Fracking Essay Example | Topics and Well Written Essays - 2000 words - 2

Fracking - Essay Example In this professional paper discusses business ethics of fracking, in order to analyze and evaluate the conduct of drilling companies in their quest to harness cheap energy from the earths interior. And their impact on the environment and mankind. Business ethics applies to all forms of business conduct and is related to the conduct of individuals and the entire organization. They have both normative and descriptive dimensions. It should be noted that the field is primarily normative as a corporate practice and career specialization. Academicians’ determination to understand business behavior employ descriptive methods. Interaction of profit-maximizing behavior with non-economic concerns reflects the range and quantity of business ethical issues. Governments use laws and regulations to control business behaviors in what the government perceives to be beneficial directions (Denver, 2013). Ethics specifically regulates details and areas of behavior that are beyond government control. The sprouting of extensive corporations with inadequate relationships and sensitivity to the communities they work from propagated the development of formal ethical regimes. Ethical norms reflect norms of historical periods; norms evolve as time passes resulting in accepted behaviors becoming objectionable. Firms started pointing out their ethical issues as early as 1980s by trying to distance themselves from business scandals like savings and loan crisis. Business ethics ideas caught the attention of media, academics, and business firms by the end of the cold war. Concisely, one of the aims of business ethics is to determine the fundamental purposes of the company, for instance, the company may have to sacrifice the profits to other concerns if a company’s purpose is to maximize shareholder returns. Ethical issues composed of duties and rights between the company and its stakeholders including suppliers, customers, employees and

Assignment1 Essay Example | Topics and Well Written Essays - 500 words

Assignment1 - Essay Example Marketing is about the customers and the values they seek for the products and services they want to buy. Levitt provides a broad definition of marketing that is not limited to the product or company alone. He expands his definition to include customers and the world they live in. In essence, he uses a systems theory approach to marketing, because he understands marketing as the sum of its parts. The most important part is not the product system or supply chain system, though they are evidently critical to the business systems of firms. The most critical part is the system where customers are found. This system includes all factors that affect the customers’ buying attitudes, values, and behaviors. Marketing is about knowing this system and producing and selling products that relate to the customers’ system. The customers’ world is marketing’s world. This paper also agrees that having a â€Å"visceral feel of greatness† (Levitt 20) is pertinent to survival in this highly competitive world. This greatness should emanate from the leaders and infect the workplace (Levitt 20). The main point is: â€Å"Management must think of itself not as producing products but as providing customer creating value satisfactions† and that â€Å"It must push this idea (and everything it means and requires) into every nook and cranny of the organization† (Levitt 21). Marketing supports business vision and goals. The vision is to respond to customers’ value satisfactions needs. Marketing specifically pushes its products/services to customers and the whole company should be part of the marketing effort. This makes sense because when a few employees go astray in the vision, they will think that they are marketing products only and that is wrong, because marketing revolves around consumers. Levitt provides a useful, though expansive,

ELP Assignment Example | Topics and Well Written Essays - 1000 words

ELP - Assignment Example y helps the students to improve their skills, but also provides them with lot of informations about themselves so that in such a way they can identify, rectify and enrich their qualities and overall increase their personality. In this way, ELP becomes a PDP (Personal Development Planning) tool. Once a student is out of the academic field, he becomes a total stranger in the competitive world, and by all means he has to improve every inch of his talents in order to be successful in his life. This is where ELP comes to them as an aid that would help and support them in all their progressions. Many students out there are not at all bothered about their lack of skills. They think that is something which they need not worry about, but the truth is that once they come to realize the need, it would be too late. Such students are left aside from excellent opportunities. It is the sole duty of the students to be careful about their steps, they should use the opportunity properly only then they will have a good future. Employability learning programme educates the students about their role in the future, teaches and trains them about the employability skills they need to have, makes them understand their own talents and last but not the least it gives them strength to face the world skillfully. In all ways, we should understand and use the opportunity of this programme to improve and shine in the society. This programme acts like an identifier bringing out the language, communication problems in the individuals and then creates a good impact on it through motivation and encouragement finally resulting in excellent performance. Through this innovative approach students will be able to master their talents and use them in a fruitful way making them stand out from the crowd. This is how the programme works on every individual considering lot of things from the learner side. As it focuses on what mainly the employers look at, the programme is of great use for the students.

