A Career as a Physician :: Your Career as a Doctor

Doctors can pursue many career paths, including private practice, university-hospital work, or a job with a health maintenance organization. The first lets the physician be his own boss. The second offers him the opportunity to divide his work between treatment, research and instruction, in varying proportions. The third means he work for a large corporation, which provides him with patients and handles most of the administrative and business tasks that physicians in private practice have to handle on their own. Doctors can also work in inner-city clinics or in rural areas, where shortages of doctors exist. Doctors can be general practitioners or they can specialize in internal medicine, cardiology, endocrinology, neurology, oncology, sports medicine, or one of the many other specialties. Medicine is a very rewarding profession, but it is hard work. Doctors are often exhilarated when they know they have helped someone get well and devastated when they lose a patient. It is a job that can prey upon a physician physically and mentally. Since the average patient is not a doctor, physicians must not only be able to communicate difficult, often painful information to those in their care, but also they must learn how to interpret their patients' needs. They must relate to their patients as people and not reduce them to just the illness that needs to be treated. One element of this is collaborating with their patients to determine the best course of treatment for them as individuals. This requires patience, empathy, and compassion. "Compassion," said one doctor, "is absolutely necessary." In college, enroll in a pre-med program. Volunteer to work at a local hospital or with the emergency medical services. During the last year of college, apply for medical school and take the MCAT. The four-year program at medical school encompasses clinical work and book learning, with two years in the classroom and two in the clinical setting. Some of the usual courses are pathology, pharmacology, neuroanatomy, biochemistry, physiology, histology (the anatomy of tissues), and gross anatomy (cadaver class). Clinical study takes place at local hospitals or medical practices. Students are expected to offer diagnoses and suggest courses of treatment in real-life situations, although an MD/instructor makes the final decisions. In standard programs, students enter clinical clerkships in their third year and, in their fourth year, they can choose among various elective subspecialties.

Fluke, or, I Know Why the Winged Whale Sings Chapter 26

CHAPTER TWENTY-SIX Picking the Lock to Davy Jones's Locker † ‘Bite me'?† Libby Quinn said, reading the tail. The whale tail slowly twisted in space, pixel by pixel, as the computer extrapolated the new angle. Margaret Painborne sat at the computer. Clay and Libby stood behind her. Kona was working across the room on Quinn's reassembled machine. † ‘Bite me'?† Clay repeated. â€Å"That can't be right.† He thought about what Nate had said about seeing a tail just like this and shivered. Margaret hit a few keys on the keyboard, then swiveled in Clay's chair. â€Å"This some kind of joke, Clay?† â€Å"Not mine. That was raw footage, Margaret.† As attractive as Clay found Libby, he found Margaret equally scary. Maybe the latter because of the former. It was complex. â€Å"The tail image before you shifted it is exactly what I saw when I was down there.† â€Å"You've all been saying how sophisticated their communication ability was,† said Kona, trying to sound scientific but essentially just pissing everyone off. â€Å"How?† said Libby. â€Å"Even if you wanted to, how would you paint a whale's flukes like that?† Margaret and Clay just shook their heads. â€Å"Rust-Oleum,† suggested Kona, and they all turned and glared at him. â€Å"Don't give me the stink-eye. You'd need the waterproof, huh?† â€Å"Did you finish inputting those pages?† Clay said. â€Å"Yah, mon.† â€Å"Well, save them and go rake something or mow something or something.† â€Å"Save as a binary,† Margaret added quickly, but Kona had already saved the file, and the screen was clear. Margaret wheeled her chair across the office, her gray hair trailing out behind her like the Flying Sorceress of Clerical Island. She pushed Kona aside. â€Å"Crap,† she said. â€Å"What?† asked Clay. â€Å"What?† asked Libby. â€Å"You said save it,† Kona said. â€Å"He saved it as an ASCII file, a text file, not a binary. Crap. I'll see if it's okay.† She opened the file, and text appeared on the screen. Her hand went to her mouth, and she sat back slowly in Clay's chair. â€Å"Oh, my God.† â€Å"What?† came the chorus. â€Å"Are you sure you put this in, just as it came off the graphs?† she asked Kona without looking at him. â€Å"Truth,† said Kona. â€Å"What?