stresses the fact that consumers choose what will give them maximum satisfaction. The power of choice has numerous benefits for clients, including the fact that the client is frequently consulted by the provider or producer (Melville 1997). This also creates a relationship of partnership rather than the paternalistic one that had characterized the healthcare delivery system. The goal before all healthcare providers is to develop and maintain a client-centered service in order to provide quality service and ensure client satisfaction, more so as clients are becoming more knowledgeable and health conscious (Smeltzer and Bare 2000). Their interest was stimulated and sustained by the television, internet, newspapers and magazines other communication media and by political debates. Their increasing demand for quality care based on this increase in knowledge was however catalyzed by the consumers’ awareness campaigns of the 1960s and 1970s, which subsequently led to the formulation of the Patients’ Bill of Right. This will be reviewed later following a review of the historical background of consumerism. Historical background of consumerism The early 1960’s saw the American public agitating for quality service for every dollar spent. Most business executives regarded the agitation as transitory threats. The consumerists however continued and became extremely vocal in their criticisms and protests against escalating cost of services without corresponding improvement in the quality of goods. According to Alagbe (2001) in 1962, the American consumer movement received a major boost with a presentation to the congress of the consumers’ Bill of Rights; by President John F. Kennedy the bill contained four items namely, that the consumers should have: The right to safety: This refers to protection against products hazardous to health and life. The right to be informed: This refers to protection against fraudulent, deceitful or misleading information in advertising or elsewhere and by also providing people with facts necessary to make informed choices. The right to choose: This refers to assurance of reasonable access where possible to a variety of products and services at competitive prices with government regulations to assure satisfaction, quality and service at fair prices. The right to be heard: This refers to the right of redress with the assurance that the consumer’s interest will receive full and sympathetic consideration by government’s expeditious actions. Based on this the American Hospital Association in 1972 published a list of rights for hospitalized patients. The patients’ bill of rights was devised to inform patients about what they should expect from a caregiver-patient, and a hospital-patient relationship. The patients’ bill rights The patients’ Bill of Rights have strong implications for the healthcare worker, who is involved in independent, dependent and interdependent care of the patient. The care giver (Doctor, Nurse, Physiotherapist etc) form the most central and important part of the patients’ stay in the hospital. The care giver respecting patients’ right will ensure his satisfaction with care. Every healthcare worker therefore has a responsibility to ensure that the client’s right as enunciated by the Bill of Rights is always respected. The bill includes that, a patient has the right to considerate and respectful care. This implies that health services providers should consider such facts as individual preferences, developmental needs, cultural and religious practices and age differences in their care of the patient. S/he also has the responsibility of ensuring that their assistants offer the same level of care. The patient has the right to obtain from his physician, complete current information concerning his diagnosis, treatment and prognosis, in the terms that the patient can reasonably understand. When it is not medically advisable to give such information to the patient, the information should be made available to an appropriate and reliable person on his behalf. He has a right to know by name the physician, responsible for coordinating his care. The patient has the right to receive from his physician the information to give informed consent. Some patients may not want to know everything about them, so the care giver has the responsibility to explain to the client that it is their right to know all, as it is a legal requirement. This helps the patient appreciate his responsibility for his health. The average client also appreciates the honesty of these explanations in the long run, because he is being treated as a partner with decision power. The patient has the power to refuse treatment to the extent permitted by the law, and to be informed of the medical consequences of his action. It is difficult for healthcare workers to understand why clients refuse treatment that can benefit them, but this is a reality. Often, explaining in simple language the purpose solves the problem. If after the explanation of purpose and procedure, the patient still refuses, the care giver should remember that such action is the patients’ right. However, good planning of care that includes the patient in planning has tended to reduce the problem of refusing therapy. The patient has the right to consideration of his privacy. The patients’ right to privacy is readily violated on busy wards especially where there are no curtains as is the case in most government hospitals in many third-world nations because of the current economic crunch. Healthcare workers as patients’ advocates should ensure that their rights to privacy