The Question of God Research Paper Example | Topics and Well Written Essays - 1000 words

The Question of God - Research Paper Example Lewis, on the other hand, was an atheist for the first couple of years of his life. Lewis wrote he was so angry with God for failing to exist in this world. I was also equally angry with Him for creating a world in which creatures have a burden of existence imposed on them without their consent. Freud and Lewis were both haunted during all their lives by a strong yearning with no easily familiar object. Freud referred to the transcendent longing as Sehnsucht and Lewis called his Joy. Freud, however, was an atheist, he saw in human existence a desire for projection and illusion, while Lewis on the other hand argued that, like other inner human expectations and desires, this longing must be for a real object in this life or some other (Armand 46). Freud thought life to be meaningless he believed there was no god, and he lived an irresponsible life. According to him he existed by mistake, and there was no sense of him being in this world. He thought God was unfair in creating animals an d letting them exist without their knowledge or permission. Lewis was an atheist for a third of his life then he turned around. He used to defend his atheism with Freud’s theories and beliefs before he converted to Christianity. He started believing there was God and everything happened for a reason. This motivated him to find happiness as he believed he had a destiny. When he was young he did not believe in the existence of god as the secular world seemed to make sense to him at that time(Armand 48). He had never given it a thought as to why he existed. With time, he discovered that science did not provide the answers to the questions he had. The many questions he had in his head made Lewis seek divine intervention. Religion made more sense to him as he found a purpose for his living as religion answered all his questions and it defined whom he was. The bible made sense to him, and he kept quoting it to justify his actions. His conversion to Christianity was a transition poi nt in his life. He found contentment in God, and he believed god has a purpose for his life. He believed that the people who did not believe the existence of god had their own reasons or experiences which were minor. Freud was a scientist, and he seek all answers to the questions he had from science. He believed creatures evolved, and they were not created. According to him god did not exist, and it was just an imagination of people. He believed God was just an illusion in peoples mind and never existed in the real world. According to him people who believed in God desired a life of another kind and a different world from which they existed in(Armand 57). To him science was the only thing that made sense and religion were only theories made by people. He believed that those who trusted religion were dreamers and wanted their wishes to be fulfilled. He said that God was merely a dream and a childish wish and projection for a father’s protection. Freud interpreted religion as w ish fulfillment; he says it was all psychological. According to him it was all in one’s head, and everyone could think what he wanted (Armand 172). He said that people have positive and negative feelings about their father and the negative feelings might cause the wish that God did not exist. Lewis cancelled the argument saying it was not a good

The study a library Essay Example for Free

The study a library Essay 2. 1 Background of the study A library is organized for use and maintained by a public body, an institution, a corporation, or a private individual. Public and institutional collections and services may be intended for use by people who choose not to — or cannot afford to — purchase an extensive collection themselves, who need material no individual can reasonably be expected to have, or who require professional assistance with their research. In addition to providing materials, libraries also provide the services of librarians who are experts at finding and organizing information and at interpreting information needs. Libraries often provide quiet areas for studying, and they also often offer common areas to facilitate group study and collaboration. Libraries often provide public facilities for access to their electronic resources and the Internet. Modern libraries are increasingly being redefined as places to get unrestricted access to information in many formats and from many sources. They are extending services beyond the physical walls of a building, by providing material accessible by electronic means, and by providing the assistance of librarians in navigating and analyzing very large amounts of information with a variety of digital tools. Kalayaan National High School started when Mrs. Esmelita P. Ulangca, the principal of Bagong Silang High School, felt an urgent need of an annex school in order to accommodate the heavy influx of enrolment of students. In 1996, the construction of two(2) three-storey building with 9 classrooms each were constructed in Phase 10 Bagong