Thursday, December 26, 2019

American Indians And Alaskan Natives - 1982 Words

American Indians and Alaskan Natives have a relationship with the federal government that is unique due to the â€Å"trust relationship† between the US and American Indians/Alaskan Natives (AI/ANs) who are entitled to health care services provided by the US government by virtue of their membership in sovereign Indian nations. In order to contextualize the complex nature of Indian health programs it is necessary to become versed in the political and legal status of Indian tribes. Through numerous constitutional, legislative, judicial, executive rulings, and orders that were largely associated with the succession of land and subsequent treaty rights; the health care of AI/ANs has been one of many responsibilities guaranteed by the federal government. The foundations of which can be traced back to the year 1787. The ceded land has been interpreted in courts to mean that healthcare and services were in a sense prepaid by AI/AN tribes and 400 million acres of land. The misco nception of â€Å"free healthcare† and a conservative political disdain from so called entitlement programs have also led to misconceptions regarding the federal government’s responsibility to provide health care and services to AI/ANs. Rhoades (2000) has argued that tribal sovereignty is the overarching principle guiding Indian health care on a daily basis.1 This paper will examine the history surrounding federally mandated healthcare to AI/ANs, pertinent issues of sovereignty, as well as case studies in tribalShow MoreRelatedEssay about Health Promotion in American Indian and Native Alaskan1161 Words   |  5 Pageshealthcare and or the ability to change cultural perspectives to ensure healthy lifestyles. Within this paper, the health of American Indian and Alaskan Native populations will be discussed along with the barriers to care and the health disparities within this culture. According to the Centers for Disease Control and Prevention (CDC) the number of American Indian or Alaskan Native (AI/AN) residents residing within the US was 4.5 million in 2013 and among that population 14.3% were considered in fairRead MoreDescriptive Epidemiology : American Indian And Native Alaskan Populations On Reservations798 Words   |  4 PagesDescriptive Epidemiology American Indian and Native Alaskan populations on reservations or in urban areas have had extreme difficulty with the use of Alcohol. An average of 43.9% of AI/AN adults reported using alcohol within the last month, which is considerably higher compared to the national average of 30.6%. (Substance Abuse and Mental Health Services Administration [SAMHSA], 2011). Furthermore, 30% of American Indians reporting usage of alcohol within the last month also reported engaging inRead MoreMental Health Is A Never Ending Concern For The American Population Essay1305 Words   |  6 PagesMental Health is a never-ending concern for the American population due to the lack of data. This lack of date fails to give accurate information and better understanding on seeing how suffers of mental health illness is being addressed. Due to the unpredictability of when a mental illness may strike would be the leading factor to fully link how to predict and quickly find corrective resources to better educat ed, or reach the right people to better manage their mental health. Therefore, many communitiesRead MoreIndian Health Services898 Words   |  4 PagesIndian Health Service (IHS) The Indian Health Service is an operational division agency within the Department of Health and Human Services (HHA), which is responsible for providing medical and health care services for federally recognized Indian and Alaskan Native American tribes within the United States ranging from community health to primary health care services. The Indian Health Service provides health care and medically needed services to American Indians in health care organizations andRead MoreHealth Promotion Among Diverse Population1142 Words   |  5 Pagesphysical well being, the health of most Americans has increasingly improved. However, the same cannot be said of the health of American Indians and Alaskan Natives. Health improvements for American Indians and Alaska Natives have not improved, with health disparities still existing in areas such as:   infant mortality, chronic diseases such as cardiovascular disease, diabetes, asthma, obesity, cirrhosis and liver disease, arthritis, smoking, a nd cancer (Indian Health, n.d.). According to the 2000Read MoreThe American Dental Association Essay1239 Words   |  5 PagesIn the United States alone, millions of Native Americans on reservations are stifled from receiving the much needed dental care they require, the consequences are harmful to their health and prosperity. Tribal sovereignty is defined as the right for an independent tribal authority to govern its members. In regards to dental care, this is the right to train, license, and employ medical professionals. Currently, this system is not working. Native Americans and are faced with oral ailments at a alarminglyRead MoreThe State Of Dental Care For Native Americans Essay1205 Words   |  5 Pagesstance; healthcare is a service that all people should have access to, private, or public. In the wealthiest country in the world, millions of Native Americans on reservations are stifled from receiving the much needed dental care they deserve, and the consequences are harming. The state of dental care for Native Americans is appalling. Native Americans are faced with oral ailments at a ridiculously disproportionate rate compared to other ethnic or cultural groups, and have limited access to adequateRead MoreHealth Issue : Diabetes Mellitus1670 Words   |  7 Pagesyears or older with diagnosed Diabetes). Population: American Indians/ Alaskan Natives have the highest predominance among all racial populations in the United States in regards to Diabetes mellitus. The rate of diagnosed diabetes among American Indians/ Alaskan Natives is almost 16% as of June 2014 (ADA, 2014). The rates reported for American Indians/ Alaskan Natives were fundamentally higher than non- Hispanic whites and Asian Americans, yet the positions of Hispanics (12.8%) and non- HispanicRead MoreA Selected Leading Cause Of Death And State Why This Was Chosen1310 Words   |  6 PagesIntroduce your selected leading cause of death and state why this was chosen. According to the American Liver Foundation, a healthy liver cleans blood, fights infection processes food and stores energy. The liver is able to regenerate itself, but when it becomes too damaged or is prevented from regenerating, it will fail and no longer be able to keep able to keep one alive (2015). Despite its ability to regenerate, chronic liver disease and cirrhosis is the twelfth leading cause of death of deathRead MoreAmerican Indian Health Care Coverage Essay1091 Words   |  5 PagesAmerican Indian Health Care Coverage The history of the American Indians after the European invasion of the New World is not a pleasant topic. Everyone wants to believe the stories that are told about Squanto, the Pilgrims and the harmony of the first Thanksgiving and then skip the next three hundred years of oppression and racism. Unfortunately, the next three hundred years happened and by the 20th century most Indian tribes as well as their traditional ways of life, had been extinguished. Despite

