Tuesday, December 24, 2019
Health Education Plan On Breast Cancer Essay - 1967 Words
Health Education Plan on Breast Cancer New Zealand had the third highest mortality rate of breast cancer in the Western world. In order to put a stop to this epidemic of breast cancer we should focuses on four key areas of work; early detection, the future of the disease, targeted therapies for the treatment, prevention New Zealand, about 2800 women a year are diagnosed with breast cancer and 600 women die each year around them. 7 women with breast cancer were found to be around for a day. Breast cancer affects mostly women aged between 45years 69 years. Family history of breast cancer is the most common cause is still unknown, but age is considered to be a risk factor for breast cancer has been identified as a fix. Breast cancer is the most common cause of death in women is also known. About breast cancer, where they are suspected of giving information to the symbols and abbreviations used to identify the necessary steps, in order to promote the health, our group decided to organize awareness against breast cancer. In this paper, the model of behaviour change plan and checklist of communication to save lives through early detection of breast cancer and self-breast exam as well as the awareness of the importance of health promotion program, which is about to be discussed. Screening and early detection of breast self-examination plays an important role. Screening for breast cancer cure, but at an early stage it will help to identify the signs and symptoms of breast cancer.Show MoreRelatedA Process Evaluation For A Comprehensive Breast Cancer Screening Intervention1049 Words à |à 5 PagesDesigning a process evaluation for a comprehensive breast cancer screening intervention: Challenges and opportunities, the authors are Claire J. Vivadro, Jo Anne L. 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This will be applied to a clinical patient scenario of newly diagnosed breast cancer; and presentRead MoreA Specific Health Disparity By Articulating A Population Of Interest1646 Words à |à 7 PagesOgojiaku Define a specific health disparity by articulating a population of interest, a comparison group and a specific health issue. Using this information, describe how racism or discrimination may help to explain the health disparity of interest? Breast cancer is the most diagnosed cancer among women. Despite the many technological advances that have been made to detect breast cancer at earlier stages, it continues to kill more women than any other cancer. Breast cancer affects all women, but theRead MoreBreast Health Essay769 Words à |à 4 Pagestreat, and provide education to women related to their breast health. This journal entry will focus on a patient encounter related to a clinical presentation of a breast mass. Lastly, strategies for education and self-breast exam education will be discussed. Upon reflection of a past semester, C. C. will be referenced for this journal entry and application learning opportunity. C. C. was a forty-year-old African-Caribbean woman (ACW) seen in the office for complaints of a breast lump in her upperRead MoreConcept Analysis Of Satisfaction For Breast Cancer Patients1608 Words à |à 7 PagesConcept Analysis of Satisfaction in Breast Cancer Patients Patient satisfaction is a necessary aspect to gauge the value of care that is provided by hospitals, clinical settings, and inpatient and outpatient facilities. These types of facilities attempt to maintain a high level of satisfaction in order to remain a contender amongst similar facilities in the healthcare marketplace. 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This research paper will justify the use of the selected health care service and their associated life cycle. Following I will suggest one strategy to improve the marketing mix of the selected health care establishment, by highlighting one benefit of portfolio analysis and providing two examples that display differential advantages. Later then assess the importance of engineeringRead MoreWomenââ¬â¢S Health Plus. Tamer Almasri, Felicia Montgomery.1619 Words à |à 7 Pages Womenââ¬â¢s Health Plus Tamer Almasri, Felicia Montgomery Governors State University Professor Comer-Hagans Womenââ¬â¢s Health Plus Diabetes is a disease in which your blood glucose, or blood sugar, levels are too high. Glucose comes from the foods you eat. Insulin is a hormone that helps the glucose get into your cells to give them energy. Larnson Wolk (2017) state in their article that with type 1 diabetes, your body does not make insulin and in type 2 diabetesRead MoreRacial Disparities And Gender Disparities900 Words à |à 4 Pagessince desegregation. The US Department of Health and Human Services, in 1984 published a report that called attention to the healthcare disparities. The report was called Heath, United States 1983(Dougher, 2015). Within the context of the report there lies a passage that describes the major disparities that are within the burden of illness and death that is experienced by African Americans and other minorities, ââ¬Å"despite significant progress in the overall health of the nationâ⬠(Dougher, 2015). It wasRead MorePrimary Prevention of Breast Cancer1192 Words à |à 5 Pa gesChoose a health topic related to primary prevention, secondary prevention, or tertiary care. Explain why this is an important topic of discussion based on your personal belief, and based on valid research. Paper should be 1.5 ââ¬â 2 pages. APA format must be followed. Detailed assignment information will be provided. Breast cancer is the most common form of cancer in women and the 2nd most leading cause of their death. It is estimated that 1 in 8 women will be diagnosed with breast cancer in their