Silang, Caloocan. The first enrollment commenced on May 21,1997 where the first batch of 1,450 first year enrollees and organized into 14 sections with 18 teaches from Bagong Silang High School. As classes went on another three-storey with 15 classrooms was also constructed, 300 second year and 212 third year students from Bagong Silang Hish School were transferred. Along with them were 8 teachers. The first inauguration of the said buildings was held February 6,1998. In June 29,1998, a Division Memorandum No. 97 s. 1998 was issued to inform the field that the establishment of Kalayaan National High School(formerly Bagong Silang National High School Annex) as per Republic Act No. 8644 entitled â€Å"An Act Establishing a National High School in Bagong Silang, Caloocan City to be known as Kalayaan National High School and Appropriating Funds Thereof, lapsed into law on May 30,1998. Library System is one of Transaction Processing System because it can process large records and data of the school and it is also use for library transactions like borrowing and returning books. In Computerized Library System, the data are kept accurate in order to lessen errors in listing of books and computation of penalties. Library System is also designed to perform the process involve in acquisition, cataloguing, and circulation of books in the library. The proponents intend to propose to develop A Computerized Library System for Kalayaan National High School to enhance the transactions of the current procedure of their library. 2. 2 Overview of the current System Borrowing For those who are new borrowers they will be given a library card and fill up all the informations needed. The students are allowed to borrow as many books as they want inside the library premises. Anyone who wishes to borrow a book must physically check by himself the book stored in the shelf to know if it is available, if it is he should bring it to the librarian together with his library card. If he wishes to borrow it for over night he must return it the following day(excluding Saturday and Sunday), if he fails to return it he will need to pay for penalty per overdue books which cost 1 peso per day; if the student fails to pay for the penalties his clearance will be hold. But if the borrower is a Faculty there is a logbook provided for them to write their name, title of the book, date borrowed, and date returned and he is allowed to borrow the book for the whole school year and return it before the school year ends, if he lost or damaged the book his clearance won’t be cleared. Returning For returning the book the borrower will return it to the librarian and find his Borrower’s Card then the librarian will check if it is returned on the right date if it is not the borrower must pay for his acquired penalty. For Faculty members they will give the book to the librarian to record it on the logbook for faculty’s borrowed book the date they returned it. For all the penalties for overdue books,damage books and return boooks they will pay it to the librarian. For overdue books the students should pay penalty per overdue books which cost 1 peso per day. For lost or damage books the students should pay for the price of the book or replace it with a new one. Reports The librarian anually submitting the library’s annual inventory report by checking the books manually in the library, the librarian should physically check the books on the shelves and match it on the list of their books thatthey have. The report was done using Microsoft Excel. 2. 3 Project Rationale The following will be the beneficiaries of this study: * School They will be able to provide better service to their students because of a more organized records and user-friendly library. This study will also uplift the image of school by providing an optimal use of new technology. * Librarian He will be able to monitor the books easily and provide a record of library transactions such as borrowing and returning of books. Generating of reports such as list of books, list of Borrowers, list of Borrowers with offense, list of Damage books, list of Lost books, list of borrowed books, list of returned books, Inventory of Book will be more faster and easy. * Borrowers They do not need to search manually for the books they wished to borrow and they could easily know the availability of the book. The borrowing process could be more faster than their current procedure. * Library The library could easily monitor the condition of their books as well as its availability and stocks, because on their current system the librarian should physically check the books on the shelves. Generation of reports such as list of books, list of Borrowers, list of Borrowers with offense, list of Damage books, list of Lost books, list of borrowed books, list of returned books, Inventory of Books will be easier and faster. They could manage and easily update their records and transactions. * Proponents They would enhance their programming skills and knowledge in developing a system. * Future Researchers They could use this as a referrence for their study and guide for improving this system.

