Thursday, October 10, 2019
Exercise and Cardiovascular Fitness
Exercise and cardiovascular fitnessAdam Hunt Word Count: 624 Most types of exercise are practiced in order to utilize the body's core functions and to better those bodily functions. Cardiovascular exercise is a popular type of exercise which is used to increase the heart's functions and the effectiveness of said functions. One main type of exercise is resistance exercise, which increases strength and mass, bone strength, and the body's metabolism. By practicing this cardiovascular exercise, you increase your heart's strength, making your heart more fit. With isometric exercise, another exercise utilizing your muscle's strength development, your muscles contract, but the fibers maintain a consistent length. This increases your heart's muscle's dynamic action, increasing the strength of your heart and, like resistance exercise, makes your heart more fit. There are also many other exercise types that help your heart gain strength to get your blood flowing. Because your heart is another muscle, exercising it frequently keeps it fit, like any other muscle. Regular exercise keeps your body in a healthy condition, and by keeping your body healthy, one can be defended from disease far more than an out of shape body. With a healthy diet, and regular exercise, you can maintain a good healthy heart and prevent heart disease. Many studies show that making improvements with your physical fitness will lower your risk of developing illness. Both aerobic and anaerobic exercises improves cardiovascular efficiency, strength and endurance, increases energy and metabolism, relieves stress, and increases flexibility. Those who regularly exercise have lower heart rates and have only about a third of the aerobic decline as those who don't exercise at all. Individuals who regularly practice aerobic workouts have been proven to increase lung capacity up to seventy six percent. Aerobic exercise is very effective in increasing lung capacity, decreasing LDL cholesterol levels, improving tamina and providing body fat burning. By exercising frequently, one can increase your health, and prevent health problems. These problems include developing heart disease, a large increase in blood pressure, increasing or development of high cholesterol, an increased risk of developing colon cancer and breast cancer, increasing risk of becoming diabetic, reaching an unhealthy body weight, weaker muscles, bones and joints, increase of depression and anxiety, reduction in psychological wellness, and poor performance in work, recreation and sports. However, with aerobic exercise and strength training, one can expect an improvement in cardiovascular function, increased cardiac output, an increase in stroke volume, more blood volume and the ability to carry oxygen in the blood, a less strenuous workload on the heart, an increased blood supply to muscles and ability to use oxygen, a much lower heart rate and blood pressure, larger likelihood for lactic acid accumulation, a much lower resting systolic and diastolic blood pressure with individuals suffering from high blood pressure, more HDL cholesterol which is better for the body, decreased blood triglycerides, reduced body fat and improved weight control, and finally an improved glucose tolerance and reduced insulin resistance. With strength training, the body has an increase in muscular strength as well as tendon and ligaments, it also has the potential to improve the range of motion in your joints and decrease blood pressure. Finally, strength training is proven to have great potential to improve strength, balance and the functional ability in most older adults, reducing the risk of heart problems and other health complications. With so many factors pointing towards aerobic exercise as a means of building a healthier heart and maintaining a better lifestyle, it's obvious that exercise is a main way to achieve cardiovascular fitness and to have a healthier heart. By utilizing strength training and other types of exercise, one can reduce their risk of deadly disease and heart complications, and maintain a fit body and improved functionality.
