Tuesday, October 29, 2019

Effective pain relief in postoperative patients Essay Example for Free

Effective pain relief in postoperative patients Essay Pain is physiological mechanism and a means of the body alert the person about either currently present or impending damage to it. It can be defined as the â€Å"unpleasant sensory and emotional experience associated with actual or potential damage† (Gelinas, 2004). Consequently, the words discomfort has also been used interchangeably with pain in the past and can be defined as a â€Å"negative affective and/or physical state subject to variation in magnitude in response to internal or environmental conditions† (Gelinas, 2004). Pain is a very important component in care of the surgical patients, both preoperative and post operative. Surgery itself afflicts large amounts of trauma on the patient. The pain that the patient has to incur afterwards adds his anxiety levels and stresses the body. Lack of or inadequate amounts of pain management by the staff, impacts the patients healing process. Their mobility and in the long terms their duration of hospital stay is also affected. It is important that, for optimal patients health management and care, a means tool must be available to measure the patients pain assessment and relief requirement through pharmacological and non pharmacological means. Little research has been done to properly assess and document the prevalence of pain and its management protocols in post operative patients. The pain scoring systems are available to attempt to quantify pain and manage it accordingly. These subjective ones include the categorical rating scales (CRS) in which patient rates pain from â€Å"No† to mild moderate or severe. Another one is the â€Å"Visual Analog score (VAS) where the individual scores are placed on a 10-cm line where the left anchor point is labeled â€Å"no Pain† and the right anchor point is labeled â€Å"worst possible pain†. Since every patient has a varying threshold for pain, and requires varying levels of drugs, to over come the pain, it is better for there to be both a subjective indicator for pain as well as an objective one, that is to say, that the nurses an also assess how much pain the patient is in, by using a tool she is provided with. Cardiac surgery is a major thoracic surgery and patients post operatively require lot analgesics to manage pain so that their morbidities associated with pain (like pain in breathing, walking etc) can be eliminated. Usually morphine is used for the purpose of pain relief but there are indications that Fentanyl can perform a similar relief without much of the side effects associated. There needs to be some focus into this theory. This can be achieved by placing 2 similar populations of adult cardiac patients who have just undergone cardiothoracic surgery on morphine or Fentanyl. As is the standard procedure nowadays, quality indicators, both subjective and objective can be used. The VAS pain scoring card can be provided to the patients for them to record the different levels of pain that they feel. The nurses would be provided with indictors to record objective findings which can indicate pain. â€Å"These can be physiological and behavioral indicators. The physiological indicators can be clustered into cardiovascular, respiratory and cerebral responses† (Gelinas, 2004). Pain associated responses would include tachypnea in respiratory, tachycardia and increased blood pressure in cardiac and raised ICP in cerebral responses. After assessment of the pain levels with the quality indicators, the pain management drugs will be administered and later the subjective and objective pain assessment will be repeated to see which drugs effects were greater and lasted longer. A study conducted by Celine Gelinas on critically ill incubated patients, to find out what are the protocols and tools used to assess pain management are and if the patients were being given effective relief. He used subjective as well as objective tools. The results revealed that physicians placed no role in documenting pain in patients. Most of the reporting was done by nurses and the patients. It was also noticed that nurse’s assessment of pain was much less than that reported by the patients themselves. The research concluded that the documentation overall about the pain and its management was incomplete in general with little attention being given. The research also noted that even after being notified about the pain, its effective management only took place 60 percent of the time. (Gelinas, 2004). In and interventional study conducted by Francoise Bardiau in 2003, the quality indicators e. g. VAS were introduced in the surgical and anesthesia department. After a survey of assessment of knowledge of nurses, VAS to assess pain was the nurses worked to improve pain management. After further surveys, it was noted that initiation of programs to setting of quality indicators improves the overall pain management system. (Bardiau, F. , M, 2003) Idvall E tested a 5 point scale to measure the effects of quality indicator maintain pain relief measurements. â€Å"The results suggest initial support for the new instrument as a measure of strategic and clinical quality indicators in postoperative pain management, but it must be further refined, tested and evaluated†. Idvall E 2002) a multidisciplinary program development was introduced based on evidence based medicine to focus on construction of proper management protocols to implement clinician as well as patient based pain relief programs â€Å"The results suggest that addressing pain management through a variety of strategies targeted at the level of the institution, the clinician, and the patient may lead to desired changes in practice and better outcomes for patients. .† Bedard, D (2006). A survey conducted on post operative cardiac ICU patients, about their pain experiences revealed that despite the pain management regimes in place nowadays, the pain frequencies, and intensities were the same as they were more than a decade ago. Pain management is a vital component of patient care. Quality of pain management can only be assessed through proper indicators. These can be multimodal. The patient populations on which these indicators can be applied are preoperative and postoperative patients. Post operative cardiac patients under nursing care can benefit well from implementation of quality indicators such as VAS. In the nursing profession subjective scoring by the patients themselves enables the nurses to manage the pain properly. This will lead to quicker recovery by the patients and earlier discharge. In the long term this means leads financial implications on the patients due to reduced hospital stay. Also nursing work load gets reduced as the patient tern over is increased. The healthcare cost gets reduced. A Post operative pain management (POP) project was conducted in 2003. A nationwide survey was done to see the implementation of quality improvement projects in the field of pain management, it was noted that more than 70% of the hospitals were reportedly satisfied with the implementations and the outcomes of the quality improvement programs. Based on the analysis, it is noted that on the positive side, proper implementations of the quality indicators and improvement programs in the healthcare system and especially in the ICU and surgical wards, the patients stay can become quite comfortable. The stay can be reduced and the cost of healthcare to the system, the insurance companies, and the patient themselves can be reduced. In the other hand we can clearly see that by using the indicators we in effect are placing more workload on the nurses. If the subjective VAS and the objective physiological changes in the patient has to be monitored regularly just to assess the pain levels, a lot of quality time will be wasted. This time could have been used to tend to more critical patients. Now the question arises if it is worth the effect to implement the QI programs. The answer would lie in Force field analysis and the Lewin’s theory. If the benefits out way the set backs, we can implement the system. The idealistic thing would be that we assess the pain management needs of each department of the health care system and implement the QIs in the ones in which the implementation benefits out way the costs.

