Health Care Spending Essay Example for Free

Health Care Spending Essay â€Å"Historically, U.S. health care spending has grown at rates exceeding the economy’s growth rate, often by at least 2 percentage points per year† (Holahan McMorrow, 2012, 393). Recently, it seems that the rate of health care spending has slowed down a little, though no reasons can be pinpointed as to why this is. There are many factors that affect the growth of health care spending, and plenty of solutions have been proposed to help improve this issue. Factors such as advancements in medical technology and an increase in the price of prescription drugs cause health care costs to rise year after year. Solutions have been presented and implemented, like Medicare and Medicaid and managed care plans, however, even these components have added to the health care spending issue. With all the discussion and debate, one thing can be agreed upon, something needs to be done. In recent years both public and private payers have experienced an inclement rise health care spending that has exceeded income growth. This growth started right after the end of World War II and has continue to increase every ten years, health care spending has exceeded the gross domestic products (GDP) which had a projection of 26% by 2035 taken for health care spending, prior the health care reform was passed. This number is only going to continue increasing, which bring in the importance of control the spending since the nation’s long-term fiscal balance will be determined by the future rate growth in health care cost. According to Chernew (2010) the primary determinant of spending growth is the development and diffusion of new medical technology. However this does not imply the establishment of new technology rather focuses on how to use it with technologies and systems already in use, in other words make it compatible to work together. The diversity of technologies contributing to spending growth generates a diversity of pathways by which technology increases spending. These includes high unit cost driven capital cost or the need for specialized labor, high volume, or cost related to complementary services. Because the past rate of health care spending growth is not sustainable, both private and public payers will take action to lower spending. Those actions may not necessary alter the forces that historically have driven up spending, but they will be designed to address the immediate problem of high sending. There are many options from cost sharing from patients, reductions in payments to Medicare Advantage, fee reductions under the new payment rules implemented with Patient Protection and Affordable Care Act. On the article there is a suggestion that I find interesting about Global payments, which is an alternate form of bundled payments which is a program use to pay a fixed fee for a set of services related to a specific episode of care. This might be a good solution for the situation we are facing now, because it would give providers the opportunity to profit with reduced revenue, and even share some of the savings form not using health care services. Yet in order for bundled payments system to be successful the need of having the proper tools to improve the efficiency of care. Many providers will be able to develop these tools, but it would require partnership between facilities, physicians, and insurers. For the system to be successful it would have to carefully manage practice pattern changes due to new technology, adjusting aggressiveness based on the generosity of bundled payments updates. If bundled payments encourage efficiencies, they may reduce the level of spending more than spending growth, and that is exactly the area we as country need to be working on. According to President Obama, â€Å"We do not have a spending problem; we have a health care problem†. This statement was alarming to many Americans. The President feels that healthcare spending on the aging population is the number one fiscal problem. Then why is the solution taking so long? With Obamacare, Medicare will see cuts up to $716 billion. Where will this leave the Americans who receive Medicare? How can they still receive health care with this much of a cut? Will Providers be willing to provide the same high level of care with the high cut to their expected fees? There is no way of knowing if this will even solve the health care spending problem or if it will create even larger problems for Americans. Budget cuts will be needed in other areas to make these cuts to health care spending improve the financial state of our country (Galupo, 2013). According to New Republic’s Jonathan Cohn, the new health care reform addresses the cost of health care rather than health care spending. He argues the proposed spending cuts will address the health care spending problem along with other budget cuts. Obamacare may not be a good solution to the current health care spending problem in America. Many suggest that the new law’s affect on provider reimbursement rates will have a huge impact on access to care for many seniors. This can greatly affect the health of our aging population. Spending cuts projected for Medicare and Medicaid will help that aspect of health care spending but with the added subsidies for people to purchase private health insurance, the savings just do not add up. When it comes to health care spending there is much controversy on what increases health care cost, what measures we can take to keep health care cost down, and what actions we can take to make health care affordable without limiting health care. According to kaiserEDU.org the chart provided below shows how costing allocates throughout the nation. â€Å"Hospital care and physician services combined added up for half (51%) of the nation’s health expenditures.