Monday, December 30, 2019

Prejudice Inside Of The Adventures Of Huckleberry Finn By...

Prejudice inside of the Adventures of Huckleberry Finn Aside from being one in every one of the points of interest of yankee writing, Mark Twain s great story, The Adventures of Huckleberry Finn, might be a mirror of the profoundly inserted supremacist demeanors of the geographic region inside of the 1880 s. In the first place, to not specify the premier questioning and self-evident, is that the liberal utilization of the word nigger all through the book. Taken as a demonizing term by contemporary Americans, Twain s utilization of nigger is exclusively a reflected picture of the days. Huck Finn was composed once savage and vile treatment of blacks were ordinary and use of such a word didn t get most as a turnaround. Huck Finn portrays a period once blacks weren t dealt with as people however as things without feelings or identities, unimportant property. for instance, Jim is at first far-renowned worldwide just with respect to whose property he s (Miss Watson). He escapes from being persistently regarded as property, even sold—to a family that might potentially treat him indeed, even less others consciously. At the point when toweling converses with kinswoman Sally a couple gathered pontoon blast, Twain drives home a distinct reason concerning the white South s respect of the dark man: Presently I stricken a motivation, and got it out: It warn t the establishing - that did not hold North American nation back however a bit. we tendShow MoreRelated The Importance of Friendship in Mark Twains The Adventures of Huckleberry Finn829 Words   |  4 PagesThe Importance of Friendship in Mark Twains The Adventures of Huckleberry Finn Aristotle was once asked what he thought friendship was. His response was, One soul inhabiting two bodies. This was the kind of relationship that Huckleberry Finn and Jim shared in Mark Twains epic novel, The Adventures of Huckleberry Finn. This novel is a tool that Mark Twain, whose real name was Samuel Langhorne Clemmons, was using to impress the great benefits of friendship upon society. However, others feelRead MoreThe Adventures Of Huckleberry Finn By Mark Twain1346 Words   |  6 Pageslook at â€Å"The Adventures of Huckleberry Finn† Racism was an ever present evil that was prevelant during the 1830s and 1840s that lead to a multitude of wrongdoings against blacks. The Adventures of Huckleberry Finn is about a young child name Huck and how he matures in a society teeming with racism. While on his adventure, he must learn to make tough, adult-like decisions. He travels down the Mississippi River with a runaway slave who later becomes one his his greatest friends. In Mark Twain’s novelRead More The Battle Between Heart and Conscience in Mark Twains Huckleberry Finn 725 Words   |  3 PagesThe Battle Between Heart and Conscience in Mark Twains Huckleberry Finn  Ã‚  Ã‚  Ã‚  Ã‚   Society can have a huge impact on an individuals moral growth. Sometimes the impact is positive but other times the learned habits and set morals of society have a negative effect. In Mark Twains novel, The Adventures of Huckleberry Finn, the main character, Huck, struggles with what society teaches him and with what he knows to be good and true. During different conflicts concerning either the king and duke, variousRead MoreThe Adventures Of Huckleberry Finn By Mark Twain1711 Words   |  7 PagesIn The Adventures of Huckleberry Finn by Mark Twain we learn about a young boy named Huck Finn and his friend, a slave named Jim, and the adventure they embark on together. The entire book is written in first person dialect and is regarded as one of the most influential fictional writings in American literature. With its popularity comes much scrutiny as well, many feel that the book has a racist element due to the cruel language used throughout. The word â€Å"nigger† is used ov er 200 times leadingRead More The Integrity and Strength of Mark Twains The Adventures of Huckleberry Finn1395 Words   |  6 PagesThe Integrity and Strength of Huckleberry Finn  Ã‚     Ã‚  Ã‚  Ã‚   When one is young they must learn from their parents how to behave. A childs parents impose societys unspoken rules in hope that one day their child will inuitivly decerne wrong from right and make decisions based on their own judgment. These moral and ethical decisions will affect one for their entire life. In Mark Twains, Adventures of Huckleberry Finn, Huck is faced with the decision of choosing to regard all he has been taughtRead MoreSlavery During The Civil War2248 Words   |  9 Pagessociety’s prejudice causes it is not easy. Mark Twain, as one of the most important realism literature writers, expressed his great displeasure to the slavery system by writing â€Å"The Adventures of Huckleberry Finn†. In 1910 spring, the United States â€Å"Literary Lincoln† Mark Twain has finally completed his arduous journey of life, although he is dead, his serious thinking about the world is still in readers’ mind. In his humorist for posterity works, the most famous is the â€Å"The Adventures of HuckleberryRead MoreThe Adventures Of Huckleberry Finn By Mark Twain2012 Words   |  9 PagesTwain’s The Adventures of Huckleberry Finn, just as many hate it because of the offensive racial epithets and the derogatory portrayal of black characters Twain incorporates into the story. The book indisputably has racist themes integrated into almost every aspect of of it however, the subliminal message Twain ties into the physical plot derides racist ideals rather than expresses them. While reading Huc kleberry Finn it is essential to discern the differences between the narrator, Huck Finn, and theRead MoreHuckleberry