Federal Trade Comission
In the given case, the Federal Trade Commission claimed that Texas Surgeons Independent Practice Association(IPA) of 26 general surgeons in the Austin, Texas and six competing medical practice groups who are the members of this association (the respondents), Texas Surgeons P. A. (ââ¬Å"Texas Surgeonsâ⬠), Austin Surgeons, P. L. L. C. (ââ¬Å"ASâ⬠), Austin Surgical Clinic Association, P. A. (ââ¬Å"ASCAâ⬠), Bruce McDonald & Associates, P. L. L. C. (ââ¬Å"BM&Aâ⬠), Capital Surgeons Group, P. L. L. C. (ââ¬Å"CSGâ⬠), Central Texas Surgical Associates, P. A. (ââ¬Å"CTSAâ⬠), and Surgical Associates of Austin, P.A. (ââ¬Å"SAAâ⬠), violated Section 5 of the Federal Trade Commission Act, 15 U. S. C. à § 45 by engaging in unlawful act of price fixing. FTC alleged complaint that the IPA organized collective refused to deal with two health plans, Blue cross Blue Shield and United Health Care of Texas, terminated the contract with Blue Cross Blue Shield and t hreatened to terminate contracts with the United Health Care of Texas if the payer refuse to agree with their demand of raising reimbursement rate. As per demand, both plans increased their rates.Blue Cross accepted a rate agreement with the respondents in early 1998 after facing problems getting an emergency room patient treated by a general surgeon. The respondents collectively secured rate agreement resulted nearly 30% above the April 1997 level. In this case, the practices of the respondents went against the welfare of the public, constitute unfair methods of competition and antitrust actions. This anti competitive action cost health plan, employers and patients, more than $1,000,000 for surgical services in 1998 and 1999 in the Austin, Texas area.In the mid-1970, the FTC formed a section within the Bureau of Competition to investigate potential anti trust violations involving healthcare. In the health care area, as in the case of any other field, the antitrust laws are enforced so check not only possible competitive harm but also the potential for pro competitive increase in efficiency, lower health care cost, provide better quality care to the consumers, enhance innovative strategy to provide improved quality care at low cost. Federal antitrust guidelines allow independent physicians to appoint a representative messenger to communicate with payers about fees and contract terms, but annot represent the competing physicians collectively. However, in this case, the Texas Surgeons IPA served as a vehicle for the six respondent medical practice groups to engage in actual refusals to deal, and to negotiate collectively, in order to receive higher prices from Blue Cross Blue Shield of Texas and United Healthcare of Texas. The six respondent medical practice groups furthered the unlawful act through their collective control of the Texas Surgeons IPA board of directors, and through their direct participation in collective fee negotiations between United and the T exas Surgeons IPA.The commission proposed a consent order as a remedy to prevent the respondent from getting indulge in future unlawful act that is alleged in the complaint while allowing respondents to engage in legitimate joint conduct. The proposed order prohibits the IPA from a) negotiating on behalf of any physician with health plans b) refusing to deal with health plan or threatening health plans to agree on their demand c) exchanging information among Austin area physicians regarding negotiations with any health plan regarding reimbursement terms d) determining the terms on which its members deal with health plans.The order contains three provisos that permit the respondents to 1. Negotiate for physicians limited to the same medical practice group; 2. Engage in conduct approved and supervised by the state of Texas; and 3. Engage in conduct that is reasonably necessary to operate ââ¬Ëqualified risk- sharing joint arrangements- so long as they give adequate pre- notification . The commissionââ¬â¢s proposal allows the IPA to avoid such claims of price- fixing and antitrust if it acts in one of two ways: ) Financial Risk Sharing: As a qualified managed care plan which allows competing providers to negotiate prices jointly without being charged with price fixing act by the Federal antitrust agencies if they share substantial financial risk on contracts . It means that participating providers share responsibility for staying within a defined budget. The antitrust agencies believe that the competing providers should work together to achieve common, procompetitive goals of reducing cost and improving quality. Share incentives could also focus on ââ¬Å"qualityâ⬠or Health outcomeâ⬠factors.Both the way of risk sharing has potential of providing high quality care to the patient at low cost. 2) Messenger Model: The fifth provision (Section II. A. 5 of the proposed order) ensures that a neutral third party who is not a physician with an active pract ice in the Austin area, be the communicator between any respondent and any payer to deal with any terms. Under this arrangement, the network organization does not negotiate agreement with the payer about any term or price; it allows the individual providers to make an individual decision, based on proposal from payer.Physician individually, through third party, conveys and receives information, offers, and responses from the payers or providers. However, the individual providers can give ââ¬Å"sign offâ⬠authority to network organization within specified range. In addition, the commission order ensures that any respondent who are intending to use messenger model arrangement should provide prior notification to the commission. Price- fixing agreements among the competitors are not accepted by law. It is considered serious act because the consumers, plans and employers pay heavy price for it such as, â⬠¢ Consumers loss the benefits of competition Increases the health care co st; Blue Cross, United, their individual subscribers, and employers paid more than one million dollars were paid for the services of surgeons. Therefore, review