Patient Advisory Board Internship

Patient Advisory Board Internship Patient Advisory Board Internship at Zuckerberg San Francisco General Hospital For this cooperative education project I have chosen to write about my internship at Zuckerberg San Francisco General Hospital (ZSFGH). I was chosen for this internship from a pool of pre-medical student applicants based on my resume, letter of interest and in person interview. The work was advertised as needing someone to run the formal Patient Advisory Board Council (PAC). I wasnt aware until my interview with the Medical Director and Floor Manager that I would be doing much more than running a once a month meeting. I would also be in charge of recruiting new members to the PAC, seeking out presenters and providers wishing for patient input, enrolling patients in and training them to use the online SF Health Network Patient Portal, running the monthly Diabetes in Motion Clinic, and doing various other small duties around the hospital. I had to commit to being available 30 hours a week that were flexible but must include Fridays. I was excited to be chosen for this opportunity to ha ve great potential in improving patient health and satisfaction at ZSFGH, San Franciscos community safety net hospital; while also growing my own knowledge of what it takes to provide high quality health services to underserved populations. Before being allowed to start my volunteering duties there were many steps I needed to tackle to be eligible to work with patients, both for my own safety as well as theirs. I had to find time to go to the hospital to procure blood work and testing to be sure I didnt have Tuberculosis or a list of other communicable diseases. I was required to take just over 10 hours of training geared to helping familiarize myself with the layout of the hospital; in addition to how to safely interact on a daily basis with the unique population at ZSFGH. My learning objectives were to understand what I would need to do in my daily work to knowledgably comply within HIPAA rules and NIH safety protocols. Method For my content for this report I performed research on site at my Internship. ZSFGH has an extensive medical library that is free and open to the public. The librarians are well versed in what is available in the event that I had any questions arise during my time there. The Volunteer Services Office also stocks many resources that are available for learning about how best to care for patients wellbeing and properly protecting their personal information online and in daily hospital interactions. I utilized both of these resources in my off-volunteer hours either before or after doing internship qualifying hours. Discussion Literature Review Initial Onboarding In order to be able to be an official volunteer at ZSFGH, I had to complete their online Volunteer Orientation Course. This took about 2 hours and was helpful in walking me through the layout of the SF Health Network as well as the buildings where I would be working. Also outlined were the health requirements of all volunteers in the network requiring blood work and vaccinations. After completing those steps I was assigned a volunteer identification number to be able to log my Internship hours and a badge identifying me as a Volunteer that also shows which clinic I am a part of, my flu-shot status and lists the hospital wide emergency response codes for easy reference. In order to be useful in my positions I needed to learn about the San Francisco Health Network Primary Cares missions and vision for providing the highest quality primary and preventative care to adults, regardless of ability to pay. There are 4 main aims of the clinic that follow from building a foundation of healthy, engaged, and sustained primary care workforce. To ensure an excellent patient experience, optimize access, operations and cost-effectiveness, have sustainable patient centered care and finally, to improve the health of the patients served. The specific clinic I was hired to do my internship with was the Richard Fine Peoples Clinic General Medicine Clinic (RFPC-GMC). This is a clinic consisting of mostly low income, homeless and immigrant patients. The Volunteer Services Office at ZSFGH assisted my learning about patient information security by providing some short video training from the SF Department of Public Health. (Public Welfare, 2009) This helped me learn what information qualifies as needing to be private and secured; treated as sensitive and protected health information. There is an established national set of standards for identifying protected patient health information (PHI) such as a patients demographic data relating to past, present or future medical needs. (The Health Insurance Portability and Accountability Act of 1996) It is anything that can be used to identify patients such as their first or last name, medical record number, phone numbers, email addresses, date of birth, Social Security Number or a ddress. Rules for handling such information is that you must never store PHI on an unencrypted computer, a flash-drive or take home files with PHI. If necessary for an email this information must be encrypted and titled as Secure. Written information must be disposed of in the locked to be shredded bins when no longer needed. Information can be stored on the provided work computer server only accessible by UCSF ward computers. (Burnap, 2012) Unlike a Kaiser or Sutter insurance network hospital or clinic, the SF Health Network is part of the citys health system that provides