Finns Journey to Morality Through Societal Emancipation1847 Words   |  8 PagesMark Twain once described his novel, The Adventures of Huckleberry Finn, as â€Å"a struggle between a sound mind and a deformed conscience†. Throughout the novel, Huck wrestles with the disparity between his own developing morality and the twisted conscience of his society. In doing so, he becomes further distanced from society, both physically and mentally, eventually abandoning it in order to journey to the western frontier. By presenting the disgust of Huck, an outsider, at the state of society, MarkRead MoreThe Power Of Friendship By Mark Twain1432 Words   |  6 Pagesthat idea. Mark Twain wrote about this idea in his book Adventures of Huckleberry Finn. One of the most controversial books of all time, explains the relationship between Huckleberry Finn, a southern born man who was raised to hate minorities and view them as nothing, and Jim who is a slave fighting for his freedom. Twain shows the reader that through friendship, even the most racist of people with the most racist of upbringings can progress towards equality whether it is big or small. Twain uses theRead MoreInterracial Friendship In Huckleberry Finn2009 Words   |  9 PagesCarlie Deterding Mr. Valencich Ap Language and Composition-Period 3 30 October 2017 Interracial Friendships In The Adventures of Huckleberry Finn, Mark Twain represents his advocation for the propriety of the racial minority through the momentous interracial friendship between Huckleberry Finn and an African American slave named Jim. Racial prejudice is a prominent theme of this novel because it was published in 1884, a period of extreme racial tension following the gruesome Civil War that ended

Sunday, December 22, 2019

Cigarette Tax Essay - 1293 Words

Increasing cigarette taxes is a win-win situation for everyone if you ask me, however I am not a smoker. I suppose if I were I may think differently. It is a health win that reduces smoking and saves lives; a financial win that raises revenue and reduces health care costs; and a political win that is popular with the public. On February 4, 2009, Congress enacted, and President Obama signed into law, a 62 cent increase in the federal cigarette tax, along with increases in other tobacco taxes, to fund expansion of the State Children’s Health Insurance Program (SCHIP). Now this to me is worthy cause. The federal cigarette tax will increase to $1.01 per pack on March 31, 2009. Sorry All you smokers out there!!! Since January 1, 2002, 44†¦show more content†¦PARENTS THAT SMOKE HAVE KIDS THAT SMOKE!! My sister used to smoke and after she had her first child she quit because she did not want him to think it was okay to smoke. Our parents are smokers, and while my grandma wh o does not smoke raised a couple of us kids and my parents raised a couple, the ones who lives with my parents smoke and the ones who lived with my grandma do not. This goes to show the above statement rings true. Will cigarette taxes have the desired effect of reducing the demand for cigarettes? I think in some cases it will, but I have seen people who are now resorting to buying the bagged tobacco and rolling their own. Even though it is a pain to have to roll a pack or two of cigarettes for the next day, it does not seem to atop them. It just becomes part of the daily routine, like eating and sleeping. â€Å"Cigarette Company Myth: Cigarette tax increases do not reduce youth smoking (or any smoking). It is amazing that the cigarette companies’ lobbyists and allies continue to make this argument with a straight face despite the absence of any facts to support it. Moreover, the cigarette companies have actually stated, both publicly and in internal company documents disclosed in tobacco lawsuits, that raising cigarette prices through state tobacco tax increases or other means significantly reduces smoking, especially among kids and lower-income communities. That fact is also well established byShow MoreRelatedIs the Cigarette Tax Enough To Prevent Smoking? Essay1337 Words   |  6 PagesSmoking cigarettes have negative effects on not only the people who smoke, but also the people around them and the environment. Smoking cigarettes lead to many diseases and negative health effects, such as lung cancer, emphysema, and heart disease. Second hand smoke can lead to the same side effects. However, the dangers of second hand smoke tend to be generally greater than that of first ha nd smoke, which is what the smoker inhales. Because of all the negative effects of smoking, the sale ofRead MoreCigarette Tax2230 Words   |  9 PagesSection 1: â€Å"Cigarette tax hike sparks panic buying† By Ashley Hall Updated Thu Apr 29, 2010 What is the main issue presented in the media report? Discuss what has actually happened: In the year of 2010, the Federal Government raised taxes on cigarettes by an extra 25 per cent, resulting in an increase price of $2.16 to every pack of 30 cigarettes. A proclamation stated by Prime Minister Kevin Rudd on the crackdown on Internet advertising of cigarettes was mentioned. Mr. Rudd also affirmedRead MoreCigarette Tax Hike Sparks Panic Buying1352 Words   |  6 PagesSection 1 In the article ‘Cigarette tax hike sparks panic buying’, Hall (2010) discusses the effects of tax increase on cigarettes. The government has decided to raise the tax on cigarettes by 25%, costing $2.16 more on a pack of 30 cigarettes. This government intervention is an attempt to stop people from smoking and reduce the health bill caused by those who smoke. The increase in tax is expected to save $5 billion more of the people’s tax dollars and the government decided that it will be putRead MoreThe Impact of Sin Tax on the