† Below is a diagram from the year 2010 of the nation’s health expenditures. National Health Expenditures, 2010 Totaling up = $2.3 Trillion Some major growth health care costs include a rise in chronic disease, administrative cost, or technology or prescription cost, although there may be many more expenditure that adds up to the growth in health care cost these three have been discussed to have the biggest effect on the nation. As technology continues to advance over the years to come, we may face more health care struggles, so being prepared for the unexpected leads to a healthy future. Health care spending continues to be a concern for most Americans. â€Å"The nation’s efforts to control health care costs have not had much long-term effect, prompting a debate over what proposals are actually able to reduce for the long-term. Approaches are largely divided by debate over a stronger role for government regulation or market-based models that encourage greater competition† (kaiseredu.org). Plans such as Obamacare are being implemented, but these plans are not solving the problem. Political debates and public discussions will continue as people try to figure out what factors are responsible for this problem and what solutions are truly aimed at achieving optimal health care at affordable costs. References Chernew, M. (2010). Health Care Spending Growth: Can We Avoid Fiscal Armageddon?. Inquiry,47(4), 285-295. Galupo, Scott, 2013, Let’s Split the Difference: We Have a Healthcare Spending Problem, The American Conservative, Retrieved February 14, 2013: http://www.theamericanconservative.com/lets-split-the-difference-we-have-a-healthcare-spending-problem/ Holahan, J. McMorrow, S. (2012). Medicare and Medicaid spending trends and the deficit debate. The New England Journal of Medicine, 367(5), 393- 395. Senger, Alyenne, 3013, No, Obamacare Does Not Lower Health Care Spending , The Founder, Retrieved February 16, 2013: http://blog.heritage.org/2013/02/12/no-obamacare-does-not-lower-health-carespending/ The Henry J. Kaiser Family Foundation. (n.d.). U.S. Health Care Costs. Retrieved from http://www.kaiseredu.org.

Primary Health Care Essay Example for Free

Primary Health Care Essay Primary health care is essential health care based on practical, scientifically sound and socially acceptable methods and technology made universally accessible to individuals and families in the community through their full participation and at a cost that the community and the country can afford. It forms an integral part of the country’s health system of which it is the nucleus, and of the overall social and economic development of the country. It is the first level of contact of individuals, the family and the community with the national health system bringing health care as close as possible to where people live and work and constitutes the first element of a continuing health care process (World Health Organisation 1978: 3-4, 34). This is a lengthy and complex definition, but we will break it down into shorter pieces and discuss each of them.

Personality Of The Crisis Worker

Personality Of The Crisis Worker I agree that not everyone is suitable to do crisis intervention work as there are many factors that need to be considered when doing crisis work. The main factor that is essential for any crisis intervention work is the characteristics and personality of the crisis worker. James Gilliland (2001, p.17) claim that effective crisis workers share a number characteristics and such workers demonstrate competency in their professional skills. Before we analyze the crisis worker, we need to understand crisis, crisis intervention and the difference between other therapies and crisis intervention because of the need to understand how the role of the intervener differs from other therapies and what are the characteristics that is needed specifically for the crisis intervention. There are many definitions of crisis but a summarized definition would be that crisis is a perception or experiencing of an event or situation as an intolerable difficulty that exceeds the persons current resources and coping mechanisms, (James Gilliland, 2001, p.3). A similar definition of crisis is by Roberts (2000) who views crisis as a period of psychological disequilibrium, experienced as a result of a hazardous event or situation that constitutes a significant problem that cannot be remedied by using familiar coping strategies (p.7). There are many types of crisis and crisis is not simple but is complex and difficult to understand. It is essential that the individual is able to get relief from the crisis because the crisis causes disruption and breakdown to an individuals ongoing pattern of everyday functioning. If the crisis is not handled, the situation would tend to immobilize them and they will be unable to control their lives. Apart from that, a crisis can cause individua ls to have affective, behavioural and cognitive malfunctioning. Crisis intervention is an internal helping response and is defined as methods used to offer short term immediate help to individuals who have experienced an event that produces mental, physical, emotional and behavioural distress, (Mitchell, n.d. para.1). The ultimate goal of crisis intervention is reducing the dangers of the crisis and allow it to be resolved positively allowing the individual to go on and thrive in life (Echterling, Presbury, McKee, 2005, p.25). This intervention will focus on resolving the immediate problem to prevent further deterioration and to prevent negative outcome. An article by Center for School Mental Health Assistance (2002) states that, crisis intervention will restore a sense of equilibrium for the individual in crisis and give them the ability to creatively problem-solve and feel efficacious. Crisis intervention