Tuesday, April 21, 2020

Lab Report Biology Sample

Lab Report Biology Paper Though goldfish are one of the easier species f aquatic life to care for, their respiratory systems are just as complex as any other fish. Like other aquatic animals, goldfish have a one-way flow respiratory system. This means that their respiratory system pumps water through their gills and back into the water supply to absorb oxygen. Gills?which are the organs that most aquatic animals use to breatheconsist of complex filters that extract oxygen from the water. There are many factors that can affect the respiration rate of an aquatic animal including temperature of water, oxygen levels, crowding, and pH levels. When the water temperature is raised, the goldfish will experience a spike in metabolic activities. It will require more food and will produce more waste. In order to support the increased activity, the goldfish will require more oxygen. Rate of respiration will increase and the goldfish may even gasp for air at the water surface. Hypothesis: As the temperature of water decreases, respiration rate of the goldfish also decreases. This is because in lower temperature, water can hold more dissolved oxygen compared to water with higher temperature, thus rate of respiration comes slower as enough oxygen are supplied. Variables: Variables I Method of controlling I Independent variable I Temperature of waters Dependent variable I Respiration rate of the goldfish I Controlled variable I 1. Type and number offish used. * A goldfish of species Carcasses erratum is used throughout this experiment. 2. Timeshare for counting propeller movements of the goldfish. * The goldfishs propeller movements are observed during 1 minute timeshare. 3. Number and size of beakers used. * 3 beakers of volume 500 ml are used for different water temperatures. I Table 1 shows the independent, dependent and controlled variables and methods to control them. Apparatus and materials: Apparatus I Quantity (s) I Container/tank 1 | 500 ml beaker 1 31 Thermometer | 1 | Stopwatch | 1 | Glass rod I II Fishnet | 1 | Table 2 shows the apparatus and its quantity needed in the experiment. Materials I Quantity (s) I Goldfish Ill Hot water I Less than 500 ml I Crushed ice I Half-filled beaker Plastic zip-lock bag | 1 | Masking tape (for labeling purpose) 1 | Table 3 shows the materials and its quantity needed in the experiment. We will write a custom essay sample on Lab Report Biology specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Lab Report Biology specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Lab Report Biology specifically for you FOR ONLY $16.38 $13.9/page Hire Writer Method: 1. Prepare 3 different 500 ml beakers and label them A, B and C for different temperatures of water each. 2. Remove a goldfish from the tank carefully using a fishnet and place it inside a plastic zip-lock bag containing half filled water from the same tank. 3. Fill beaker A with about 450 ml of water of room temperature and place the plastic zip-lock bag containing the goldfish in it slowly. Let the goldfish adjust to the water temperature and observe its propeller movement which opens and closes in rhythm with the opening and closing of the mouth. 4. Insert a thermometer inside the plastic zip-lock bag to measure its temperature and record it in a table. 5. Start the stopwatch and count the number of propeller movements of the goldfish for 1 minute timeshare. Conduct 2 more trials and record them in the data collection table. 6. Next prepare beaker B containing water and adjust its temperature to 10 degrees below the room temperature measured earlier by adding crushed ice and stirring it for uniform temperature. 7. Again, slowly add the plastic zip-lock bag containing the goldfish into the beaker and let it adjust to the new surrounding enrapture. Using a thermometer, make sure that the temperature of water inside the plastic zip-lock bag has fallen 10 degrees under the room temperature. 8. Repeat step 5. 9. Lastly, prepare beaker C which contains hot water and adjust its temperature until it reaches 10 degrees above the initial room temperature. Stir the water using a glass rod to ensure uniform temperature throughout the beaker. 10. Place the plastic zip-lock bag with the goldfish in beaker C and let it adjust itself to the new temperature of water.