Sunday, October 27, 2019

Overview of the Primary Health Care System in Hong Kong

Overview of the Primary Health Care System in Hong Kong Student name: MAN Ho Yan Introduction Hong Kong average life expectancy is one the longest city among the world, even longer than some developed countries such as America, Japan (Lee et al., 2016). According to the statistic provided by the Department of Health in 2016, the life expectancy of Hong Kong male and female are 81.2 and 87.3 respectively. The reason why Hong Kong is having this honor can be related to various factors. Generally speaking, more and more people have started to take care of their health. For example, they have a variety of food choice, buying food from many places with a relatively reasonable price. The Hong Kong government also pays lots of effort in health promotion, like encouraging people to do enough exercise per week and eat healthily with less oil, salt, sugar etc. Citizens are able to find this kind of health information easily through television, advertisements, or the Internet. In terms of policy making, Hong Kong government has set up regulations restricting smoking in Hong Kong. Smokin g in restricted area is prohibited, higher regulation in tobacco trading, as well as the advertisements of tobacco, posted or showed to the public. Together with the smoking cessation program provided by the government, the number of people smoke is kept decreasing throughout these years (Hong Kong Council on Smoking and Health, 2016). Nonetheless, another important factor that makes Hong Kong people can have the longest life expectancy in the world is due to Hong Kong has a comprehensive health care delivery system. Including both public and private health services, from out-patient clinic, specialist out-patient clinic, even in hospitalization, Hong Kong health care system has a high quality and high standard of health delivery service. With the advanced medical technology, all the Hong Kong citizens can enjoy the health service, no matter what kind of economic status of oneself. They can use the health service. Everyone will be provided with adequate health care services provided by all health criteria. As a result, Hong Kong citizens can have a higher chance to have a longer life expectancy. In the following paragraph, a brief overview of the current Hong Kong health care system will be discussed, followed by the discussion of one of the major roles of the whole system in Hong Kong, Primary Health Care, by looking at the working principles of the system and the services provided to the public. Last but not least, the health care system in Hong Kong though is comparatively perfect than other countries. There are some rooms of improvement, which will be discussed in the recommendation part. Hong Kong current Health Care System Nowadays the health care system in Hong Kong is running under a dual-track system, they are public and private sectors. These sectors deliver different services from primary, secondary and even tertiary care. Public health care sector is the core of the whole healthcare system, providing health services to all the citizens. In other words, the public healthcare sector is the basic system in maintaining the health of the community. On the other hand, private healthcare provides an alternative choice for citizens to choose (Ko, 2013). These services usually have a higher cost, but will provide a more accessible and relatively higher quality healthcare service than public healthcare service. If clients can afford the cost, they may choose private health care service according to their own desire (Kong, 2015). All public health care services in Hong Kong are regulated by the Food and Health Bureau, HKSAR. The major role of it is setting up policies and distributing resources to public healthcare services to operate and providing service for the community (HKSAR, 2016). Under the regulation of Food and Health Bureau, there are two more departments in providing different kinds of public health care services. The Department of Health is responsible for the management of public health like Chest Clinics, Student Health Services Centre, Maternal and Child Health Centres etc. The Hospital Authority is responsible for the management of public hospitals, for instance, public hospitals, general out-patient clinics, special out-patient clinics (HKSAR, 2016). Private health care service, involve mainly hospital services, such as private hospitals, private practitioners, and private Chinese practitioners. All the private hospitals, private medical clinics are regulated by the Department of Health, and they should obey the Hospitals, Nursing Homes and Maternity Home Registration Ordinance (Cap. 165) and the Medical Clinics Ordinance (Cap. 343) (HKSAR, 2010). 3. Primary Health Care Services Primary health care is an important category in the health care system since it helps to maintain the health of the community, the work should be done effectively and comprehensively. This is because primary health care is the first step of contact between patients with their family members and health professional (WHO, 2008). Generally speaking, primary health care aims to prevent any disease occur in the early stage, as well as improve personal health condition. These kinds of actions can help in lower the opportunity of suffering diseases and thus, reduce the needs of a high level of health care like that more intensive health care. The whole health expenditure can be reduced for both the client oneself and also the whole health care system (HKSAR, 2008). A proper and effective development of primary health care system can benefit the use of resources and their allocation to another part of the system. For example, primary health care for elderly, treatment on long-term disease et c. 3.1 Current Primary Heath Care Service in Hong Kong Being the first contact point of the health care, primary health care does include health promotion, patient-based health care, disease prevention, and medicine care. In Hong Kong, primary health care services are mainly provided by the private family doctors, public health care sectors will integrate with those private health care sectors to provide different dimension of specialist and hospital services. However, patients have to pay for all of the cost to the private health care services. Public health sectors its own will provide general