differs from other therapies and traditional counselling because it focuses on short term strategies to prevent damage during and immediately after the experience of trauma, (Mitchell, n.d. para.5). This intervention is oriented in the present and focuses on the immediate problem which disrupts people from controlling their life. The interveners role is to offer immediate assistance to the individual who is struggling with a complex situation and assist them to go on and achieve a meaningful resolution (Echterling, Presbury, McKee, 2005, p.25). In comparison to crisis intervention, other therapies deal with the totality of the individuals personality and life issues and tend to be long term as they aim to improve the clients mental health and personal wellbeing with an attempt to remediate more or less ongoing emotional problems. This only escalates to a crisis when there are threats to fulfilment, safety or meaningful existence (James Gilliland, 2001, p.8-9) an d this is where the crisis worker takes over. To be a crisis worker, the helper has to have certain qualities to be able to intervene during the crisis and life experiences of the intervener are an important aspect to handle a crisis. These life experiences serve as a resource for emotional maturity that combined with training, enables workers to be stable, consistent and well integrated not only within the crisis situation but also in their daily lives (James Gilliland, 2001, p.13). When a worker has previous experience of going through a crisis and comes across another individual who is in the similar crisis, they will be able to use their background as a resource to deal with the crisis. For example a crisis worker has previously made suicide attempts and has dealt with it, now has a client who is on the verge of attempting suicide. The crisis worker will be able to help the client overcome the issue because of the first hand experience of the crisis. James Gilliland (2001) suggest that people who usually do crisis interven tion are products of their own crisis environment and they have chosen to work with people experiencing the same kind of crisis they themselves have suffered, and they use their experiential background when working with people in crisis (p.13). Apart from this, life experiences means the helper has emotional maturity and it can enhance the dept and sensitivity with which the clients are treated. One other characteristic that is essential for a crisis helper is remaining poised because the nature of crisis intervention is that the worker is often confronted with shocking and threatening materials from clients who are completely out of control, (James Gilliland, 2001, p.14). When a helper remains poised in a situation where the client is out of control, there are chances that the stress level of the client will not be escalated. As the helper models this trait to the client, soon a stable atmosphere and a state of composure can be achieved. Eventually the situation will be brought into control and any immediate danger will be diffused. This trait of calming the victim and the situation has to be deeply abided within the helper and cannot be taught. Aguilera Messick (1982) stated that creativity and flexibility are major assets to those confronted with perplexing and seeming unsolvable problems (p.24). All crisis helpers are equipped with many skills and these skills have to be used in specific and creative ways personalized to the clients needs and crisis. Sometimes to solve the crisis, untraditional and unconventional approaches need to be used. Helpers also cannot approach a crisis with a fixed and rigid formula but instead should have a tentative plan for how to address it, combined with a readiness to let go of that approach if it does not work, (Miller, 2012, p.6). Creating solutions is time sensitive and by being flexible to try and use different approaches, the helper will be more effective to lead the client through a comfortable intervention. Energy and resiliency are required for crisis intervention as crisis situations can be very demanding. Being energized is largely dependent on the worker themselves to take care of their own physical and psychological needs so that their energy level remains high (James Gilliland, 2001, p.15). Resilience on the other hand is also essential because it is natural for helpers to face failure no matter how capable or committed they were and when times of failure arise, helpers need be able to move forward and not face a meltdown. As mentioned previously, crisis intervention compared to other therapies is time critical and helpers must have quick mental reflexes to deal with the constantly emerging and changing issues that occur in the crisis, (James Gilliland, 2001, p.15). Helpers need to be able to think quickly on their feet and make quick evaluations and decisions as there is no time to reflect and slowly mull over the crisis. There is also a need for the helper to be comfortable in making decisions on their own because most of the time, they do not have another person supervising them. Finally, one of the other trait a crisis helper should posses is the potential and desire to grow and change. Doing crisis intervention is not a static work as there is constant and rapid change in this field. The helper needs to change after each contact with a client because successful resolution of the crisis results in two products, the first is helping the client overcome the crisis and second, effecting positive change in the helper as a result of the encounter, (James Gilliland, 2001, p.15). In conclusion, I agree that not everyone is suitable to do crisis intervention because a crisis requires helpers who share a number of characteristics to demonstrate competency in their professional skills. Helpers ought to maintain poise when confronting a situation, to be creative and flexibility in their approach to deal with the situation, to be able to have energy and resilience, to be able to have quick mental reflexes and also have the potential to grow from each encounter of crisis. All of these characteristics are of enormous value to the helper and to the client and without them it is unlikely to be able to assist the client to reduce the dangers of crisis and facilitate a positive resolution. (1471 words)