Monday, December 16, 2019
State Auditing Free Essays
STATE AUDITING IN THE PHILIPPINES Reported by: MYRLA P. SEDENIO RUTH C. TACUJAN A. We will write a custom essay sample on State Auditing or any similar topic only for you Order Now OBJECTIVES I. To Discuss the State Audit System 2. To Identify Issues and Limitations of Government Auditing 3. To Discuss the Measurement of Government Performance B. INTRODUCTION The Philippine Constitution emphasizes the importance of accountability in the government. Article XI simply and bluntly begins: ââ¬Å"Public office is a public trust,â⬠before it adds that officials and employees should serve the people with ââ¬Å"responsibility, integrity, loyalty and efficiency. à In the government budget cycle, accountability is laid down by the need for government agencies and departments submit to submit quarterly and monthly income statements; statements of allotment, obligations and balances along with other financial reports and documents for audit ââ¬â a formal process whereby the authenticity, accuracy and reliability of financial accounts or transactions are checked and approved. There are several kinds of audit: One is Financial Auditing wherein financial transactions and accounts are checked to ensure the submitting government agency has complied with the rules and regulations, specifically the pre-agreed and government accounting system. Another type is Performance Auditing whereby one is looking at the systems of the agency to assess it has delivered on its institutional purpose and mandate by linking the budgets with results or results-based budgets. An internal audit, as the name suggests, an internal check on agency systems and processes. External Auditing involves an outside audit body being brought in to look at the agency. Pre-auditing refers to auditing by agencies before approval of transactions while post-auditing is auditing by an independent body after. The Philippine government has agencies mandated to ensure accountability and transparency on its overall operations. These agencies are: The Office of the Ombudsman, Sandiganbayan, Presidential Anti-Graft Commission, the Civil Service Commission and primarily, for the purpose of this paper, the Commission on Audit. C. STATE AUDIT SYSTEM Auditing is the examination of information by a third party other than the preparer or user with the intention of establishing its realibility, and the reporting of the results of this examination with the expectation of increasing the usefulness of the information to the user. Commission on Audit The Commission on Audit (COA) is the constitutional commission mandated to be the supreme audit institution of the government. It has jurisdiction over national government agencies, local government units, government-owned and controlled corporations and non-government organizations receiving benefits and subsidies from the government. The Constitution identified the following functions for the Commission:à 1. Examine, audit and settle all accounts pertaining to the revenue and receipts of, and expenditures or uses of funds and property owned or held in trust by, or pertaining to, the government; 2. Promulgate accounting and auditing rules and regulations including those for the prevention and disallowance of irregular, unnecessary, excessive, extravagant or unconscionable expenditures, or uses of government funds and properties; 3. Submit annual reports to the President and the Congress on the financial condition and operation of the government; 4. Recommend measures to improve the efficiency and effectiveness of government operations; 5. Keep the general accounts of government and preserve the vouchers and supporting papers pertaining thereto; 6. Decide any case brought before it within 60 days; 7. Perform such other duties and functions as may be provided by law. COA, as the other constitutional commissions are mandated, is headed by a Chairman and two Commissioners appointed by the President and the Commission on Appointments of Congress. It also enjoys fiscal autonomy which means its appropriations must be released regularly and automatically. The Commission also deploys resident auditors in all national government agencies, local government units and government-owned and controlled corporations pursuant to its mandate to review each agencyââ¬â¢s financial operations in a risk-based audit approach. The Commission on Audit (COA) has developed and introduced a risk-based audit approach (RBAA) that emphasizes the need for the auditors to focus on high-risk areas that are potential breeding grounds for graft and corruption. Auditing plays an important role in public finance, the Auditing Code of the Philippines was promulgated in 1979 (P. D. 1445). As it proceeds mainly from the basic law, the Code amplifies, elaborates, specifies, and implements Under the declaration of policy in the Auditing Code, it is stated that all resources of the government shall be managed, spent and utilized in accordance with law and regulations and safeguard against loss or wastage through illegal or improper disposition, with a view to ensuring efficiency, economy and effectiveness in the operations of government. COA reports In order to perform its audit functions, COA produces different kinds of reports. A study by the Philippine National Budget Monitoring Project identified and explained each of these: 1. Regular Annual Audit Report of each NGA, LGU and GOCC 2. Consolidated Annual Financial Report for NGAs, LGUs and GOCCs 3. Special Audit Reports 4. Circulars and other Issuances The Annual Audit Reports contain the results of the audit conducted on the financial statements submitted by