† said Libby and Clay. â€Å"This has got to be some sort of joke,† said Margaret. Clay and Libby ran across the room to look at the screen. â€Å"What!† â€Å"It's English,† Margaret said, pointing to the text. â€Å"How is that possible?† â€Å"That's not possible,† Libby said. â€Å"Kona, what did you do?† â€Å"Not me, I just typed ones and ohs.† Margaret grabbed one of the legal pages with the ones and ohs and began typing the numbers into a new file. When she had three lines, she saved it, then reopened the file as text. It read, WILL SCUTTLE SECOND BOAT TO__ â€Å"It can't be.† â€Å"It is.† Clay jumped into Margaret's lap and started scrolling through the text from Kona's transcription. â€Å"Look, it goes on for a while, then it's just gobbledygook, then it goes on some more.† Margaret looked back at Libby with Save me in her eyes. â€Å"There is no way that the song is carrying a message in English. Binary was a stretch, but I refuse to believe that humpbacks are using ASCII and English to communicate.† Libby looked over to Kona. â€Å"You guys took these off of Nate's tapes, exactly the way you showed me?† Kona nodded. â€Å"Kids, look at this,† Clay said. â€Å"These are all progress reports. Longitude and latitude, times, dates. There are instructions here to sink my boat. These fuckers sank my boat?† â€Å"What fuckers?† Margaret said. â€Å"A humpback with ‘Bite me' on his flukes?† She was trying to look around Clay's broad back. â€Å"If this were possible, then the navy would have been using it a long time ago.† Now Clay jumped up to face Kona. â€Å"What tape is this last part from?† â€Å"The last one Nate and Amy made, the day Nate drown. Why?† Clay sat back on Margaret's lap, looking stunned. He pointed to a line of text on the screen. They all leaned in to read: QUINN ON BOARD__WILL RENDEZVOUS WITH BLUE-6__AGREED COORDINATES__1600 TUESDAY__NO PASTRAMI â€Å"The sandwich,† Clay said ominously. Just then Clair, home from school, stepped into the office to discover an impromptu dog pile of action nerds in front of Quinn's computer. â€Å"All you bastards want to be part of a sandwich, and you don't even know what to do with one woman.† â€Å"Not the spoon!† squealed Kona, his hand going to the goose egg on his forehead. Nathan Quinn awoke feeling as if he needed to crawl out of his skin. If he hadn't felt it before, he would have thought he had the generic heebie-jeebies (scientifically speaking), but he recognized the feeling as being hit with heavy subsonic sound waves. The blue-whale ship was calling. Just because it was below the frequency of his hearing didn't mean it wasn't loud. Blue-whale calls could travel ten thousand miles, he assumed that the ship was putting out similar sounds. Nate slipped out of his bunk and nearly fell reaching for his shirt. Another thing he hadn't noticed immediately – the ship wasn't moving, and he still had his sea legs on. He dressed quickly and headed down the corridor to the bridge. There was a large console that spanned the area between the two whaley-boy pilots that hadn't been there before. Unlike the rest of the ship, it appeared to be man-made, metal and plastic. Sonar scopes, computers, equipment that Quinn didn't even recognize. Nuà ±ez and the blond woman, Jane, were standing at the sonar screens wearing headphones. Tim was seated beside one of the whaley boys at the center of the console in front of two monitors. Tim was wearing headphones and typing. The whaley boy appeared to be just watching. Nuà ±ez saw Nate come in, smiled, and motioned for him to come forward. These people were completely incompetent as captors, Nate thought. Not a measure of terror among them, the humans anyway. If not for the subsonic heebie-jeebies, he would have felt right at home. â€Å"Where did this come from?† The electronics looked incredibly crude next to the elegant organic design of the whale ship, the whaley boys, and, for that matter, the human crew. The idea of comparing designs between human-built devices and biological systems hadn't really occurred to Nate before because he'd been conditioned never to think of animals as designed. The whale ship was putting a deep dent in his Darwin. â€Å"These are our toys,† Nuà ±ez said. â€Å"The console stays below the floor unless we need to see it. Totally unnecessary for the whaley boys, since they have direct interface with the ship, but it makes us feel like we know what's going on.† â€Å"And they can't type for shit,† said Tim, tucking his thumbs under and making a slamming-the-keys gesture. â€Å"Tiny thumbs.† The whaley boy next to him trumpeted a raspberry all over Tim's monitor, leaving large dots of color magnified in the whaley spit. He chirped twice, and Tim nodded and typed into the computer. â€Å"Can they read?