a significant level of care to low-income, uninsured, and vulnerable patient populations. ZSFGH is a unique in that it is also a training hospital tied with UCSF. Patients benefit from cutting edge training for their Doctors and Residents as well as generous philanthropic funding that the University benefits from annually. A large part of ensuring patient self-empowerment lies in building their networks and increasing accessibility to services, which this funding can bring. (Corburn, 2007) Patient Advisory Council Prior to working within the SF Health Network I was not aware that there were 26 clinics across the city. This aids in vastly improving patients access to care in or near their own neighborhoods. Each clinic was challenged with starting their own PAC in 2016. There are now 21 PACs across the city for various different types of clinics and patient populations including 2 in Spanish and 1 in Mandarin languages. Prior to instating these PACs much of the average providers knowledge of patient satisfaction was just word of mouth. The main motivating force behind coordinating clinic PACs is aimed at inviting longtime and new patients to provide input for quality improvement projects from the ground floor. Assessing involvement at the direct patient level can lead to fast strides in community health improvement. (Dannenberg, 2008) I was responsible for the outcome of the Richard Fine Peoples Clinic PAC. I needed to work on recruiting new and diverse members to the team and learn how to lead a group of people that is outside of my everyday socio-economic peer group toward a common goal. I looked to resources for what has worked for other projects for medical recruiting methods prior to mine. (Dannenberg, 2006) I had to coordinate presenters and inquiring providers to ensure that the board provides helpful information to both patients at the clinic and those within the larger health care network. While the focus was on our individual clinic, there is also a hospital wide PAC that was able to push forward any ideas we might have that would benefit the entire hospital population at ZSFGH. In addition to organizing the agenda for the PAC meetings, my duties involved gathering information from patients and providers that generated from our meetings to then enter them into other systems and/or up-channeling ideas inv olving specific patient populations and their recommendations and desires. Some more recent accounts of improving health at one community level have shown to have a positive impact on the entire city. (Bhatie,Corburn, 2011) I kept meticulous records of all agendas and minutes of every meeting for all attendees records as well as past and future reference needs of progress. I was also assigned to help the RFPC Residents on their new project concerning the SF Health Networks Patient Portal. They tasked me with recruiting current patients to enroll in the waiting room. The Patient Portal is a tool for empowering patients to be proactive regarding their own health. Most of my patients are housing insecure so I had to seek out examples of positive outcomes of patients evolving from homeless to housed and how to be aid those in transition. (Kessell, 2006) A few strategies for recruiting new patient advisors, portal users and clinic class attendees were given to me by the previous Intern that I was replacing. I had to meet quota goals for portal enrollees, training and tracking; recruit new patient users in clinic for the online Patient Portal and do some data entry for tracking contacts, new enrollees and demographics. I had to figure out the best way to narrow down how best to contact clinic patients to arrange one on one training sessions for the online Pa tient Portal. I looked into ways in which your immediate surroundings can shape your ideas of your own perceived ability to achieve healthy outcomes as guiding the ways I would approach patients. (Cummins, 2005) To keep the PAC running, I needed to also book conference rooms for upcoming meetings and was able to book a nice meeting room through December 2017 for ease of transition for the next intern. I made reminder calls and sent out an agenda one week prior to meetings to those members with access to email. I collaborated with members to see what topics they are interested in learning more about for upcoming meetings as I was responsible for coordinating them with presenters. (Dearing, 1996) I surveyed members about what their favorite snack foods were so I could best provide for our meetings. I was allowed to spend $50 for each meeting so we had quite an assortment of foods, all within reason of course as we are promoting healthy lifestyles after all. I guided the meetings but also recorded notes for action items to follow up on as well as to write minutes for future reference as available to the public. Diabetes in Motion Clinic The SF Health Network also has a Community Wellness Program branch that allows for patient learning on a variety of fronts from smoking cessation lectures to Zumba classes and nature walks. The Wellness Programs are offered at several clinics across the city and aim to provide and promote innovative services to staff, patients, their families and all San Franciscans. They are designed to be accessible culturally and linguistically as well as to all physical ability and/or limitation levels. The classes that are part of the Working on Wellness (WOW) Healing Moves, Active Living Initiative are open to all and free of charge. Another important part of my duties was to also work on chronic