Monday, March 16, 2020

Comparative Academic Review The WritePass Journal

Comparative Academic Review Introduction Comparative Academic Review IntroductionReference list: Related Introduction The aspects of psychiatric treatment of patients have been widely discussed in the academic literature on the subject in the last several decades. In two separate studies, Christina Katsakou et el. (2010) and Jelena Jankovic et. al (2011) trace the practical implications of treatment satisfaction and caregivers’ experiences respectively. Both studies cover specific aspects of psychiatric treatment in the UK. The first study focuses on the coercion and treatment satisfaction among patients, who have been admitted for psychiatric treatment involuntarily. The research, conducted in 2010, reveals the impact of coercion on the satisfaction of treatment among patients, as well as the psychological aspects of coercion. The study has been conducted as an observation in 22 hospitals in England, where a total of 778 patients were recruited (Katsakou et. al, 2010). Their satisfaction with the treatment they received has been measured at different stages: one week, one month, three months and one year after the admission. In order to measure the levels of satisfaction, the authors have used factors such as clinical improvement and clinical characteristics. The results from this study were obtained using standard statistical analysis, and indicated an increase in the satisfaction among involuntarily admitted patients between their first admission and the different follow ups. The second study, conduc ted in 2011, focuses on the experiences of family caregivers during involuntary hospital admissions of their relatives. It is a qualitative study, which used as a research method semi-structured interviews, conducted with 29 caregivers whose relatives have been admitted involuntary in 12 hospitals across England (Jankovic et.al., 2011). Throughout the study, major themes have been identified, such as relief and conflicting emotions, frustration with the delay of getting help, etc. The results of the second survey have concluded that the role of the family caregivers can be enhanced if their duties are valued enough, without turning into a burden. The purpose of this brief academic review is to critically compare both studies, highlighting their strengths, weaknesses and possible contributions to the literature on the subject. Both studies provide valuable insight on the subject of treatment of patients with mental illnesses, and reveal the interactive nature of the clinical process as a dynamic interaction between different elements – institutions, caregivers, and patients. Both studies manage to reveal the intricacy of the connection, which exists between coercion and satisfaction in the first case, and family caregivers as active elements in the process of involuntary admission in the second case. The first study uses a quantitative research method and statistical analysis, based on an observational study. The study has been conducted in 22 hospitals in England. The advantage of the choice of this method for the purposes of study is its accuracy and straightforwardness. Results obtained through observation are easier to analyse, and presented in a comprehensible and consistent manner. In terms of the design of the research, the use of timeline base is a feasible option, which meets the research aims of the study and unfolds different aspects of satisfaction among patients. The fact that the patients have been examined at three different periods following their first admission provides the researchers with the possibility to explore how satisfaction (or dissatisfaction) develops gradually. This is an important feature of the research design deployed, because here satisfaction is discussed in relation to memory and emotions, which change over time. This changeability has been ca ptured with the choice of the design. Also, it is a good way to operationalize and thus measure the main variable – patients’ satisfaction. Despite the fact that the operationalization of satisfaction was enhanced through the use of specific research design, the study could have also benefited from a bigger emphasis on open interviews, conducted with a certain (perhaps smaller) portion of the patients. This is because interviews allow for more abstract and personal issues to be uncovered in the research and these are issues which are usually unquantifiable and difficult to detect in observational studies and semi-structured interviews. As far as data collection is concerned, the authors of the first study have used two different models, designed to measure satisfaction   one concentrating on potential base lines predictions combining satisfaction scores from all time points (baselines, one month and three months) and another one concentrating on the results from the follow ups only. The data was analysed using a three step model, and applying standard linear statistical analysis (Katskakou et.al, 2010:287-288). This comprehensive choice of methods and models for data collection has enhanced linear results, which allow readers to obtain an extensive view of satisfaction not only as an isolated variable, but also as a process, which is happening over time. However, one of the weaknesses of this study in the methodological part is the sampling. The researchers have attempted to obtain a representative sample, covering hospitals from different geographic areas and patients of different ethnic and social backgrounds. Little, if anything is mentioned however on how the eligibility of the patients has been identified (eligibility criteria). Another weakness in the methodology part is related to the decreasing number of patients interviewed at the baseline, the first month and the third month and one year. For the baseline, the patients are 778, and for the one year follow up their number has decreased almost in double – 396 (Katskakou et.al., 2010: 289).   