Friday, January 31, 2020

Budge and Financing Essay Example | Topics and Well Written Essays - 750 words

Budge and Financing - Essay Example mains that by giving up control of the city’s water and sewer network to such an entity, a level of community sovereignty is given away for an indeterminate amount of time. Furthermore, the complexities of contract length and term also further complicate the issue. Additionally, the citizens are likely to question our overall commitment to this community if we are willing to sell our infrastructure to a foreign owned provider. Furthermore, the loss in shareholder trust will likely have a profound effect on the coming election and may even lead to certain elements within the community calling for the dismissal of the city manager. In this way, I believe the needs of the community can be better served by seeking domestic solutions to the price constraints and needs that our current budget grapples with. The main differences between visions of the budget process between chief executives, operating agencies, and legislatures can be described as a function of what each entity desires to obtain from the process. Starting with the operating agencies, the main concern is to ensure that the operating expenses for the coming fiscal year are met. Additionally, any pertinent policy needs/changes and/or expansions must also be raised. Similarly, the legislature has a vested interest in the process as they are trying to appease special interests that exist within their constituents as well as within certain operating agencies with which their particular political stance or platform has forged a special commitment to support (Kostyaev 5). Likewise, other entities within the legislature will be most concerned with denying funding in the most substantial way to reduce the overall budget to appease their own party/platform or constituents (Hale 368). Lastly, the chief executive is responsible for approving the budget, making any necessary amendments or suggestions and finally signing the budget into law. Most of the action with regards to this process occurs from

Thursday, January 23, 2020

Biking the Virginia Creeper Trail :: Tourism

Biking the Virginia Creeper Trail Biking the Virginia Creeper Trail is an outstanding experience that you will never forget. The trail is located in a beautiful, small town in Virginia known as Damascus. This town provides many amenities such as lodging, dining and great outdoor entertainment. The town of Damascus is located about fifty miles northeast of the East Tennessee State University campus. From campus you will get onto US181 north for about twenty miles and then turn off onto the Bristol exit. This exit will then put you onto US81north. As you cross the Tennessee, Virginia line you will see signs to Damascus, Virginia. From the state line Damascus is only thirty-five miles away. After you exit to Damascus the signs are very explanatory. The Creeper Trail dates back to the early railroads in Abingdon, Virginia, in the 1880’s. Abingdon is a town outside of Damascus where a coal and iron railroad company was built. The railway traveled through Damascus and to the top of Whitetop Mountain. The railroad ran for many years but later on became damaged by floods and torrential rains. In 1977 the railway was finally torn down and the land was turned over to Abingdon and Damascus. The trail then became a biking, walking, and a horseback-riding trail. A great site to get historical information on the Virginia Creeper Trail is, (www.vacreepertrail.com/history/VACreeperHistory.htm) The town of Damascus is very charming with its beautiful Victorian houses along each road and the friendliness of the locals. While you drive into town you will come to a place called Adventure Damascus, where you can rent bikes and get a shuttle up to the top of Whitetop Mountain for only twenty dollars. The fee includes your bike rental, shuttle, and two bottles of water. The trip from downtown to the top of the mountain seems very long and dreadful but when you finally approach the top the view and ride is well worth it. The length of the trail from Whitetop to Damascus is around 20 miles long and should take four hours to make it down. People are allowed to ride up the mountain or ride down the mountain. To ride up the mountain the biker must be experienced and very well educated about the trail. As you start the trail you will hear the sounds of horses making their way up the mountain to meet you. Before you know it you will be gliding down from Whitetop Station into the forest canopy of the Mount Rogers National Recreation Area.