disease group visits in the diabetes clinic. It was important to help try and understand the unique hurdles specific to this particular patient population. (Bhatia, Seto, 2011) The Diabetes in Motion (DIM) Class was an extra duty inherited by me as the previous Practice Manager moved to Hawaii and requested that the incoming PAC Coordinator (me) adopt the class. This 2 hour class was held once a month and tasked with helping those with Diabetes, the pre-Diabetic and their caregivers better understand how to help improve their conditions. I noticed immediately that there might be low attendance, only 5-10 attendees, due to a lack of a unified agenda across the year of these classes. I researched ideas of how living in an urban environment can impact health and wellness differently than a more rural setting for insight into health problems. (Bodea, 2009) I decided that we would try breaking the class into 2 portions, a movement portion (due to the title) and a healthy eating portion. There was no dedicated staff and, as we had plenty of funding left in the available grant I was able to hire 2 local instructors. I hired Sylvie Minot, leader of the Syzygy Dance Project as an Exercise Instructor and Catherine McConkie, Founder of The Caregivers Table as our Nutritionist. Ms. Minot was able to lead progressive movement exercises that were accessible to all levels of mobility incorporating yoga, stretching and dance movements. The importance of exercise is shown across the lifespan. (Bauman, 2007) During the exercising portion of the class she would lead a discussion about the importance of incorporating movement throughout daily life. (Saelens, 2003) Ms. McConkie would follow for the second half of class with easy and affordable food ideas that she made during the class so the attendees could participate. In addition to making healthy options accessible, she would also pass around ingredients that might be new or unusual for the patients and discuss why certain foods are good or bad to eat. Eat Better, Feel Better! Colorful Choices is a San Francisco Health Service System program aimed at adding more fruits and vegetables to daily routines. I was able to team up with them for our classes to provide free fruits and vegetables to attendees. (Drewnowski, 2004) A $25 Safeway gift card was given to the first 22 participants that stayed for the entire class. Participants were able to take home a bag of food to make the recipe presented in class, for any who could not afford them on their own. (Kim, 2006) I created and distributed English and Spanish language flyers throughout the hospital as well as purchased the patient incentives, organized an agenda with the instructors and ensured 2 interpreters (Spanish and Mandarin language) could attend. Following each class I gathered receipts from all 5 of us leading the course to submit to our grant overseer for documentation and reimbursement. Our attendance went from a low average to roughly 30 patients per class in just 3 months. Patient Portal In addition to putting together the DIM and PAC monthly meetings I was assigned to work with the RFPC Residents that were writing a research paper on empowering patients to improve their own care knowledge. The biggest aspect of this was increasing patient awareness, enrollment and use of the SF Health Networks Patient Portal. This online tool enables patients to see all of their most recent and up to date data from any meetings with providers as well as testing and results. Not only can this aid individual improvement through expanded knowledge of care but it also provides an easily accessible list to give to out-of-network providers. The system also newly rolled out the ability to email your assigned provider. The system self regulates to ease provider burden by immediately rerouting easily accomplished tasks such as appointment scheduling or refill requests before any emails actually go to the provider. Initially, I was tasked with 10 hours per week of recruiting new enrollments in the Patient Portal system by visiting with people in the waiting room. With an iPad in one hand and flyers in multiple languages in the other, I spoke with each patient on hand to see if they were aware of the program and would like to enroll if not already. I tracked demographics for the residents as well as number enrolled by me or already. I also had proxy forms available if someone wanted their child or spouse etcetera to have access to their information due to any learning disabilities or language differences as the system is only currently in English. I was able to use Google Translate as well as my flyers in 6 different languages to speak with everyone in the room one by one. After doing this for 2 months the residents decided I should transition to training users to increase the amount of actual users of the system once enrolled. I utilized the electronic Clinical Works application (eCW) to resear ch which patients were already enrolled in the Portal. I would then call patients with appointments on a particular day for the next week as determined by the Residents until I found about 10 people willing to meet with me before or after their appointments. Together, we would then walk through accessing the system and what benefits and uses it provides to the patient. I would send training videos to anyone I spoke with that wasnt interested in meeting in person that they could view on their own if they so wished and they had access to my UCSF email if they had any further questions arise. The largest barrier to