are respected. Efforts to ensure clients privacy should include having discussions with clients conducted in private areas not at their bedsides for all to hear. Also patients’ conditions should not be discussed in the hearing of other patients. Class assignments must not identify a patient by name or position. The patient has a right to expect all communications and records pertaining to his care to be treated as confidential. Patients’ charts should not be left to be read and discussed by unauthorized personnel. Laboratory result should be well documented and stored. Healthcare workers need to remind other aids that patients records are confidential and not to be discussed at home with friends and relatives. The patient has a right to expect that within its capacity, a hospital must make reasonable response to the request of a patient for services. Nurses are often in charge of coordinating services for the patient such as x-rays, appointments with specialists, such as physiotherapist, etc. these should be available and provided in the order that is convenient for the patient. Also in the event of a transfer, the nurse should emphasize this to the reference hospital. The client has the right to obtain information as to any relationship of his hospital to any other healthcare and educational institutions or hospital personnel. Sometimes hospitals are affiliated to or are owned by some religious organizations and universities; this has implications for the client care. He therefore has a right to be informed about it. The patient has the right to be advised if the hospital proposes to engage in, or perform human experimentation affecting his care or treatment. He has the right to refuse to participate in such research projects. Most clinical trials take place without the clients’ knowledge, or even when explained the language may be too technical for the client to understand. After explicit explanation, a client should be asked to sign a separate consent in addition to his consent for care if an experimental therapy is proposed to him. He can also withdraw at will without any reprisals. The patient has a right to refuse permission to any one to touch his body. His basic responsibility is to himself and not to the advancement of science or learning. A patient has a right to expect reasonable continuity of care. Healthcare must to continuous and of the same quality. A change in shift should not result in negligence. The patient has a right to examine and receive an explanation of his bill, regardless of the source of payment. In places where bills are paid by third parties and insurance, it is easy to assume that clients should not care about charges. The client has a right to receive explanations and demand for rational charges. The patient has a right to know what hospital rules and regulations apply to his conduct as a patient. Some hospital rules are very restrictive, however, if they are written down and given to patients, the patients are more likely to remember them. Patients’ have the right to be properly informed; having the booklets to review at his leisure time and reminding them of these rules will help compliance. It is important that a client has access to the bill of rights as the consumer’s access to the bill of rights ensures that he is able to demand for his rights. However as the patients’ advocate, the healthcare worker has a responsibility of ensuring that these rights are respected as provided. These rights ensure that the consumer/client’s basic needs are met. To guarantee this, Haskel and Brown (1998) recommended that hospitals should create a culture that focuses on patients. This, they argued will allow health workers to respond to patients’ needs and even go beyond their expectations. The Health care system determines the quality or services provided. Unfortunately today, healthcare financing is more economy driven than patient-centered. (World Bank Report, 2000). This portends a danger for client care and needs to be examined. Healthcare systems This can be defined as the organ that organizes and funds health care services. Its goal is to provide an optional mix of access, quality and cost. Kielhorn and Schulenburg (2000) identified three basic models of health care system. These are the â€Å"Beveridge† model, the public-private mixed model and the private insurance model. The differentiating factor appears to be the funding and the coverage. Beveridge Model This is funded through taxation and usually covers everybody who wishes to participate in the state. Countries using this model include United Kingdom, Canada, Demark, Finland, Greece and Norway; In this model healthcare budgets compete with other government spending priorities such as education, housing and defence. Consequently budget cuts and run away inflation lead to high costs of healthcare services. One of the resultant effects is shortage of healthcare professionals, like doctors, nurses, physiotherapists etc. Regrettably this is feared to have affected the quality of healthcare. For example, Ferlman (2000), after a poll conducted on 2,000 adults for the British medical association reported that, the number of people satisfied with the health service dropped to 58% as compared with 72% percent in 1998. The population who were â€Å"very dissatisfied† or â€Å"fairly dissatisfied rose from 17 percent to 28 percent This result may not be unconnected to the decline in the quality of healthcare services. Public Private Mix Mode This model is funded primarily by a premium-financed social mandatory insurance, it has a mix of private and