† Nate asked. â€Å"Read, kind of write, and most of them understand at least two human languages, although, as you probably noticed, they're not big talkers.† â€Å"No vocal cords,† said Nu;ez. â€Å"They have air chambers in their heads that produce the sounds they make, but they have a hard time forming the words.† â€Å"But they can talk. I've heard Em – I mean, them.† â€Å"Best that you just learn whaleyspeak. It's basically what they use to talk to each other, except they keep it in the range of our hearing. It's easier to learn if you've learned other tonal-sensitive languages like Navajo or Chinese.† â€Å"I'm afraid not,† Nate said. â€Å"So the ship is calling?† Tim pulled off his headphones and handed them to Nate. â€Å"The pitch is raised into our range. You'll be able to hear it through there.† Nate held a headphone to one ear. Now that he could hear the signal, he could also feel it start and stop more acutely in his chest. If anything, it relieved the discomfort, because he could hear it coming. â€Å"Is this a message?† â€Å"Yep,† said Jane, pulling up a headphone. â€Å"Just as you suspected. We type it in, the computer puts the message into peaks and troughs on the waveform, we play the waveform for the whaley boys, and they make the whale sing that waveform. We've calibrated it over the years.† Nate noticed that the whaley boy at the metal console had one hand in an organic socket fitted into the front of the console – like a flesh cable that ran to the whale ship through the console's base, similar to the ones on the flesh consoles the pilots used. â€Å"Why the computers and stuff at all if the whaley boys do it all by†¦ what? Instinct?† The whaley boy at the console grinned up at Nate, squeaked, then performed the international signal for a hand job. â€Å"It's the only way we can be in the loop,† Jane said. â€Å"Believe me, for a long time we were just along for the ride. The whaley boys have the same navigational sense that the whales themselves do. We don't understand it at all. It's some sort of magnetic vocabulary. It wasn't until the Dirts – that's you – developed computers and we got some people who could run them that we became part of the process. Now we can surface and pull a GPS coordinate, transmit it, communicate with the other crews. We have some idea of what we're doing.† â€Å"You said for a long time? How long?† Jane looked nervously at Nuà ±ez, who looked nervously back. Nate thought for a moment that they might have to dash off to the bathroom together, which in his experience was what women did right before they made any major decisions, like about which shoes to buy or whether or not they were ever going to sleep with him again. â€Å"A long time, Nate. We're not sure how long. Before computers, okay?† By which she meant she wasn't going to tell him and if he pressed it, she'd just lie to him. Nate suddenly felt more like a prisoner, and, as a prisoner, he felt as though his first obligation was to escape. He was sure that was your first obligation as a prisoner. He'd seen it in a movie. Although his earlier plan of leaping out the back orifice into the deep ocean now seemed a tad hasty, with some perspective. He said, â€Å"So how deep are we?† â€Å"We usually send at about two thousand feet. That puts us pretty squarely in the SOFAR channel, no matter where we are geographically.† The SOFAR channel (sound fixing and ranging) was a natural combination of pressure and temperature at certain depths that cause a path of least resistance in which sound could travel many thousands of miles. The theory had been that blues and humpbacks used it to communicate with each other over long distances for navigational purposes. Evidently whaley boys and the people who worked their ships did, too. â€Å"So does this signal replicate a natural blue-whale call?† â€Å"Yes,† said Tim. â€Å"That's one of the advantages of communicating in English within the waveform. When the whaley boys were doing the direct communication, there was a lot more variation in the call, but our signal is hidden, more or less. Except for a few busybodies who may run across it.† â€Å"Like me?† â€Å"Yes, like you. We're a little worried about some of the acoustic people at Woods Hole and Hatfield Marine Center in Oregon. People who spend way too much time looking at spectrograms of underwater sound.† â€Å"You realize,† said Nate, â€Å"that I might never have found out about your ships. I didn't make any sort of intuitive leap to look at a binary signal in the call. It was a stoned kid who came up with that.† â€Å"Yeah,† said Jane. â€Å"If it makes you feel any better, you can blame him for your being here. We were on hold until you started to look in the signal for binary. That's when they called you in, so to speak.