increasing user numbers or active users for the Patient Portal ended up being access to electronics and language barriers. The specific patient population at RFPC has phones that may or may not be web-enabled and a lot of them do not have computers or are computer savvy. In meeting with patients I was able to teach them how to recover their login information and perform simple computer navigation. I provided introductions to the hospital library where free computers are available all day that I had never seen full. The system is eventually scheduled to be accessible in Spanish and Mandarin sometime next year. Extra Tasks There were some one time tasks on my plate as well. I needed to accomplish the yearly update of the Clinic Care Team Boards. All of the providers are divided into one of three color care teams to help ensure that, even if you cannot visit your assigned Doctor, you will see someone familiar with them and your file. The previous boards were on a small black and white listing with a few pictures. I used the Adobe program InDesign to organize everyone by provider type, team, procured color head shots of all providers and found a local print shop to print each team board on a 3 x 5 color poster. I also needed to keep the waiting room stocked of specific informational flyers and magazines every few days. Results Participants Adult patients I was able to add to the PAC were recruited through various methods. Informational flyers were posted in the waiting room and at the pre-appointment health screening station. Providers were encouraged to mention the Council to patients they felt were well informed and/or had the desire to work on quality improvement projects for the Clinic. Most respondents that became full time members of the Council were older adults, 45-72 year old, 4 women and 6 men. Participants were compensated $10 and offered free food (cheese, meat, crackers, fruit, veggies, cookies and water) for their 90 minute participation at each meeting. 3 of the members additionally qualified for free Muni transportation vouchers and 1 for free parking passes. All participants were asked to read the agenda sent to them one week prior to each meeting to prepare any questions or ideas they might have on each topic scheduled to be addressed. Accomplishments Weve been able to get funding to remodel the waiting room with more comfortable furniture, a new color of paint on one wall (blue instead of white) and wall hangers to provide information of free local services available throughout the month. Weve also spearheaded projects such as surveys to fill out prior to your appointment while you wait in the waiting room and converting the waiting room television from daytime drama shows to clinic specific informational ticker that rotates from a video documentary about the namesake of the clinic to various free or affordable services offered throughout the city for the current month. Starting in April, we will be part of the coordinated effort to have Food Pharmacies across the network. In partnership with the SF Marin Food Bank, patients will be able to get a bag of free and healthy food after their appointments. PAC members will be available once a week to assist. Another issue raised was of transit safety. One of our members was on disability due to having been run over by a vehicle while she was legally using a crosswalk. The incident left her unable to work for over a year while undergoing multiple surgeries and a lengthy recovery. We had several presenters come to a meeting to get insight from our patients in regard to possible pedestrian improvements. (Mejia, 2017) The PAC raised money to have a portrait painted of our Clinics namesake, Dr. Richard H. Fine that it is to be hung in the waiting room. We are waiting on the display box that is being made to keep it displayed securely. Dr. Fine founded the General Medicine Clinic at ZSFGH, one of the first outpatient clinics in the nation at a Public Hospital that provides health care to underserved populations. He ran it for 25 years. To recognize and thank Dr. Fine for his acute discernment of patient needs, the General Medicine Clinic (GMC) was renamed as the Richard H. Fine Peoples Clinic (RFPC) in August of 2015 three months before his death. There is a wonderful documentary about his life that I was able to show the PAC members at the end of one of our meetings. (Biker with a Moral Compas: Dr. Dick Fine and the Evolving Culture of SFGH http://mission-healthequity.blogspot.com/2015/07/moral-compass.html) I was able to establish more clear and concise PAC values and guidelines as none had been expressed in writing prior to my tenure as leader. We were to work in partnership and collaboration to address systemic issues versus individual situations. We would do so by working in partnership with the clinic management to support the clinic mission and vision. We would represent the diverse socioeconomic and cultural needs and perspectives of RFPCs patients. We would seek the input of other patients to broaden perspectives. We also established term limits to facilitate turn over and diverse patient representation. Our meetings would create and maintain a safe environment for all members and guests to share ideas and points of view. Respect would be given to the confidential nature of information received at the meetings and we would review and sign HIPAA confidentiality agreements and release forms annually as opposed to only upon initial recruitment. As the PAC coordinator I worked hand i n hand with the Clinic