out-patient clinics, for those who cannot afford the cost of private primary health service (HKSAR, 2010). The Department of Health functions various public activities for community care. With the working principle of protecting the health of the whole community and the population, Department of Health will bring along with disease surveillance, communicable diseases control among the community, public health regulation as well as licensing, impl ement different kinds of health measures, such as tobacco control etc. (HKSAR, 2010). In order to provide a comprehensive health care, different discipline or health care professionals should work together, including general practitioners, nurses, Chinese medicine practitioners, and related health care professionals and health care providers among the community. Early in 1990, the Working Party on Primary Health Care established a report, to have a comprehensive examination of the primary health care system in Hong Kong, as well as recommending the strategies in order to strengthen the system. Since then, different primary health care services started to be established. For example, in 1994, the Woman Health Service has been set up. Introduce health service for women who aged 64 or below. In 1995, the Student Health Service has been established, which give general medical checkup, health promotion etc. for primary and secondary students. Elderly Health Service was established in 1998, providing preventive care, giving support on elderly centres and elderly homes (Food and Health Bureau, 2010). Throughout the years, more and more primary health care services have been organised or being reformed. In October 2008, a reform of the Working Group on Primary Care has been established by the Health and Medical Development Advisory Committee and operated by the Secretary of the Food and Health Bureau (Food and Health Bureau, 2010). The working group is mainly on providing advice on critical development for primary care. Several working tasks have been set up by the group including establishing primary health care conceptual models and related framework protocols, constructing the Primary Care Directory, and recommending an effective primary health care service delivery model (HKSAR, 2010). All these working principles are aiming at enhancing primary health care service in Hong Kong. The group is composed of both representatives of public and private sectors, for instance, patients group, health professionals, health administrators, and related stakeholders. Regarding the working principles, the primary health care conceptual model and protocol is targeting on the conceptual models and guidelines on hypertension and Diabetes Mellitus for the use of health care professionals. Primary Care Directory is a program set up by the Primary Care Office, which is under the regulation of the Department of Health, established in 2010. This program aims at supporting and coordinating primary health care service development in Hong Kong, establishing primary health care developing strategies and operation. The Directory is operated by different health professionals, health administrators, and related stakeholders from the Food and Health Bureau. In order to have a better co-operation between various disciplines, and to ensure they have relevant professional knowledge to develop primary health care system (Primary Care Office, 2017). The government will also help in training primary health care providers and collaborate with the Directory and those health professionals. The public can assess to the Primary Care Directory to search for their own primary health care providers according to their health needs. In terms of community health networks, the Government will propose projects based on the conceptual models and consultation with the health care professionals, health care providers, public and private health care sectors, non-governmental organizations, and local universities. Aims at setting up localized health centre, provide a comprehensive and coordinate primary health care service to the community. 3.2 Primary Health Care for Elderly Aging population in Hong Kong is a serious problem, according to the statistic provided by the Census and Statistic Department in 2015, it is estimated that in mid-2024, 22% of the Hong Kong citizens are aged over 65 and over 65. Nonetheless, the number of elderly will keep increasing in the following years. 20 years later in 2044, the population rate for those aged 65 and over will become 31%. More elderly will have an effect on the labor workforce, more workers are needed to support those retired elderly (Tollefson, 2015). The increase of number of elderly also will affect to the health care system. Normally, elderly will have a higher chance of developing chronic disease due to the decrease on the body mechanism. As a result, they will use health services more often. The government has to put more resources in maintaining the health of this population. For example, health promotion, more resources to the hospitals in curing the chronic disease, ensuring all the functional ability etc. (Sin et al., 2015). A comprehensive primary health care framework is therefore needed to be established in order to relieve the pressure of the medical services and also the whole health care system in a long-term, to achieve a sustainable development. Primary health care in elderly is served as a preventive measure, a better control of the chronic disease etc. The services usually provided by the private family doctors. They will give health related information to the elderly, having risk assessment, and follow-up medication (Sin et al., 2015). The supportive measures not only help the elderly, but their family members also gain benefit from it. They can spend less time and money in paying for the health care service. 4. Recommendations 4.1 Allocation of the manpower As mentioned, most of the tasks are performed by the Department of Health, the health professionals, like doctors, nurses, even the Secretary of the Food and Health Bureau is come from a medical background. The workload of the health professionals, especially those who work in hospitals, is very high. In fact, they almost need to perform all the tasks. There is not enough manpower to take care of a huge amount of clients every day. From paper work or even the driver of the ambulance are all health professionals. The government should revise of the job allocation in hospitals or related work field, to lower the workload of the health professionals, and thus, have a better working performance to provide a higher quality of health care to the clients. 