† Nate sincerely wished he could blame Kona, but since it appeared that he might never see civilization again, having someone to blame didn't seem particularly pertinent right now. Besides, the kid had been right. â€Å"How'd you know? I didn't exactly put out a press release.† â€Å"We have ways,† said Nuà ±ez, trying not to sound spooky but failing. This evidently amused the whaley boy at the console and the two pilots no end, and they nearly wheezed themselves out of their seats. â€Å"Oh, fuck you guys,† said Nuà ±ez. â€Å"It's not like you guys are a bunch of geniuses.† â€Å"And you guys were the nightwalkers that Tako Man was talking about,† Nate said to the pilots. â€Å"You guys sank Clay's boat.† The pilots raised their arms over their heads in a menacing scary-monster pose, then bared their teeth and made some fake growling noises, then collapsed into what Nate was starting to think of as whale giggles. The whaley boy at the console started clapping and laughing as well. â€Å"Franklin! We're not done here. Can we get the interface back?† Franklin, obviously the whaley boy who had been working the console, slumped and put his hand back in the socket. â€Å"Sorry,† came a tiny voice from his blowhole. â€Å"Bitch,† came another tiny voice from one of the pilots, followed by whaley snickering. â€Å"Let's send one more time. I want base to know we'll be there in the morning,† Nuà ±ez said. â€Å"Morale's not a problem, then?† asked Nate, grinning at Nuà ±ez's loss of temper. â€Å"Oh, they're like fucking children,† Nuà ±ez said. â€Å"They're like dolphins: You dump them in the middle of the ocean with a red ball and they'll just play all day long, stopping only long enough to eat and screw. I'm telling you, it's like baby-sitting a bunch of horny toddlers.† Franklin squeaked and clicked a response, and this time Tim and Jane joined in the laughter with the whaley boys. â€Å"What? What?† asked Nate. â€Å"I do not just need to get laid!† shouted Nuà ±ez. â€Å"Jane, you got this?† â€Å"Sure,† said the blonde. â€Å"I'm going to quarters.† She left the bridge to the snickering of the whaley boys. Tim looked back at Nate and nodded toward the sonar screen and headset that Nuà ±ez had vacated. â€Å"Want to stand in?† â€Å"I'm a prisoner,† said Nate. â€Å"Yeah, but in a nice way,† said Jane. That was true. Everyone since he'd come on board had been very kind to him, seeing to his every need, even some he didn't want seen to. He didn't feel like a prisoner. Nate wasn't sure that he wasn't experiencing the Helsinki syndrome, where you sympathized with your captors – or was that the Stockholm syndrome? Yeah, the Helsinki syndrome had something to do with hair loss. It was definitely the Stockholm syndrome. He stepped up to the sonar screen and put on the headset. Immediately he heard the distant song of a humpback. He looked at Tim, who raised his eyebrows as if to say, See. â€Å"So tell me,† Nate said, â€Å"what's the singing mean?† It was worth a shot. â€Å"We were just going to ask you,† said Jane. â€Å"Swell,† said Nate. Suddenly he didn't feel so well. After all this, even people who traveled inside whales didn't know what the song meant? â€Å"Are you all right, Nate?† Jane asked. â€Å"You don't look so good.† â€Å"I think I have Stockholm syndrome.† â€Å"Don't be silly,† said Tim. â€Å"You've got plenty of hair.† â€Å"You want some Pepto?† asked Jane, the ship's doctor. Yes, he thought, escape would seem a priority. He was pretty sure that if he didn't get away, he was going to snap and kill some folks, or at least be incredibly stern with them. Funny, he thought, how your priorities could change with circumstances. You go along for the greater part of your life thinking you want something – to understand the humpback song, for instance. So you pursue that with dogged single-mindedness at the expense of everything else in your life, only to be distracted into thinking maybe you want something in addition to that – Amy, for instance. And that becomes a diversion up until the time when circumstances make you realize what it is you really want, and that is – strangely enough – to get the fuck out of a whale. Funny, Nate thought. â€Å"Settle down, Kona,† Clair said, dropping her purse by the door, â€Å"I don't have a spoon.† Clay jumped off Margaret's lap. He and Kona watched as Clair crossed the room and exchanged hugs with Margaret and Libby, lingering a bit while hugging Libby and winking over her shoulder at Clay. â€Å"So nice to see you guys,† Clair said. â€Å"I'm not going out to get the pizza, mon. No way,† said Kona, still looking a bit terrified. â€Å"What are you guys doing?