of such cases is crucial to encourage the competitor to work together as a team to improve quality of services, while reducing cost. References http://www. crowell. com/documents/DOCASSOCFKTYPE_PRESENTATIONS_705. pdf http://www. accessmylibrary. com/article-1G1-77013366/texas-surgeons-settle-price. html http://www. ftc. gov/os/2000/05/texascmp. htm Federal Trade Comission In the given case, the Federal Trade Commission claimed that Texas Surgeons Independent Practice Association(IPA) of 26 general surgeons in the Austin, Texas and six competing medical practice groups who are the members of this association (the respondents), Texas Surgeons P. A. (ââ¬Å"Texas Surgeonsâ⬠), Austin Surgeons, P. L. L. C. (ââ¬Å"ASâ⬠), Austin Surgical Clinic Association, P. A. (ââ¬Å"ASCAâ⬠), Bruce McDonald & Associates, P. L. L. C. (ââ¬Å"BM&Aâ⬠), Capital Surgeons Group, P. L. L. C. (ââ¬Å"CSGâ⬠), Central Texas Surgical Associates, P. A. (ââ¬Å"CTSAâ⬠), and Surgical Associates of Austin, P.A. (ââ¬Å"SAAâ⬠), violated Section 5 of the Federal Trade Commission Act, 15 U. S. C. à § 45 by engaging in unlawful act of price fixing. FTC alleged complaint that the IPA organized collective refused to deal with two health plans, Blue cross Blue Shield and United Health Care of Texas, terminated the contract with Blue Cross Blue Shield and t hreatened to terminate contracts with the United Health Care of Texas if the payer refuse to agree with their demand of raising reimbursement rate. As per demand, both plans increased their rates.Blue Cross accepted a rate agreement with the respondents in early 1998 after facing problems getting an emergency room patient treated by a general surgeon. The respondents collectively secured rate agreement resulted nearly 30% above the April 1997 level. In this case, the practices of the respondents went against the welfare of the public, constitute unfair methods of competition and antitrust actions. This anti competitive action cost health plan, employers and patients, more than $1,000,000 for surgical services in 1998 and 1999 in the Austin, Texas area.In the mid-1970, the FTC formed a section within the Bureau of Competition to investigate potential anti trust violations involving healthcare. In the health care area, as in the case of any other field, the antitrust laws are enforced so check not only possible competitive harm but also the potential for pro competitive increase in efficiency, lower health care cost, provide better quality care to the consumers, enhance innovative strategy to provide improved quality care at low cost. Federal antitrust guidelines allow independent physicians to appoint a representative messenger to communicate with payers about fees and contract terms, but annot represent the competing physicians collectively. However, in this case, the Texas Surgeons IPA served as a vehicle for the six respondent medical practice groups to engage in actual refusals to deal, and to negotiate collectively, in order to receive higher prices from Blue Cross Blue Shield of Texas and United Healthcare of Texas. The six respondent medical practice groups furthered the unlawful act through their collective control of the Texas Surgeons IPA board of directors, and through their direct participation in collective fee negotiations between United and the T exas Surgeons IPA.The commission proposed a consent order as a remedy to prevent the respondent from getting indulge in future unlawful act that is alleged in the complaint while allowing respondents to engage in legitimate joint conduct. The proposed order prohibits the IPA from a) negotiating on behalf of any physician with health plans b) refusing to deal with health plan or threatening health plans to agree on their demand c) exchanging information among Austin area physicians regarding negotiations with any health plan regarding reimbursement terms d) determining the terms on which its members deal with health plans.The order contains three provisos that permit the respondents to 1. Negotiate for physicians limited to the same medical practice group; 2. Engage in conduct approved and supervised by the state of Texas; and 3. Engage in conduct that is reasonably necessary to operate ââ¬Ëqualified risk- sharing joint arrangements- so long as they give adequate pre- notification . The commissionââ¬â¢s proposal allows the IPA to avoid such claims of price- fixing and antitrust if it acts in one of two ways: ) Financial Risk Sharing: As a qualified managed care plan which allows competing providers to negotiate prices jointly without being charged with price fixing act by the Federal antitrust agencies if they share substantial financial risk on contracts . It means that participating providers share responsibility for staying within a defined budget. The antitrust agencies believe that the competing providers should work together to achieve common, procompetitive goals of reducing cost and improving quality. Share incentives could also focus on ââ¬Å"qualityâ⬠or Health outcomeâ⬠factors.Both the way of risk sharing has potential of providing high quality care to the patient at low cost. 2) Messenger Model: The fifth provision (Section II. A. 5 of the proposed order) ensures that a neutral third party who is not a physician with an active pract ice in the Austin area, be the communicator between any respondent and any payer to deal with any terms. Under this arrangement, the network organization does not negotiate agreement with the payer about any term or price; it allows the individual providers to make an individual decision, based on proposal from payer.Physician individually, through third party, conveys and receives information, offers, and responses from the payers or providers. However, the individual providers can give ââ¬Å"sign offâ⬠authority to network organization within specified range. In addition, the commission order ensures that any respondent who are intending to use messenger model arrangement should provide prior notification to the commission. Price- fixing agreements among the competitors are not accepted by law. It is considered serious act because the consumers, plans and employers pay heavy price for it such as, â⬠¢ Consumers loss the benefits of competition Increases the health care co st; Blue Cross, United, their individual subscribers, and employers paid more than one million dollars were paid for the services of surgeons. Therefore, review of such cases is crucial to encourage the competitor to work together as a team to improve quality of services, while reducing cost. References http://www. crowell. com/documents/DOCASSOCFKTYPE_PRESENTATIONS_705. pdf http://www. accessmylibrary. com/article-1G1-77013366/texas-surgeons-settle-price. html http://www. ftc. gov/os/2000/05/texascmp. htm
Wednesday, October 9, 2019
Critically evaluate an artefact of a marketing communications campaign Essay - 2
Critically evaluate an artefact of a marketing communications campaign (advertisement, brochure, poster, etc) for either a graduate traineeship or a masters degree - Essay Example Advertisements have also been found by Gronhaug, Kvitastein and Gronmo (1991) to come in many different forms and versions. This however does not mean that any form of poster at all can be selected for any product or service. Proctor, Proctor and Papasolomou-Doukakis (2002) indicated that there are several factors that ought to be considered in designing a poster for advertisement purposes. Because the factors are many, different writers and reviewers have tried to discuss some of the most salient factors at one point in literature or the other. In this paper, various works of literature are reviewed, based on which four important thematic factors that ought to be considered when undertaking marketing communications campaign have been discussed. To ensure practicality, the literature and factors have been used to critique a specific artifact in the form of poster for a Masters degree. At the end of the paper, the strengths and weaknesses of the attached advertisement are going to be identified as they apply to the four thematic factors considered. Shankar (1999) stated that ââ¬Å"consumers interact with advertising for a variety of reasons whilst different groups show varying degrees of understanding towards the function and purpose of advertisingâ⬠(p. 5). The understanding that this claim gives is that any piece of advertisement must factor in the different needs of customers, noting that not every consumer will be looking for exactly the same thing from a piece of advertisement. When advertisement is seen as a tool or component of marketing, then the advertiser would want to achieve this task of satisfying the varying needs of customers by incorporating very elementary factors of competitive marketing (Shankar, 1999). In competitive marketing, there are four major elements that a marketer would want to give emphasis to and these are place, product/service, price and promotion. To make
Tuesday, October 8, 2019
International Trade Essay Example | Topics and Well Written Essays - 250 words - 1
International Trade - Essay Example Political realities do influence international trade. Countries that are facing political instability are most avoided for trade as there is great deal of uncertainty there, nobody knows when their policies do get amended and the trading partner has to face loss. Trade barriers such as tariffs and quotas are other political tools that are used by governments to control the amount and composition of international trade happening in their economy (Oh & Reuveny, 2010). There are also some countries that avoid much trade with each other due to their rivalry and differences that eventually affect their economies. India and Pakistan, besides being neighboring countries avoid much trade with each other. However, unofficial trade continues between them for many years amounting around billions of dollars. US has imposed embargo over Cuba (Schwab, 1999); at the same time ongoing trade between mainland China and Taiwan shows an example that trade can even flourish even in the presence of hostile relations (Yu, 1997). This world has now become a global village and there is huge interdependence of countries on one another. Under developed, developing and developed nations all require trade with each other to grow, sustain and flourish their nations. Importance of no nation can be undermine thus limitations of political influence is a better idea. As for today, no nation can survive and grow in isolationism (Fioretos,
Sunday, October 6, 2019
Global Business Environment - the Banking Sector of Pakistan vs Essay
Global Business Environment - the Banking Sector of Pakistan vs. Uk&Greece - Essay Example 1.2 The Crisis Chain The global financial crisis brought about a tremendous and dramatic turn around in the banking sector across the world and there were hardly any economies that remained unaffected by the same. Not just the banking sector, but the sub-prime mortgage crisis brought about a chain of crisis causing a high velocity downfall in real estate, stock exchanges, and insurance companies as well ââ¬â many big names fell apart, bail out packages were developed in order to reduce the impact, inflation went sky rocketing, and at the end of the chain, consumers lost loads and loads of money. Krugman (2009) states that a situation came where economists describe that there were empty houses in the US, and homeless people outside the same ââ¬â showing the reduced purchasing power, and high prices of land and mortgage. Economists call the year 2008 as the ââ¬ËGlobal Financial Earthquakeââ¬â¢. This era was known as the most depressive economic scenario since after the Gr eat Depression of the early 30s. This assignment aims at discussing and comparing how the environmental and macroeconomic variables in countries like UK, Greece, and Pakistan have affected the banking sector in these respective regions. ... It shows the linkage of financial markets with government, the employment (or unemployment), organizations and corporate, households, and the commodities markets. There is strong co-relation between these entities and any jolt, can lead to a drastic effect on all the others. 2. Analysis of Banking Sector in UK 2.1 PLEST Analysis Paulson (2011) states that the global financial earthquake of 2008 ripped apart the exceptionally high growth of the previous years, closing the huge names of the financial sector close to bankruptcy. In terms of the banking sector in the UK, the banks are rather politically and legally secured ââ¬â as UK is recognized as the pioneer of financial system globally. The banking sector is also technologically fairly sound. The 2008 decline was primarily witnessed due to the drastic changes in the economic and social habits and norms of the population. Primarily a sub-set of the sub-prime mortgage crisis that initiated the panic, UKââ¬â¢s economy took a dow nturn. The primary cause of this being the over -spending habits that had embedded in the norms of the society, which was in turn, was caused by the easy presence and availability of the credit cards. Lewis (2011) states that most of the consumers had over spent their budgets in expectation of their future cash flows, which did not happen as bankruptcy became a common feature, employees were laid off in one go, salary, were reduced, and big names like JP Morgan, Lehman Brothers, etc. went off the hook. Government ultimately intervened with bail out packages to assist in the survival of the financial backbone of the economy. 2.2 Macroeconomic Indicators There are three primary macroeconomic
Saturday, October 5, 2019
Corporation Tax, Income Taxes, and Capital Gains Tax at the United Essay
Corporation Tax, Income Taxes, and Capital Gains Tax at the United Kingdom - Essay Example A limited amount of companies must pay corporation tax. The self-employed do not. However, in almost all circumstances, cooperatives, housing associations, members' clubs, and trade associations must pay corporation tax (Wikipedia, 2007). Companies that are obligated to pay corporation taxes on their profits are required to perform certain activities. First of all, they are required to notify HM Revenue and Customs that they indeed are in operation at that they are among those required to pay corporate taxes. Then, the company must file a self-assessment Company Tax Return without being assessed by the HMRC, similar to individuals who are required to file their own income taxes without first being assessed by the IRS. Lastly, this requires that accurate records of all financial dealings that contribute to the information submitted to the HMRC be kept at all times. In order for corporations that must pay corporation tax to avoid fines, they must know their statutory filing date and their normal due date. Each company must hold full responsibility for calculating its own corporation taxes and paying the amount due before the deadline. If a company fails to do so, they will owe a penalty. According to Business Link, "A company can send in its Company Tax Return at any time after the end of its accounting period but must do so no later than the statutory filing date. This is later of (a) 12 months after the end of your company's accounting period [or] (b) three months after your company receives a "notice to deliver a Company Tax Return form CT600" from HM Revenue & Customs (HMRC)" (2007). Companies who do not send their returns on time receive penalties. Companies who regularly submit their returns late enjoy increasingly higher penalties. Penalties can also be assessed for returns that are incorrect or for companies who fail to tell HMRC that they are liable to pay corporate taxes. Business Link claims that "Payment of the corporation tax itself is due exactly nine months and one day after what is called your normal due date. For most companies, the normal due date is the last day of the accounting period. So if a company's tax return covers the accounting period 1 January 2004 to 31 December 2004, then the corporation tax should be paid no later than 1 October 2005" (2007).
Friday, October 4, 2019
Leaders' Attitudes and Computer Use in Religious Congregations Essay
Leaders' Attitudes and Computer Use in Religious Congregations - Essay Example I tend to determine the possibility of adopting and implementing ââ¬Ëchurch planting by producing multiple congregationsââ¬â¢ to reach ethnic minority young people in the context of Leeds for the gospel. The targeted group would be the African minority of Leeds. The most effective church planting technique in this situation will be studied. This research paper will focus on church planting within the African community of Leeds. The problem statement is how to reach the ethnic minority young people in Leeds through church planting to help spread the gospel. According to the MS200 Study Guide, there are numerous church planting models. One of the most effective models of church planting, which was essential in the development of this research essay, is the Church Planting by Producing Multiple Congregations. The research sought to incorporate this model because of the establishment of a regular service for children and young people following the achievement of the intended goals and targets1. The research focused on utilization of the efforts of the congregation members to work effectively and efficiently in the course of identifying the youths. In addition, the efforts focused on bringing the youths back to study the Bible, pray together, and worship collectively. Furthermore, Church Planting by Producing Multiple Congregation models indicates the presence of worship service with the intention of exploiting the youth sub-culture, usage of music, and artistic forms, as well as the language of communication in accordance with the preferences of the target audiences2. It is critical to note that the young people continue to be the focus group for various studies. Nevertheless, none of the studies has been crucial in defining the most effective studies in relation to communicating the gospel to the youth.
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