Rescuing the Everglades Essays -- Geology

Rescuing the Everglades INTRODUCTION The Everglades, commonly referred to as the "River of Grass," is the largest remaining sub-tropical wilderness in the lower 48 states. It contains both fresh and saltwater areas, open Everglades prairies, pine rocklands, tropical hardwood forests, offshore coral reefs, and mangrove forests. The broad spectrum of wildlife living in the Everglades includes aquatic birds, mammals, reptiles, and amphibians, of which fifty-six species are endangered or threatened. Twenty-two of these species reside in two National Parks, four National Wildlife Refuges, and one National Marine Sanctuary which draw 1.6 million visitors every year.... Previously, it was thought, islands of land could be preserved forever by simply drawing national park boundaries. Today, it is clear that this is untrue. National parks are not islands. They are greatly impacted by what happens outside their boundaries. The Everglades is "a Park in Danger." Water management, water quality, non-native species, loss of species, and explosive regional population growth all present challenges for the Everglades; however, there are attempts being made to save the Everglades against these apparent dangers. Return to Top WATER MANAGEMENT Water management is one of the most critical environmental issues facing the Florida Everglades at this point in time. The everglades watershed originates in the central Florida Kissimmee River basin north of Lake Okeechobee. Summer thunderstorms would flood this region, the big lake, and extensive areas of everglades marsh. This created a shallow, wide river which flowed slowly south through the everglades to the mangrove estuaries of the Gulf of Mexico. The summer rains would then give way to a ... ... water pollution cleanup in the Everglades, and Amendment 6, establishing an Everglades Trust Fund. However, there are numerous things that you, as an individual, can do to help the Everglades along with the rest of nature. First and foremost, you must try to conserve water, by methods as easy as turning off the faucet while you brush your teeth or taking shorter showers. Second, use soap instead of detergents since using soaps with low phosphates and nitrates will keep the water table cleaner. Protecting the Everglades is as easy as spreading the word. Tell friends about the concerns you may have, tell them what they can do to help. Contact environmentally active organizations for more information. Be sure to keep these environmental issues in mind when voting, and go ahead and make your concerns known to your legislature. Try your hardest to make a difference! Rescuing the Everglades Essays -- Geology Rescuing the Everglades INTRODUCTION The Everglades, commonly referred to as the "River of Grass," is the largest remaining sub-tropical wilderness in the lower 48 states. It contains both fresh and saltwater areas, open Everglades prairies, pine rocklands, tropical hardwood forests, offshore coral reefs, and mangrove forests. The broad spectrum of wildlife living in the Everglades includes aquatic birds, mammals, reptiles, and amphibians, of which fifty-six species are endangered or threatened. Twenty-two of these species reside in two National Parks, four National Wildlife Refuges, and one National Marine Sanctuary which draw 1.6 million visitors every year.... Previously, it was thought, islands of land could be preserved forever by simply drawing national park boundaries. Today, it is clear that this is untrue. National parks are not islands. They are greatly impacted by what happens outside their boundaries. The Everglades is "a Park in Danger." Water management, water quality, non-native species, loss of species, and explosive regional population growth all present challenges for the Everglades; however, there are attempts being made to save the Everglades against these apparent dangers. Return to Top WATER MANAGEMENT Water management is one of the most critical environmental issues facing the Florida Everglades at this point in time. The everglades watershed originates in the central Florida Kissimmee River basin north of Lake Okeechobee. Summer thunderstorms would flood this region, the big lake, and extensive areas of everglades marsh. This created a shallow, wide river which flowed slowly south through the everglades to the mangrove estuaries of the Gulf of Mexico. The summer rains would then give way to a ... ... water pollution cleanup in the Everglades, and Amendment 6, establishing an Everglades Trust Fund. However, there are numerous things that you, as an individual, can do to help the Everglades along with the rest of nature. First and foremost, you must try to conserve water, by methods as easy as turning off the faucet while you brush your teeth or taking shorter showers. Second, use soap instead of detergents since using soaps with low phosphates and nitrates will keep the water table cleaner. Protecting the Everglades is as easy as spreading the word. Tell friends about the concerns you may have, tell them what they can do to help. Contact environmentally active organizations for more information. Be sure to keep these environmental issues in mind when voting, and go ahead and make your concerns known to your legislature. Try your hardest to make a difference!