Wednesday, January 15, 2020

The Future of Nursing

The Affordable Care Act of 2010 (ACA) will have a great effect on nursing. According to this article nursing will have to change it role in the ACA and the three main categories that need to be changed and redeveloped is transforming practice, education and leadership. â€Å"The ACA outlines some new health care arrangements, and with these structures will come new opportunities for new roles. Nurses have the opportunity to play a central role in transforming the health care system to create a more accessible, high-quality, and value-driven environment for patients.If the system is to capitalize on this opportunity, however, the constraints of outdated policies, regulations, and cultural barriers, including those related to scope of practice, will have to be lifted, most notably for advanced practice registered nurses. † (IOM, 2010, p. 85) â€Å"The ACA will place many demands on health professionals. The legislation has begun the long process of shifting the focus of the U. S. health care system away from acute and specialty care. † (IOM, 2010, p.86) â€Å"When the system takes on another additional 32 million people soon to be covered by health insurance under the ACA would receive care in the coming years, it identified as a serious barrier. † (, 2010, p. 96) â€Å"If the United States is to achieve the necessary transformation of its health care system, the evidence points to the importance of relying on nurses in enhanced roles. † (IOM, 2010, pg. 87) This article however complain about number of educational grants and scholarships available and most individuals seek nursing education must finance it themselves.Yes because all college nursing programs are filled every year and cannot support more nursing programs these are filled by the private sector which requires student loans. However there is an abundance of money offered by United States’ government does provide more federal student loans than ever before.â€Å"Stud ent loan debt as of first quarter of 2012 was up to $904 billion which is up $241 Billion form a decade ago and it is said to reach well over trillion dollars by the end of the year. † (American Progress, 2012) â€Å"There is not enough nursing faculty to teach the current  number of nursing students, let alone the number of qualified applicants who wish to pursue nursing. † (Allan & Aldebron, 2008, p. 214) â€Å"The ACA and the need for APRNs, nurse faculty, and nurse researchers would have increased dramatically under any scenario. † (L R Cronenwett [RWJF Iniative on the Future of Nursing], 2010, table 1). â€Å"Not only must schools of nursing build their capacity to prepare more students. Nursing need to focus on fundamental improvements in the delivery of nursing care to improve patient safety and quality is key. † (IOM, 2010, p.  208)Those involved in the health care system—nurses, physicians, patients, and others—play increasingly interdependent roles. Leaders who merely give directions and expect them to be followed will not succeed in this environment. What is needed is a style of leadership that involves working with others as full partners in a context of mutual respect and collaboration (A Pearson, H Laschinger, K Porritt, Z Jordan, D Tucker and L Long [International Journal of Evidence-Based health Care], 2007, p. 224). Looking to the future, nurse leaders will need the skills and knowledge to understand and anticipate population trends.  (IOM, 2010, p. 234)In conclusion The Affordable Care Act of 2010 will place many demands on health care professionals, and it will offer many opportunities to create a system that is more patient centered. The will be much focus on these three initial roles practice, education and leadership. We still must remember the system is getting 34 more million people and a push for changing our current system from acute care to a preventive system and this will not happen ov ernight. It is 2014 and most of us still do not know what is in this health care law, how it will affect us and what it will cost us?Let alone what it will take to change practice, education and leadership across the whole country. This undertaking may take decades to implement. We could have only wished this law was written by doctors and nursing professional with details about where and how the system would be changing yet it was written by lawyer, lobbyist and our Congress that was more concerned about pushing it through than reading it. Nursing is definitely going to play a huge role in this transformation and yes the practice, education and leadership is going to be part of the key of getting this done.

Tuesday, January 7, 2020

The Transport Revolution Essay - 777 Words

The Transport Revolution Until late in the 1700’s, in both Europe and America, most roads were either rough tracks created by hoof and wheel or mere paths blazed through the wilderness. People traveled by horseback or on foot between towns. During cold or wet seasons, traffic was especially difficult or impossible. One of the problem was that each parish had to mend its own roads. Most people in the parish had to work 4 or 6 days on the roads each year, or pay money instead. Not surprisingly, they disliked this and skirted the work. During the eighteenth century, a new system developed. Groups of men agreed to keep a stretch of road in good repair if they could charge a fee to every one who†¦show more content†¦The fast running mail and stage- coaches needed better roads. In the early 1800s, three great roadbuilders began to provide them. One of the most remarkable was John Metcalfe from Knaresborough in Yorkshire (even though he was blind, he led a very active life). He was nearly fifty years old when he constructed his first Turnpike road (1765) and in the next twenty seven years, he supervised the construction of nearly 300 kilometers of Turnpikes (mostly in Yorkshire and Lancashire). He paid special attention to the bed of the road and where the soil was soft, he laided great quantities of heather as a foundation for layers of stone and gravel. John used jagged broken stones which bound together under the pressure of wheeled vehicles (see source 3). Thomas Telford was born in Westerkirk, Dumfries, Scotland, in 1757, the son of a poor Scottish shepherd. He apprenticed for a time to a stonemason, but then trained as a surveyor, before moving to London in 1792 in search of work. He found employment working on Somerset House in the capitol, but later moved to Portsmouth to work on the docks. A patron from Dumfries got him the post of Surveyor of Public Works for the County of Shropshire. In this capacity he was responsible for the construction of the Ellesmere Canal in 1793, and the Severn Suspension Bridge at Montford (1790). This bridge was anShow MoreRelatedChoosing A City For Comparison With Auckland Essay1527 Words   |  7 Pagescreated by new technology and urbanisation. Include a timeline in your essay. Denver D’souza Student I.D- 774052033 Word Count- 1459 The Industrial Revolution was a period of transition to many practises within developing cities. For Auckland, New Zealand, the Second Industrial Revolution (1840-1870) influenced rapid development with a growth in transport, factored by a new ideological theory which promoted productivity, through advancements in technology. These factors helped change the status of AucklandRead MoreThesis on the First World War1510 Words   |  6 Pagesthe increase in human/nations participation was occasioned by the industrial revolution and the French revolution. B. 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