† Clair asked. And so Margaret took it upon herself to explain what they had discovered over the last few hours, with Kona filling in the pertinent and personal details. Meanwhile, Clay sat down in the kitchen and pondered the facts. Pondering, he felt, was called for. Pondering is a little like considering and a little like thinking, but looser. To ponder, one must let the facts roll around the rim of the mind's roulette wheel, coming to settle in whichever slot they feel pulled to. Margaret and Libby were scientists, used to jamming their facts into the appropriate slots as quickly as possible, and Kona†¦ well, a thought rolling around in his mind was rather like a tennis ball in a coffee can – it was just a little too fuzzy to make any impact – and Clair was just catching up. No, the pondering fell to Clay, and he sipped a dark beer from a sweating bottle on a high stool in the kitchen and waited for the roulette ball to fall. Which it did, right about the time that Margaret Painborne was reaching a conclusion to her story. â€Å"This obviously has something to do with defense,† Margaret said. â€Å"No one else would have a reason – hell, they can't even have a good reason. But I say we write our senators tonight and confront Captain Tarwater in the morning. He's got to know something about it.† â€Å"And that's where you're completely wrong,† Clay said. And they all turned. â€Å"I've been pondering this† – here he paused for impact – â€Å"and it occurs to me that two of our friends disappeared right about the time they found out about this stuff. And that everything from the break-in to the sinking of my boat† – and here he paused for a moment of silence – â€Å"has had something to do with someone not wanting us to know this stuff. So I think it would be reckless of us to run around trying to tell everybody what we know before we know what we know is.† â€Å"That can't be right,† said Libby. † ‘Before we know what we know is'?† quoted Margaret. â€Å"No, that's not right.† â€Å"Is making perfect sense to me,† said Kona. â€Å"No, Clay,† said Clair, â€Å"I'm fine with you and the girl-on-girl action, and I'm fine with a haole Rasta boy preaching sovereignty, but I'm telling you I won't stand for that kind of grammatical abuse. I am a schoolteacher, after all.† â€Å"We can't tell anyone!† Clay screamed. â€Å"Better,† said Clair. â€Å"No need to shout,† Libby said. â€Å"Margaret was just being a radical hippie reactionist feminist lesbian communist cetacean biologist, weren't you, dear?† Libby Quinn grinned at her partner. â€Å"I'll have an acronym for that in a second,† mumbled Clair, counting off words on her fingers. â€Å"Jeez, your business card must be the size of a throw rug.† Margaret glared at Libby, then turned to Clay. â€Å"You really think we could be in danger?† â€Å"Seems that way. Look, I know we wouldn't know this without your help, but I just don't want anyone hurt. We may already be in trouble.† â€Å"We can keep it quiet if you feel that's the way to go,† said Libby, making the decision for the pair, â€Å"but I think in the meantime we need to look at a lot more audio files – see how far back this goes. Figure out why sometimes it's just noise and sometimes it's a message.† Margaret was furiously braiding and unbraiding her hair and staring blankly into the air in front of her as she thought. â€Å"They must use the whale song as camouflage so enemy submarines don't detect the communication. We need more data. Recordings from other populations of humpbacks, out of American waters. Just to see how far they've gone with this thing.† â€Å"And we need to look at blue-, fin-, and sei-whale calls,† said Libby. â€Å"If they're using subsonic, then it only makes sense that they'll imitate the big whales. I'll call Chris Wolf at Oregon State tomorrow. He monitors the navy's old sonar matrix that they set up to catch Russian submarines. He'll have recordings of everything we need.† â€Å"No,† said Clay. â€Å"No one outside this room.† â€Å"Come on, Clay. You're being paranoid.† â€Å"Say that again, Libby. He monitors whose old sonar matrix? The military still keeps a hand in on that SOSUS array.† â€Å"So you think it is military?† Clay shook his head. â€Å"I don't know. I'm damned if I can think of a reason the navy would paint ‘Bite me' on the tail of a whale. I just know that people who find out about this stuff disappear, and someone sent a message saying that Nate was safe after we all thought he was dead.† â€Å"So what are you going to do?† â€Å"Find him,† Clay said. â€Å"Well, that's going to totally screw up the funeral,† said Clair. PART THREE The Source We are built as gene machines and cultured as meme machines, but we have the power to turn against our creators. We, alone on earth, can rebel against the tyranny of selfish replicators. – RICHARD DAWKINS, The Selfish Gene Ninety-five percent of all the species that have ever existed are now extinct, so don't look so goddamn smug. – GERARD RYDER

The Factors That May Affect Children With Autism Spectrum...