The Yellow Wallpaper -- essays research papers

The Yellow Wallpaper: In the 19th century, mental illness was an uncommon issue to be discussed. The public would treat the illness only by avoiding the matter and forcing the sick to feel helpless. At that time, the medical profession had not yet distinguished between diseases of the mind and diseases of the brain. Neurologists such as Dr. Silas Mitchell treated the problems that would now be treated by psychiatrists, such as depression. The most accepted cure was Mitchell's â€Å"Rest Cure,† which required complete isolation from family and friends. It forbid any type of mental or physical energy, and required total bed rest. The harsh results of the â€Å"Rest Cure† are easily seen in the story titled â€Å"The Yellow Wallpaper† written by Charlotte Perkins Gilman in 1891. The main character was given the â€Å"Rest Cure† and soon began to descend deeper into the traps of insanity. Before fully understanding mental illnesses her actions would be linked to â€Å"hysteriaâ₠¬ . Hysteria was the term given to women with signs of depression. (Showalter, p. 127) Embedded largely in women's discouraged ambitions and limited opportunities, a reaction of supposed hysteria cases occurred during the late 1800s and early 1900s. Due to rise in this type of mental illness, the period became known as the â€Å"Golden Age of Hysteria.† Authorities of the time defined the problem in terms of femininity and female sexuality. Coming from the Greek term hysteron, meaning womb, hysteria was known as a strictly female illness that was caused by women's delicate constitutions and emotionality. Many doctors believed the uterus caused it, which was why they concluded that men could not become hysterical. (Showalter, p. 129) Hysteria was assumed a largely self-created or imagined illness. People did not generally take it, or mental illness seriously. Though hysteria became a focal point of study by physicians throughout the world. Symptoms included fainting, vomiting, choking, sobbing, paralysis, and temperamental fits. Reflecting the belief that women were prone to hysteria because they were less rational and stable than men. Dr. Edward Tilt, in a typical Victorian textbook definition, wrote: â€Å"mutability is a characteristic of hysteria, because it is characteristic of women† (Showalter, p. 129). As more studies were conducted, however, some doctors began to link hysteria with restricted activity and sexual ... ...ut you.† Her response is â€Å"I don’t weigh a bit more.† She proves him wrong and he avoids the response by saying â€Å"But now let’s improve the shining hours by going to sleep, and talk in the morning.† She overlooks his true intentions and focuses back on the wallpaper. She almost revels to herself and John that the â€Å"Rest Cure† isn’t working as expected. and actually show that he doesn’t care. â€Å" begins to interpet the yellow wallpaper, as having many life like similarity tries to resorts to reasoning with herself so that she may feel husband keeping he away from any outside world her minds wanders into insanity. Her husband doesn’t know any better than to restrain her from exerting energy. He feels that he must keep her in bed to better her health. This in the end is the reason she goes insane. He must feel a bit ashamed being a doctor and not knowing of any other cure to The signs of metal illness are evident when the main character resorts to ripping at the wallpaper to release some built up anxiety. Work Cited Page Rena Korb An overview of The Yellow Wallpaper, in Exploring Short Stories, Gale Research, 1998. Showalter, Elaine. The Female Malady. New York: Random House, 1985. The Yellow Wallpaper -- essays research papers The Yellow Wallpaper: In the 19th century, mental illness was an uncommon issue to be discussed. The public would treat the illness only by avoiding the matter and forcing the sick to feel helpless. At that time, the medical profession had not yet distinguished between diseases of the mind and diseases of the brain. Neurologists such as Dr. Silas Mitchell treated the problems that would now be treated by psychiatrists, such as depression. The most accepted cure was Mitchell's â€Å"Rest Cure,† which required complete isolation from family and friends. It forbid any type of mental or physical energy, and required total bed rest. The harsh results of the â€Å"Rest Cure† are easily seen in the story titled â€Å"The Yellow Wallpaper† written by Charlotte Perkins Gilman in 1891. The main character was given the â€Å"Rest Cure† and soon began to descend deeper into the traps of insanity. Before fully understanding mental illnesses her actions would be linked to â€Å"hysteriaâ₠¬ . Hysteria was the term given to women with signs of depression. (Showalter, p. 127) Embedded largely in women's discouraged ambitions and limited opportunities, a reaction of supposed hysteria cases occurred during the late 1800s and early 1900s. Due to rise in this type of mental illness, the period became known as the â€Å"Golden Age of Hysteria.† Authorities of the time defined the problem in terms of femininity and female sexuality. Coming from the Greek term hysteron, meaning womb, hysteria was known as a strictly female illness that was caused by women's delicate constitutions and emotionality. Many doctors believed the uterus caused it, which was why they concluded that men could not become hysterical. (Showalter, p. 129) Hysteria was assumed a largely self-created or imagined illness. People did not generally take it, or mental illness seriously. Though hysteria became a focal point of study by physicians throughout the world. Symptoms included fainting, vomiting, choking, sobbing, paralysis, and temperamental fits. Reflecting the belief that women were prone to hysteria because they were less rational and stable than men. Dr. Edward Tilt, in a typical Victorian textbook definition, wrote: â€Å"mutability is a characteristic of hysteria, because it is characteristic of women† (Showalter, p. 129). As more studies were conducted, however, some doctors began to link hysteria with restricted activity and sexual ... ...ut you.† Her response is â€Å"I don’t weigh a bit more.† She proves him wrong and he avoids the response by saying â€Å"But now let’s improve the shining hours by going to sleep, and talk in the morning.† She overlooks his true intentions and focuses back on the wallpaper. She almost revels to herself and John that the â€Å"Rest Cure† isn’t working as expected. and actually show that he doesn’t care. â€Å" begins to interpet the yellow wallpaper, as having many life like similarity tries to resorts to reasoning with herself so that she may feel husband keeping he away from any outside world her minds wanders into insanity. Her husband doesn’t know any better than to restrain her from exerting energy. He feels that he must keep her in bed to better her health. This in the end is the reason she goes insane. He must feel a bit ashamed being a doctor and not knowing of any other cure to The signs of metal illness are evident when the main character resorts to ripping at the wallpaper to release some built up anxiety. Work Cited Page Rena Korb An overview of The Yellow Wallpaper, in Exploring Short Stories, Gale Research, 1998. Showalter, Elaine. The Female Malady. New York: Random House, 1985.