Wednesday, December 18, 2019

What Is The Process Of The Deliverlosure Process - 1794 Words

Introduction During the course of a project at some point you will consider that time has progressed to the point that the client/user and service entity â€Å"one performing the project† that close out procedures are forthcoming as the last phase of the project life cycle. The close out phase starts to occurs at the point the client begins to confirm that they are satisfied and in acceptance of the established prior agreed deliverables are being meet. PMBOK states that â€Å"the obligation to the customer, the contractual obligation to the customer is to provide the customer with the finished product according to the agreed upon criteria for acceptance (p.52). This is accomplished as the turning over of the intended project deliverable to its†¦show more content†¦The contract deliverables was for new windows, sills, trim and vinyl siding on the house and matching on the new garage, Concrete driveway 12’ by 87’ in length reinforced 4† slab. Haul in new sub grade and proper disposal of existing sub-grade. Before work, commenced permits and government agencies need to be contacted to communicate the intent of the process. Note: concerns arose as to full contractual performance however, the male owner would come out yelling and screaming on a daily basis and as well like clockwork the female would come out after him and apologizing for his behavior. Complaints came in as the driveway is not wide enough, the windows are not as they chose and they want a wall built down the center of the garage because the trusses have a cut end in the center, as well as rain is washing dirt down the city drain sewer. Explained the matter to the building inspector, and made assessment as to a checklist as well as a statement of acceptance to building standards, I knew the sponsors would not contribute to this step of our closeout. In my expert decision the project was complete at this point and since I included the inspectors report as to meeting with the sponsor all complaints were not of defect of performance merely complaints of adding to the project outside of the contract. This project ended with the owner committing suicide from hanging on the engineered trusses in the garage that was

Tuesday, December 10, 2019

A Case Study of BHP Billiton-Free-Samples for Students-Myassignment

Question: Discuss about the Occupational safety and health hazards in your chosen Organization. Answer: Introduction With rapid development and advancement of industry, there has been rising concerns in occupational and health hazards. The health risks have no limitation in external space. However, it is present in internal environment, which is known as occupational health hazards. Worker exposure to health hazards is biological, physical, chemical or psychological in nature. Occupational health signifies long term as well as short-term risks related to the workplace environment and in the field of occupational safety and health. On the other hand, development of an organization relies on efficiency of the workforce. Thus, it is important to create safe and healthy work environment for the workers. In the present study, health and occupational hazards in BHP Billiton is evaluated. The study describes organizational context regarding occupational and health hazards and literature review related to risk identification and risks analysis as well as evaluation. Apart from this, recommendations are pro vided in the current study. Organizational context In the present study, BHP Billiton has been considered as a case study organization. BHP Billiton is a mining company where health and safety measures pose an important aspect for the company (Jilcha Kitaw 2017). Hence, the organization set clear requirements in their projects with minimum mandatory controls to mange as well as protect health and wellbeing of the workers in the company. The harmful health risks as well as agents at the workplace of the company consists if exposure to musculoskeletal stressor, noise, dust of coal mine, silica as well as diesel particulate matter. Thus, it is important to manage the exposure with internally occupational health exposure (Albert et al. 2014). In this case, it is important to involve with regulators as well as OEL setting agencies and benchmark against peers along with seeking independent advice. Apart from this, safety for the workers of the company exposes the workers as well as contractors to risk. Thus, the objective of the company is identification of risks and implements control or mitigation techniques (Bice 2014). The project management group of the company has set global safety priorities in order to guide decision-making as well as safety approach for safety. The standard helps to define a number of common safety risks and minimum controls. The operation evaluates further controls for managing risks at operation in order to encounter with objective of no fatalities. Literature review Risk identification: It is important to identify, evaluate as well as manage risks to workers, contractors, environment and communities in the organization. In BHP Billiton, following risks are required to identify as followed. Reinforce the safety comes before the process of productivity Emphasize on in-field verification of material as well as fatal risks Improve internal investigation procedure, widely share and apply lessons and Enable extra quality field time to involve workplace The performance of BHP Billiton in the field of health, safety, environment as well as community is driven through commitment of the people and effective management of risks alon with pursuit of operational excellence. Integration of the health and occupational hazards responsibilities, it is important to develop effective integration of responsibilities as well as objectives that can be articulated by the strategic framework of the company. In working towards achieving zero harm to people, the organization developed the following principle for safety leadership (Boiral Henri 2017). People need to be aware of hazards as well as risks in workplace. Compliance with safety standards along with procedure are not considered as absolute. The principal causes of important incidents remained as consistent over the current years. The organization has set up performance expectations into distinctive aspects of operations. Conduction of exercise has a valuable forum in order to learn and share knowledge across the enterprise (Caldwell et al. 2015). Through operations and products, it can affect health of the employees, communities as well as customers in positive and negative ways. It is important to focus on occupational health initiatives is evaluating and minimizing the level of exposure to hygiene risks in the project site of the company. Hence, improvement in occupational health as well as hygiene programs that will be helpful to manage the process in the organization (Saenz 2018). However, data from operations can indicate that there is one third of employees are potentially exposed in the organization to the noise level that exceeds 85 dBA time-weighted average as well as one-fifth are exposed to the level of occup ational exposure limits. Hence, the actual exposure of the staffs needs to be measured by the organization. Hence, the actual exposure of the workers of BHP Billiton includes exposure limits where measures are required to be taken. It includes engineering and designing for minimizing personal protective equipment. The organization has been maintained that consistent upper quartile will be helpful for process. It has been reported that 1.7% of the employees are affected by occupational illness (Fuisz-Kehrbach 2015). It comprised 1.3% diagnosis with the noise generated hearing loss. In addition, target has been set by minimizing occupational illness. It is also required for development of occupational disease along with the requirement of occupational health hazards. Risk analysis and evaluation There are several health initiatives produced for the workers throughout the organization. Several sites can operate health and wellness programs in order to help workers optimizing the level of personal health. Education is one of the programs through which staffs can optimize level of personal health (Murphy et al. 2016). Strong focus is required to the major academic community. In addition, it is required to manage threat of the diseases in the organization. Responsibilities in relation to the potential health effects of the products on the customers are included in the process (Retzer et al. 2017). During the period, health and safety measured need to be taken by the industry. The external groups as well as organizations recognize the awards through various operations. Substantial progress is made during the ongoing process and implementation of the management standards along with related management systems. The environmental performance is measured by ensuring that the information generated is complete as well as accurate (Baum et al. 2016). On the other hand, due to various classification as well as calculation methodologies are comparable in parameters. Research and development activities for mitigating the risks are focused. BHP Billiton follows accepted accounting principle in order to provide site rehabilitation. The provision for site rehabilitation is processed effectively. The activities as resources of the organization may have impact on natural environment (Stewart Nite 2017). The quality of social performance data enhanced sustainability over sustainability reporting period. Hence, implementation of management standards as well as requirement for community relations management plan is useful to increase awareness of the requirement as well as report data related to the aspect and community. The significant occupation illness within the organization is noise-induced loss in hearing along with occupational respiratory diseases (Sincovich et al. 2018). It is important to focus and minimize exposures where it is possible. Environmental performance across the organization needs to be improved. In addition, it is important to categorize risks in projects. The level of risks is categorized based on the potential harm or adverse health that has effect on hazards. In addition, the exposure needs to be classified as highs single exposure that may cause potential fatal, whereas the risks are related to the process (Gereffi et al. 2016). Control measures including the actions need to minimize potential of the exposures to hazards. Apart from these, the control measures would be secured by guarding and moving parts of the machinery by elimination of potential for contract (Asif Chen 2016). Elimination of hazards is not achieved by removing hazards as well as eliminates the risk of exposure. Substitution of the hazards need to remove the hazards related to the process or activities and may introduce distinctive hazards for overall harm along with health effects. Isolation of hazards need to be achieved by making restriction of access to plant as well as equipments in substances locking. Recommendations Effective controls need to be taken in BHP Billiton in order to mitigate security measures for the organization. The measures will be helpful to avoid injuries, illness as well as incidents and reduce or eliminate safety and health risks. Moreover, it assists the employers providing workers safe as well as healthful working conditions. Apart from these, in order to control and prevent hazards, the employers need to be taken for mitigating security risks. It is required to involve employees having sound knowledge regarding the conditions of creating hazards as well as insights into the process to be controlled. Identification as well as evaluation of controlling hazards using hierarchy of controls in helpful is useful for the organization to mitigate the security issues and hazards in managing their projects. Development of plans with specific measures in order to protect workers during emergency conditions as well as non-routine activities would be beneficial. Evaluating the effectiveness of the existing controls in order to determine they continue providing protection will be helpful for the process. It is required to provide protection and different controls that need to be effective for the organization. Reviewing new technologies for potential and implementing controls need to be processed according to the plan. Development of the plan with measures in order to protect workers during emergences as well as non-routine activities would be useful to mitigate the health and occupational hazards in BHP Billiton. The organization need to collect, organize as well as review information with the employees in order to determine the types of hazards present and workers may be exposed. Information available in the workplace may include the following. Reviewing sources like OSHA standards as well as guidance for industry consensus standards as well as engineering reports in order to identify potential control measures would be useful to identify control options. In addition, it is required to keep current on related information from trade organization needs to be included in the process. It is important to investigate control measures utilized in workplace as well as determine the process, which would be effective at workplace. Getting input from employees required to able for suggesting and evaluating solutions based on knowledge of facility, equipments along with work process is included in the process. However, for complicated hazards, it is required to consult safety as well as health experts consisting of on-site consultation program of OSHA would assist the process. Selection of controls needs to be feasible, effective as well as permanent. Elimination of controls over serious hazards immediately can assist to accomplish the process. Use of interim controls during development and implementation of longer tem solution is included in the plan. It is also required to avoid selecting controls, which can directly control options and need to ensure the controls as feasible as well as effective in its nature. Moreover, development of hazard control plan in BHP Billiton will be helpful for the workers of the organization to mitigate health and occupational hazards in the organization. Conclusion From the above study, it concludes that it is important for an organization to take effective measures and proper planning in terms of managing projects effectively. In addition, it is required to provide opportunities to make interactions in order to enhance safety performance. On the other hand, pre-start meetings and in-field leaders for discussing job-specific safety risks would be helpful for managing safety risks. It is required to undertake activities improving physical and mental well-being of the staffs. It consists of provision of preventative health measures. Adaption of mental health framework is useful for supporting as well as pro-active management of mental wellbeing of the employees. The work of health, safety and environment committee has an important role to monitor implementation process and ensure plans for enhancement are in proper place. Substantial progress will be helpful to mitigate health for occupational hazards in the organization. References Albert, P.J., Werhane, P. Rolph, T., 2014. Introduction. InGlobal Poverty Alleviation: A Case Book(pp. 1-11). Springer, Dordrecht. Asif, Z. Chen, Z., 2016. Environmental management in North American mining sector.Environmental Science and Pollution Research,Vol. 23, No. 1, pp.167-179. Baum, F.E., Sanders, D.M., Fisher, M., Anaf, J., Freudenberg, N., Friel, S., Labont, R., London, L., Monteiro, C., Scott-Samuel, A. Sen, A., 2016. Assessing the health impact of transnational corporations: its importance and a framework.Globalization and health,Vol. 12, No. 1, p.27. Bice, S., 2014. What gives you a social licence? An exploration of the social licence to operate in the Australian mining industry.Resources,Vol. 3, No. 1, pp.62-80. Boiral, O. Henri, J.F., 2017. Is sustainability performance comparable? A study of GRI reports of mining organizations.Business Society,Vol. 56, No. 2, pp.283-317. Caldwell, B. Hinton, J., 2015, March. Data Drilling: Changing the Way the Oil and Gas Industry Manages Safety and Risk. InSPE EP Health, Safety, Security and Environmental Conference-Americas. Society of Petroleum Engineers. Fuisz-Kehrbach, S.K., 2015. A three-dimensional framework to explore corporate sustainability activities in the mining industry: Current status and challenges ahead.Resources Policy,Vol. 12, pp.101-115. Gereffi, G., Bamber, P. Fernandez-Stark, K., 2016. Promoting Decent Work in Global Supply Chains in Latin America and the Caribbean: Key Issues, Good Practices, Lessons Learned and Policy Insights. Jilcha, K. Kitaw, D., 2017. Industrial occupational safety and health innovation for sustainable development.Engineering science and technology, an international journal,Vol. 20, No. 1, pp.372-380. Murphy, F., Sheehan, B., Mullins, M., Bouwmeester, H., Marvin, H.J., Bouzembrak, Y., Costa, A.L., Das, R., Stone, V. Tofail, S.A., 2016. A tractable method for measuring nanomaterial risk using Bayesian networks.Nanoscale research letters,Vol. 11, No. 1, p.503. Retzer, K., Snawder, J., Faist, A., Anson, S., Markovich, E., Hyman, C. Burket, W., 2017, April. Working Together to Prevent Worker Exposures during Gauging and Sampling Activities. InSPE Health, Safety, Security, Environment, Social Responsibility Conference-North America. Society of Petroleum Engineers. Saenz, C., 2018. The Context in Mining Projects Influences the Corporate Social Responsibility Strategy to Earn a Social Licence to Operate: A Case Study in Peru.Corporate Social Responsibility and Environmental Management. Sincovich, A., Gregory, T., Wilson, A. Brinkman, S., 2018. The social impacts of mining on local communities in Australia.Rural Society, pp.1-17. Stewart, P. Nite, D.K., 2017. From fatalism to mass action to incorporation to neoliberal individualism: worker safety on South African mines, c. 19552016.Review of African Political Economy,Vol. 44, No. 152, pp.252-271.

Monday, December 2, 2019

Oedipus Rex Essays (311 words) - Oedipus The King, Oedipus, Operas

Oedipus Rex Characters in the play Oedipus the King attempt to block the horrible outcome of the gods' oracle. The first people to do so were Oedipus' mother and father, Laius and Jocasta. After hearing the unmoral and disruptive prediction, they attempted to execute their own child. Their belief in the gods was this strong. Resulting in their actions, Oedipus grew up thinking that the king and queen of Corinth were his parents. After Oedipus, himself, went to Apollo to hear his oracle he left Corinth thinking he were to do these deeds to the people he thought of to be his parents. In return, his actual parents, Laius and Jocasta doomed themselves. Oedipus' attempt to run from his prophecy ended up condemning himself and his parents. Characters attempt to change the fate, when they already know Oedipus' inevitable destiny. The characters in this play feel that they, for some reason, have the powers to play with the gods. If the gods' gave an unpleasant oracle, it did not matter, what the gods said went. These people did not like what they heard, but decided to work against the gods. They thought they could out do them, by sacrificing their only child. They tried simply because they did not want this unbearable fate to come true. Who would want to be ended by their own kin? There can not really be a conflict between Oedipus and Fate. His fate was predetermined, which means he could have done nothing about it, he had no choice. Oedipus may try to fight it or beat it, but it is his destiny and bound to happen. He and his parents, may have thought they could have done something to prevent the predicted of becoming reality, but they had no chance. In a way, there was a struggle, but it was Oedipus against an indestructible force which would not be budged. He was born with his fate, and it was not going to be changed, for any reason.