Introduction This report will be analysing theorist who have spoken about childhood play and creativity, it will also be identifying the various researches that have been done to help practitioners to have an understanding of the factors that may affect children’s creative development as well as demonstrating the application of how theorist are linked to the numerous practices. The report will also draw on the importance that a visual routine/chart plays in supporting children with Autism Spectrum Disorder (ASD)which will help to give a better understanding of the wide range of activities of a particular settings daily routine. There also be a creative resource that will be discussed within this report. The resource is a visual†¦show more content†¦He further states that this type of learning procedure is more reassuring for children who wants to know what is taking place in an activity, task or routine. Consequently, research carried out by Ahissar, (2004) has also suggested that many children learn better when they have pictures to help them. This is as a lot of children are visual learners, which means they learn by seeing things rather than listening. This resource hence assists children who may suffer from anxiety which is mostly due to them being new to the setting or them not being able to understand routines. Lewalter, (2003) has stated that a visual routine is required as many children learn better when they are supported with photographic images, this is as they tend to mainly be visual learners. Therefore, visual routine can maximise a child’s strengths to develop in areas that they find more difficult. This resource as a result links to the Early Years Foundation Stage, (EYFS) (2008). The area of the EYFS that this creative resource address is Communication and Language development. as it supports and encourages children to develop literacy and language skills. Furthermore, it is widely supported by Gandin, (1995) who has also specified that children are seen as naturally visual learners, and therefore by offering information to them in a

The Earth s Land Resources Essay - 965 Words

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Client Profile Assignment Nurses Essay - 2509 Words

Client Profile Assignment As nurses we deal with several different patients in a day and it is important to understand the patient as a whole person to treat them effectively. The purpose of this assignment is to explore a patients disease to understand the nursing judgments and interventions that go with this patient, to understand medications for this diagnosis, and to understand the disease the patient was diagnosed itself. The patient described in this paper will be referred to as Jonathan to ensure patient confidentiality. Demographics Jonathan is a 63 year old man, born on August 23rd, 1956 and lives with his eldest son. He was married two times and has three children, two children from his first marriage and one from his second. He lives in northern Ontario but originally was not born here, he moved here shortly following his second divorce. He is of Italian decent and is a practicing Catholic. The patients weight is 95 kilograms; he is 178 centimeters all and has a body mass index (BMI) of 28.3. Jonathan says he smokes around one pack of cigarettes a day, does not get a lot of exercise and eats fast food a few times a week. The patient now has congestive heart failure as a consequence of his MI. He was transferred from another hospital in the beginning of November and currently is waiting for more testing before he can be discharged from the hospital or moved to another facility. The patient has some known comorbidities that can exacerbate his CHF, this includesShow MoreRelatedClient Profile Assignment : Nurse s Care Essay1673 Words   |  7 PagesClient Profile Assignment Nurse’s care for several patients in a day and it is important to understand the patient as a whole person to treat them effectively. 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Lean Manufacturing Free Essays

Introduction Lean manufacturing is the production of goods through an approach which aims at reducing waste material while channeling them to useful activities. Lean manufacturing focuses on using less human and machinery effort, less manufacturing space and less time to produce and develop new products while producing less waste material.   The concept of lean manufacturing focuses on three major aspects which include improvement of quality of products and production time and also cost reduction. We will write a custom essay sample on Lean Manufacturing or any similar topic only for you Order Now Other aspects of lean manufacturing have been established which emphasize on improving the smoothness of work and in effect leading to waste reduction. Lean implementation’s main goal is to get the right things at the appropriate place, at the required time in the correct quantity so as to attain good products while reducing wastes. Lean techniques are implemented to make work easier to understand and to perform. (Field, W. M. 2001). The concept of lean production requires that the products produced must meet the customers’ needs at the specific time by understand the activities required and optimizing them to complete the process from the customers view. The aim of lean manufacturing is to eliminate waste material in all aspects of production which includes factory management, customer relations and design in this concept, waste material is considered as anything that the customer is unwilling to pay for. Lean techniques are concepts designed to reduce waste products and achieve an efficient production system. Lean techniques help industries to improve performers, productivity, reduce cost and improve the value of the company. A lean manufacturing system requires the use of correct resources and tools to attain the main goals of lean production. Lean techniques are designed in a product aligned manner where production is based on a one piece flow system in which production is in a continuous flow. Lean techniques require a continuous improvement of processes services and products over a period of time with the aim of reducing waste, improving product performance and customers’ satisfaction. The main goal of lean technique is to eliminate waste in every aspect of production including factory management, product designs and supplier system. Incorporation of less human effort and less time to develop the products has led to achieve this goal. A range of quality/lean improvement techniques related to the study of Industrial problems. Industries and companies are both using this methods and the six stigma method to reduce waste, increase speed while at the same time providing defect and variation reduction, using this tools together has help a great deal in achieving the benefits and reducing production of wastes. Lean Six Sigma is an improvement technique which helps to attain maximum improvement in customer satisfaction, cost reduction, quality improvement and speedy processing. Lean techniques help in stigma so as to maintenance tools, materials and personnel in a proper manner so as to minimize waste and to increase speed. The lean six stigma techniques are also provided for improvement of the information technology, and human resource department of the company. In this method, company practices such as having and framing new employees can be minimize when speeding is increased and non value adding activities are removed and also when waste is eliminated. The lean six methods assist in keeping the focus of the industry on the two goals. Through this commercialization process of the company is made efficient by delivering within the shortest time new capable products and services to the market. Lean improvement techniques are focused on the main goal which is to identity the value of an industry. After identifying the value, they work to create the value in steps which minimize the amount of waste created. To achieve this, they need to standardize and regulate working practices and at the same time clear up the workplace. 5s is a methodology of cleaning up and organizing the workplace which originated from Japan. This technique emphasizes more on how to achieve and maintain cleanliness and visual orderliness at the workplace. In this methodology, companies are required to remove unnecessary items from the workplace and organize it, to make it easier for employees to perform their tasks in a clean and orderly working environment. 5s usually can be translated into sort, set in order, shine, standardize and sustain. Sort refers to remove unnecessary tools and items from the workplace and identifying the most needed tools to perform the tasks. Set in order, ensures that tools and materials are arranged in a manner which is easier for the employees to access. Finally sustain ensures that 5s method is assimilated in the organization culture. To ensure this is adhered to by all employees, their performance is measured and they are informed of their progress routinely. The main benefit of this method is that it keeps the workplace orderly and clean. As a result, efficiency is improved by reducing time take to search for tools by reducing inventory and cycle of production time. (Hobbs, D. P. 2003). Total productive maintenance (TPM) is a lean technique which focuses on incorporating all functions and categories of an organization so as to improve the efficiency and effectiveness of their production process. Its main aim is to reduce accidents and mistake made during operation and production. It is a technique which aims at preventing maintenance breakdowns, eliminating product defects and designing tools and materials which require less maintenance. Cellular manufacturing also referred to as one-piece flow system, supports a smooth flow of materials, where equipments are arranged in an aligned procedure so as to reduce transport delays. By using this technique, the production capacity of an industry can be increased by adding more production units. (Dennis, P. 2002). The concept that â€Å"Lean† has on economic aspirations of developed and developing countries Lean manufacturing which is described as a system to eliminate waste and improve productivity, is the answer to eliminate the problem of jobless people in these countries. Lean manufacturing technique must be aligned appropriately at all production levels so as to improve the economy of these countries. Developing countries have discovered lean manufacturing techniques are effective in reducing costs and waste by increasing their workforce, so as to have a one piece flow system. These countries must reduce costs at all levels by challenging all their activities to establish whether the activities add value to the customers. This way, they can eliminate business processes which do not add value to the customer or benefit the industry. They should focus their attention more by determining why a certain operation must be used. Preventing production defects is more profitable than fixing it. Therefore, removing all non-value added activities is more beneficial to the company, and in the long run, improves the economy of these countries. (Conner, G. 2001). By identifying activities which provide more value to the customer, companies will be able to reduce costs, reduce the time required to achieve a product and also improve the quality of their products. Use of lean manufacturing in developing countries ensures flexibility and one- piece flow production which leads to production of goods which are best suited for the customers needs by meeting the delivery time at a reduced cost. This enables the countries to expand their internal market by reducing costs. Having a customers’ based focus, is a technique which has enabled industries to focus on customers input and feedback to ensure customers satisfaction and so promotes the sales. Physical and Socio – economic impact of Lean on resources and pollution While lean manufacturing techniques focus mainly on reducing waste and eliminating non-value added