This might pose some problems related with the generalizability of the results obtained and the consistency of observations. Although it would be a formidable task to keep the number of patients at each point exactly the same, at least proximity in the numbers of interviewees could have been targeted. Another possible weakness of the study is related with the lack of causality between coercion and satisfaction. In other words, the study does not necessarily reveal a cause-effect relationship between the two, because coercion in this ob servation has been explored as an individual projection. However, this can also be looked at as an advantage, because a cause-effect relationship between two abstract concepts can oversimplify their existence in a particular setting. To compare, the second study uses a very different methodology. It is a qualitative study, and the variables measured here are even more abstract compared to the first study. The psychological aspects of personal experiences relating to care are difficult to capture and quantify, and this is important to mention in the methodological review of the second study. In terms of choice of methods, the authors have used semi-structured interviews, conducted among family caregivers of 29 patients admitted involuntary against 12 hospitals in England (Jankovic et.al., 2011: 1). Compared to the first study, here the sample is much smaller. It is arguable whether such a small sample can provide results, which are generalizable. Perhaps the authors have decided to choose smaller number of participants in order to observe the matter more closely. Here it is important to note that the issue of carers’ experiences is sensitive and often a stressful one. Therefore a smaller sample would give t he chance to conduct more detailed interviews, and thus capturing nuances of the matter, which remain unexamined in studies involving larger samples, due to time constraints. Another problem with the sample, just like in the first study, is its ability to represent the population. A closer look at the participant’s characteristics in the second study reveals that in more than 50 percent of the cases, the relationship of the carer to the patient is â€Å"parent† (Jankovic et.al., 2011: 3). This fact could have influenced the results, since parents tend to be much more concerned for their children. They are concerned first as patients, and then as carers therefore a more representative selection of the carers could have taken place (for example equal number of carers who are patients, partners, siblings or children). Yet, the study manages to make good use of thematic analysis, clustering answers of the patients and identifying four important themes – relief and conflicting emotions in response to the admission, frustration with the delay in getting help, being given the burden of care by services and difficulties with confidentiality (Jankovic et.al, 2011:3-4). Just like the first study, the methodology is well-implemented in terms of coding. In the second study, two independent researchers have been selected to code the interviews, and the results have been finalized through a joint discussion (Jankovic et.al, 2011:3). In both studies, the methods chosen have met the research criteria, and have been meticulously implemented to produce comprehensive and well-themed results. Also, the proposed hypotheses have been well tested. Here it is important to note that both studies tackle issues, which are not easily quantifiable or measurable. The first study concentrates on satisfaction among patients which have been involuntary admitted for treatment, while the other one focuses on an even more sensitive and abstract issue, related with personal experiences among family caregivers in the cases when patients have been admitted for treatment. Therefore the authors of both studies have made significant effort in the planning of the research, its design and implementation in order to make the themes of their research measurable. As a result both studies have managed to create consistent results. The first makes coercion and satisfaction measurable, with the implementation of a 0 to 5 scale of coercion and inco rporating the results in a separate model. Critics would suggest that the method implemented in the first study is too rigid for the investigation of issues, which are deeply psychological and reflect the personal perceptions of patients on the way they have been treated. Although the study could have benefited from a combination of qualitative and quantitative methods, its reliance on quantitative techniques only does not affect the overall validity