In Search of Excellence :: Essays Papers

In Search of Excellence Thomas J. Peters and Robert H. Waterman, Jr., wrote â€Å"In Search of Excellence† as a model covering all elements of operations and functions of businesses big and small. In Search of Excellence gives great analysis and interesting examples to back up their theories. This book discusses eight core principles and McKinsey 7-S framework chart provided to companies for success. The authors break down the topics into specific themes with thoughts and charts for knowledge. Their findings suggest that eight core principles are common for excellent organization; bias for action, close to the customer, autonomy and entrepreneurship, productivity through people, hands on, value driven, stick to knitting, focus on what you do best, simple form lean staff and balance between centralized/decentralized organization. The McKinsey 7-S Framework deals with strategy, structure, style, systems, staff (people), skills, and shared values (culture). Informal organizations can manage executives that are intractable, irrational and intuitive. When 7-S framework chart is used. Meaning that a new manger performance would be like the old manager is ludicrous. The organization of workers must adjust and adapt to the new manager’s way of business. Peters and Waterman’s does a great job of explaining and giving examples of these eight principles while applying McKinsey 7-S framework chart. When nurturing and reward employees for excellence. Provide a climate of security and creativity in which employees developed loyalty and understanding of corporate values, and in turn developed to their full potential. Those long-term customer relationships based on trust, high quality and value in products and service. Re-inventing your company continuously within a defined sense of mission and social purpose. The eight principles below demonstrate values that work because they make sense. Growth is really about: the ability to learn and teach. This research was the first of its kind identifying these principles. The first principle is a bias for action. This is saying "Do it, work it or apply it" When Arby’s has a rush of customers and their supplies for making food are low, one customer would say "You know what, my food is cold" or "You forgot my pickles and onions?" They act and fix the problem, make it over if necessary, and get the problem solved as quickly as possible. The second Principle is to be close to the customer. This means good service and listening to what the customer has to say. If the producer, Arby’s is not in touch with what the customer wants to eat, then the business will most likely fail.

The Management Of Carbon Monoxide In Nigeria Environmental Sciences Essay

Carbon monoxide direction have progressively received attending in recent times, due to issues originating from the clime alteration phenomenon, and the increasing rate of wellness and environment jobs originating from air pollution. The promotions in air quality and C monoxide direction techniques are borne out of the demand for safe ambient air for all. Air quality can be defined as the quality of air we breathe, which depends on the measure of harmful gases and substances in it. Air quality is classified in the UK as ‘very good ‘ , ‘good ‘ , ‘poor ‘ and ‘very hapless ‘ ( Longhurst et al. , 1995 ) . Poor air quality, which is a effect of air pollution, is traditionally characterised by the presence of the most often and routinely monitored air pollutants ( N dioxide and its reaction merchandises, sulfur dioxide and its reaction merchandises, ozone, particulate affair, lead, volatile organic compounds and C monoxide our focal point in this research work ) at concentrations transcending the criterions which have been set to protect human wellness and the environment ( Longhurst et al. , 1995 ) . Carbon monoxide ( CO ) is a colourless, odourless, tasteless gas that is somewhat less dense than air. It is a merchandise of uncomplete burning of carbon-containing fuels and is besides produced by some industrial and biological procedures. Carbon monoxide is a toxicant gas produced when fuels incorporating C are burned in the presence of small O. Harmonizing to experts, it can besides organize as a consequence of firing fuels at high temperatures. Much of this gas is being churned into the ambiance in Nigeria. When inhaled, C monoxide combines with the blood hemoglobin, the oxygen-carrying substance in ruddy blood cells and by so making, inhibits haemoglobin from taking up O. Since hemoglobin can non take up O from the air, cells and tissues, dices due to the deficiency of O. In Nigeria, at present, the significance of natural beginnings of C monoxide for adult male is unsure. Estimates of semisynthetic C monoxide emanations vary from 350 to 600 million metric tons per annum. By far the most of import beginning of C monoxide at take a breathing degree is the fumes of petrol-powered motor vehicles. The emanation rate depends on the type of vehicle, its velocity, and its manner of operation. Other beginnings include heat and power generators, some industrial procedures such as the carbonisation of fuel, and the incineration of garbage. Faulty domestic cookery and warming contraptions may be of import beginnings that are frequently overlooked.OBJECTIVES OF THE STUDYa. To wholly specify the spacial and temporal distributions of CO ; B. To gauge the beginnings and per centum of C monoxide part to air pollution in Nigeria. c. To measure the negative impact of Carbon monoxide emanation to human wellness and the environment. d. To better understand CO tendencies, and to compare these with tendencies derived from emanation stock list informations in order to proffer best steps for Carbon monoxide emanation extenuation and direction in Nigeria.JustificationThe justification for this research is based on the environmental and wellness jeopardies posed by C monoxide with mention to air quality surveies and direction in Nigeria.LITERATURE REVIEWCarbon monoxide ( CO ) is a colourless, odourless, tasteless gas that is somewhat less dense than air. It is a merchandise of uncomplete burning of carbon-containing fuels and is besides produced by some industrial and biological procedures. Its wellness significance as a contamination of air is mostly due to the fact that it forms a strong coordination bond with the Fe atom of the protohaem composite in hemoglobin forming carboxyhaemoglobin ( HbCO ) and therefore impairs the oxygen-carrying capacity of the blood. The dissociation of oxyhemoglobin is besides altered by the presence in blood of carboxyhaemoglobin so that the supply of O to weave is farther impaired. The affinity of hemoglobin for C monoxide is approximately 240 times that of its affinity for O ; the proportions of carboxyhaemoglobin and oxyhemoglobin in blood are mostly dependent on the partial force per unit areas of C monoxide and O. Carbonmonoxide is absorbed through the lungs and the concentrationa of carboxyhaemoglobin in the blood at any clip will depend on several factors. When in equilibrium with ambient air, the carboxyhaemoglobin content of the blood will depend chiefly on the concentrations of divine C monoxide and O. However, if equilibrium has non been achieved, the carboxyhaemoglobin concentration will besides depend on the clip of exposure, pneumonic airing, and the carboxyhaemoglobin originally present before inspiration of the contaminated air. The enormous addition in the figure and usage of motor vehicles during the past 30 old ages has been accompanied by a rapid addition in C monoxide emanations. The rate at which C monoxide is emitted from motor vehicles varies non merely with vehicle but besides with the manner of operation of the vehicle. The emanations of C monoxide by other nomadic beginnings are relatively little. Among the stationary beginnings, the combustion of waste stuff and certain industrial procedures generate significant sums of carbonmonoxide. Petroleum refineries, Fe metalworkss, kraft-pulp Millss, carbon-black workss are the major beginnings. The combustion of garbage, either in incinerators or openly, is an of import beginning of C monoxide. If uncontrolled, the emanation rate of C monoxide from incinerators is about 17.5 kilograms per metric ton of garbage burned. If burned openly, the emanation rates can change from approximately 25 to 60 kilograms per metric ton, depending upon the type of garbage ( US Environmental Protection Agency, 1973b ) . The burning of fossil fuels in electric generating workss, industries, and the place, while ensuing in the emanation of smaller measures of C monoxide separately, may represent a major beginning when combined. Any industrial procedure or operation, where uncomplete burning of carbonous stuff occurs, may easy be of importance every bit far as occupational exposure to carbon monoxide is concerned. Smelting of Fe ore, gas production plants, gasworks and coke ovens, distribution and usage of natural gas and coal gas, car fabrication, garages, and service Stationss are among the mos t of import beginnings for occupational exposure to carbon monoxide ( Ministry of Labour, 1965 ) The direction of C monoxide air quality will imply proper scrutiny of its assorted beginnings, its background degree and therefore the control of its emanation into the environment. An effectual air quality direction requires the undermentioned ( Stern, 1977 ) :I. Constitution of a set of air quality criterions or ends.The United Kingdom Air Quality Standards Regulation 2007 No. 64 defines air quality criterions as ‘limit values, mark values and long-run aims ‘ ( OPSI, 2007 ) of sum of air pollutants which should be present in the ambient air at degrees regarded to be safe for take a breathing. two. Construct an emanations stock list. An emanation stock list is a database of all emanation beginnings and the information on major air pollutants types and concentrations in the ambiance in a peculiar topographic point ( Mattai and Hutchinson, 2005 ) . Assorted standardized guidelines for building emanations stock list of air pollutants to turn to specific scenarios can be found in assorted literatures ( Mattai and Hutchinson, 2005 ; ARPEL, 1998 ; EEA, 2007 ; US EPA, 2000 ) . three. Monitoring in order to find ambient air quality. Monitoring the concentration of pollutants aimed at measuring current air quality and impacts on policy execution is an of import facet of an air quality direction system ( Long hurst et al. , 1996 ) four. Enforcement schemes and emanations control tactics should be devised. These tactics should be readily evaluated in order to set up their proficient and economical feasibleness and enforceability. Griffin ( 1994 ) identifies the constituents of an air quality direction program to include: Air pollutant concentration and effects Control schemes and rating Legislation and enforcement Beginnings and emanations Transportation system and transmutation.MATERIALS AND METHODSMEASUREMENT TECHNIQUESAnalytic Method for Determining Carbon Monoxide in Environmental SamplesThe methodological analysis for the research will see the Measurement of C monoxide in the environment utilizing spectroscopic methods that is, Non-dispersive infrared ( NDIR ) spectrometry. For analysis by NDIR spectrometry, air is pumped into samples cells and the soaking up is measured at a C monoxide vibrational set at 2,174 cm-1 ( 4.7 ?m ) . Frequent automatic nothing cheques are compulsory. Zero cheques should be performed with CO free air generated utilizing a trap consisting of Schutze Reagent or hydrophobic baronial metal accelerator ( e.g. Sofnocat ) . Most NDIR CO analysers show zero impetus ( a few to several twelve nmol mol-1 per hr. Thus the appropriate interval for automatic nothing cheques must be evaluated at single sites. The scope for the frequence of machine-controlled zero cheques normally is at least one time per hr for instruments with a big impetus and day-to-day for instruments with a little impetus. Frequent automatic span cheques are besides desirable but are less important compared to zero cheques. The frequence should be between hourly and hebdomadal cheques. An optical filter is employed before the sample to take visible radiation of other frequences. Most NDIR spectrometers use gas filter correlativity ( GFC ) methodological analysis to better sensitiveness and cut down interventions by other gasses. In this method, the sample is at the same time passed through both a mention cell incorporating a high concentration of C monoxide and a sample cell incorporating N gas. Gas species other than C monoxide will rarefy radiation every bit in both cells ; nevertheless, when C monoxide is present, the sum of light go throughing through the mention cell is unchanged, but that go throughing through the sample cell is absorbed at the characteristic C monoxide frequence. This difference in s oaking up between the light passing through the cells is linearly related to carbon monoxide concentrations in the air sample ( EPA 2000 ) . The instrument one-dimensionality is acceptable if the mean response factor of each standardization gas is within 2.5 per centum of the overall mean value and if the comparative criterion divergence for each set of triplicate injections is less than 2 per centum. Record the overall mean of the response factor values as the standardization response factor ( R ) .DATA ANALYSISThe information collected will be analysed utilizing Calculations and Data Analysis. Carry out computations retaining at least one excess important figure beyond that of the acquired informations. Round off consequences merely after the concluding computation.I. Calculations and Data AnalysisBy replacing CO for NOx as applicable. Concentration Correction for CO2 Removal. Correct the CO concentration for CO2 remotion ( if applicable ) utilizing Eq. 10-1. CAvg = CCOstack ( 1 ? FCO ) 2 Where: CAvg = Average gas concentration for the trial tally, ppm. CCO stack = Average unadjusted stack gas CO concentration indicated by the informations recording equipment for the trial tally, ppmv. FCO2 = Volume fraction of CO2 in the sample, i.e. , per centum CO2 from Or sat analysis divided by 100.SUMMARY/RECOMMENDATIONAn extended, although non conclusive, literature reappraisal has been carried out, from which a general overview of C monoxide direction state of affairs of the Nigeria has been identified. From the literature reappraisal, it can be deduced that there is the demand for the development of air quality direction plan/system. This will guarantee that high quality information on the extent and impact of air pollution by C monoxide can be used as the footing for statute law to restrict the pollution, and develop a mechanism that will heighten uninterrupted monitoring of air quality in Nigeria.DecisionIn position of this and the findings from the literature reappraisal, the purposes and aims of this research are established and a methodological analysis proposed.