4.2 Use of Complementary and Alternative Medicine Nowadays in Hong Kong is mainly use conventional medicine as medical treatment. Although it still has its effectiveness, Complementary and Alternative Medicine (CAM) therapy is an alternative way that can be used in public primary health care service. CAM therapy refers to an approach using together with western medicine, focusing on the treatment of a whole person (Mayo Clinic, 2014). The Hong Kong Baptist Hospital is one of the hospitals that provide Chinese Medicine medication. However, the use of CAM therapy is not quite common in public health care sectors, most of the therapies are provided by the private sector. Therefore it is suggested that the Government can build up or set up clinics that mainly use CAM therapy for primary health care, letting those who cannot afford the high cost of private health care sector. A combination of CAM therapy and traditional medicine lower the use of main hospital resources and as a result, a better resource allocation. 4.3 A Balance between public and private health care sectors As mentioned by Griffiths (2012), private sector is the major provider of primary health care, around 70% of it is provided by family doctor, private clinics etc. Moreover, there are more and more private clinics being established, since the practitioners want to have more economic income. Therefore, the two sectors can cooperate with each other, such as the General Outpatient Clinic Public Private Partnership is one of the ways to solve this problem (Cheung, 2015). Even clients whenever use the private health care service can enjoy a lower cost if they are transferred from the public sector. This can lower the workload and the number of clients in public sectors, and also the clients can have a relatively better quality of primary health care service. The Government shall implements effective and comprehensive strategies between public and private health care sectors. 5. Conclusion Being the longest life expectancy among the world, it is no doubt that Hong Kong has several of advantages owing to this result. As mentioned from the above, the quality and standard of the health care system in Hong Kong is higher than many developed countries. This plays an important role for community health development. Primary health care system is the first step for the medical treatment between clients and medical providers. Therefor an effective and comprehensive primary health care system is essential. This can lower the time spending on medical treatment afterwards. The resources using in the system can be reallocate. However the whole still has some problems, government should cooperate with public and private health care sector in order to implement an effective policy for providing adequate medical service to the community. 6. References Census and Statistics Department. (2015). Hong Kong Population Projections. Hong Kong: HKSAR. Retrieved 27 March from: http://www.statistics.gov.hk/pub/B1120015062015XXXXB0100.pdf Cheung, W.L. (2015). Public Private Partnership. Retrieved 27 March from: http://www3.ha.org.hk/ppp/homepage.aspx?lang=eng Food and Health Bureau. (2010). My Health My Choice: Healthcare Reform Second Stage Consultation Document. Hong Kong: HKSAR. Retrieved 27 March from: http://www.myhealthmychoice.gov.hk/pdf/consultation_full_eng.pdf Food and Health Bureau. (2010). Our partner for better health: Primary Care Development in Hong Kong: Strategy Document. Hong Kong: HKSAR. Retrieved 27 March from: http://www.fhb.gov.hk/download/press_and_publications/otherinfo/101231_primary_care/e_strategy_doc.pdf Griffiths, S.M. Lee, J.P.M. (2012). Developing primary care in Hong Kong: evidence into practice and the development of reference frameworks. Hong Kong Medical Journal, 18(5), 429-434. Hong Kong Baptist Hospital (n.d.). Chinese Medicine Clinic. Retrieved 27 March from: http://www.hkbh.org.hk/eng/hospital_service_chinese_medicine_clinic.php HKASR. (2008). Appendix B: Hong Kongs Current Healthcare System. Retrieved 27 March from: http://www.fhb.gov.hk/beStrong/files/consultation/appendixb_eng.pdf HKSAR. (2010). Appendix C: Hong Kongs Current Private Healthcare Sector. Retrieved 27 March from: http://www.myhealthmychoice.gov.hk/pdf/appendixC_eng.pdf HKSAR. (2016). Overview of the Health Care System in Hong Kong. Retrieved 27 March from: http://www.gov.hk/en/residents/health/hosp/overview.htm Ko, W.M. (2013). HK healthcare is a dual-track system. Retrieved 27 March from: http://archive.news.gov.hk/en/record/html/2013/04/20130409_190409.shtml Kong, X.Y., Yang, Y., Gao, J., Guan, J., Liu, Y., Wang, R.Z., Xing, B., Li., Y.N. Ma, W. B. (2015). Overview of the health care system in Hong Kong and its referential significance to mainland China. Journal of the Chinese Medical Association, 78, 569-573. Lee, D. Cheah, S. (2016). Hong Kong women and men enjoy worlds longest life expectancy due to low smoking rates, health experts claim. South China Morning Post. Retrieved 27 March from: http://www.scmp.com/news/hong-kong/health-environment/article/1995947/hong-kong-women-and-men-enjoy-worlds-longest-life Mayo Clinic. (2014). Complementary and alternative medicine. Retrieved 27 March from: http://www.mayoclinic.org/healthy-lifestyle/consumer-health/in-depth/alternative-medicine/art-20045267 Sin, C.K.L, Fu, S.N., Tsang, C.S.H., Tsui,W.W.S. Chan, F.H.W. (2015). Prevention in primary care is better than cure: The Hong Kong Reference Framework for Preventive Care for Older Adults translating evidence into practice. Hong Kong Medical Journal, 21(4), 353-359. Tollefson, E. (2015, November 25). Hong Kong has a problem with population ageing, rather than an elderly problem. South China Morning Post. Retrieved 27 March from: http://www.scmp.com/comment/insight-opinion/article/1883166/hong-kong-has-problem-population-ageing-rather-elderly World Health Organization. (2008). The World Health Report 2008 Primary Health Care (Now More Than Ever). Retrieved 27 March from: http://www.who.int/whr/2008/en/ Hong Kong Baptist Hospital (n.d.). Chinese Medicine Clinic. Retrieved 27 March from: http://www.hkbh.org.hk/eng/hospital_service_chinese_medicine_clinic.php

Friday, October 25, 2019

A Night to Remember in Mexico Essay -- Mexico Personal Narratives Viol

A Night to Remember in Mexico When the event was over, it all seemed like a blur. I didn’t know what had just happened but I knew that I didn’t like it. The night was filled with frenzy in the air and liveliness in the streets. The Security guards, and for that matter the people that we had come with, departed. My friend and I, although surrounded by masses of people, stood alone on a street corner. There I was, standing in a place that was foreign to me, in which I had only two companions. The night air slapped me in the face, and I awoke to reality. I was surrounded by drunken Americans laughing and enjoying themselves on the streets. This is a night that would be burned into my memory forever; an event that would change who I am and how I looked at life, but for now it was time to figure out how to get out of Mexico. Earlier that week I had hopped in my car and headed for my friends house in Tucson. He had told me to meet him the night before we were supposed to leave so that we could pack and then get going early the next day. When I arrived at his house, still early in the day, I greeted my friend and then proceeded to throw my bags into the back of his truck. We gathered all of our things and made sure that we had all of our items. We settled in for the night at his house, excited about what was to come. Maybe these expectations would be falsified later on sure but for now all that was in our minds was the salty sea air, and the electrified dance clubs. The next day my friend Danny and I got up early to meet the people that we would be staying with, in the house we had rented in Mexico. When Danny and I arrived at the house where these people lived, I exited the truck and looked around. From first glance there s... ...he face numerous times. This problem between the group left us all defenseless in an area where none of us could let down our guards for fear of what might happen resulting from our presence in a foreign land. The three of us were able to find a cab to take us back to the house we had been staying at. Danny told me that we needed to leave that night before Mike and Matt got back. He then continued to inform me that the two had carried guns across the border and would have no qualms with coming into the house and using them on myself and the other involved in the conflict while we were asleep. We went back to the house, packed our things and headed for the border. As a result of this experience I have started to look more carefully at my first perceptions of people and going with what I believe. I was lucky to escape from this situation, not in jail and not dead.

Thursday, October 24, 2019

Money Is the Root of All Evil Essay

How many times have you heard that? I have heard it more times than I can count. It is a popular thing to say, but it is definitely not true and I will try to make it clear. Without getting into a theological debate about evil or its roots, I will say that â€Å"Money is the root of all evil† is a misquote of a biblical source, in Timothy 6:10. English translations vary, but they all say something along the lines of â€Å"For the love of money is a root of all kinds of evil.† Do you notice the difference? It is about the love of money, not money itself, being the root of all kinds of evil, not all evil. A few small words can make a difference. If any major religions truly pointed to money as the root of all evil, a lot of people would be trying to be as poor as possible. Money would be treated like a communicable disease. (†Please don’t pay me so much!†) Some people of faith do give away most of their income or take a vow of poverty so that they are b etter able to serve others and do good works, but most of those will describe their lifestyles as a special calling or a gift, something beyond what God requires of most believers. Even if you’re not a believer, think about the logic of saying that money is the root of evil. If money were the root of all evil, only people who had money would do evil things, and the people with the most money would be the most evil of all. Though some people without money like to think that is true, it is not. Poor people can cheat and steal, assault and kill as well as rich people and people in between. Looking at it from another angle, the lack of money also causes people to do some pretty horrible things, but so do lack of power or sex, hatred, the desire for revenge and jealousy. Money is rarely on the mind of a man who drops a drug into a woman’s drink so he can take her home practically unconscious. I’ve sometimes heard â€Å"Money is the root of all evil† used as an excuse for not saving, as if to say, â€Å"I’m a better person if I’m poor.† But intentionally spending all your money as soon as you get it does not make you a better person (unless, maybe, you’re giving it all away). It makes you irresponsible. On the other hand, making good use of your resources by saving for your future does not make you evil; it makes you more able to help others (or avoid needing the help of others) when the need arises.

Tuesday, October 22, 2019

Background of High Tech Company Essay

1.1 Company Background of High Tech Company (HTC) High Tech Company (HTC) Corporationis a communication and internet type industry which is headquartered in Taiwan. This corporation establish in 1997-05-15.There are 16, 746 employees in the company. HTC was success become a listed company in Taiwan on 2002-03-26.HTC was also honoured as one of the world’s best 100 brands by Interbrand, in 2011. HTC is a leader in Android and Windows Mobile platforms. HTC also isa global leader in smartphone innovation and design. This company built its reputation as the behind-the-scenes designer and manufacturer of many of the most popular OEM-branded mobile devices on the market. Since 2006, HTC has regularly introduced many critically acclaimed mobile devices under their own brand, and their portfolio includes smartphones and tablets powered by the Android or Windows Phone operating systems. Their longstanding working relationships with fellow technology leaders such as Google, Microsoft and Qualcomm are more than strategic partnerships: They serve as active labs of research and development and product evolution. At HTC, collaboration is a means to a very important end: creating a holistic experience for the customer. The partners ensure that hardware, software, and content management and delivery systems are united in seamless and intuitive ways that give consumers control. Their passion always discovers the best ways to integrate state-of-the-art technologies with effortless user experiences. New products simply enable and enhance these experiences. And when their customers share their personal experiences with HTC products, they speak with passion and conviction. They encourage, embrace and celebrate users sharing their perspectives. The strength of the HTC community lies in its authenticity; it’s the most accurate and honest voice of real-world understanding available. They insist on seeing through the eyes of this community, because doing so teaches, challenges and prods them to get better at what they do — empowering their customers through personal experience. 1.2 Product background Established/Introduced in the market The Windows Phone 8X was being established in the market in November 2012. It has four types of colour, which is violet, black, red and yellow respectively. The Window Phone 8X is carved from a single shell of polycarbonate (a synthetic resin) with a matt finish. It takes a lot to dent or scratch this curved-cornered case. The phone size is 132.35 x 66.2 x 10.12 mm and is light at 130g, and cushion-shaped, with a fattish 10.1mm bulge at the back housing the battery, tapering to thinner edges. Nevertheless, Window Phone 8X also contain 1.5 GHz dual-core processor, a 4.3-inch, 1280 x 720 Super LCD 2 display (341 ppi), a built-in audio amplifier, and NFC capability. It will also be equipped with an 8 megapixel rear-facing camera, a 2.1 megapixel front-facing camera. As far as memory is concerned, the 8X will have 1 GB of RAM and 16 GB storage. Brand identity for the selected brand To become a globally recognized brand, HTC broke away from its roots as the ODM smartphone maker known as High Tech Computer Corp. to become the new face of high-end Android and Windows Mobile smartphones. â€Å"HTC Innovation† was their slogan, hammering home the idea that HTC smartphones are some of the most innovative options on market. But, as many growing/changing companies choose to do, HTC has changed their slogan. A quick visit to the HTC homepage confirms the new tagline – HTC now wants to be known as â€Å"Quietly Brilliant.† To make it as official as possible, HTC has filed for a USPTO trademark protecting the â€Å"Quietly Brilliant† tagline. The new slogan echo HTC’s position as a formidable smartphone maker that doesn’t necessarily need to make the marketing and publicity grabs that we’re used to seeing from Apple and Motorola. HTC really does seem to keep quiet about their brilliant products.

Booker T. Washington Essays - Booker T. Washington, Free Essays

Booker T. Washington Essays - Booker T. Washington, Free Essays Booker T. Washington Booker Taliaferro Washington was born on April 5, 1856 in Franklin County, Virginia near a cross-roads post-office called Hale?s Ford. He was an American educator and a black leader. When Booker was a child he worked in coal mines for nine months a year and spent the other three attending school. In 1875 he graduated after working his way through Hampton Institute. In 1881 he became the first president of Tuskegee Institute, a trade school for blacks that live in Alabama. When the Tuskegee Institute first opened it had only one teacher, about fifty students and 2,000 dollars a year from the state of Alabama. By it?s 25th anniversary under Washington?s leadership, the school had more than 1,500 students, training in 37 industries. In 1882 Booker got married to Miss Fannie N. Smith of Malden, West Virginia. Fannie died in May of 1884. One child, Portia M. Washington, was born during their two year marriage. In 1885 Booker married Miss Olivia Davidson. Later on after four happy years of marriage Miss Olivia Davidson died in 1889. Two children had been born while they were married Booker Taliaferro Jr. and Ernest Washington. In 1893 he was married to Miss Margaret James Murray, a native of Mississippi, and a graduate of Fisk University located in Nashville, Tennessee. Although Washington lived during a time in which his race was widely discriminated against, he recommended training black people for trades to build up their economic position before fighting for their integration and equality. He believed that black people advance only if they were educated. In 1895 Booker presented his views in a speech at the Atlanta Exposition, he rapidly gained the attention of white leaders. He became powerful in channeling contributions to black causes and in getting blacks appointed to federal jobs. He advised presidents Theodore Roosevelt and William Howard taft on racial matters. Booker?s greatest surprise was the letter he received from Harvard University on May 28, 1896 inviting him to the approaching Commencement, an honorary degree on June 24. In the summer of 1900 with the assistance of Mr. T. Thomas Fortune he organized the National Negro Business League which brought together lots of colored men engaged in many lines of business from different parts of the United States. Booker died on November 14, 1915 six years after Booker died Miss Margaret died in 1925.

Sunday, October 20, 2019

Free Essays on Rainbow Six

Tom Clancy Rainbow Six Tom Clancy Rainbow Six This book was published by G.P. Putnam's Sons in New York, USA. Copyright date is 1998. There are 740 pages in this book. Thomas L. Clancy, Jr. was born on the 12th of April 1947, he is married and lives in Maryland, USA. Clancy's novels can be classified as Military-Techno-Thrillers. He has written fiction and non-fiction books, Rainbow Six is a fiction book. As for other titles, well there are just to many to list, in total 23. Some books that he has written are The Hunt for Red October, Patriot Games, Clear and Present Danger, to list a few. According to Clancy "Rainbow Six, is one of my all time favourites." The book starts with a prologue that introduces us to the one main character, John Clark, an ex-Navy SEAL, and two other characters, Alistair Stanley the executive commander of Rainbow Six, and Domingo (Ding) Chavez, the Captain of Team 2. There are two other insignificant character introduced, Clark's wife Sandy and his daughter Patsy, who is married to Ding. Patsy is pregnant. The other main character is Dmitriy Arkadeyevich Popov, he is an ex-KGB agent who is now working as a ‘special consultant'. He will become very important later on in the book. Clark is the commander and in charge of starting a new European anti-terrorist group called Rainbow Six. Rainbow Six is split into two teams; Team 1 and Team 2. These teams are the best there is. They are based in Hereford, England, but any European country can call on them at any time. They run 3 miles in 20 minutes every morning at 6:00 am. Only one team will be on-call at a time. The team that is not on-call will be doing live fire practices. In the first 6 months of being in operation they are called on three times which is a lot for this type of thing. The first incident happens in a Swiss bank where terrorists have taken control. They also have hostages. Team 2 successfully takes them out, with only one hostage killed, but he... Free Essays on Rainbow Six Free Essays on Rainbow Six Tom Clancy Rainbow Six Tom Clancy Rainbow Six This book was published by G.P. Putnam's Sons in New York, USA. Copyright date is 1998. There are 740 pages in this book. Thomas L. Clancy, Jr. was born on the 12th of April 1947, he is married and lives in Maryland, USA. Clancy's novels can be classified as Military-Techno-Thrillers. He has written fiction and non-fiction books, Rainbow Six is a fiction book. As for other titles, well there are just to many to list, in total 23. Some books that he has written are The Hunt for Red October, Patriot Games, Clear and Present Danger, to list a few. According to Clancy "Rainbow Six, is one of my all time favourites." The book starts with a prologue that introduces us to the one main character, John Clark, an ex-Navy SEAL, and two other characters, Alistair Stanley the executive commander of Rainbow Six, and Domingo (Ding) Chavez, the Captain of Team 2. There are two other insignificant character introduced, Clark's wife Sandy and his daughter Patsy, who is married to Ding. Patsy is pregnant. The other main character is Dmitriy Arkadeyevich Popov, he is an ex-KGB agent who is now working as a ‘special consultant'. He will become very important later on in the book. Clark is the commander and in charge of starting a new European anti-terrorist group called Rainbow Six. Rainbow Six is split into two teams; Team 1 and Team 2. These teams are the best there is. They are based in Hereford, England, but any European country can call on them at any time. They run 3 miles in 20 minutes every morning at 6:00 am. Only one team will be on-call at a time. The team that is not on-call will be doing live fire practices. In the first 6 months of being in operation they are called on three times which is a lot for this type of thing. The first incident happens in a Swiss bank where terrorists have taken control. They also have hostages. Team 2 successfully takes them out, with only one hostage killed, but he... Free Essays on Rainbow Six Tom Clancy Rainbow Six This book was published by G.P. Putnam's Sons in New York, USA. Copyright date is 1998.Clancy's novels can be classified as Military-Techno-Thrillers. He has written fiction and non-fiction books, Rainbow Six is a fiction book.The book starts with a prologue that introduces us to the one main character, John Clark, an ex-Navy SEAL, and two other characters, Alistair Stanley the executive commander of Rainbow Six, and Domingo (Ding) Chavez, the Captain of Team 2. There are two other insignificant character introduced, Clark's wife Sandy and his daughter Patsy, who is married to Ding. Patsy is pregnant. The other main character is Dmitriy Arkadeyevich Popov, he is an ex-KGB agent who is now working as a ‘special consultant'. He will become very important later on in the book. Clark is the commander and in charge of starting a new European anti-terrorist group called Rainbow Six. Rainbow Six is split into two teams; Team 1 and Team 2. These teams are the best there is. They are ba sed in Hereford, England, but any European country can call on them at any time. They run 3 miles in 20 minutes every morning at 6:00 am. Only one team will be on-call at a time. The team that is not on-call will be doing live fire practices. In the first 6 months of being in operation they are called on three times which is a lot for this type of thing. The first incident happens in a Swiss bank where terrorists have taken control. They also have hostages. Team 2 successfully takes them out, with only one hostage killed, but he is killed before they had gotten there. The first mission helps them organize themselves and fix a few holes in their planning. The second mission is in Germany. An international trader is taken hostage in his mansion. This mission goes well too, thanks to the snipers. No hostage deaths, but all the terrorists are killed. After this mission is over they realize they should have a helicopter and pilot on the team,...