of the results. Perhaps one of the biggest strengths of this study is that through the interpretation of the results, the authors manage to reveal the connection between patients’ satisfaction and coercion as an individual perception. As already mentioned, the second study relies solely on a qualitative technique. They authors capture the nuances in the experiences of the caregivers, and interpret the results closely adhering to the themes, identified by them during the data analysis stage. Both studies deal with aspects of psychiatric treatment, which are challenging due to their specificity. Therefore they both make significant contribution to the literature and theory on the subject. The first study sheds light upon the complexity of coercion as an individual perception, and its results resonate with those obtained in earlier studies (Lidz et.al, 1998; Sorgard, 2004). Observing coercion as an individual perception, projected by patients as a result of hospital surroundings and treatment, shows a major transition in clinical psychology, and a shift towards a more constructive approach for understanding patients’ reactions. In this sense, this study can be classified as a constructivist study, because it measures how perceptions are formed and exemplified by particular patients in particular environments. It deviates from earlier studies on the subject, like the ones conducted by Svensson et al. (1994) and Spenseley (1980), which observe patients’ satisfa ction with treatment in their entirely empirical dimensions, ignoring individual projections. Similarly, the findings and conclusions from the second study (Jankovic et.al, 2011) resonate with conclusions from previous research on the subject (Simson et. al, 2002; Jones et.al, 2009). Therefore this study belongs to a particular body of literature in clinical psychology, which explores the psychological and social impact on families of care for people with mental disorders. Both studies contribute to their relative subjects, and might have important implications in terms of policy reform in health care services for people with mental illnesses in the UK. Recommendations for policy-makers in this sector, stemming from Jankovic’s study include an improved service, which would ensure that carers obtain proper assistance and cooperation from hospitals prior to the admission of mentally unwell relatives. This would have positive implications to the quality of treatment of mentally unwell patients, by enhancing cooperation between carers and institutions, which would inevitably lead to a better distribution of responsibilities. Katsakou’s study might have policy implications as well, because it reveals the necessity for interventions, which would reduce patients’ perceived coercion. In conclusion, both studies discussed in this review present specific aspects of treatment of mentally unwell patients. Despite some weaknesses in sampling, and some minor limitations, both studies make significant contributions in their relative fields, and offer new, and well-supported angles of interpretation on the themes they cover. Both studies make good use of research methods, despite the differences in the number of participants for the first and the second study. Some issues related to generalizability of the results have arisen, such as the decreasing number of observed patients in the first study and the small sample in the second study. Still, the data analysis and the interpretation of the results obtained have been meticulously carried out and well situated in the context of existing literature. In addition, both studies might serve as a basis for policy-reform in the UK healthcare system, ultimately leading to improvement of the latter. In sum, the studies present coh esive and well-researched conclusions and can be a useful reading for students and professionals, occupied in the field of Clinical Psychiatry, Health Services and Public Policy.   Reference list: Jankovic J, Yeeles K, Katsakou C, Amos T, Morriss R, Rose D, Nichol P, McCabe R, Priebe S (2011) ‘Family caregivers experiences of involuntary psychiatric hospital admissions of their relatives a qualitative study’, PLoS ONE 6(10): e25425. Jones IR, Nilufar A, Catty J, McLaren S, Rose D, Wykes T, et al. (2009) Illness careers and continuity of care in mental health services: A qualitative study of service users and carers. Soc Sci Med 69: 632–639. Katsakou C, Bowers L, Amos T, Morriss R, Rose D, Wykes T, Priebe S (2010) ‘Coercion and Treatment Satisfaction Among Involuntary Patients’, Psychiatric Services 61: 286-292 Lidz C, Mulvey EP, Hoge SK (1998)   et al: Factual sources of psychiatric patients’ perceptions of coercion in the hospital admission process. American Journal of Psychiatry 155:1254–1260 Simpson EL, House AO (2002) Involving users in the delivery and evaluation of mental health services: systematic review. BMJ 325: 1265–1268 Sorgaard K (2004): Patients’ perception of coercion in acute psychiatric wards: an intervention study. Nordic Journal of Psychiatry 58:299–304 Spensley J, Edwards DW, White E (1980): Patient satisfaction and involuntary treatment. American Journal of Orthopsychiatry 50:725–729 Svensson B, Hansson L (1994) : Patient satisfaction with inpatient psychiatric care. Acta Psychiatrica Scandinavica 90:379–384

Friday, February 28, 2020

Filing Jointly Financing phase 5 IP Final Essay

Filing Jointly Financing phase 5 IP Final - Essay Example It is only applicable for first and second home, not for afterwards. The tax benefit from this deduction is that if one is paying interest on loans which are secured by their residence as principal, then the person can deduct this expense from the taxable income. 3. Student Loan Interest Deduction: student loan deduction covers the interest expense of the loans that have been taking to be only used for attainment of education. If your income and interest payments meet the conditions set in the deduction form, then you are able to deduct the expense form your income, thus saving a certain amount of taxes. 1. Child Credit: child credit reduces the tax liability of a person if he/she is supporting a child, and the person's income and other requirements as given in the child credit form are fulfilled. The child credit can make the tax liability zero or can even result in payment if the income tax is less than the child credit refund (known as additional child tax credit). The tax advantage for this system is that it works to increase your net income through refund gained. 2. Earned Income Credit: earned income credit is for those families who have low gross incomes (lower than a certain limit), and with a high number of dependents. If a family meets the requirements of this credit, than its tax liability can be reduced to zero, or can even result in a payment to the family if the tax refund s larger than the income tax (known as advanced earned income tax credit). This system also increases your net income. 3. Hope Scholarship Credit: hope credit can be claimed by an individual for the first two years of college education. The requirements that the person or any other person (for which the taxpayer is responsible) is at least a half time student at an eligible educational institution. This credit is taken on only tuition fees and any other college requirement fees (registration fees, lab fees etc.). Books and supplies are not included. This tax credit also increases the net income of the person who is paying for the education (tax information for individuals, 2009). Difference between a Tax Credit and a Tax Deduction A tax deduction has the primary purpose of reducing a taxpayer's income tax. For certain itemized item, a taxpayer is allowed to deduct the expenses from its gross income. This can only be done if the requirements of deductions as stated by the Internal Revenue Service of USA are met. The effect of deducting the expenses from the gross income is that the net income is calculated to be mush smaller than it actually is. This allows for smaller amount of income tax to be paid by the taxpayer. Thus the amount of taxes is reduced. Some examples of tax deduction are medical deduction, home interest deduction, dental deduction etc. As opposed to tax deduction, a tax credit does not reduce the net income. Rather, it works in two ways. One, it reduces the tax liability on certain items by recognizing a part of the payment already made as tax payment due. Two, it recognizes certain items as such on which the taxpayer is refunded, if the requirement of tax credit are met by the taxpayer. If the income tax is greater than the tax

Wednesday, February 12, 2020

The Tutankhamens Curse Essay Example | Topics and Well Written Essays - 500 words

The Tutankhamens Curse - Essay Example Numerous scholars became interested in this case and started searching for rational explanation of the phenomenon. And here, too, various theories have emerged. One of the most likely theories suggested by many scientists as a result of scrutinous researches is that the key role in deaths was played by the environment of the burial chamber that actually affected health of those who entered the newly unlocked tomb. This theory originates in the first half of the 20th century when it was also supported by Sir Arthur Conan Dole who considered the fungi to have been put into the tomb deliberately to punish robbers. In 1986, Dr. Caroline Stenger-Phillip suggested that it was an ancient mould existing in the tomb. Modern researches prove that there are indeed specimens of pathogenic moulds and bacteria that can cause allergic reactions varying from congestion to bleeding in lungs. An Egyptologist from Philadelphia, food placed into the tombs intended for afterlife, could have attracted ins ects, moulds and bacteria. On the other hand, this theory has its flaws as if all entering the tomb were exposed to the deadly fungi, they probably would have died much sooner that many months and years later. The theory that appears to be more plausible was offered by Mark Nelson in 2002 and involves statistical methods as a basis for the explanation. According to the theory, average life expectancy of those members of the expedition who were exposed to the curse and those who were not differs little.

Friday, January 31, 2020

Sources of Funds for Businesses Assignment Example | Topics and Well Written Essays - 750 words - 1

Sources of Funds for Businesses - Assignment Example Owners’ investment: - This is funds generated from the owner's savings, they are pillars of many small businesses.   Owner’s investments are used in most cases where your business doesn't have the assets to invest. Retained earnings:-This source of funds is only obtainable for a business which has been in operation for more than one year. It’s an easy source of internal funding because this is when returns made are reinvested back into the business. It’s a medium to a long-term source of funds. Debt Collection: - A business can increase its funding by collecting debts from their debtors, however not all business has debtors thus this form is not applicable to all businesses. It’s a short-term source of funding a business. Bank Overdraft:-This is where a financial institution permits an entity to take out additional cash than it has in its savings. This means that a company may still write cheques even with no money in their accounts. It’s a short-term source of funds and can be very expensive if used over longer periods (Gregoriou, Kooli & Kraussll, 2007). Hire Purchase:-This technique allows a business to get assets without the necessity to pay larger amounts. Involves paying the first deposit and even payments for a certain period; it’s a medium-term source of funds Mortgage:-This is a credit held on the property, payable in installments over a particular period of time usually 25 years. After the final payment, a business will officially own the property. It’s a long-term source of funds. Corporations can rely on both internal and external sources of funds because both have their advantages and disadvantages. However, many corporations today rely on external funds due to the following reasons Most business needs finances to grow. Even companies with greater returns cannot rely only on reinvested earnings to finance their operations. Hence, a business is required to secure bank loans, partner with other companies or any other way to raise external funds. (Smart, Megginson & Graham, 2010).  

Thursday, January 23, 2020

John Steinbecks “The Chrysanthemums” Essay -- Steinbeck Chrysanthemum

John Steinbeck's â€Å"The Chrysanthemums† John Steinbeck's "The Chrysanthemums" shows the true feelings of the main character, Elisa Allen, through the use of setting and her interactions with other characters in the story. By way of vivid descriptions, Elisa's feelings of dissatisfaction over the lack of excitement in her life are portrayed. Her role as a mere housewife and then the subsequent change to feelings of a self-assured woman are clearly seen. These inner feelings are most apparent with the portrayal of Elisa working in the garden with the chrysanthemums, the conversation she has with the man passing through, and finally, when she and her husband are going out to dinner. Steinbeck's strong and somewhat manly description of Elisa while working in the garden, gives the distinct impression that she is not as weak as a stereotypical housewife would be. He writes that "Her face was lean and strong and her eyes were as clear as water. Her figure looked blocked and heavy in her gardening costume, a man's black hat pulled low down over her eyes, clodhopper shoes, a figured print dress almost completely covered by a big corduroy apron with four big pockets to hold the snips, the trowel and scratcher, the seeds and the knife she worked with." As evidenced by this excerpt you can see that she has covered up her hair with a "man's hat" and has thrown an apron over her dress in attempts to cover up her femininity. This apron also takes on a similar role as a man's tool belt as he works the land. This initial description lends to the notion that Elisa wants to be stronger as a woman, to stand beyond the stereotype of a housewife. Other phrases used by Steinbeck fu rther the above points. The author mentions that her face was "handsome," her work with the scissors was "over-powerful," and her fingers "destroyed such pests." This description shows an inner strength that Elisa possesses; yet she is unable to bring this out. She also hints to the reader that she would like to take on more masculine responsibilities after her husband Henry comments on the size and beauty of her chrysanthemums. He says that he wishes she'd work out in the orchard and "raise some apples that big." She reacts to this by saying "Maybe I could do it too. I've got a gift with things, all right. My mother had it. She could stick anything in the ground and make it grow.† All of these de... ...sion of Steinbeck's short story, Steinbeck has her fall right back into the rut she so despised. She comes back to reality and "turned up her coat collar so he could not see that she was crying weakly-like an old woman."   Ã‚  Ã‚  Ã‚  Ã‚  Elisa’s inner feelings are most apparent with the portrayal of her working in the garden, the conversation she has with the â€Å"Fixer-Guy†, and finally, when she and her husband are going out to dinner. Steinbeck offers an array of different details concerning the character of Elisa Allen. The main detail being that she is a strong woman on the inside although she seems to struggle in showing it throughout the story. Because of the "Pot Fixer," she is able to act, although for a short time, like that strong woman. Steinbeck unfortunately brings Elisa full-circle, back to where she started. She notices on the way to dinner her chrysanthemum sprouts at the roadside. This, along with her husband’s hesitation to allow her curiosity, puts her back where she started, canceling her emergence. One must ask after reading this short story if Elisa will continue this discontented lifestyle. Or will she be able to blossom beautifully for good, as do her chrysanthemums?

Wednesday, January 15, 2020

Recommendations to Management Essay

Problem: Increase marketing of Chiropractic Services. My aim is to bring strategies that will increase the profitability of your practice, while at the same time improving patient satisfaction and results. In the process of achieving these aims, I also seek to improve the public’s image of chiropractic care. First Recommendation: To increase profits and public awareness. Rational: Increasing profit is the main goal in any business. To help you increase profits I wish to provide advice in the following areas, as suitable: †¢ debt reduction †¢ retirement planning †¢ overhead reduction †¢ investment strategies †¢ bankruptcy guidance †¢ collection assistance I feel that by using sound business advice in these areas you will improve your profits marginally. Together we will evaluate what products or services are making you money. We will decide whether other products or services should be promoted in addition or in place of current services. To cite a classic business planning question, â€Å"Are you making 80 percent of your profits from 20 percent of your offerings?† Are you wasting time on products and services that don’t return the favor by providing you with profits? Again, together we will find these answers. Why is this recommendation important now? I feel will that with the current economic situation, now is the time to work at increases your profits to its fullest. Now is not the time to let your business take a down fall. Priority ranking of the recommendation: The priority for profits is an important need in business. Proposal: I propose that within the next few years your Chiropractic office will increase profits by increasing services and lowering costs. This will be  achieved by first looking at business expenses. One seriously important area to examine is staffing. This is typically one of a company’s biggest expenses. You need to ask yourself â€Å"Did you make necessary cuts during the recession or are you still overstaffed? Are you getting your dollars’ worth from every employee?† Make necessary adjustments now. Next, we need to examine your other expenses as well. These expenses include expense accounts to seminars, up to magazine subscriptions. We will go over your entire profit and loss statements for this year. Remember to track everything. Scrutinize your cash flow, profits and trends every week. What’s more, figure out what your company’s important numbers are. Second Recommendation: Increase marketing and public awareness. Rational: I do not recommend door-to-door surveys or other unsuccessful marketing gimmicks. Nor do I support high patient fees or unwarranted patient visits. Instead, I want to custom-tailor solutions to your distinctive needs and goals. Some marketing tools that I recommend you use are questionnaires, patient fact sheets and health concerns hand outs. These items can be posted in your office, made into brochures, newsletters, newspaper articles, and reading material in specific areas of your office like reception area. Why is this recommendation important now? In order to make money and have a profit you must advertise. This advertising will increase the public awareness of your business and the services you offer. Priority ranking of the recommendation: I feel that this is one of the most important recommendations. Good marketing is the key to great business and success. Proposal: I propose that you step up your marketing by using public relations, Web marketing, email newsletters, and other targeted or large outreach. This will be a great way to market your business since you are a small company. How do these recommendations align with the mission statement and vision? Mission Statement: Rantoul Chiropractic Clinic is committed to finding the cause of your symptoms and treating it in the most effective manner possible. We are also committed to explaining your condition to you in a manner in which you will know and understand what the problem is and what it  will take to correct it and to keep it from reoccurring. Vision Statement: Our Vision is to embrace our community and strive together for optimal health through the journey of life. Promoting Excellence and Assuring Quality in Chiropractic Education. We understand the chiropractic profession and appreciate the services, workflow, and barriers that frustrate you and slow you down. References RJF Consulting. http://www.chiroevidence.com/RJFConsulting/mission-values.html