public providers, which allows for more flexible spending on healthcare. (Kielhorn and Schulenburg, 2000). Participants are expected to pay insurance premium into competing non-profit funds and the physicians and hospital are paid through negotiated contracts. The funds can also be supplemented through additional voluntary payments. Countries that use this model according to Kielhorn and Schulenburg (2000) include France, Germany, Australia, Switzerland and Japan. Private Insurance Model This model exists exclusively in its pure form in the United State of America (USA). Healthcare there is funded through premium paid into private insurance companies. The health insurance is not mandatory, so most often people with low income and high-anticipated healthcare cost, like people with chronic diseases are often unable to afford insurance. This makes healthcare in this system selective and non-equitable. An estimated 15% of the population in USA where this model is practiced are said to be unable to have any insurance cover. (Kielhorn and Schulenburg, 2000). Any of these three basic healthcare funding models are utilized by most healthcare organizations to fund the healthcare delivery system. However due to the global changes occasioned by various factors healthcare organizational developments became necessary, in order to contain costs and ensure quality care. (Stanhope and Lancaster 1996: Yoderwise, 1999). The United Kingdom Health System In a bid to provide free healthcare services for all UK residents, National Health Service (NHS) was founded in 1948. Funds for running the NHS was got through general taxation and this fund is administered by the department of health. Essentially, consumers of healthcare services do not pay at the point of receiving the services. Apart from the NHS, Private healthcare providers also exist in the UK but the consumers of their services either pay at the point of service or through insurance. The NHS: Considerable changes have occurred in the structure of the NHS over time. There is however no considerable differences in the structure and functions of the NHS among the countries which make up the UK. In England for example, the department of health in collaboration with other regional bodies or agencies take charge of the overall strategy while the local branch of a particular NHS takes the key decisions about local healthcare. The secretary of state for health is the minister overseeing the NHS and he reports to or is accountable to the Parliament. The overall healthcare management is the duty of the department of health, which formulates and decides the direction of healthcare. England has about 28 strategic health authorities which are concerned with the healthcare of their regions. They are the intermediary between the NHS and Department of health. Types of trusts Local NHS are called Trusts and they provide primary and secondary healthcare. England has about 300 Primary care trusts and these altogether receive  ¾ of the total NHS budget. NHS Trusts: these are responsible for specialized patient care and services. They run most hospitals in the UK. There are different types of NHS trust: Acute trusts providing short term care e.g. accident and emergency care, maternity, x-rays and surgeries etc; Care trusts; mental health trusts and ambulance trusts. Foundation trusts: ownership of these trusts is by the local community, employees, local residents. Patients here have more power to shape their healthcare based on their perceived health needs to their satisfaction. Private Healthcare This sub-sector of the UK healthcare system is not as big as the NHS and does not enjoy similar structure of accountability as the NHS. They may be similar to the NHS in service provision but are not bound to follow any national treatment guideline and are not saddled with responsibility of the healthcare of the larger community. Regulation and inspection of healthcare system in the UK are carried out by a number of designated bodies. Some of these are the national institute for clinical excellence; the healthcare commission; the commission for social care inspection and the national patients’ safety agency. Community Satisfaction with Healthcare System World Bank (2000) identified three basic types of healthcare organizations providers in the healthcare system. These are: the market or for profit co-operations, the government, and the not for-profit organizations. The last group includes the mission hospitals run by religious and non-governmental organizations. For them their main objective is to provide quality care for the citizens. Although scarce resources often limit their efforts, they are reported to be providing quality care to clients within their means. (World Report, 2000). In Government run systems especially in many resource-constrained nations, the main complaint is the failure of the Government run systems, which are supposed to be the most equitable and cheapest system for providing care, is being run down for ideological reasons in some countries, (World Bank, 2000). This jeopardizes the availability of healthcare services to the individual, resulting in the client’s non-satisfaction with one. Lastly, are the for-profit co-operations. These, according to World Bank (2000) have problems of care and affordability, which parallel their profit. The affordability is noted to be most acute in the market-listed companies. This is because the prime objective of these groups entering the health market is to make profit from the sickness the most costly and least affordable healthcare providers. Unfortunately while share holders are getting profit the clients for whom health care is provided are receiving poor quality care. World Report (2000) documented declining care and increasing dissatisfaction with healthcare in most countries. The greatest dissatisfaction was reported in the market-based systems and when market placed systems replaced state funded ones. The market system in the USA, which was supposed to help the citizens, is criticized for deliberately exploiting them. Critics argued that the strong competitive measures encouraged, have destroyed the ethics of USA’s hospitals’ Samaritan culture and the professionals of the healthcare providers. Patients were reported to have had to suffer as a result. Equity was also said to have become a problem, as healthcare is no more available to all citizens. This was attributed to the effect of the market systems on the health care delivery service. The market based systems are also reported to have wide spread incidences of denial of care of patients, mis-use of patients for profit and neglect of the frail and vulnerable (World Bank, 2000). These were said to have occurred when profits were being earned and shared by corporate bodies to shareholders. Information from the market place were said to have revealed receptive marketing, and mis-information which covered up the misdeeds of the corporate bodies. In response proponents of the market system defended their policies and argued for its usefulness, and value in healthcare reforms. For examples Samuel (2000) argued that competition, a fall out of the market system encourages efficiency, reduces costs, enhances responses to consumer demands and favours innovations. Consumer empowerment, he stressed is one of the dividends of competitive healthcare systems. He added that introducing competition would provide consumers the freedom to choose between different services and different delivery mechanisms that meet their needs. It is also expected that this would increase their satisaction. Competitive pressures, Samuel (2000) pointed out will break down self-regulatory practices by service providers, developed essentially to serve their interest, so that clients interest will eventually be served. While the above argument is appreciated, it is also observed that the problem of equity is more profound here, as it appears that only the few that can afford quality care can get it. In the light of the what Alma Ata declaration of 1978, all nations have a responsibility and an obligation to attend to the health needs of all their citizens. It is obligatory to make healthcare available, accessible, affordable and acceptance to all. These places on the government of every nation the responsibility to ensure that there is equity in health care services distribution. In order to ensure this, countries like the United Kingdom entirely funded the National Health Service (Kielhorn and Schulenburg, 2000). As a result, even in the face of health care cuts and shortages the NHS clients were found to be very supportive of the system. (Walsh, 1999). In most other countries, clients have reacted to the healthcare system and services provided in various ways. In some places, they have responded with an observable move away from conventional medical care. This trend, most argue, can be traced to the high cost of the latter. There is also the argument that clients’ expectations are no longer met through conventional healthcare services. This is said to be so especially for clients with less serious disorders. For example, Manga (1993) found that clients were considerably less satisfied with medical physician’s management of their low back pain than chiropractic management of the same ailment. These observations, were also corroborated by Cherkin and Maccomak, (1989) and Harris Poll, (1994). Processes of a health service system The processes of a healthcare service system refer to the actual performance of the activities of care. Stanfeld (1992) identified two components of the processes. These are the activities of the providers of care and the activities of the population. Activities of health care providers Every interaction between an individual or community and a care provider begins with need or problem identification. Starfield (1992) stated that the problem recognition implies an awareness of the existence of situations requiring attention in a health context. Diagnosis, planning and intervention follows after that assessment, is carried out. Evaluation is done intermittently and the end of the intervention to determine if the original diagnosis, plan and interventions were appropriate and adequate for the recognized need. In nursing, models of care such as the nursing process are utilized to facilitate systematic and scientific provision of quality care and client satisfaction. Also care provided is guided by established institutional standards of care. Effective assessment of client’s needs and its resolution is expected to have an outcome of client satisfaction. It is therefore important that the healthcare provider’ intervention should be client centered, in order to achieve the set goal. Activities of the client People decide whether or not, and when to use the health care system (Starfield 1992). It is in coming in contact with the health care system that clients recognize what services are offered and the quality of the services offered. The clients’ experiences enable them to form their opinions, deciding if they are satisfied or not (Starfield 1992). The caring process involves the performance of the activities of car