agencies, local government units and government-owned and controlled corporations to COA auditors. The results are shown in the form of audit opinions indicating how the agencies faired with their financial statements at the end of each fiscal year. The types of audit opinions are: Unqualified (U), Qualified (Q), Adverse (A) and Disclaimer (D). An Unqualified Opinion refers to the ââ¬Å"clean opinionâ⬠or the agency reflected the results of the financial statements fairly, which means its operations and the financial condition in a period of time based on existing government accounting standards, and in compliance with government laws, rules and regulations. A Qualified Opinion means that an agency reflected fairly except for some specific transactions and/or accounts that have been found to be problematic, either improper, questionable or needs further explanations. Adverse opinion means that the financial statements did not fairly present its results of operations and financial condition of the agency, and are not in compliance with prescribed laws and applicable guidelines. Lastly, the Disclaimer opinion means that ââ¬Å"there is no sufficient basis to form any opinionâ⬠for an agency does not keep or submit its records of financial accounts and transactions. An audit report has the following parts: Audit Certificate, which shows the audit opinion, the Financial Statements, Major Findings and Observations which explains if there are defects in the compliance of accounting and auditing rules and policies, and Recommendations to the entities. In turn, COA checks if these measures were conformed by the entity on the next yearââ¬â¢s annual audit report. The Consolidated Annual Financial Reports on the other hand show the financial performance of the public sector in general. Each level has a volume of the consolidated financial report, one each for NGAs, LGUs and GOCCs. These are based on the audit reports of each entity. These reports contain the financial condition and highlights of agencies, local government units and government corporations. These reports also reflect the financial resources of the government, even the off-budget accounts or funds that are not subject to annual appropriations. Interestingly, these reports are the only source where one can be informed about funds that are not sourced out from appropriations. Special Audit Reports are purposely for investigation, in response to a request by interested parties or by a directive from Congress. The Commission has already undergone special audit reports on the countryââ¬â¢s outstanding debt and special purpose funds such as the Agriculture and Fisheries Modernization Act and procurement of the Department of Public Works and Highways. GAFMIS The Government Accountancy and Financial Management Information System (GAFMIS) is a financial database which keeps the general accounts of the government. It is spearheaded by the COA so as to implement its mandated function. Thru this, the appropriations are verified and allotment releases to agencies are ensured not to exceed the appropriations. From the Department of Budget Management (DBM), copies of Agency Budget Matrices (ABM) and Special Allotment release Orders (SARO) are submitted to GAFMIS and these make up the Registry of Appropriations and Allotments. The GAFMIS is also essential because it assists government agencies with the Electronic New Government Accounting System (e-NGAS). It is a computerized program of the New Government Accounting System wherein budget transactions, allotments and obligations are recorded and monitored electronically. It also helps in streamlining the New Government Accounting System which provides the new accounting policies in the government. Some of the basic features of the new system are the Accrual accounting and One-fund concept. Accrual accounting recognizes the income when earned and expenses when incurred as oppose to recognizing income when cash is earned and expenses when paid. Internal control and the internal control system Internal control is defined as a process effected by an organizationââ¬â¢s structure, work and authority flows, people and management information systems which are designed to help it accomplish its goals. It is a means by which an organizationââ¬â¢s resources are directed, monitored, and measured. It plays an important role in preventing and detecting fraud and protecting the organizationââ¬â¢s resources. Internal audit is an integral part of internal control. It maintains efficiency and effectiveness in operations. It looks at the reliability of financial transactions in reports by making sure that they are in accordance with rules and regulations. Several provisions in the Philippines have signified the internal control in the government such as Section 123 of the amended Presidential Decree 1445, the Administrative Code 1987 and Government Accounting and Auditing Manual guided by worldwide standards thru the International Organization for Standardization (ISO) and International Organization for Supreme Audit Institutions (INTOSAI). The INTOSAI also formulated standards for the internal control systems in the public sector. It has emphasized that internal control systems shall be in line with the characteristics, values and context of the public organizations. In line with these provisions, the Government has formulated the National Government Internal Control System (NGICS) through the efforts of the DBM and resource and reference panels from various government agencies. It serves as a guide to government agencies in putting up internal control systems. It aims to strengthen accountability, safeguard assets, promote efficiency, economy and effectiveness in the operations and adhere with the policies of the organization. D. Issues and Problems of Government Auditing In her public budgeting and accounting class, the late professor Emilia Boncodin stressed some issues on COAs mandate and the accounting and auditing system of the government as follows: 1. The audit system looks only on the agencies compliance with the accounting standards and laws in the financial reports instead of finding if the agencies have properly allocated their appropriate budgets. 2. Reporting of the GOCCââ¬â¢s entire budget What is reported in the government budget documents regarding the GOCCs are the budgetary support to government corporations or subsidies only. Yet, COA audits the corporate operating expenses on the entire budget of government corporations. 3. Lax in penalizing because COA is limited to recommendatory functions only Adverse/disclaimer audit opinions and recommendations by COA to government agencies do not have the corresponding penalties or sanctions if they are not acted upon and followed. An example is DPWHââ¬â¢s audit report where it has been given an adverse opinion for the past 18 years. 4. Pre-Audit vs. Post audit Each type of audit has its own problems. Postââ¬âaudit is disadvantageous because it involves final evaluation of financial transaction ââ¬â that is after the funds have already been disbursed. Pre-audit however, ironically defeats the overall essential purpose of auditing because financial transactions are assessed beforehand. In the past, COA had been operating on post audit basis since 1995-2009 when COA circular 2009-002 reinstituted the selective pre-auditing due to rising incidents and anomalous disbursements. However, Circular 2009-003 in June 16 2009 suspended some of the provisions in the earlier circular to ensure uniformity and consistency in its implementation. On COA reports The Philippine National Budget Monitoring Project has identified the following limitations that affect the importance of COA reports in ensuring accountability: 1. Timeliness COAââ¬â¢s deadline on the submission of reports is not parallel to the schedule of budget preparation. Audit and financial reports must be submitted by end of September while budget preparation time ends in July when the Congressââ¬â¢ session opens. The timings would thus work best if reversed since the reports should serve as aids in reviewing the agenciesââ¬â¢ budgets in time for budget legislation. Given the reality, the value of COAââ¬â¢s reports being used as tools to determine the status of government entities in terms of financial performance and compliance with rules are nullified. 2. Completeness Audit reports of agencies are not completed on time due to inability of personnel and time constraints. In effect, this puts problems in reviewing the budget and in making the annual financial reports. 3. Availability Although COAââ¬â¢s website is useful in terms of the reports posted, many reports from agencies including those from LGUs and GOCCs are currently missing. 4. Contestability of findings There are issues on COAââ¬â¢s findings on its reports. First is that the some of the past findings have not been resolved yet or the so-called ââ¬Å"hereditary balance sheets. â⬠An example is the disallowances that must be deducted by agencies to employees. However, these have not been resolved even if some personnel have already left the service or died. Secondly, there is the inconsistency of audit rules by resident auditors. In some agencies, the rules of past auditors and new auditors differ like deductions that were not present in the past have already been installed at the time the new auditor comes to office. The third issue is the unreasonable application of rules and regulations in auditing. Some expenses are disallowed even if it yields good results. The last issue is the inability of auditors to understand the situation of agenciesââ¬â¢ operations. The operations have complexities that emergencies become inevitable and it is hard for them to look at the reasons for the issues in operations. 5. Feasibility of recommendations The COAââ¬â¢s recommendations on reports are not always being followed by agencies and these are already beyond the control of the institution. 6. Conflict of interest COA auditors are still considered as ââ¬Å"mere mortalsâ⬠that may experience biases, influences and errors in judgment. There are often claims that some auditors are complicit in bribery and graft. On internal control and the internal control system The NGICS has identified the following limitations of internal control: Human error, i. e. , errors in judgment such as internal auditorââ¬â¢s biases/conflict of interest, negligence, misunderstanding, fatigue, distraction, collusion, abuse, etc. 1. Shifts in government policies or programs 2. Resource constraints 3. Organizational changes; and 4. Management attitude E. Measurement of Government Performance Under COA Resolution No. 2002-005 dated May 17, 2002, the Special Audit Office was renamed Management Services to expand its services to include: a. Conduct of Value-For-Money audits and related operations review activities. b. Provide management consultancy services to other government agencies in such areas as: * Organization * Strategy Formulation * Financial Feasibility * Strategic Planning * Other related areas c. Coordinate with all offices of the Commission for the purpose of establishing feedback mechanisms on implemented innovations. d. Formulate recommendations to the Chairman on the adoption of the most appropriate systems for the enhancement of operations. e. Perform such other functions as may be assigned. Recently, the Office is assigned to conduct Rate and Levy audits. The functions: Conduct of Value-For-Money (VFM) Audit This audit is concerned with the review of management efficiency with the end in view of eliminating waste and promoting efficient use of public funds and resources and the ascertainment of the agencyââ¬â¢s effectiveness by determining whether desired results have been achieved and programs have accomplished their purposes and objectives. Approaches in the conduct of VFM audits Agency-based approach An audit of a particular program, project or activity of a selected agency. Government-wide and Sectoral Performance Audits Government-wide and Sectoral Performance Audits are new approaches adopted by the Commission under COA Resolution No. 98-005 dated March 3, 1998. While these types of audits were introduced in 1998, it was only in 2002 that these approaches were operationalized under the COA-UNDP AusAID Project entitled ââ¬Å"Enhancing the Public Accountability Programme of the Philippine Commission on Auditâ⬠. Government-wide audit is the simultaneous examination of a management function or activity in a number of government agencies which is expected to provide: * basic data for comparing practices and operations between and among government agencies in the same sector or with the whole government; * collated data of practices in various government agencies that could show the magnitude or insignificance of deficiencies in the system; * audit criteria which are supported by best practices; * awareness on the part of auditors and the auditees of how their agency compares with other government agencies in terms of objectives, functions, operations, internal and administrative controls, and output; and * opportunities to the audited agency for benchmarking with other government agencies. On the other hand, the Sectoral Audit refers to an audit of programs or activities that are delivered by more than one government agency and is expected to provide: * an overall picture of how various segments of a program are implemented and possibly lead to the identification of areas where improvements can be introduced; * audit criteria or benchmark for future audits of government programs by various government agencies; * basis for auditors to realize that program difficulties may not lie with a single agency but possibly with the way the agencies involved in the program work together; * an arena for airing program difficulties by audited agencies; and * opportunity for making changes in the program, if necessary. How to cite State Auditing, Essay examples
Sunday, December 8, 2019
Euclid Essay Example For Students
Euclid Essay Euclid of Alexandria is thought to have lived from about 325 BC until 265 BC in Alexandria, Egypt. There is very little known about his life. It was thought he was born in Megara, which was proven to be incorrect. There is in fact a Euclid of Megara, but he was a philosopher who lived 100 years before Euclid of Alexandria. Also people say that Euclid of Alexandria is the son of Naucrates, but there is no proof of this assumption. Euclid was a very common name at that time, so it was hard to distinguish one Euclid from another. That is the big reason why there is little known about Euclid of Alexandria. Euclid of Alexandria, whose chief work, Elements, is a comprehensive treatise on mathematics in thirteen volumes on such subjects as plane geometry, proportion in general, the properties of numbers, incommensurable magnitudes, and solid geometry. He was probably educated at Athens by pupils of Plato. He taught geometry in Alexandria and founded a school of mathematics there. The Data, a collection of geometrical theorems; the Phenomena, a description of the heavens; the Optics: the Division of the Scale, a mathematical discussion of music; and several other books have been attributed to him. Historians disagree as to the originality of some of his other contributions. Probably, the geometrical sections of the Elements were primarily a rearrangement of the works of previous mathematicians such as those of Eudoxus, but Euclid himself is thought to have made several original discoveries in the theory of numbers. Euclid laid down some of the conventions central to modern mathematical proofs. His book The Elements, written about 300 BC, contains many proofs in the field of geometry and algebra. This book illustrates the Greek practice of writing mathematical proofs by first clearly identifying the initial assumptions, and then reasoning from them in a logical way in order to obtain a desired conclusion. As part of such an argument, Euclid used results that had been shown to be true, called theorems, or statements that were explicitly acknowledged to be self-evident, called axioms; this practice continues today. One of Euclids finds is explained in the ninth book of the Elements. It contains proof of the preposition that the number of primes is infinite; that is, no largest number exists. He claims the proof is ?remarkably simple?. Let p be a prime and q=1 x 2 x 3 x? x p+1; That is, one more than the product of all the integers from 1 through p. The integer q is larger than p and is not divisib le by any integer from 2 through p, inclusive. Any one of its positive divisors, other than 1, and any one of its prime divisors, therefore, must be larger than p. It follows that there must be a prime larger than p. Although little is known about Euclid himself, his work is known by many. Even though The Elements is his best known work, he has written a number of works. Each one of his works has provided us with a tremendous amount of valuable information. Todays modified version of his first few works form the basis of high school instruction in plane geometry.
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