activities in their production system, they also assume practices which help in improving environmental performance. Through this, they are able to focus on the environment and related resources by reducing pollution. Industries are directing their attention to lean manufacturing so as to reduce cost and production requirement resource, to improve their product quality and enhance customer satisfaction and responsiveness so as to boost the company’s profits. The main goal of lean technique is to eliminate waste in every aspect of production including factory management, product designs and supplier system. Incorporation of less human effort and less time to develop the products has led to achieve this goal. Industries engage in lean techniques which focus more on production efficiency and improving production of resources. Doing this results to, using less material, using less energy, and in effect, producing less waste. This culture in turn benefits the environment, in the sense that industries train their employees to focus on environmental friendly practices so as to reduce waste production and prevent pollution. Lean methods have established continual improvement based waste elimination techniques which lead to improvement in environmental performance. Research studies have shown that lean techniques focus on environmental management tools which include, life –cycle and tools implemented to reduce the environmental risks and pollution. Decreasing the material used during production especially water, chemicals, energy and other inputs, reduces chance of producing more waste during manufacturing and thus less waste is channeled into the environment. The continual improvement techniques used by industries enables them to identify and remove waste materials during the production process. (Taghizadegan, S. 2006). Conclusion Lean manufacturing techniques have been implemented so as to provide customers with a range of higher quality products at lower prices through many different sales channels. Lean manufacturing focuses on using less human and machinery effort, less manufacturing space and less time to produce and develop new products while producing less waste material.   The concept of lean manufacturing focuses on three major aspects which include improvement of quality of products and production time and also cost reduction. Other aspects of lean manufacturing have been established which emphasize on improving the smoothness of work and in effect leading to waste reduction. Lean implementation’s main goal is to get the right things at the appropriate place, at the required time in the correct quantity so as to attain good products while reducing wastes. Lean techniques are implemented to make work easier to understand and to perform. The concept of lean production that the products produced must meet the customer needs at the specific time by understand the activities required and optimizing them to complete the process from the customers view. The aim of lean manufacturing is to eliminate waste material in all aspects of production which includes factory management, customer relations and design in this concept, waste material is considered as anything that the customer is unwilling to pay for. Lean techniques are concepts designed to reduce waste products and achieve an efficient production system. References Conner, G. (2001). Lean Manufacturing for the Small Shop. SME. Dennis, P. (2002). Lean Production Simplified. Productivity Press. Field, W. M. (2001). Lean Manufacturing. CRC Press. Hobbs, D. P. (2003). Lean Manufacturing Implementation. J. Ross Publishing. Taghizadegan, S. (2006). Essentials of Lean Six Sigma. Academic Press. How to cite Lean Manufacturing, Essay examples

From Fly-Girls to Bitches and Hoes free essay sample

Fly-Girls Joan Morgan What qualities of hip-hop music and rap artists does Morgan admire or appreciate? What fears does she have for raps female fans and for the artists themselves? To what extent do you agree with Moorings assessment of the misogyny, anger, and despair expressed by hip-hop? Although Morgan addresses the negatives to hip-hop music and rap, she also highlights what she appreciates and admires about It.The things she values In this style of music Is that It offers a rare opportunity for black men to voice their despair, ND she values the fact that Its popularity provides a channel for a strong voice commenting on their communities. Morgan argues that listeners should hear these sexist and angry lyrics as a sign that large-scale changes that are necessary in the opportunities available to black men. Morgan fears that black men and women are in a perpetual state of anger, willing to sacrifice themselves and each other in their despair and feeling fatalistically sure that they will hardly live into responsible adulthood. We will write a custom essay sample on From Fly-Girls to Bitches and Hoes or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page She is aware that one sign that rap music is not a productive solution-? in addition to the misogyny it promotes -? is that women participate in the sexism of rap videos and seem all too willing to sacrifice self-esteem to be a part of the rap culture. Thus Moorings call to address the problems rap music identifies is really a call for two things: an outlet for black mens frustration that enables their voices to be heard without requiring black women to be demeaned in the process, and a change in the opportunities available to black men.She also fears the violence in the music and points at this as evidence of despair. I agree with Moorings claims because writing and singing are outlets for people to express their emotions and issues. I feel that lyrics all have a deeper meaning and purpose to them than Just the actual words being said. Morgan makes valid points and explains and addresses how and why misogyny, anger, and despair are expressed by hip-hop in a professional manner. Moorings connections are unmistakably relevant and I agree with her claims completely.