Consumer’s Demand for Cigarettes1207 Words   |  5 PagesMarlene B. Escamillan 4E1 The impact of sin tax on the consumer’s demand for cigarettes Introduction The raise in tax is one of the most valuable gauges to lessen the utilization of a good. Just the same as other taxes, a sin tax is charged to lift up proceeds for government expenditures. Different from other taxes, a sin tax is often imposed with an intention of reducing the public’s consumption of a good. On the other hand, when you articulate about taxing cigars and alcoholic beveragesRead MoreImposing Taxes on Cigarrettes May Be Beneficial Essay examples810 Words   |  4 Pages Cigarettes are not like normal goods since they for most of their users are addictions. The demand curve is therefore close to inelastic (See figure 1 and Perucic). This is again because customers are addicted to cigarettes and nicotine and will pay the extra money to continue to smoke them. Furthermore, cigarettes do not have many close substitutes that people can use instead (Perucic). So when the government imposes a tax on cigarettes the producer will be able to pass nearly all of the cost fromRead More Banning Cigarettes Essay800 Words   |  4 Pagesdeaths is the common cigarette. Death, however, is not the only transgression cigarettes are responsible for. Cigarettes pose a clear threat to the public, to the economy, and to the planet. Without a doubt, the government should ban cigarettes on account of the fact that they are harmful to the economy, to the body, and to the environment. The government should ban cigarettes because they hurt the economy. Essentially, cigarettes rob the economy of wealth. One area where cigarette smoking is costlyRead MoreNegative Externalities Of Cigarette Smoking849 Words   |  4 PagesI’ve decided to analyze the negative externalities that come from cigarette smoking, particularly the negative externality of second hand smoking, in which a non-smoker, therefore a non-buyer and non-seller, is still inhaling smoke and suffering from it. Worldwide, 40% of children, 33% of male non-smokers, and 35% of female non-smokers were exposed to second-hand smoke in 2004. This exposure was estimated to have caused 379000 deaths from ischaemic heart disease, 165000 from lower respiratory infectionsRead MoreIncrease Taxation Of Tobacco Products On South Korea And Reduce The Levels Of Noncommunicable Diseases1733 Words   |  7 Pagesvery large percentage. In addition, cigarette smoking contributes to almost 35% of the mortality inequalit y among middle-aged, Korean men4. The Framework Convention on Tobacco Control (FCTC) was the first international treaty by the WHO and was signed by South Korea in 2003 and ratified in 20054. South Korea has one of the highest prevalence of smoking in the world, making it a target market by multinational tobacco companies5. In 2010, the prevalence of cigarette smoking in Korea was 48.3% amongRead More Against Tobacco Essay1542 Words   |  7 Pagesin the United States that cigarette butts are somehow not a form of littering. The United States, along with the rest of the world, are accountable for throwing more than 4.5 trillion cigarette butts out each year (Environmental Pollution). The butts of cigarettes are undeniably small, but with a number like that, the pollution definitely builds up. Dr. Thomas Novotny of the Centers for Disease Control and Prevention states that â€Å"smokers may not consider that a cigarette butt is litter, but theseRead MoreTobacco Products Cause And Effects1351 Words   |  6 Pagesproducts, specifically cigarettes, are products that usually cause a slow, painful death. If death is not eventually caused as a direct result of tobacco produ cts, they can still result in various other debilitating illnesses. It is not only health that the use of tobacco products causes to decline, but also the monetary security of the individual indulging in these items. Whether it is money or health, tobacco products cause severe degradation in both categories. Cigarettes and other items such as

Saturday, December 14, 2019

Tree top walk in fern tree park Free Essays

Executive Summary Keeping ecological value and commercial value is so of import to a national park that developing new land usage method is of great significance. Ferntree Gully National Park used to be a hunting land by the Bunurong ( Western Port ) and Woiworung ( Yarra Yarra ) natives for 100s of old ages. It is now a popular walking finish with many walking paths available. We will write a custom essay sample on Tree top walk in fern tree park or any similar topic only for you Order Now This study will give certain On-the-spot probe and research analysis to the current state of affairs of Ferntree Gully National Park. First, we will reexamine the long history and important alterations of this park. Then, we will give analyses and treatments on the environmental characteristics and on this footing propose a manner of land usage alteration. In this subdivision, certain statistics along with charts from our old group work will be used to back up my positions. Finally, effects of the proposed land usage alteration will be discussed and the possible advantages and disadvantages will be expected. Introduction With touristry going the thriving and back uping industry of many national states, national Parkss account for a great proportion in the modern travel manner. Therefore, keeping the ecological and commercial values of these Parkss is non merely of import but besides a serious job. Ferntree Gully National Park is one of the five subdivisions of Dandenong Ranges National Park. Bing the south western subdivision of Dandenong Ranges National Park, Ferntree Gully National Park is celebrated for its fitness-related walking and it is besides a popular topographic point for field daies. In order to take full advantage of this national park and keep its ecological and commercial values, researches are conducted and we besides visit this national park. Consequently, this study will discourse the current state of affairs we have learned of this site. And based on this, to assist keeping the ecological and commercial values of this park, constructing a tree-top walk in this site will be proposed as a manner of land usage alteration. The possible effects including both advantages and disadvantages of this tree-top walk will be discussed at the terminal of this study. During the analysis and treatment, certain statistics and illustrations will be used to enrich this study and back up my point of position. Discussion and Analysis Site research The south-western subdivision, busying about 600 hectares being portion of the larger Dandenong Ranges National park, is known as Ferntree Gully National Park which was named after an 1860 picture of the local wood ( Ferntree Gully, Upper, 2008-11-26 ) . Bing in the suburb country, this national park has a long and colourful history. As studied in the old group work, this site had been used as runing land and so logging country. In 1987 Sherbrooke Forest, Doongalla Reserve and Ferntree Gully National Park were combined to organize the early Dandenong Ranges National Park. Until June 1997, Olinda State Forest and the Mt Evelyn Forest are included in today ‘s Dandenong Ranges National Park. Ferntree Gully National Park is an ideal finish to get away metropolis life for a field day or amble through the wood for tourers all over the universe. It is noted for its walking paths, its positions of Melbourne, its ferneries, eucalypt woods, picnic countries, birdlife, mammals and its vegetations, including 47 species of native orchids, native grasses, eucalypts and bushs such as shrub pea and austral anil ( Ferntree Gully, Upper, 2008-11-26 ) . Site visit study Location As we have studied in the old group work, this site is in the south western subdivision of the Dandenong Ranges National Park, it locates between the suburbs of Ferntree Gully and Boronia to the West, Upwey to the South, Tremont and Sassafras to the E and The Basin to the North ( Wikipedia ) . From the map shown below, traffic is convenient in this site. Approximately one hr of the 40 kilometres drive from Melbourne via Burwood Highway or Canterbury Road can take you to the site. Geology Landform The GPS map below approximately shows the Landform of Ferntree Gully National Park. With the aid of GPS, geomorphology development of this site can be studied. Harmonizing to the Department of Primary Industry ‘s description of comparative lift ( McDonald et Al, cited in DPI – Relative Elevation ) , the landforms of Ferntree Gully National Park are classified in two types: height from 90 to 300 metres and altitude above 300 metres. The former is defined as ‘Hill ‘ and the latter ‘Mountain ‘ . Dirt Soil PH is an of import portion of the life environmental conditions for workss and dirt microorganisms. The ideal dirt PH ( H2O ) trial consequence is PH 6-7.5 for most sorts of workss, although many will digest PH 5.5-8.5. Different species may hold different preferred PH scopes, therefore considerations should be taken to take an appropriate life circumstance. From Figure 3, the dirt PH is likely to be 5.5-6.0, looking to be influenced by the vent magma, and shows decrepit acidic. For the bulk workss here ( ferns ) , the most approximative dirt PH is merely 5.5-6.0. Therefore, the local workss species have already been in ideal life conditions in this reasonably acidic circumstance, although the dirt PH is non in the perfect impersonal scope. Climate Rain may impact the local workss and microorganisms. Moderate rainfall may contribute to the exuberant flora and comfortable bugs. The mean rainfall of this site holds steady throughout the twelvemonth harmonizing to Figure 4. Of the rainfall studied by now, the sum of rainfall in February 2011 is about ternary of the average rainfall during the last 17years. This inordinate rainfall may increase the hazards of deluging in the country. As can be seen in Figure 5, topography of the zone does hold influence on the rainfall in this country. The above figure shows a wetting agent western confronting incline and a drier eastern confronting incline. The ground seems to be that the predominating air current from the ocean blows from the West and weakens before making the E. Another of import factor to explicate the local clime must be temperature. Figure 6 shows the maximal temperatures at this site and Figure 7 shows the minimal temperatures. Both figures show that the temperatures of November to March are higher than the other months, which matches with the features of summer seasons of the southern hemisphere. Hydrology Water is the beginning of the life. Water keeps the organisms operation and the land green. From Figure 8, two little brooks can be seen: Ferntree Gully Creek to the south/east and the feeders of Blind Creek to the West, which finally lead to the Dandenong Creek and flows into Port Phillip Bay ( Victorian Water Resources Interactive Map ) . It is a job that no major H2O organic structure is within this site. Ecology Vegetation The coverage of land flora has certain effects on the ambiance and clime in this country. Plant photosynthesis can devour C dioxide and supply O therefore purifies air and weakens the nursery consequence. Harmonizing to the old group work, the species of flora within this site portion a broad scope. In Figure 9, flora of this site can be divided into their native flora group. In Figure 10, it is specified harmonizing to the categorization made by the Department of Sustainability and Environment. The similarity of both figures shows that the flora within this site is separated into many communities and owes a broad scope. Faunas Another biological feature of an eco-system is fauna which forms the cardinal portion of the nutrient concatenation. The superior flora conditions help to back up a assortment of mammals and supply shelters for them. Effectss of constructing a Tree-Top Walk in this site Harmonizing to the probe and analysis of this site, the park is an ideal topographic point for sightseeing and touristry. With the rapid development of Australian touristry, it is necessary to keep the ecological and commercial values of this park in the long term. fifty Tree-Top Walk The Tree-Top Walk was the lone Australian attractive force to win an award and was chosen from more than 75 entries from 38 states ( TOURISM WESTERN AUSTRALIA ) . Since it foremost put into usage, it attracts 1000s of repetition clients. Harmonizing to a sample study of 385 on Tree-Top Walk in the south West of Western Australia ( Hughes, M. A ; Morrison-Saunders, A. , 2002 ) , consequences showed that ‘the bulk of repetition visitants to the Tree-Top Walk were female and had returned to demo the site to friends and/or relations who were first clip visitants. First clip visitants were impressed by both the Tree-Top Walk construction itself and the natural forest milieus ‘ . Figure 12 shows a exposure of the Tree-Top Walk. cubic decimeter Effectss Advantages Tree-Top Walk helps to keep the ecological and commercial values of Ferntree Gully National Park. Tree-Top Walk itself non merely provides a convenient and perfect position of the eco-beauty, but besides it is a giant of modern architecture. Looking down from the high paseo, tourers can good bask the rain forest below and take a breath fresh air at the same clip without destructing the ecosystem. Repeated clients besides bring high benefits for the park. Given below are illustrations of Tree-Top Walk in different attractive forces. ‘The HSBC Tree-Top Walk,a freestanding suspension span, connects the two highest points of MacRitchie and offers an first-class vantage point for the diverse community of workss and animate beings that live in the forest canopy. ‘ ( TA_Singapore_Guide,2010 ) ‘The walk commences at the visitant Centre, which subtly introduces you to the rain forest, falling gently to the entry construction and onto the steel trussed tree walk. ‘ ( Otway Fly Tree-Top Walk ) Disadvantages Thingss ever have two sides, no exclusion for Tree-Top Walk. This immense building giant is time-consuming and money-consuming. The park will likely be closed during the building for a long clip and the immense sum of money will be another job. Besides, security steps for possible dangers are to be considered. A survey concentrating on whether the Tree-Top Walk delivered benefits associated with traditional ecotourism shows no optimistic ( HUGHES M. , MORRISON-SAUNDERS A. , 2003 ) . Decision Constructing a Tree-Top Walk is likely to be an anticipating land usage alteration for Ferntree Gully National Park. Harmonizing to researches and surveies above, it does supply a manner to keep the ecological and commercial values of this site. Although it may confront certain hazards, the possible net incomes accompanied may be immense. Detailed programs and plans should be developed if this undertaking is to be carried out. How to cite Tree top walk in fern tree park, Essay examples

Friday, December 6, 2019

Annotated Bibliography for Healthy Structures and Governance

Question: Write about theAnnotated Bibliography for Healthy Structures and Governance. Answer: Introduction The organized systems in health act as networks and coordinate their movements so that it can help in improving their care facilities, conditions of sanitations and reduction in budget, which will help in gaining satisfaction by the patients. One of the universal phenomenons in the modern world is the ageing of the population, which has been increasing in the developed countries. The consumers in the modern world needs the health services that will help them in meeting their requirements, which suggests that the services needs to be integrated and connected in a better manner. The consumers or the patients need to experience a better service with respect to healthy structures and governance. The integration of the social and medical care helps in the fragmentation of the services of the patients in the health care systems around the world. The increased rate of diseases that are chronic in nature has helped in providing necessary reforms so that these problems can be addressed proper ly. The care that is coordinated within a health system is an important issue within the primary health care system in various countries. The increases in the diseases that are chronic in nature have to be maintained in a complex manner by the different health care systems so that the care service can be managed in a better way within the community. The provision of the services has to be inclusive of the support and the coordination mechanisms that will help the general practioners in serving the patients who are inducted in the aged care homes in a better manner. The government of Australia had started the Aged Care General Practitioner Panels on 18th November 2330, which had taken the initiative of making some changes that would help in strengthening the medical care facilities. The divisions that are present in the practice of aged care facilities helps in drawing up of the action plan, which has been made mandatory by the government in 2005. The review of the literature has helped in studying the status that is present currently in the services of the facilities that are present with respect to the residential aged care in Australia. The initiative that has been taken up the government has helped in improving the quality of the care and the facilities that are present with respect to the facilities in aged care. This has helped the practioners in improving the access in the services with the help of new models, which has helped in decreasing the costs of the facilities. The articles have helped in studying the challenges that are present in the society with respect to the care and attempt in providing better access to the health care of the aged residents in the old age facilities. The issues that are present in the care has to be taken care of by applying the necessary models so that the care can be provided in a better manner to the old age residents in the care facilities. The aim of the medical and the social care is that it will help in addressing the integration that is present in the services of the patient in the systems of health care. The group of patients who have complex issues with their health has to be provided with better benefits so that it may help in reducing the chronic diseases along with the mental conditions of the patients. The process of integration will help in improving the coordination and the efficiency of the health care along with controlling the costs by providing better quality of treatment. The palliative care that is present in the communities is challenging for the practioners in the rural areas, which has caused a shortage in the workforce. The study will help in assessing the needs of the qualities that are present in the palliative care facility with respect to the aged residents. The identification of the needs will help the staffs in providing better care in delivering the palliative facility to the residents. The elements that are present in the care facilities has to be integrated in a better manner so that the care can be provided in the primary and the secondary sectors. Summary The chronic diseases that are non-communicable in nature with respect to ageing will include cancer, diabetes, respiratory diseases and cancer. According to the Pan American Health Organization, almost 60 percent of the deaths have occurred due to these conditions (Rodrigues, et al., 2015). The method that was used was cross sectional in approach where the population of the Alfenas region was taken in to consideration. The results showed that the consistency was satisfactory in nature, as it had a correlation that was less than 0.30. The interface of provider and patient needs to consider the expectation and needs of the patients. The method of collecting interviews was based on the literature that was available for the past 10 years. The findings based on the available literature were that the care and advice that was provided to the patients after the hours of service was taken in high value by the consumers. The patients want to get involved in the decisions that were made based o n their medical reports (Oliver-Baxter J. , Brown, OConnor, Lunnay, Bywood, 2013). The health needs are different for the patients that are grouped in to three categories, which are patients with more than two chronic diseases, the elderly people and the patients that suffer from severe mental conditions. The authors have discussed that most of the health care organizations tries to improve their costs and the care that is provided to the target patients. The government also provides help by providing a well-defined framework so that the services can be provided in a better manner. The resources that need to be used are the platforms that will help in managing the information technology and involve better incentives in the primary care unit(Maruthappu, Hasan, Zeltner, 2015). The methods that were used by the authors were dependent on the electronic databases that helped in combining the integration and the primary health care services for the study to be conducted in an efficient manner. The primary method of the study included the assessment that was laid down in the Scottish Intercollegiate Guidelines Network along with the various informations that was found on the websites of the State Health Departments. The research was based on 85 studies that were primary in nature along with 21 article reviews were taken in to consideration. The results of the study showed that chronic diseases account to 39 percent, aged diseases accounted to 18 percent and problems related to mental health amounted to 28 percent (Powell Davies, et al., 2017). The study by the authors helped in providing a detailed account of the learning design in the health care systems that are primary in Australia. The study has been conducted based on the exploration of the places and the re-modeling of the practices in the health care sector by the professionals according to the New South Wales Government. The analysis has been done based on the ethnographical study, which was conducted over a period of 2011-2014. The findings of the study highlighted that there were major changes in the practices within the health care system such as the improvement of the care facilities undertaken by the nurses. The organization focused on developing the designs that will help in achieving better health care services by developing their staffs so that they can operate in an efficient manner (Rule, Dunston, Solomon, 2016). The main objective of the study that was conducted by these researcher were to identify the main stakeholders that has enabled along with limited the use of the health impact assessment (HIA) during the decisions that are taken within the health care organizations. The method that has been used by the authors is that they carried out in-depth interviews of 14 informants within the regional and the local organizations that included the role of stakeholders. The results of the study helped in identifying the the themes that were taken for the study such as the integration method that was used in HIA with the existing structures within the organization and the leadership that was present in HIA (Ahmad, Chappel, Pless-Mulloli, White, 2008). The continuous improvement of the quality has helped the organizations in being effective with the contextual and the other factors. The study conducted by the authors dealt with the changes that were present in the delivery service along with the various ranges that helped in participating in the programs aimed at achieving improved quality with respect to care in Australia. The method used by the authors was that they collected the data from 36 health centres along with the quarterly reports of those organizations. The result was that it helped in identifying the effectiveness of improvement of the quality on a continuous basis, which helped in establishing the links between the patients and the staffs (Schierhout, et al., 2013). The reformations in the health care sectors are based on improving the integration related to the care provided in the primary and secondary sectors. The authors reviewed the literature from PubMed, CINAHL, and MEDLINE along with the different institutions such as Cochrane Library and others during 2006-2012. The results were that it helped in understanding the effectiveness of the governance and the delivery structures with respect to the services (Nicholson, Jackson, Marley, 2013). The care that is provided to the aged within the community is challenging mostly in the rural areas because of the shortages in the work force. The focus groups that are intended to look after the aged communities needs to analyze the strengths and weaknesses so that the quality of the care can be delivered in a better manner. The palliative care that is to be provided to the aged people is facing problems due to the lack of shortages in work force. The focus groups need to be educated in a proper manner so that proper care can be provided to the aged individual by implementing set of rules and regulations so that the care can be provided in a better manner (Mitchell, Nicholson, McDonald, Bucetti, 2011). The use of better quality and timeliness by the practioner of medical services have to provide better care to the aged care patients, as they require high medical needs due to their factor of age. The main objective is that the practioner needs to use various models that are present in health care services so that they can provide better facilities of care for the patients. The models such as Continuity Model, RACF Panel Model, and the General Practioner with Special Interest in Residential Aged Care model can be used by the medical practioners so that they can provide better care to the patients. The use of the models that are present within the hospital needs to be developed if the illness is acute for the aged patients (Reed, 2015). Conclusion Thus, it can be concluded that the managers in healthcare and the workers need to work in coordination so that the performance can be improved within the Integrated Health Service Delivery Network. Therefore, it can be concluded that the improvement of the patients were being done in an efficient manner but by maintaining the costs and the use of health systems that were complex in nature were to be done by better communication techniques at the local level. Further it can be added that the outcomes are potential in improving the health care facilities so that it can help the facilities in saving their costs. Thus, it can be concluded that the government along with the other legislator bodies play an important role in taking proper care of the patients within the primary health care services. Thus, it can be concluded that the authors have helped in establishing the models that will help in understanding the primary care services in Australia. The nurses as well have to undergo the training process so that they can provide optimum services to the patients. The authors concluded that the vacuum that was present in the leadership within these organizations were not defined clearly in the previous studies. Their studies helped in finding the limits with the use of HIA within the process of making the decisions in the health care organizations. Thus, it can be concluded that the continuous improvement of the quality will help the organizations in providing a relationship between the staffs and the patients in a better manner. Thus it can be concluded that the models of governance will provide a better integration regarding the secondary and primary services of health care. Bibliography Ahmad, B., Chappel, D., Pless-Mulloli, T., White, M. (2008). Enabling factors and barriers for the use of health impact assessment in decision-making processes. . Public Health, 122(5), , 452-457. Burling, S. (2004). General Practitioner Panels coming to aged care facilities. . Geriaction, 22(4),, 14. Davies, G. P., Harris, M., Perkins, D., Roland, M., Williams, A., Larsen, K., McDonald, J. (n.d.). Coordination of care within primary health care and with other sectors: A systematic review. Gadzhanova, S., Reed, R. (2007). Medical services provided by general practitioners in residential aged-care facilities in Australia. . Medical Journal of Australia, 187(2), , 92. Greaves, M., Rogers Clark, C. (2009). The experience of socially isolated older people in accessing and navigating the health care system. Australian Journal of Advanced Nursing, The, 27(2),, 5. Hillen, J. B., Vitry, A., Caughey, G. E. (2017). Trends in general practitioner services to residents in aged care. . Australian journal of primary health, 22(6),, 517-522. Maruthappu, M., Hasan, A., Zeltner, T. (2015). Enablers and barriers in implementing integrated care. . Health Systems Reform, 1(4), , 250-256. Mitchell, G., Nicholson, C., McDonald, K., Bucetti, A. (2011). Enhancing palliative care in rural Australia: the residential aged care setting. Australian Journal of Primary Health, 17(1), 95-101. Nicholson, C., Jackson, C., Marley, J. (2013). A governance model for integrated primary/secondary care for the health-reforming first worldresults of a systematic review. . BMC health services research, 13(1), 528. OConnell, B., Hawkins, M., Considine, J., Au, C. (2013). Referrals to hospital emergency departments from residential aged care facilities: Stuck in a time warp. Contemporary nurse, 45(2), , 228-233. Oliver-Baxter, J., Brown, L., OConnor, J., Lunnay, B., Bywood, P. (2013). Integrated care: What can be done at the micro level to influence integration in primary health care?. PHC RIS policy issue review. PHC RIS policy issue review. Adelaide, Aust: Primary Health Care Research and Information Service. Pain, T., Stainkey, L., Chapman, S. (2014). AgedCare+ GP: description and evaluation of an in-house model of general practice in a residential aged-care facility. . Australian journal of primary health, 20(3), , 224-227. Penfold, J. (2013). Positive outcomes for scheme that links care homes with GP practices: Julie Penfold looks at an initiative in Lancashire that is improving quality of services and reducing hospital admissions. . Primary Health Care, 23(10), , 9-10. Powell Davies, G., Harris, M., Perkins, D., Roland, M., Williams, A., Larsen, K., McDonald, J. (2017). Coordination of care within primary health care and with other sectors: a systematic review. Reed, R. L. (2015). Models of general practitioner services in residential aged care facilities. Australian family physician, 44(4), 176. Rodrigues, L. B., dos Santos, C. B., Goyat, S. L., Popolin, M. P., Yamamura, M., Deon, K. C., . . . Arcncio, R. A. (2015). Assessment of the coordination of integrated health service delivery networks by the primary health care: COPAS questionnaire validation in the Brazilian context. BMC family practice, 16(1), 87. Rule, J., Dunston, R., Solomon, N. (2016). Learning and change in the redesign of a primary health care initiative. . Journal of Workplace Learning, 28(7), , 451-467. Schierhout, G., Hains, J., Si, D., Kennedy, C., Cox, R., Kwedza, R., . . . Dowden, M. (2013). Evaluating the effectiveness of a multifaceted, multilevel continuous quality improvement program in primary health care: developing a realist theory of change. . Implementation Science, 8(1), 119. Truscott, J. E. (2007). Nurse practitioners and GPs: Addressing the needs of older persons living in residential aged care. . Australian family physician, 36(9),, 765. Burling, S. (2004). General Practitioner Panels coming to aged care facilities. . Geriaction, 22(4),, 14. Gadzhanova, S., Reed, R. (2007). Medical services provided by general practitioners in residential aged-care facilities in Australia. . Medical Journal of Australia, 187(2), , 92 Greaves, M., Rogers Clark, C. (2009). The experience of socially isolated older people in accessing and navigating the health care system. Australian Journal of Advanced Nursing, The, 27(2),, 5. Hillen, J. B., Vitry, A., Caughey, G. E. (2017). Trends in general practitioner services to residents in aged care. . Australian journal of primary health, 22(6),, 517-522. Maruthappu, M., Hasan, A., Zeltner, T. (2015). Enablers and barriers in implementing integrated care. . Health Systems Reform, 1(4), , 250-256. Mitchell, G., Nicholson, C., McDonald, K., Bucetti, A. (2011). Enhancing palliative care in rural Australia: the residential aged care setting. Australian Journal of Primary Health, 17(1), 95-101. Nicholson, C., Jackson, C., Marley, J. (2013). A governance model for integrated primary/secondary care for the health-reforming first worldresults of a systematic review. . BMC health services research, 13(1), 528. OConnell, B., Hawkins, M., Considine, J., Au, C. (2013). Referrals to hospital emergency departments from residential aged care facilities: Stuck in a time warp. Contemporary nurse, 45(2), , 228-233. Oliver-Baxter, J., Brown, L., OConnor, J., Lunnay, B., Bywood, P. (2013). Integrated care: What can be done at the micro level to influence integration in primary health care?. PHC RIS policy issue review. PHC RIS policy issue review. Adelaide, Aust: Primary Health Care Research and Information Service. Pain, T., Stainkey, L., Chapman, S. (2014). AgedCare+ GP: description and evaluation of an in-house model of general practice in a residential aged-care facility. . Australian journal of primary health, 20(3), , 224-227. Powell Davies, G., Harris, M., Perkins, D., Roland, M., Williams, A., Larsen, K., McDonald, J. (2017). Coordination of care within primary health care and with other sectors: a systematic review. Rule, J., Dunston, R., Solomon, N. (2016). Learning and change in the redesign of a primary health care initiative. . Journal of Workplace Learning, 28(7), , 451-467. Schierhout, G., Hains, J., Si, D., Kennedy, C., Cox, R., Kwedza, R., . . . Dowden, M. (2013). Evaluating the effectiveness of a multifaceted, multilevel continuous quality improvement program in primary health care: developing a realist theory of change. . Implementation Science, 8(1), 119.