Champion, Mr. Michael McGuire who, as the Practice Manager of RFPC was the link between the PAC and clinic leadership. He was able to provide some assistance to help me coordinate with staff and providers to ensure successful collaboration on PAC initiatives help me ensure progress was being made on PAC projects. DIM The grant to fund the DIM Clinic was picked up for renewal for next year and the instructors I chose were invited to stay and wished to do so. The dramatic increase in attendee numbers rose from 5 or 10 to upwards of 30 under my tenure. We received a lot of positive feedback from patients with successful weight loss and blood sugar stabilization. Patient Portal Recruiting Training I was able to interact with 815 patients in the waiting room and successfully enrolled 230 new Portal users. For online, in person training I spoke with 87 patients over the phone and met one on one with 34 for individualized training. This data will be included in the Residents research paper as well as my experiences with what the patient population specific challenges were for our Clinic. Conclusion I was able to impart some positive change within the community of ZSFGH during my Internship. I also learned several important lessons such as how communication can be difficult at times but its helpful to try to display an open and approachable demeanor. Patients may be upset when they do not receive what they have requested from staff, but remaining clam and expressing compassion can help diffuse and redirect the situation. Because of Dr. Fines close connections to the community, he was able to hear about subsets of people who were not seeking health care and make visible what was invisible to many. I am happy to have been a part of so many diverse projects to assist disenfranchised and marginalized populations of San Francisco. Empowering patients to be proactive about their own care and the outcomes they wish to see has been my main take away from this internship. Helping patients to see ways to incrementally improve their own physical and mental health can not only save money in treatments not needed down the line but also be the first steps towards becoming more independent and being well enough to provide their own income and stable housing. While the community wellness programs in San Francisco promote interventions aimed at addressing lifestyle issues such as diet and smoking, they also recognize the ways in which social determinants of health such as housing status, neighborhood safety, and access to affordable healthy food play a critical role in wellness promotion and encouraging healthy lifestyle choices. With this in mind, I worked to incorporate strategies such as public health education and advocacy in addressing poor health outcomes during my Internship. References Bauman A, Bull F. Environmental Correlates of Physical Activity and Walking in Adults and Children: A Review of Reviews. 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Executive Summary The Sun Products Corporation has designed a product that offers buyers an easy and affordable way to effectively soften their laundry. Proper fabric softening is the most effective process available to reduce static cling and stiffness in clothing. Improper laundry techniques result in wrinkles, faded materials, and the breakdown of fabrics. Studies have shown that proper washing procedures can slow down the deterioration of fabrics and lengthen the life of clothes while making the whites whiter and colors brighter over a longer period of time. The greatest solution to this problem stems from the lack of use of fabric softeners. Existing products offer no effective or affordable solutions for ensuring laundry comes out soft and snuggly. Treatment of clothes costs Americans over $4 Billion in direct costs each year. The Sun Products Corporation is the first line of laundry products to answer this problem and provide proven results that using fabric softener lengthens the overall life and quality of clothing. After washing, the unique additive in our fabric softener remains on the clothes. This will allow protection from dangerous UV rays, immense dryer and iron heat, daily usage, as well as future laundry cycles. Though our brand Snuggle, we shall provide this in a new product line under the registered brand name Snuggle Dri, which not only provides the advantages stated above but also creates a water repellant coating. No other product on the market offer similar results along with trusted quality and assurance of Snuggle. The Company The Sun Products Corporation was founded in 1975 as Huish Detergents Inc. by way of Wilton, Connecticut. The Sun Products Corpo... ...ed on detailed financial projections, Snuggle Dri will require $300,000 in start-up capital, but will bring in positive cash flow practically instantaneously which will handle any unexpected expenses and generate profit by the end of Year 1. By the end of Year 3 the brand will be generating $30,000,000 in sales with a sizeable net profit. Sales - Sales growth is projected at a constant rate of 90% annually, which based on growth from existing channels of distribution and positioning Operating Expenses - After the first 24 months we project an increase in operating expenses caused by higher advertising, marketing, and promotion costs Inventory Turnover - We will launch with a test run with purchase of 30,000 gallons of Snuggle Dri. We will keep this as a minimal inventory stock at our distribution hub. On average, we will have three months worth of inventory on hand.