Short Block vs. Long Block vs. Crate Engines

Short Block vs. Long Block vs. Crate Engines The engine in a typical car should last a few hundred thousand miles, and some have hit even a million miles, depending on maintenance. However, manufacturing inconsistencies, lack of maintenance, or other circumstances can dramatically shorten the life of an engine, sometimes in spectacular ways. If you need to replace a damaged engine or upgrade your engine, you have a few choices to make. Short block vs. long block vs. crate engines- which should you choose? Not everyone has the time and tools required to fully rebuild or assemble an engine. Malkovstock / Getty Images The basic difference between a short block vs. long block vs. crate engines is their level of assembly. Of course, you could build your own engine, piece by piece, if you have the tools and knowledge or have a friend with a machine shop. If you’re building a race car, that’s a good way to go, but you wouldn’t likely build an engine from scratch for your daily driver. To shorten your vehicle’s downtime and reduce the level of complexity, you might choose a crate engine, long block, or short block. Basic Differences At its most basic, the difference between short block, long block, and crate engines is that each is progressively more expensive but requires less time and expertise to install. We’ll cover some of these differences and similarities, as well as instances when you might choose one over the other. Depending on tools, expertise, and budget, you may spend more or less time rebuilding your engine. MS Phil Speck / USANG Short Block Engine A short block engine is essentially just the engine block with a few major components. A short block engine usually includes, preinstalled, a new crankshaft with bearings and caps, new connecting rods, and new pistons. When installing a short block, you’ll need a master gasket kit so you can transfer parts from your old engine to the new short block, such as cylinder heads, oil pump, oil pan, timing sprockets and pulleys, timing belt or chain, camshafts, and intake and exhaust manifolds, as well as sensors and actuators. Choose a short block if the bottom end is damaged but the top end (cylinder heads) is in good condition and you have the time to swap over all the parts. Long Block Engine Depending on who makes it, the long block usually includes the short block with the cylinder heads preinstalled, most likely including timing components and anything behind them, such as the oil pump and camshafts. When installing a long block, you’ll need to transfer some parts from your old engine, such as the intake and exhaust manifolds, and some of the sensors and actuators. Choose a long block engine if there’s damage in the bottom and top end. Crate Engine Depending on who makes it, crate engines can range from long block to complete, including the oil pan, cylinder heads, intake and exhaust manifolds, sensors and actuators, maybe even the engine main harness. We’re referring to a complete engine, which is a good idea for those looking for a drop-in solution to their engine problems. No parts are transferred to the new engine, aside from the alternator, air-conditioning compressor, and engine mounts, which significantly reduces the time to install. Choose a crate engine or complete engine when time is of the essence or the engine has suffered extensive failures. Crate engines can also be custom-ordered, the weapon of choice for many enthusiasts who want more power from their custom cars. These are the three main categories of new engines you can buy for the typical project, but not the only ones. You might also consider used junkyard engines or remanufactured engines. Junkyard Engine A junkyard engine might be a good choice for your vehicle project. Julien Grosjean / Getty Images A junkyard engine might be a good choice if you are looking to save money. These usually come complete, hopefully with intact wiring, though each facility does things differently. If you have an engine-savvy friend, they can help you inspect the engine before you buy it. You-pick junkyards will require that you remove the engine yourself, so you can take as much care as you want to save the parts you need the most. Choose a junkyard engine if budget is of primary concern, but be aware that it might not come with any warranty and might have already been abused or neglected. Remanufactured Engine These used engines may be available in differing levels of assembly, from short block to long block or complete. The difference between a remanufactured or rebuilt engine is that they’ve been overhauled or at least certified by engine experts. They’re used and may have varying levels of new parts, are usually more expensive than junkyard engines but less expensive than crate engines, and usually come with a warranty. Choose a remanufactured engine if you’re not planning on rebuilding it yourself. Here, an engine is either ready for disassembly or reinstallation. PIXNIO Choosing between these different engines if you must replace or rebuild an engine needn’t be overwhelming. Considering your expertise, available tools, and budget, not to mention existing damage, choose the engine that best meets your needs. Still wondering which is best? Ask an engine-savvy friend or a trusted mechanic.

SAT Score Ranges Understand Your Score vs Class Grades

SAT Score Ranges Understand Your Score vs Class Grades SAT / ACT Prep Online Guides and Tips What’s the best possible SAT score and worst possible SAT score you could get? How do you understand SAT scores if you’re used to letter grades like A- or B+, or test scores like 93%? In this guide, we convert SAT scores into much more understandable class grades to help you interpret your SAT score. What's the SAT Score SAT Range? The pure SAT score range is 200 minimum, 800 maximum per section. The current SAT has two sections, so its total range is 400 to 1600. It's as simple as that! The score range might not tell you much on its own, since it's rare that someone will get a perfect 1600 or as low as a 400. However, if you’re more used to thinking about class grades like A+, B-, etc. then we can map SAT scores into grades to give you a rough idea of the letter grade your SAT score corresponds to. Likewise, we can do the same if you’re more used to numerical class grades like 95% for a good test or 55% for a failing test. How Can You Understand Your SAT Score If You're Used to Class Grades? We’ll first present the results of our conversion of SAT scores to class grades, and then we’ll interpret the results. For those interested in technical details, we’ll then tell you how we got there. In the final section, we’ll then discuss some other interpretations of what a good SAT score is. Conversion of New SAT Scores to Class Grade Equivalents New SAT Score Numerical Class Grade Letter Class Grade 1560-1600 100.0 A+ 1520-1550 99.9 A+ 1490-1510 99.8 A+ 1465-1480 99.7 A+ 1450-1460 99.6 A+ 1430-1440 99.5 A+ 1420 99.4 A+ 1410 99.3 A+ 1390-1400 99.2 A+ 1387 99.1 A+ 1370-1380 99.0 A+ 1367 98.9 A+ 1350-1360 98.8 A+ 1347 98.7 A+ 1340 98.6 A+ 1333 98.5 A+ 1327 98.4 A+ 1320 98.3 A+ 1310 98.2 A+ 1300 98.1 A+ 1293 97.9 A+ 1287 97.8 A+ 1280 97.7 A+ 1273 97.6 A+ 1267 97.5 A+ 1260 97.4 A+ 1253 97.2 A+ 1247 97.1 A+ 1240 97.0 A 1233 96.8 A 1227 96.7 A 1220 96.5 A 1213 96.4 A 1207 96.2 A 1200 96.0 A 1193 95.9 A 1187 95.7 A 1180 95.5 A 1173 95.3 A 1167 95.1 A 1160 94.9 A 1153 94.7 A 1147 94.5 A 1140 94.3 A 1133 94.1 A 1127 93.9 A 1120 93.7 A 1110 93.3 A 1100 93.0 A- 1093 92.7 A- 1087 92.5 A- 1080 92.2 A- 1073 91.9 A- 1067 91.7 A- 1060 91.4 A- 1053 91.1 A- 1047 90.8 A- 1040 90.5 A- 1033 90.2 A- 1027 89.9 B+ 1020 89.6 B+ 1013 89.3 B+ 1007 89.0 B+ 1000 88.7 B+ 993 88.4 B+ 987 88.1 B+ 980 87.8 B+ 973 87.5 B+ 967 87.2 B+ 960 86.9 B 953 86.6 B 947 86.2 B 940 85.9 B 933 85.6 B 927 85.3 B 920 84.9 B 913 84.6 B 907 84.3 B 900 83.9 B 893 83.6 B 887 83.2 B 880 82.9 B- 873 82.5 B- 867 82.1 B- 860 81.7 B- 853 81.3 B- 847 80.9 B- 840 80.4 B- 833 80.0 C+ 827 79.5 C+ 820 79.0 C+ 813 78.5 C+ 807 78.0 C+ 800 77.5 C+ 793 77.0 C 787 76.5 C 780 76.0 C 773 75.5 C 767 75.0 C 760 74.5 C 753 74.0 C 747 73.5 C 740 73.0 C- 733 72.4 C- 727 71.9 C- 720 71.3 C- 713 70.6 C- 707 69.8 D+ 700 69.0 D+ 693 68.1 D+ 687 67.3 D+ 680 66.4 D 673 65.5 D 667 64.6 D 660 63.6 D 653 62.5 D 647 61.2 D 640 59.3 F 633 57.2 F 627 55.2 F 620 53.1 F 613 51.2 F 607 49.2 F 600 47.3 F 593 45.4 F 587 43.5 F 580 41.7 F 573 39.9 F 567 38.1 F 560 36.3 F 553 34.6 F 547 32.8 F 540 31.1 F 533 29.5 F 527 27.9 F 520 26.4 F 513 24.8 F 507 23.4 F 500 21.9 F 493 20.4 F 487 18.9 F 480 17.5 F 473 16.1 F 467 14.7 F 460 13.4 F 453 12.1 F 447 10.9 F 440 9.7 F 433 8.6 F 427 7.7 F 420 6.6 F 413 5.7 F 407 5.0 F 400 3.2 F How can you read this table? Suppose you received a 1000 on the current SAT. You'd want to find this row: New SAT Score Numerical Class Grade Letter Class Grade 1000 88.7 B+ Under Numerical Class Grade, 88.7 means that this SAT score is like getting a class score of 88.7% (or round to 89%) at the end of the year. Imagine getting a 88.7 in history, English, or math. Under Letter Class Grade, the B+ means this SAT score is similar to getting the class letter grade B+. What Does the Conversion Table From SAT Score to Class Grades Really Show You? To put it simply, the conversion table takes your SAT score and tells you how well you're doing in terms of class grades. You're used to class grades because you've seen them since you began school, but this might be the first time you've looked at SAT scores. In the table above, we've taken something you might be unfamiliar with and put it in terms of something you know and understand. To be more precise, the above table matches SAT scores to class grades based on percentiles. The SAT percentile is calculated from a recent group of SAT scores. The class grades percentile is based on a comprehensive academic survey of common grades given out in college (which closely match US high school grades culturally). In other words, to go from a new SAT score of 1000 to 88.7%, we looked at the SAT percentile of 1000 (it happens to be right about 50%), and then we used a comprehensive academic survey which showed that the 50th percentile class grade across many colleges was an 88.7%, or a B+. Imagine getting a B+ in one of your classes. Would you be happy with that grade? Would you consider yourself to know the material well? You can then apply those feelings to your SAT score and use them to plan your next steps, such as if you'd like to retake the exam. Want to learn more about the SAT but tired of reading blog articles? Then you'll love our free, SAT prep livestreams. Designed and led by PrepScholar SAT experts, these live video events are a great resource for students and parents looking to learn more about the SAT and SAT prep. Click on the button below to register for one of our livestreams today! Interesting Notes from the Conversion Table First, you should note that the distribution of SATscores and grades are quite different. There is a lot of resolution at the top end of the SAT scale- a 1250 and a 1600 are 350 points apart, yet they all map to A+. Read that again; it's not a mistake: a 1600 and a 1250 are both A+. Classes oftentimes do not do a good job of distinguishing great students from the truly spectacular. In a class of 20, you might have two people get an A+, which seems like a small number, until you realize that in that same class of 20, if it represented all students in the USA, you would only have two people as well who get 1250 or above. The SAT is useful to colleges, especially very selective ones, because itdistinguishes the 90th percent from the 99th percent. Also, class grades and SAT scoresare equally good at resolving the performance of middle-of-the-pack students. When you go from an SATscore of 680 to a 1110- just a range of 430- you're going from a straight D to an A. For students who are near the median of their class or a bit below, SAT scores and class grades both have decent resolution. Finally, you may noticethat both SAT scores and class grades have non-zero starting points, which makes sense when you apply it to what you know about the kinds of grades that are given out. When was the last time you heard of someone getting a 30 out of 100 as their final grade for a class? Less than 4% of class grades are failing grades. Likewise, when was the last time you heard someone get less than a 680 on the SAT? Even though the SATgoes all the way down to 400, fewer than 2% of people get less than a 680. Just like it's a good idea to think of class grades as starting from a D and not a 0, it's better to think of SATs as starting from 680 and not 400. Can SAT Scores Really Be Mapped to Class Grades? They certainly can! However,I should warn you, such mappings are an inexact science. Some issues you should be aware of include: SATs and classes test very different things. The SAT is a mostly-multiple-choice test given over the course of a few hours on a Saturday morning (usually). Classes consist of hundreds of hours of schoolwork. The SAT is a solitary activity. Classes include working with teachers and classmates. The two measure different things. Getting a B+ in class does NOT mean you'll get a 1000 for sure on the SAT, and vice versa. Class grades are not rigorous. Is an A- a good grade? If your teacher gives half the class a straight A, then an A- is a bad grade. Conversely, if your teacher gives out only one Aa year, you might have the top score. An A in art studies means something very different thangetting an A in computer science. Thus, you can't look atthe conversion too rigidly. With thatcaveat out of the way, you're on the right track if you think of the table above as "lining up" different types of races.For example, you can't compare a 100-meter dash with the marathon, but you can say 10 seconds is an "Olympiclevel" 100-meter dash time, and 2h10min is an "Olympiclevel" marathon time. What’s Next? Wondering what SAT score you should be aiming for? Learn how to developyour target scorebased on the colleges you're interested in. Not happy with where your SAT score places you?We're here to help! We have tons of guides specifically designed to raise your SAT score. To get you started, check out these 21 tips to improving your SAT score. Want to prepare for the SAT? Taking practice tests is one of the best ways to see how you're doing and raise your score.Check out our collection of free and official practice SATs for you to use. Disappointed with your scores? Want to improve your SAT score by 160 points?We've written a guide about the top 5 strategies you must be using to have a shot at improving your score. Download it for free now:

Utilization Management and Models of Care Research Paper

Utilization Management and Models of Care - Research Paper Example It is also a whole person centered approach that offers a comprehensive care strategies for chronic, acute and end of life care. Finally, the PCHM facilitates the integration and coordination of care thus ensuring that the patients receive the best care and services from their medical neighborhood thus improving quality and safety of the services. Health care facilities that have employed the Chronic Care Model have also been able to achieve their quality and safety goals due to the various beneficial elements inherent in the model. Glasgow, Orleans & Wagner (2001) informs that one of the key ways through which the Chronic Care Model facilitates the achievement of quality and safety goals by coordinating the care delivery process and offering clinical decision support. The model coordinated coordinates decisions and actions of different care givers leading to glycemic control, health care utilization and patient satisfaction. Evidence based decision making is vital in the achievement of safety and quality goals (Coleman, Austin, Brach & Wagner, 2009). The model facilitates the incorporation of evidence based practices into various registries and patient assessment tools thus improving the quality of care offered by the care givers. Shojania, K., Kathryn, M., Grimshaw, J., Sundaram, V., Rushakoff, R. (2006). Effects of quality improvement strategies for type 2 diabetes on glycemic control: a meta-regression analysis.  Journal of the American Medical Association  296(4), 427–440.

Open the link and answer questions Assignment Example | Topics and Well Written Essays - 250 words

Open the link and answer questions - Assignment Example On the other hand, the disadvantage of this law is the difficulty in enforcement as not all motor vehicles could be ensured of being cell phone free. Further, a driver who could have responded to emergency situations through wireless phones could not be contacted, when immediately needed and thereby could delay any required and immediate response. Question 2. Are you for or against the state law? Why or why not? Personally, I am in favor of the enactment of the state law because there have been several accidents that have been attributed to cell phone use during driving. According to Lance, â€Å"a recent study by the Insurance Institute for Highway Safety gives the first concrete evidence of the effects of cell phone use on injury crashes. IIHS revealed recently that drivers using phones are four times as likely to get into crashes serious enough to injure themselves† (Lance par. 3). The proof that more states that considered banning cell phone use while driving (Bloomberg Bu sinessweek) attests the need to pass the law to ensure the safety, not only of the drivers but also of the general public. Works Cited Bloomberg Businessweek. Cell Phone Laws. July 2005. Web.

PLO - Palestine Liberation Organization :: essays research papers fc

History Palestinian Liberation Organization 1. Can the Palestine Liberation Organization (PLO) justifiably claim to be 'the sole, legitimate representative of the Palestinian people.'? The PLO was set up in 1964 by an Arab League decision in response to growing signs of Palestinian unrest. The Palestinians desired to reclaim the lands occupied by Israel, which they felt belonged to them, as said in the Bible. In 1964 the Arab states created the Palestine Liberation Organization (PLO). While it was supposed to represent the Palestinians, in reality it represented the views of President Nasser of Egypt, who guided the formation of the PLO. Its first leader made wild and irresponsible threats to drive Israelis into the sea, and had little support among Palestinians for he was seen as a puppet of the Egyptians. In the 1960s Palestinian students began to form their own organizations independent of control by Arab governments (although the Syrians, Libyans, and Iraqis continued to fund and control particular groups). Yasser Arafat founded an independent Palestinian-run party called Fatah. He is said to have the backing, for most of the recent past, of about 80% of the Palestinian people. The position of the Arab governments was that a PLO under Arab League supervision would be the best way of satisfying the demands made by an emerging Palestinian national consciousness. Also, it was felt that through such an organization Arab governments could control Palestinian political activities. Ten years after its founding, the PLO was raised to the status of government. And in 1988, the PLO's status was to be raised again, this time to a state in exile. After several negotiations, Arafat became a Terrorist leader and administrator of self-rule in the West Bank and the Gaza Strip. In the 1967 Six Day War, the Arab armies did very badly against Israel, losing 67,000 square kilometres of land. Palestinians came to believe that if they were ever to have their land, they would have to do it themselves. After the 1967 war, the situation changed drastically. The resistance activities of various guerrilla organizations, in particular the Al-Fatah and the PFLP, gained the increasing support of the Palestinians. With Arafat at the helm from 1969 and a resistance-oriented leadership, the PLO was more effective and played a central role in mobilizing the Palestinians and in expanding its basis of support both at the local and international level. The PLO became an umbrella organization for the various guerrilla groups. This increase in support was made possible because of the Al-Fatah's ability to access to the growing numbers of volunteers from refugee camps which were freshly swollen due to the 1967 war.

China online banking development Essay

China is expected to become the largest information technology (IT) market in the world in the next five years, acknowledging that computers will be popular in Chinese families by that time. China now ranks No. 2 in Internet subscribers in the world. Owing to China’s large population, the country’s Internet market still has great potential. Information technology has been utilized in almost all sectors of China’s economy today. E-government, e-business, e-finance, and upgrading of state-owned enterprises will all provide more opportunities for the development of the industry in  China is expected to become the largest information technology (IT) market in the world in the next five years, acknowledging that computers will be popular in Chinese families by that time. China now ranks No. 2 in Internet subscribers in the world. Owing to China’s large population, the country’s Internet market still has great potential. Information technology has been utilized in almost all sectors of China’s economy today. E-government, e-business, e-finance, and upgrading of state-owned enterprises will all provide more opportunities for the development of the industry in China. Read the Memo sent out by Jaime about 2004 Mid-Year Offsite Business-planning meeting conducted by S1 management team, the key topic of â€Å"Perfecting our International and Distribution Business† caught my attention. Learned the news that Macau Tai Fung bank implemented S1 Banking Solution to launched its online banking services, and found out that S1 opened an office in Beijing – China’s capital city, I got a feeling that S1 already turned its eyes to Chinese Market and wonder whether S1’s management would like to make further moves and seize the opportunity. Before left China to immigrant to Canada, I had 6 years working experiences in Beijing-my home city, dealing with Chinese financial agencies and institutions, Chinese and foreign banks as well as other financial institutions and service providers in China, I’m quite familiar with Chinese financial industry structure. I’d like to reuse my knowledge and made this online research report. If S1 is interested in expanding business in China, but not clear what is the situation there and where to start, my research report will, I hope to a certain extent, answer some of your questions. The main purpose of this report is to provide some information and personal suggestions that, I hope, could be helpful for S1’s management or marketing team to better understand Chinese market. This report includes information covering Chinese banking system structure, the emergence and development of Internet banking and online insurance services in China, Chinese governments’ policies and regulations toward online banking and insurance business as well as some prepositional thoughts about how to present S1 and its products to China. Naissance of Online Banking in China In the late 1990s, China began allowing banks to open online businesses. In 1996, China Merchants Bank launched the 1st online financing service in China through â€Å"All in One Net†, an online payment method, which set up the basic operating pattern of China online banking. On October 1997, the Industrial and Commercial Bank of China (ICBC) established its own homepage on Internet to promote its financing services and to provide business guide for Internet users. March 1998, Bank of China successfully handled its first e-transaction. To 1999, all major banks in China had sped up their online banking construction. To date, online banking has made good progress in China. According to statistics from the recently seminar called â€Å"International Symposium on the Development of Online Banking and Supervision† sponsored by China Banking Regulatory Commission, China’s online bank transactions are expected to reach 20 trillion yuan (about 2. 4 trillion US dollars) by the end of this year. Currently, China has over 40 million individuals and 60,000 companies and institutions involved in online banking businesses. In 2003, Internet-based banking businesses have witnessed a big step forward, owing to the outbreak of SARS (Severe Acute Respiratory Syndrome). Traditionally, Chinese have placed a premium on face-to-face meeting for important business-related matters, but the SARS crisis has forced people to change their attitude. Online Banking Development in China China is in the early stages of a vast transformation – from a traditional â€Å"cash and carry† banking system where customers use the branches for almost every banking activity to a modern Internet banking system. Currently, more than 50 commercial banks (domestic and foreign) and over 200 of their branches in China have opened websites, among which, a total of over 50 banks have launched online businesses. The Growth of Online Banking Customers in China China’s online bank transactions were 14. 3 billion yuan in 2001, increased to 21. 8 billion yuan in 2003, and are expected to reach 20 trillion yuan (about 2. 4 trillion US dollars) by the end of this year. Figure 3. 1: The Growth of Online Banking Customers in China Online Shopping Payment Methods in China. According to a survey made by China Internet Network Information Center (CNNIC), payment online by credit card and deposit card is becoming the 1st choice for online purchasing. The traditional payment method of payment on delivery by cash and postal remittance decreased 3. 7% this year. Figure 3. 2: Online Purchasing Payment Methods in China An analysis shows that security and service abilities are the main concerns for Chinese to use online banking services, 72. 2% of the people inquired care a lot about whether the banks can guarantee the safety of all transactions in their online services, 60. 6% hope to see more functions and flexibilities. Figure 3. 3: Factors that that will attract Chinese to use online banking services Both Chinese and foreign banks in China realized that the internet solutions provide clients with more channels to communicate with them and allow them to benefit from greater control and cost efficiency, which are top of mind for treasurers today. Domestic Banks and Their Online Banking Services For many Chinese, banking in general is a new experience and in an economy where cash remains important, so bank branches also provide security to customers. However, with accession to the World Trade Organization (WTO), China’s major banks having to face competition, the local players are increasingly seeing their extensive and heavily manned branch networks as a liability. More and more Chinese banks seem to have discovered the Internet as new source of revenue and the powerful attraction of Internet banking is reflected an attractive proposition. The Chinese bank that has bee quickest off the mark in building Internet banking is China Merchant Bank, which launched the first online financing service in China in 1996. The four state-owned commercial banks quickly followed and successively began to offer some online services since then. May 2000, the Agricultural Bank of China (ABC) implemented a trial Internet banking service in its Guangzhou Branch, which allowed their customers in Guangdong province to access their account through Internet. December 2000, ABC launched online banking service in Shanghai called 95599 Online Bank. The new service of 95599 Online bank has reportedly attracted a number of large corporate clients, such as China Worldbest Group and Shanghai Volkswagen. The services offered include currency exchange, personal cheque issuance and access to consumer loans. Users can also report the loss of certificates of deposit, bankbooks and bankcards as well as prearrange withdrawals of cash sums. At the same time, China Construction Bank (CCB) announced its plans to extend its online banking services to 15 cities in the mainland as well as simplify the process of related authentication in a bid to boost the number of clients using online services. The bank began offering online services in April 2000 in cities of Beijing, Guangzhou, Shenzhen and Qingdao. Last year, the Industrial and Commercial Bank of China (ICBC) unveiled a new platform for its personal online banking business – BANKING@HOME. ICBC officials said the upgraded e-banking platform could facilitate a key shift of the bank’s outlets from all-round functions to sales-orientated services, and gives it a firmer foothold in a market with intensifying foreign competition. ICBC officials said the 58-function brand-name allows â€Å"almost all services a traditional banking outlet offers† to be processed by the client on the computer, including 24-hour any-amount transfers of funds or remittances, securities and foreign currency trading as well as collateralized loans. Figure 3. 4: Internet Services provided by the 4 state-owned commercial banks Name Website URL Language Internet Services The Agricultural Bank of China (ABC) www. abocn. com – Chinese – Simplified Banking industry news and website news, Regulation for foreign currency deposits Link to online banking Bank of China (BOC) www. bank-of-china. com – Chinese Simplified – English Link to branch offices in other cities and provinces Link to E-banking services Cash management Information on the bank and its activities Information on credit card deposits online and phone banking, loans and remittances. China Construction Bank www. ccb-on-line. com – Chinese Simplified – English Links to exchange rates, stock quotes, deposit rates, loan rates, bank fees. Link to branch offices in other cities and provinces Credit card information. International Operations such as financing, merchant banking, international settlements, currency exchange, treasury services, credit investigations Information on oversea branches and domestic branches that conduct international transactions Foreign currency deposit, multi-currency remittances, account settlement and term deposit. Link to online banking and payment The Industrial and Commercial Bank of China (ICBC) www. icbc. com. cn – Chinese Simplified – Chinese Traditional – English Link to branch offices in other cities and provinces Link to online bank services: personal banking, corporate Banking. Information on E-banking Online financing Links to exchange rates, stock quotes, deposit rates, loan rates, bank fees. Foreign Banks and Their Online Banking Services Citibank claims that they are the 1st foreign bank in China that obtained approval from the People’s Bank of China (PCBC) to offer Internet banking services in China to both domestic and international corporations, as well as consumers. Its Internet banking services provide clients with convenient, easy-to-use, and secure access to banking transactions, 24 hours a day, seven days a week, over the Web. Offering its CitiDirect corporate banking service for cash management, the bank has developed an internet-based payments system specifically for the country. The system enables corporate clients in China to make local currency (renminbi) payment transactions to beneficiaries in over 7000 locations. The system, called Citibank Easy Payments, also delivers various payment and collections reports for clients to view or download into their computers. Its Internet-based banking services available in China for corporate and consumer clients include: CitiDirect(r) Online Banking is Citibank’s Web-based delivery channel for corporate clients, designed to securely deliver online an ever-expanding array of Citibank transaction products. CitiDirect(r) Online Banking provides access to account information, payment initiation capabilities, collections data, trade finance transactions, and import/export file integration capabilities. CitiDirect(r) replaces traditional electronic banking applications with a single Web-based delivery channel, thereby improving efficiency and reducing costs to clients. Available in 90 countries and 20 languages including traditional and simplified Chinese, CitiDirecti Online Banking gives clients the benefits of real-time processing, robust security and integration with their in-house treasury systems. * Citibank Easy Payments, an Internet-based payment system that allows corporate clients in China to make local currency (Renminbi) payment transactions to beneficiaries in over 7000 locations in China. This system was specifically developed for the China market. Citibank Easy Payments also delivers various payment and collections reports for clients to view or download into their computers. Citibank Easy Payments supports interface with all major Enterprise Resource Planning (ERP) packages such as SAP, Oracle, BPCS as well as locally developed Chinese accounting packages. Citibank. com. cn, an Internet banking portal that allows corporations and consumers to manage their accounts online, make online enquiries or transactions, view customize and personalize pages as well as get online tools and real-time global market information. Global banking group HSBC, Hang Seng Bank and Bank of East Asia received online-banking license and launched online banking service in China on January 2003. This new service allows their customers to check their balances, transfer funds, make time deposits and account enquiries, check interest and foreign exchange rates, and send remittance instructions through Internet. It is said that more foreign banks, like London-based Standard Chartered Bank, have also received approval to launch online banking services in China, but it is not clear when the emerging market specialist would offer such service. China is expected to become the largest information technology (IT) market in the world in the next five years, acknowledging that computers will be popular in Chinese families by that time. China now ranks No. 2 in Internet subscribers in the world. Owing to China’s large population, the country’s Internet market still has great potential. Information technology has been utilized in almost all sectors of China’s economy today. E-government, e-business, e-finance, and upgrading of state-owned enterprises will all provide more opportunities for the development of the industry in China. Read the Memo sent out by Jaime about 2004 Mid-Year Offsite Business-planning meeting conducted by S1 management team, the key topic of â€Å"Perfecting our International and Distribution Business† caught my attention. Learned the news that Macau Tai Fung bank implemented S1 Banking Solution to launched its online banking services, and found out that S1 opened an office in Beijing – China’s capital city, I got a feeling that S1 already turned its eyes to Chinese Market and wonder whether S1’s management would like to make further moves and seize the opportunity. Before left China to immigrant to Canada, I had 6 years working experiences in Beijing-my home city, dealing with Chinese financial agencies and institutions, Chinese and foreign banks as well as other financial institutions and service providers in China, I’m quite familiar with Chinese financial industry structure. I’d like to reuse my knowledge and made this online research report. If S1 is interested in expanding business in China, but not clear what is the situation there and where to start, my research report will, I hope to a certain extent, answer some of your questions. The main purpose of this report is to provide some information and personal suggestions that, I hope, could be helpful for S1’s management or marketing team to better understand Chinese market. This report includes information covering Chinese banking system structure, the emergence and development of Internet banking and online insurance services in China, Chinese governments’ policies and regulations toward online banking and insurance business as well as some prepositional thoughts about how to present S1 and its products to China. Naissance of Online Banking in China In the late 1990s, China began allowing banks to open online businesses. In 1996, China Merchants Bank launched the 1st online financing service in China through â€Å"All in One Net†, an online payment method, which set up the basic operating pattern of China online banking. On October 1997, the Industrial and Commercial Bank of China (ICBC) established its own homepage on Internet to promote its financing services and to provide business guide for Internet users. March 1998, Bank of China successfully handled its first e-transaction. To 1999, all major banks in China had sped up their online banking construction. To date, online banking has made good progress in China. According to statistics from the recently seminar called â€Å"International Symposium on the Development of Online Banking and Supervision† sponsored by China Banking Regulatory Commission, China’s online bank transactions are expected to reach 20 trillion yuan (about 2. 4 trillion US dollars) by the end of this year. Currently, China has over 40 million individuals and 60,000 companies and institutions involved in online banking businesses In 2003, Internet-based banking businesses have witnessed a big step forward, owing to the outbreak of SARS (Severe Acute Respiratory Syndrome). Traditionally, Chinese have placed a premium on face-to-face meeting for important business-related matters, but the SARS crisis has forced people to change their attitude. Online Banking Development in China China is in the early stages of a vast transformation – from a traditional â€Å"cash and carry† banking system where customers use the branches for almost every banking activity to a modern Internet banking system. Currently, more than 50 commercial banks (domestic and foreign) and over 200 of their branches in China have opened websites, among which, a total of over 50 banks have launched online businesses. The Growth of Online Banking Customers in China China’s online bank transactions were 14. 3 billion yuan in 2001, increased to 21. 8 billion yuan in 2003, and are expected to reach 20 trillion yuan (about 2. 4 trillion US dollars) by the end of this year. Figure 3. 1: The Growth of Online Banking Customers in China Online Shopping Payment Methods in China According to a survey made by China Internet Network Information Center (CNNIC), payment online by credit card and deposit card is becoming the 1st choice for online purchasing. The traditional payment method of payment on delivery by cash and postal remittance decreased 3. 7% this year. Figure 3. 2: Online Purchasing Payment Methods in China An analysis shows that security and service abilities are the main concerns for Chinese to use online banking services, 72. 2% of the people inquired care a lot about whether the banks can guarantee the safety of all transactions in their online services, 60. 6% hope to see more functions and flexibilities. Figure 3. 3: Factors that that will attract Chinese to use online banking services Both Chinese and foreign banks in China realized that the internet solutions provide clients with more channels to communicate with them and allow them to benefit from greater control and cost efficiency, which are top of mind for treasurers today. Domestic Banks and Their Online Banking Services For many Chinese, banking in general is a new experience and in an economy where cash remains important, so bank branches also provide security to customers. However, with accession to the World Trade Organization (WTO), China’s major banks having to face competition, the local players are increasingly seeing their extensive and heavily manned branch networks as a liability. More and more Chinese banks seem to have discovered the Internet as new source of revenue and the powerful attraction of Internet banking is reflected an attractive proposition. The Chinese bank that has bee quickest off the mark in building Internet banking is China Merchant Bank, which launched the first online financing service in China in 1996. The four state-owned commercial banks quickly followed and successively began to offer some online services since then. May 2000, the Agricultural Bank of China (ABC) implemented a trial Internet banking service in its Guangzhou Branch, which allowed their customers in Guangdong province to access their account through Internet. December 2000, ABC launched online banking service in Shanghai called 95599 Online Bank. The new service of 95599 Online bank has reportedly attracted a number of large corporate clients, such as China Worldbest Group and Shanghai Volkswagen. The services offered include currency exchange, personal cheque issuance and access to consumer loans. Users can also report the loss of certificates of deposit, bankbooks and bankcards as well as prearrange withdrawals of cash sums. At the same time, China Construction Bank (CCB) announced its plans to extend its online banking services to 15 cities in the mainland as well as simplify the process of related authentication in a bid to boost the number of clients using online services. The bank began offering online services in April 2000 in cities of Beijing, Guangzhou, Shenzhen and Qingdao. Last year, the Industrial and Commercial Bank of China (ICBC) unveiled a new platform for its personal online banking business – BANKING@HOME. ICBC officials said the upgraded e-banking platform could facilitate a key shift of the bank’s outlets from all-round functions to sales-orientated services, and gives it a firmer foothold in a market with intensifying foreign competition. ICBC officials said the 58-function brand-name allows â€Å"almost all services a traditional banking outlet offers† to be processed by the client on the computer, including 24-hour any-amount transfers of funds or remittances, securities and foreign currency trading as well as collateralized loans. Figure 3. 4: Internet Services provided by the 4 state-owned commercial banks Name Website URL Language Internet Services The Agricultural Bank of China (ABC) www. abocn. com – Chinese – Simplified Banking industry news and website news, Regulation for foreign currency deposits Link to online banking Bank of China (BOC) www. bank-of-china. com – Chinese Simplified – English Link to branch offices in other cities and provinces Link to E-banking services Cash management Information on the bank and its activities Information on credit card deposits online and phone banking, loans and remittances. China Construction Bank www. ccb-on-line. com – Chinese Simplified – English Links to exchange rates, stock quotes, deposit rates, loan rates, bank fees. Link to branch offices in other cities and provinces Credit card information. International Operations such as financing, merchant banking, international settlements, currency exchange, treasury services, credit investigations Information on oversea branches and domestic branches that conduct international transactions Foreign currency deposit, multi-currency remittances, account settlement and term deposit. Link to online banking and payment The Industrial and Commercial Bank of China (ICBC) www. icbc. com. cn – Chinese Simplified – Chinese Traditional – English Link to branch offices in other cities and provinces Link to online bank services: personal banking, corporate Banking. Information on E-banking Online financing Links to exchange rates, stock quotes, deposit rates, loan rates, bank fees. Foreign Banks and Their Online Banking Services Citibank claims that they are the 1st foreign bank in China that obtained approval from the People’s Bank of China (PCBC) to offer Internet banking services in China to both domestic and international corporations, as well as consumers. Its Internet banking services provide clients with convenient, easy-to-use, and secure access to banking transactions, 24 hours a day, seven days a week, over the Web. Offering its CitiDirect corporate banking service for cash management, the bank has developed an internet-based payments system specifically for the country. The system enables corporate clients in China to make local currency (renminbi) payment transactions to beneficiaries in over 7000 locations. The system, called Citibank Easy Payments, also delivers various payment and collections reports for clients to view or download into their computers. Its Internet-based banking services available in China for corporate and consumer clients include: CitiDirect(r) Online Banking is Citibank’s Web-based delivery channel for corporate clients, designed to securely deliver online an ever-expanding array of Citibank transaction products. CitiDirect(r) Online Banking provides access to account information, payment initiation capabilities, collections data, trade finance transactions, and import/export file integration capabilities. CitiDirect(r) replaces traditional electronic banking applications with a single Web-based delivery channel, thereby improving efficiency and reducing costs to clients. Available in 90 countries and 20 languages including traditional and simplified Chinese, CitiDirecti Online Banking gives clients the benefits of real-time processing, robust security and integration with their in-house treasury systems. * Citibank Easy Payments, an Internet-based payment system that allows corporate clients in China to make local currency (Renminbi) payment transactions to beneficiaries in over 7000 locations in China. This system was specifically developed for the China market. Citibank Easy Payments also delivers various payment and collections reports for clients to view or download into their computers. Citibank Easy Payments supports interface with all major Enterprise Resource Planning (ERP) packages such as SAP, Oracle, BPCS as well as locally developed Chinese accounting packages.   Citibank. com. cn, an Internet banking portal that allows corporations and consumers to manage their accounts online, make online enquiries or transactions, view customize and personalize pages as well as get online tools and real-time global market information. Global banking group HSBC, Hang Seng Bank and Bank of East Asia received online-banking license and launched online banking service in China on January 2003. This new service allows their customers to check their balances, transfer funds, make time deposits and account enquiries, check interest and foreign exchange rates, and send remittance instructions through Internet. It is said that more foreign banks, like London-based Standard Chartered Bank, have also received approval to launch online banking services in China, but it is not clear when the emerging market specialist would offer such service. Read the Memo sent out by Jaime about 2004 Mid-Year Offsite Business-planning meeting conducted by S1 management team, the key topic of â€Å"Perfecting our International and Distribution Business† caught my attention. Learned the news that Macau Tai Fung bank implemented S1 Banking Solution to launched its online banking services, and found out that S1 opened an office in Beijing – China’s capital city, I got a feeling that S1 already turned its eyes to Chinese Market and wonder whether S1’s management would like to make further moves and seize the opportunity. Before left China to immigrant to Canada, I had 6 years working experiences in Beijing-my home city, dealing with Chinese financial agencies and institutions, Chinese and foreign banks as well as other financial institutions and service providers in China, I’m quite familiar with Chinese financial industry structure. I’d like to reuse my knowledge and made this online research report. If S1 is interested in expanding business in China, but not clear what is the situation there and where to start, my research report will, I hope to a certain extent, answer some of your questions. The main purpose of this report is to provide some information and personal suggestions that, I hope, could be helpful for S1’s management or marketing team to better understand Chinese market. This report includes information covering Chinese banking system structure, the emergence and development of Internet banking and online insurance services in China, Chinese governments’ policies and regulations toward online banking and insurance business as well as some prepositional thoughts about how to present S1 and its products to China. Naissance of Online Banking in China In the late 1990s, China began allowing banks to open online businesses. In 1996, China Merchants Bank launched the 1st online financing service in China through â€Å"All in One Net†, an online payment method, which set up the basic operating pattern of China online banking. On October 1997, the Industrial and Commercial Bank of China (ICBC) established its own homepage on Internet to promote its financing services and to provide business guide for Internet users. March 1998, Bank of China successfully handled its first e-transaction. To 1999, all major banks in China had sped up their online banking construction. To date, online banking has made good progress in China. According to statistics from the recently seminar called â€Å"International Symposium on the Development of Online Banking and Supervision† sponsored by China Banking Regulatory Commission, China’s online bank transactions are expected to reach 20 trillion yuan (about 2. 4 trillion US dollars) by the end of this year. Currently, China has over 40 million individuals and 60,000 companies and institutions involved in online banking businesses. In 2003, Internet-based banking businesses have witnessed a big step forward, owing to the outbreak of SARS (Severe Acute Respiratory Syndrome). Traditionally, Chinese have placed a premium on face-to-face meeting for important business-related matters, but the SARS crisis has forced people to change their attitude. Online Banking Development in China China is in the early stages of a vast transformation – from a traditional â€Å"cash and carry† banking system where customers use the branches for almost every banking activity to a modern Internet banking system. Currently, more than 50 commercial banks (domestic and foreign) and over 200 of their branches in China have opened websites, among which, a total of over 50 banks have launched online businesses. The Growth of Online Banking Customers in China China’s online bank transactions were 14. 3 billion yuan in 2001, increased to 21. 8 billion yuan in 2003, and are expected to reach 20 trillion yuan (about 2. 4 trillion US dollars) by the end of this year. Figure 3. 1: The Growth of Online Banking Customers in China Online Shopping Payment Methods in China According to a survey made by China Internet Network Information Center (CNNIC), payment online by credit card and deposit card is becoming the 1st choice for online purchasing. The traditional payment method of payment on delivery by cash and postal remittance decreased 3. 7% this year. