Impacts of Climate Change on health Free-Samples for Students

Question: Examine about the Impacts of Climate Change on wellbeing. Answer: Presentation Environmental change has been on the ascent after some time. It is a danger to wellbeing from numerous points of view. This paper takes a gander at a portion of the wellbeing impacts brought about by environmental change. The effects may originate from direct presentation to changes in climatic conditions, for example, the changing climate examples and climate occasions that are so brutal to live. The progressions may result from the accessibility of water and nature of air in the air that may therefore influence farming and economy too (Knowlton et al., 2011). There are a few occasions of the negative effects of an excessive amount of atmosphere conditions and wellbeing. A portion of the unfriendly impacts of climatic changes can be seen when dry spells and floods have influenced zones bringing about disappointments in crop collecting. This thusly prompts a lack of food and ailing health. There are further outcomes of hunger including a few issue and impediments to kid development and improvement (Portiers Tart, 2010). The accessibility of water has been influenced by elements in precipitation coming about because of changes in the two seasons i.e blustery and dry seasons. The nature of the climatic air keeps on disintegrating in light of the contamination of the ozone layer. The contaminations are brought about by an expansion in temperature and deteriorated air (Costello et al., 2009). The impact of environmental change has additionally caused an expansion in certain ailments particularly the vector-borne illnesses, for example, malarial ailments. The reproducing of mosquitoes is upgraded by the expansion in temperature, a condition that empowers the female mosquitoes to turn out to be so ripe (Meehl et al., 2007). The impact may reach out to cause mental handicap, for instance, nervousness and wretchedness (Costello et al., 2009). The extraordinary climate conditions can cause decimation and wellbeing impacts in poor and immature nations through lacking collecting and populace uprooting (St. Louis Hess, 2008). The world has changed. Exercises by the individuals are a reason for natural issues. Environmental change brought about by unfavorable climate conditions for instance heat waves, dissolving day off, in ocean level, tropical storms, tempests, and out of control fires among numerous other wrecking impacts, show that there is a need to take a gander at the results on wellbeing. The temperature of the earth apparently increases due to human exercises, for instance, consuming petroleum derivatives. The discharges from these are tossed into the environment accordingly penetrating the air bringing about changes climate conditions that thusly influence horticulture just as wellbeing (Parry et al., 2007). The Little center appears to have been given to the potential wellbeing effects of progress in atmosphere. Pope Benedict XVI and the U.S. Catholic Bishops have acknowledged the accord by science specialists that it is upon everybody to search for an appropriate activity that can control the issues of environmental change and its effects. As per Catholic medicinal services experts, environmental change is an ethical viewpoint and confidence necessitates that we demonstration wisely to turn away the carbon impression and to offer assurance to human life and pride. This will mean we care for the least and voice up to support poor people. The Catholics accept that life is a hallowed thing and poor people ought to be allowed an uncommon concern. They are focused on a typical decent and this has asked them to reevaluate the issue of atmosphere and its belongings and attempt to diminish its effects on human life and tries. Wellbeing laborers can appear by model through decrease of their own carbon impressions, empowering, and battling for maintainability of ways of life, for example, diminishing reliance on the vehicle as a methods for development, and to concentrate on the costs identified with ecological buys at work (American Academy of Pediatrics, 2007). Wellbeing laborers can likewise the job of edifying their patients about the methodologies and impacts of atmosphere in their nearby and local spots. Through this, they would have the option to see how to deal with their condition and even how to manage various issues brought about by climatic changes (Gould, 2011). End In late decades, countless individuals worldwide have been influenced by cataclysmic events emerging from atmosphere changes. Just to make reference to a couple, floods, dry spells, cold, among others (Costello et al., 2009). As of late it has been seen that climatic changes are on the rising pattern and this represents an extraordinary test to human, plants, and creature life. It is, consequently, a legitimate chance to consider everybody to partake in the worldwide decrease of those components that influence the earth. References Knowlton, K. (2011). Six Climate Change-Related Events in the United States Accounted for About $14 in Lost Lives and Health Costs: Health Affairs, 30(11), 2167-2176. Portier, C.J. Tart, K.T. (2010). The Interagency Working Group on Climate Change and Health (IWGCCH). A human wellbeing point of view on environmental change: Report sketching out the exploration needs on the human wellbeing impacts of environmental change. Research Triangle Park, NC, Environmental Health Perspectives and National Institute of Environmental Wellbeing Sciences. Costello, A., Maslin, M., Montgomery, H., Johnson, A.M., Ekins, P. (2011). Worldwide wellbeing and environmental change: moving from forswearing and disastrous submission to the inevitable to positive activity. Philosophical Transactions of the Royal Society of London, Series A, Mathematical and Physical Sciences, 369(1942), 1866-82. Meehl, G.A et al.,(2007). Environmental Change: The Physical Science Basis. The commitment of Working Group I to the Fourth Assessment Report of the Intergovernmental Panel on Climate Change, Cambridge University Press, 747-845. St.Louis, M. Hess, J. (2008). Environmental Change: Impacts on and Implications for Global Health.American Journal of Preventive Medicine, 35(5), 3527-538, 2008. Repel, M.L et al., (2007). Environmental Change: Impacts, Adaptation, and Vulnerability. The commitment of Working Group II to the Fourth Assessment Report of the Intergovernmental Panel on Climate Change. Cambridge UK: Cambridge University Press. American Academy of Pediatrics (AAP). (November 2007). Strategy Statement: Global Climate Change and Childrens Health. Pediatrics, 120(5), 1149-1152. doi:10.1542/peds.2007-2645

Violence against children in Vietnamese daycare

Viciousness against kids in Vietnamese childcare Layout: I. Presentation: 1. What is savagery? 2. Kids in childcares. 3. Brutality against kids in childcares. II. Circumstances: Brutality against kids in Vietnam. 2. The results of the savage utilizing. 3. Parents’ obligations. III. Issues: Open childcares over-burden. Dangers of private childcares. The thoughtless of guardians. IV. Arrangements: Increment the nannies’ information in educating and caring youngsters expertise. Improve daycares’ offices and foundation. Increment assessment and management of the authority at private childcares. V. Assessment 1. Focal points 2. Weaknesses VI. End These days, viciousness against youngsters is gotten one of the most alarm issues; particularly in Vietnamese childcares. The youngsters are genuinely and intellectually abuseed. Right off the bat, savagery implies utilizing physical power against individuals and a demonstration of hostility against an individual who oppose or not (definitions.net). In that sense, babies, youngsters matured from two to four years of age are the survivors of brutality in childcares. Utilizing viciousness against babies is truly disregarding the human rights, particularly the youngsters rights. As indicated by UNICEF, â€Å" Governments ought to guarantee that kids are appropriately thought about, and shield them from viciousness, misuse and disregard by their folks, or any other individual who cares for them† (Article 19,unicef.org). As of late, Vietnamese childcares are confronting a great deal of dicey legitimate cases. Huge numbers of these childcares are trapped in the demonstration of hitt ing and aggrieving little children. The legislature, particularly the youngster care associations additionally takes a section in this disturbing issue. One of the primary obligations has a place with Vietnamese Ministry of Education and Training (MOET). The issue which has been started from the inadequate aptitudes of the executives activity in youngsters care focuses has prompted a great deal of extreme and social and instructive outcomes. Thus, the Vietnamese government and neighborhood associations are presently making the insurgency in the youngster care framework to quiet parents’ mind. II. Circumstance As a matter of first importance, the little children reserve the option to learning and developing with adoration. They are not had the right to be abuseed that a few grown-ups have done. For instance, the case which causes a tide in Vietnamese popular feeling occurs in Phuong Anh childcare in Thu Duc District. The scene depended on the video cut which individuals living around the childcare have been recording; the sitters hit and constrained little children with vicious activities. In spite of the fact that they were crying, the sitter despite everything choked and slapped them. This is only one of bodies of evidence which include the brutality against youngsters in childcares. â€Å"The viciousness against youngsters wonder isn't well known anyway it’s not all that rare†, said Ngo The Minh, the Deputy Chairman of Committees of social and instructive youth and offspring of Congress (24h.com.vn). Nonetheless, Vietnam isn't the main nation having the brutality against l ittle children. This marvel happens wherever on the planet, particularly the creating and poor nations. The following is the insights indicating the level of kids from certain nations encountering rough order, mental animosity or physical discipline (unicef.org): Kids are the eventual fate of each nation. They cause the world to improve as a spot and progressively complete step by step. On the off chance that they were dealt with seriously previously, they would turn into the person who will treat their youngsters the equivalent in future. Especially in childcares, the children start to learn and comprehend about the world. In this way, when they grow up, they recollect how the grown-ups rose and instructed them. The way that caretakers apply viciousness with kids just makes them all the more unyielding and difficult. Accordingly, guardians are the individuals who endure the most in light of the kids’ mischievous activities and improper perspectives. Guardians additionally take significant obligations in this issue. They don’t have time with their kids due to their bustling works. In Vietnam, the guardians who don’t have the opportunity to deal with their youngsters, for example, laborers, office staff or even specialists having some bustling occupations for the most part send their kids to childcares. Some of them even send their children to the not-formally affirmed childcares. As an outcome, this thoughtlessness prompts a great deal of sad mishaps which have been composed a ton in different papers. III. Issues As of late, the viciousness against youngsters is the most concern issue in Vietnam. There are a great deal of babies being mishandled in unlawful childcares. Some of them are severely harmed and the others are dead a direct result of nannies’ ruthless act. In this manner, there are numerous purposes behind these deplorable mishaps which happen each year. The main explanation is open childcares are having an oversupply of children. Families who have little children living in the enormous city or the capital are experiencing issues in discovering open childcares, particularly families with low pay or don’t have city family. The Vietnamese childcares are oversupplied with kids in light of the fact that the populace becoming quicker as of late. Each mother and father needs their kids sent to the spot with great instruction and dexterously instructor. Thus, the late ones don’t find the opportunity to send their youngsters to open childcares so they should take their kids to private childcares. Besides, the level of utilizing savagery against kids in private childcares is typically high. Private childcares were opened to help the youngsters who didn’t get a spot to contemplate due to the open daycares’ over-burden. In any case, a large portion of the private childcares neglect to meet the prerequisites in the offices, framework and educating capabilities. Besides, ordinary individuals even can open the childcares at homes without authoritatively ensured papers. Accordingly, there are such a significant number of mishaps occur at home childcares, for example, the story occur at Thu Duc locale. The babysitter name’s Nho who is the criminal for killing the eighteen-month kid name’s Long. â€Å"When Nho was getting the morning meal for Long, she saw the child cried. At that point she hollered at Long and compromised him to eat the food. In any case, Long despite everything cried which drive Nho became crazy and lost control. In this way, she lifted up the kid and tossed him noticeable all around without getting the kid back. The falling make Long got seriously harmed then he shouted for all to hear which was the explanation make Nho trampled the baby’s chest and head multiple times. Shockingly, the child didn’t endure the whipping of the nanny† (vtc.vn). Hence, this issue likewise takes a section in the obligations of guardians. Thirdly, the indiscreet of guardians are one reason that make youngsters being abuseed. They didn’t adapt cautiously about the childcares where they endowed their kids. Guardians totally trust in the sitters. On the off chance that something happen to their kids, they will frequently solicit the sitters rather from finding the reasons from their children. A few guardians give caretakers that deal with their youngsters some additional tips on unique occasions. Consequently, low-salary families may have drawbacks with the caretakers even so their kids. Which means guardians realize that brutality is exist in childcares and they acknowledge that by paying off the babysitters. Thusly, when the brutality is discovering, they assume all the fault on the childcares just as the babysitters. In addition, individuals who live around the childcares likewise be the assistant in the vast majority of the viciousness issues. They comprehended what occurred in these unlawful childcares ordina ry yet they are apathetic with that. In the event that they have a parent’s heart, they should tell the manhandled children’ guardians just as the paper office to blame the unlawful childcares. As such, the deplorable occasions could be forestalled. IV. Arrangements: The youngster misuse marvel can’t be stop promptly; it requires time and bunches of arrangements. Along these lines, there are numerous potential arrangements being proposed to stop this wonder. As needs be, the primary arrangement is â€Å"Increase preparing and intermittent retraining to improve proficient abilities in crafted by sustaining, thinking about youthful nannies†, said Trinh Viet Then, instructor of brain research at Van Hien college (vnexpress.net). Little kids, for example, babies are extremely difficult to instructing and caring which lead to numerous demonstrations of viciousness. Indeed, even the very much prepared caretakers once in a while consider utilizing viciousness to kids. Babies don’t consider things right or wrong which make the babysitters now and then become incensed and can't control the practices. Thusly, if the caretakers have both of these abilities, the kid maltreatment in childcares will diminish significantly. As per Thuy Nguy en Radio Station, Dong Son childcare has applied this arrangement in 2014. The childcare gives the caretakers the chances to learning and preparing. In present, the greater part of the sitters in Dong Son childcare meet the necessity of showing capabilities (haiphong.gov.vn). Moreover, childcares should upgrade the foundation and just as the offices to fill for the educating need. Pham Hien, mental master stated: â€Å"Daycares must have cameras to help guardians simpler to watch their children each day† (youtube.com). Better gear and framework, the more compelling in educating and caring kids. Also, childcares having cameras in the classes cause the caretakers to have increasingly reluctant in their practices towards little children. This arrangement additionally helps guardians and specialists simpler to watch out for kids and maintain a strategic distance from issues for the childcares itself. Furthermore, childcares with great gear cause children to feel good and effectively learning the exercises. For instance, the Vietnam Women’s Union (VWU) has given a lot of cash to upgrade the offices and framework of two kindergartens at Long A territory and Binh D

2016 Transfer Admission Update - UGA Undergraduate Admissions

2016 Transfer Admission Update - UGA Undergraduate Admissions 2016 Transfer Admission Update On Monday, February 8, our office started reviewing Summer transfer applications. The deadline for summer has not passed and we are still receiving applications and documents, so we cannot say how long it will take us to finish or guess when you will hear a decision. If you applied early for summer or fall, please be sure to check your myStatus to see if we have your most up-to-date transcript(s). If you were enrolled in coursework last fall and have not sent a transcript with your fall grades, you should have one sent as soon as possible. To be complete and ready to review, we must have a transcript from each college/university you havepreviouslyattended. If we see that you were enrolled in courses last fall and we do not have a transcript with those grades, you are not complete and this will delay a review of your application. Once we complete the Summer transfer reviews, we will then begin to review Fall transfer applicants. Just like the summer files, we do not know how many will apply, how long each review will take, when you will hear, etc. The best this is to just be patient as we review the files. As well, Fall transfer applicants need to make sure we have the most up-to-date transcripts, and that we have individual transcripts from each college attended, even if it was dual enrollment work in high school. Transfer decisions are made on a daily basis Monday through Friday, and it varies on how many decisions we can make in a day due to the complexity of some transfer files. The myStatus page is updated in the early a.m. every morning, and decisions are posted on the myStatus page and are mailed to transfer applicants. Go Dawgs!

Multi Disciplinary Nature of Environmnental Studies

CHAPTER-1 MULTI DISCIPLINARY NATURE OF ENVIRONMNENTAL STUDIES OBJECTIVE OF THE STUDY – the need of making the environment education is to instill environmental ethics in to the fabric of our society and to impart the knowledge of nature and its importance in all walks of our life . LEARNING OUTCOMES- economy, business, agriculture, organisational culture, society research and development required no of hours – 3hrs INTRODUCTION: Environmental studies is a very broad academic field which examines the interactions between humans and their natural environment. As one might imagine, environmental studies is an interdisciplinary field, incorporating concepts as varied as geology and philosophy. DEFINITION: Acc to committe on†¦show more content†¦Humidity, Rainfall, Sunshine. ï‚ ¢ CLIMATE-conditions prevailing for long period of time ï‚ ¢ HABITAT – is a home or place where an organisms dwells it is the place to occuupied by an organisms, population or community. Environment components The environment is usually divided into two parts : 1. Abiotic 2. Biotic Abiotic – this represents all non- living elements found on the earth they are : Temperature- life has developed on the planet due to the fact that temperature on earth is suitable to support life.the temperature effects metabolic activity ,growth ,human characteristics and appereances,food habits ,reproduction etc. Water- water is abundantly found on the earth may it be in form of oceans ,rivers, lakes ponds.it exists in many forms –vapour ,ice, snow etc. nature and water determines the type of vegetation Light- it is the main source of energy for earth for plants the light is an input of photosynthesis hence producing oxygen and food which ultimately is consumed bu human beings Air- air is made up of number of gases and provides oxygen for breathing it has components like wind ,humidity, etc. Humidity-it is the amount water vapour present in the atmosphere.humidity determines the loss of water from land organisims by perspiration ,transpiration and other means. Mineral elements- a large nimber of minerals are required by the organisms for their growth and

Research in Motion Limited (Rim) Strategic Analysis

Table of Content Page Acknowledgement 3 Executive Summary 4 Project Outline 5 Industry Life Cycle 7 Key Success Factor (KSF) 8 Industry Analysis (Porter’s Five Forces) 10 SWOT Analysis Internal Factor Analysis Summary (IFAS) 13 External Factor Analysis Summary (EFAS) 15 Strategic Factor Analysis Summary (SFAS) 17 TOWS Matrix 19 Assessment of Current Company’s Performance 22 Review of Option for Future Direction 24 Recommendation for Implementation of strategies 25 The Usefulness of Strategies Management Models 27 List of reference 29 (Total word count: 4,093 words)†¦show more content†¦Therefore, the reason why I’m selecting this company is that I want to learn about its strategies in the past and in today’s market. Main strategic issues facing the company †¢ Product Portfolio Currently the major strategic issues facing RIM is their relatively weak product portfolio. The recent entry in to the smartphone market by Apple, Google, Dell and HP has forced RIM to ensure their product position in future through patents and licenses that will allow them to compete and sell. However, RIM must diversify their product portfolio which led them to improve their existing products. Company’s contribution to the National Economy BlackBerry mobile handset shipments to the United States were recorded nearly 6% annual growth up from 39.8 million in 2007 to 41.9 million in 2008. The Blackberry maker’s US market share rose to a record 11% in 2009 which is another sign that smartphone is another big thing in our pockets. *Recent strategic dilemma †¢ Ad supported software One of the opportunities of BlackBerry that bringing them to such dilemma is to create ad supported software. This new product would advertise the firms as customers, while the end-customer would receive the value added software with the occasional ads cost. 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Blackberry is manufacturer and marketer of innovative wireless solutions for the worldwide mobile communications (Blackberry, 2015). A software based company that develop platforms and solution to time-sensitive information including email, phone, SMS messaging, Internet and intranet-based applications. RIM technology also enables

Impacts of the Department of Homeland Security Free Essays

The formation of the Department of Homeland Security (DHS) followed the recommendations from commissions like Gilmore1 and Hart-Rudman. These commissions examined the state of American domestic protection against mass-casualty and terrorism for many years before the 11th September attacks. The evident observations in the reports outlined America’s obvious vulnerability and recommended for the formation of a sound system that will be responsible for defending American citizen and providing emergency response services (Lewis, 2014). We will write a custom essay sample on Impacts of the Department of Homeland Security or any similar topic only for you Order Now As a result, the DHS was created and granted the authority for domestic protection of the lives of American citizens against the acts of terrorism among other functions. Since then, the role of the DHS has impacted the lives of American citizens in different ways, both positively and negatively. The DHS has resulted in certain positive aspects concerning its role of domestic protection against terrorist activities and response and recovery for emergency situations. For instance, Americans have developed a sense of security with the knowledge that DHS is doing everything possible to keep them safe from harm. Employees from the department are distributed around the world to diffuse threats before they pose danger to people. Consequently, the department has heightened and advanced security measures at the airports and other ports of entry into the U.S. to ensure the safety of everyone (Lewis, 2014). The advancement of technology has shifted the attention of terrorists from the real world to the virtual world. In response, the DHS has enhanced its vigilance in the cyberspace to monitor and provide constant surveillance and protection to personal and financial information of American citizens, government divisions, and other organizations. It also protects the country’s secrets, public and private systems, and keep Americans safe in the online platform (Von Solms Van Niekerk, 2013). Furthermore, the DHS significantly helps communities through providing a rapid response after disasters and mitigating their effects as well as implementing mechanisms for disaster prevention, management, and swift recovery efforts (Kettl, 2013). Despite the positive efforts in providing homeland security, there are certain negative impacts that the DHS has on the lives of people. Very many people have concerns that the department focus is entirely on external threats rather than internal terrorist threats within the American borders. In addition, the constant surveillance and protection on the digital platform have reduced the privacy of the people’s online information. As a result, people feel that they are not as safe and secure as they ought to be (Von Solms ; Van Niekerk, 2013). Moreover, the department needs many employees for sufficient protection of the American citizens in its efforts to fulfil its mission. The high number of employees have featured in the news headlines for misconduct, especially during natural disasters where they have led to more harm than helping to save and protect lives. For instance, the failure of DHS in 2005 to effectively respond to the Hurricane Katrina situation (Kettl, 2013). In addition, there have been cases where the handling of immigrants by DHS personnel has spurred controversy throughout the country. There are reported instances where fighting illegal immigrants have caused family separation through deportation and extensive processing. To conclude, when it comes to security concerns, ensuring effective protection may subject the lives of other people to undesired treatment and inconveniences. Despite the process, the ultimate goal is for the common good. Although there are negative impacts that the DHS have had on the lives of people, its roles have significantly incomparable positive impacts on ensuring safety and security of the American people. How to cite Impacts of the Department of Homeland Security, Papers

Project Report Medical College Essay Example

Project Report Medical College Essay Application for Letter of Intent (LoI) and Letter of Permission (LoP) of the Central Government to establish a new Medical College in Bhopal (M. P) Detailed Project Report L. N. Medical College Research Centre (LNMCRC) J. K Hospital Medical Research Centre - (JKHMRC), Bhopal (M. P) - - - - - - - - - - - A new Medical College project promoted and managed by: H. K. KALCHURI EDUCATION TRUST 31, SHYAMLA HILLS, BHARAT BHAWAN ROAD BHOPAL – 462 002 (MP) Ph. : 0755 – 2660930 ; Fax: 0755 – 2661179 Email : [emailprotected] com Web site : lnctbpl. in Detailed Project Report of L. N. Medical College Research Centre (LNMCRC) and J. K Hospital Medical Research Centre (JKHMRC), Bhopal (M. P) Detailed Project Report Techno – Economic – Feasibility Report of a new Medical College Hospital ___________________________________________________________________________________________________________________________________ Detailed Project Report Prepared by: MediSys Project Consultants Pvt. Ltd Admn. Office: 202 Saba Apartments D-3, Sector 44, Noida 201 301. NCR Delhi Tel: (Mob): 98 711 33772 email : [emailprotected] com , [emailprotected] com [emailprotected] com visit us www. edisys. co. in -Index- 1. Copy of the covering letter 11 2. FORM – I : Application for Letter of Intent Permission of the Central Government to establish a New Medical College†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦14 2. 1. Particulars of Applicant – 14 3. List of Enclosures for Project Profile – Annexure Profile (as separate enclosure)– 16 4. We will write a custom essay sample on Project Report Medical College specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Project Report Medical College specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Project Report Medical College specifically for you FOR ONLY $16.38 $13.9/page Hire Writer List of References Govt. Notifications to Establish a New Medical College 17 5. PART – I: Desirability Prima-facie Feasibility of Setting up a Medical College at Bhopal, Madhya Pradesh.. 18 5. 1. Eligibility Criteria – . 18 5. 2. Qualifying Criteria – 18 5. 2. . Objectives . 18 5. 2. 2. Land Details 19 5. 2. 3. Essentiality Certificate 19 5. 2. 4. University Affiliation. 19 5. 2. 5. Time Bound Program .. 9 5. 2. 6. Admission of Students 20 5. 2. 7. Grant of Permission Completion of the Project . 20 5. 2. 8. Medical College as an Independent Institution 20 5. 2. 9. Teaching Hospital 20 5. 2. 10. Performance Bank Guarantee (PBG) .. 21 6. Basic Infrastructural Facilities and Managerial Financial Capabilities†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 22 6. 1. Infrastructural facilities for the proposed LNMCRC 22 6. 1. 1. L. N. Medical College Research Centre (LNMCRC) J. K Hospital and Medical Research Centre (JKHMRC)– Hospital Planning and Management 22 6. 1. 2. Organization of the JHHMRC Hospital .. 3 6. 1. 3. JKHMRC Hospital Services – presently available .. 23 6. 1. 4. JKHMRC – Hospital Supportive Services – presently available .. .. 24 6. 1. 5. JKHMRC – Hospital Engineering Services – presently available 25 6. 1. 6. JKHMRC– Administrative Services. 25 6. 1. 7. JKHMRC – Staff Requirements and other Infrastructure/ Building Requirements . 25 6. 1. 8. J. K Hospital and Medical Research Centre as referral Hospital.. 26 6. 2. Hospital as a Teaching Hospital with its expansion program 28 6. 2. 1. Number of Beds as per MCI .. 28 6. 3. Distribution of Beds as per MCI . 29 6. 4. Built up area of the upcoming Teaching Hospital 30 6. 5. Teaching Hospital built-up area (building wise) .. 31 6. 6. Projected built up area for a new Medical College buildings (150 annual admissions) in two phases 32 6. 7. Teaching Staff for a proposed new Medical College Hospital.. 33 6. 8. Number of Students Hostel Staff quarters year wise requirements . 34 6. 9. Staff Quarters year wise requirements- Nos Built up area†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦35 6. 10. Hostel Buildings year wise requirements†¦Ã¢â‚¬ ¦.. 36 6. 11. College of Nursing – proposed College of Nursing .. 37 6. 12. Consolidated built up area for proposed new College of Nursing . 38 7. Managerial Financial Capabilities of the Trust .. 39 7. 1. Managerial Capabilities .. 39 7. 1. 1. H. K. Kalchuri Education Trust, Bhopal .. 39 7. 1. 2. Composition of the Trust . 39 7. 1. 3. Particulars of the Members of Present Trustees 40 7. 1. 4. Project Consultant – MediSys Project Consultants, Private Ltd, New Delhi 42 7. 1. 5. Specialist Advisory Committee / Other Key Personnel 43 7. 1. 6. Governing Council / Board – H. K. Kalchuri Education Trust . 3 7. 1. 7. Present Governing Council . 43 7. 1. 8. Organizational Structure of H. K. Kalchuri Education Trust: 44 7. 2. Financial Capabilities of H. K. Kalchuri Education Trust– . 45 8. FORM I PART II : Techno-Economic Feasibility Report- Proposed Medical College :- 46 8. 1. Name and Address of the Medical College . 46 8. 2. Market Survey and Environmental Analysis .. 46 8. 2. 1. National Medical Education Policy 46 8. 2. 2. Medical Manpower in India (Planning commission report) .. 46 8. 2. 3. State Govt. Medical/Medical Education Policy its main Features.. 46 8. 2. 4. Main Features of State Medical Education Policy .. 48 8. 2. 5. Present Health Care Scenario of the State . 49 8. . Healthcare Status of Madhya Pradesh-An Overview and Availability of Doctors in the State and need for Increase . 50 8. 3. 1. Demographic Profile of the State . 50 8. 3. 2. Vital Statistics 51 8. 3. 3. Beds (Sanctioned) in Government Medical Institution . 52 8. 3. 4. Number Of Medical Institutions and Clinics †¦Ã¢â‚¬ ¦. 3 8. 3. 5. Districts Wise Number Of Allopathic Institutions And Beds 1998-99 †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 54 8. 4. Healthcare facilities of Bhopal .. 55 8. 4. 1. Government Hospitals .. 55 8. 4. 2. Private Hospitals of Bhopal . 55 8. 4. 3. Number of Registered Doctors with State Medical Council (source: Medical Council of India 2007-08) – a comparative analysis .. 59 8. 4. 4. State wise details of Govt. / Private Medical Colleges their allotted Medical Seats (MCI 2007-08 and as on April 2008) . 61 8. 4. 5. State wise details of Number of Medical seats in Govt. / Private Medical Colleges . 3 8. 4. 6. All India Comparative Status of Registered Medical Doctors with State Councils (MCI 2007-08) .. 66 8. 4. 7. Need and availability of trained Medical manpower Gap Analysis .. .. 66 8. 4. 8. Healthcare of Madhya Pradesh at a Glance . 70 8. 4. 9. Healthcare Indices . 70 8. 4. 10. Morbidity and Mortality . 71 8. 4. 11. Hospitals, Dispensaries Hospital Beds . 72 8. 4. 12. Heath Care Infrastructure in Madhya Pradesh .. 74 8. 4. 13. Availability requirement of medical manpower in the state : .. 74 8. 4. 14. Health care status at Bhopal : . 74 8. 4. 15. Need for a Healthcare Institution at Bhopal, Madhya Pradesh 75 8. 4. 16. Desirability Feasibility of Establishing a New Medical College at Bhopal, M. P – Gap Analysis 76 8. 4. 17. No. of Medical Institutions / Clinics available in the Catchments Area 77 8. 4. 18. List of Hospitals in around catchment areas: .. 78 8. 4. 19. Augmentation of Medical Health Care – NGOs / VHOs Involvement . 78 8. 4. 20. Desirability Feasibility Summary and Conclusion . 80 8. 5. Site Characteristic and Availability of External Linkages – . 82 8. 5. 1. Topography Location.. 82 8. 5. 2. Plot Size.. 82 8. 5. 3. Permissible FSI .. 82 8. 5. 4. The ground coverage 2 8. 5. 5. Building Height .. 83 8. 5. 6. Road Access . 83 8. 5. 7. Availability of Public Transport . 83 8. 5. 8. Electric Supply 83 8. 5. 9. Water Supply .. 84 8. 5. 10. Sewage Connection .. 84 8. 5. 11. Tele-Communications.. 84 8. 6. Educational Program . 85 8. 6. 1. Proposed Annual Intake of Students . 85 8. 6. 2. Admission to the Medical Course ‘Eligibility Criteria’ (MCI) .. 85 8. 6. 3. Selection of Students. 6 8. 6. 4. Method of Admission 88 8. 6. 5. Reservation / Preferential Allocation Seats .. 88 8. 6. 6. Training Period and Time Distribution (MCI) . 88 8. 6. 7. Phase Distribution and Timing of Examinations : . 91 8. 6. 8. General Considerations and Teaching Approach 93 8. 6. 9. Objectives of Medical Graduate Training Program .. 95 8. 7. Examination Regulations (MCI) 96 8. 7. 1. Proposed Schedule of Internal Assessment and University Examination 96 8. 7. 2. Attendance 97 8. 7. 3. Internal Assessment .. .. 97 8. 7. 4. University Examinations 98 8. 7. . Syllabi for MBBS Course of Study (MCI) 99 8. 8. Facilities available in the Teaching Hospital 99 8. 8. 1. Medical – Clinical Services 99 8. 8. 2. Hospital Supportive Services . 100 8. 8. 3. Hospital Engineering Services . 100 8. 8. 4. Hospital Beds – Number Distribution (as per MCI) : 101 9. Functional Program – Proposed New Medical College (after letter of intent) 103 9. 1. Minimum Physical Requirements for Teaching Hospital 103 9. 2. Provisional carpet / built-up area (building wise)- Teaching Hospital .. 104 9. 3. Projected built up area for a new Medical College buildings (150 annual admissions) .. 105 9. 4. Teaching Staff for a new Medical College Hospital . 06 9. 5. Number of Students Hostel Staff quarters year wise requirements . 107 9. 6. Staff Quarters year wise requirements- Nos Built up area 108 9. 7. Hostel Buildings year wise requirements 109 9. 8. College of Nursing – College of Nursing 110 9. 9. Consolidated Built up area for a new College of Nursing 111 10. Proposed Equipment Program (after letter of intent) .. 112 10. 1. Instruments Equipments of Medical College – .. 112 11. Proposed Manpower Program (after letter of intent) .. 137 11. 1. Teaching Staff – Medical College Medical Hospital. 137 11. 1. 1. Minimum Staffing Pattern for MBBS Course 150 Admission (MCI) 137 11. 1. 2. Teaching Other Staff Available in the Medical College and Hospitals . 37 LNMCRC JKHMRC, Bhopal 5 -5 11. 1. 3. Proposed dept. wise Ancillary Staff for Medical College Hospitals . 148 11. 2. Minimum Basic Qualification and Teaching Experience Required for Teachers for Under-Graduate Medical Studies (MCI). 155 11. 2. 1. Medical Staff . 155 11. 3. Recruitment of Staff for the Proposed Medical College 155 11. 4. Provisional Salary Structure for Teaching Faculty .. 155 12. Proposed building program – New Medical College .. 157 13. Planning and Layout New Medical College Hospital . 158 13. 1. Plan of Medical College Medical Hospital Complex 158 13. 2. Architectural Layout Plans . 158 13. 3. Section, Elevations 158 13. . Floor-wise Area Calculations of Medical College Hospital . 158 13. 5. Ancillary Buildings and Miscellaneous . 158 13. 6. Student Hostel Buildings . 158 13. 7. Buildings for Staff Quarters .. 158 14. Phasing and Scheduling – of Medical College .. 159 14. 1. Phasing and Schedule Medical College Teaching Hospital . 159 14. 1. 1. Commencement and Completion of Building Design . 159 14. 1. 2. Local Body Approvals .. 159 14. 1. 3. Civil Constructions . 159 14. 1. 4. Provision of Engineering Services .. 159 14. 1. 5. Equipments 59 14. 1. 6. Recruitment of Staffs (Teaching) . 159 14. 1. 7. Phasing of Commissioning . 159 14. 2. Phasing and Schedule Medical College Medical Hospital . 160 14. 2. 1. Commencement and Completion of Building Design . 160 14. 2. 2. Local Body Approvals .. 160 14. 2. 3. Civil Constructions .. .. 160 14. 2. 4. Provision of Engineering Services Equipments 160 14. 2. 5. Recruitment of Staffs (Teaching) . 160 14. 2. 6. Phasing of Commissioning . 160 LNMCRC JKHMRC, Bhopal 6 -6 15. Financial Profile Medical College and Hospital . 161 15. 1. Project Cost and Capital Budgeting Process .. 61 15. 2. Means of Finance and Project Cost .. 161 15. 3. Revenue Assumptions. 161 15. 4. Expenditure Assumptions 161 15. 5. Operating Results Income Expenditure Statements 161 15. 6. Cash Flow Analysis 161 15. 7. Projected Balance Sheet 161 16. Form I Part III : Hospital Details. 162 16. 1. Name and address of the existing Hospital 162 16. 2. Details of the proposed Hospital 162 16. 2. 1. Bed Strength . 162 16. 2. 2. Bed Distribution .. 162 16. 2. 3. Built up area Phase- I 62 16. 2. 4. Clinical Paraclinical disciplines 162 16. 2. 5. Out Patient Department OPD attendance, department wise.. 163 16. 2. 6. Architectural and layout plans . 163 16. 2. 7. List of Medical and allied equipments 163 16. 2. 8. Capacity and configuration of Hospital Engineering Services .. 163 16. 2. 9. Hospital services and administrative, supportive Services . 164 16. 2. 10. Other Ancillary and supportive services .. 164 16. 2. 11. Category wise staff strength * .. 164 17. Up gradation and expansion Program .. 165 17. 1. Details about additional land for the project proposal . 165 17. 1. 1. Land Particulars . 165 17. 1. 2. Plot size 65 17. 1. 3. Authorized land usage .. 166 17. 1. 4. Geography . 166 17. 1. 5. Soil Conditions . 166 17. 1. 6. Road access 166 17. 1. 7. Availability of Public Transport .. 66 17. 1. 8. Electric Supply . 167 17. 1. 9. Water Supply 167 17. 1. 10. Sewage Connection 167 17. 1. 11. Telephone Lines 168 17. 2. Upgraded Medical Program 169 17. 2. 1. Preclinical Departments – Phase – I (2008-09) : 169 17. 2. 2. Para-clinical Departments – Phase – II (2009-10) . 169 17. 2. 3. Clinical Departments (2010 – 2012) .. 169 17. 2. 4. Specialty wise bed distribution : .. 170 17. 3. Building expansion program . 171 17. 3. 1. Staff housing . 71 17. 3. 2. Students / Staff hostels . 171 LNMCRC JKHMRC, Bhopal 7 -7 17. 3. 3. Other Ancillary buildings 171 17. 3. 4. Phase wise Project Proposal .. 172 17. 4. Planning and layout . 173 17. 4. 1. Layout plan 173 17. 4. 2. Sections 173 17. 4. 3. Elevations .. 173 17. 4. 4. Floor wise area calculation of the Hospital. 173 17. 4. 5. Floor wise area calculation of ancillary buildings .. 173 17. 5. Up gradation of Hospital engineering services 173 17. 5. 1. Power Supply .. . 74 17. 5. 2. Vertical transportation 174 17. 5. 3. Waste disposal . 174 17. 5. 4. Other Engineering services 174 17. 6. Up graded Equipment program .. 176 17. 6. 1. Upgraded Instrument Equipment of the Hospital .. 176 17. 7. Up graded manpower program 17 17. 8. Phasing and scheduling of expansion scheme . 217 17. 9. Project cost of the expansion scheme Financial Profile . 217 17. 10. Means of financing in the project .. 217 17. 11. Revenue assumptions . 217 17. 12. Expenditure assumptions 217 17. 13. Operating results 217 18. Time Bound Program schedule . 218 18. 1. Chart I – Time Bound Program (MCI) – 219 19. Financial Profile – LNMCRC J. K. Hospital Medical Research Centre 232 19. 1. Project Cost Capital Budgeting Process . 232 19. 2. Means of Finance Project Finance – 235 19. 3. Revenue Assumption from the Hospitals – 35 19. 4. Revenue Assumption from the Medical College – . 236 19. 5. Projected Schedule of Income from the Project Operation – .. . 236 19. 6. Expenditure Assumption for the Hospitals – 236 19. 7. Expenditure Assumptions for the Medical College – .. 237 19. 7. 1. Chemicals, Consumables and Disposables for the College 238 19. 7. 2. Stationeries, Printing and Office Expenditures . 38 19. 7. 3. Hospital Administrative Service Expenditures . 238 LNMCRC JKHMRC, Bhopal 8 -8 19. 8. Projected Operating Results – Income Expenditure Statements – .. 238 19. 9. Projected Profitability Statements Including Depreci ation – 238 19. 10. Cash Flow Analysis – 38 19. 11. Project Finance Calculation for the Interest and Repayment Schedule of the Principle –. 238 19. 12. Projected Balance Sheet of the Health Care Projects – . 238 19. 13. Calculation for Depreciation Statements – 238 19. 14. Note by Financial Advisor / Chartered Accountants (given separately) .. 238 19. 15. Notes Forming Part of the Capital Budgeting Process – .. 38 19. 15. 1. Land : .. 239 19. 15. 2. Buildings : .. 239 19. 15. 3. Instruments and Equipments : . 239 19. 15. 4. Furniture and Fixtures : .. 240 19. 15. 5. Intangibles and Other Miscellaneous Fixed Assets : 240 19. 15. 6. Margin money for Performance Bank Guarantee : 240 19. 15. 7. Interest on Project Finance :.. 240 19. 15. 8. Escalation in the Construction Cost : . 240 19. 15. 9. Project Finance and Release of Funds : 241 19. 15. 10. Monitoring and Evaluation of the Project : 241 19. 15. 11. Project Expansion Program : 241 19. 5. 12. Details of Cost of Construction . 242 19. 16. Calculation Assumptions for Project Cost and Capital Budgeting Process – ..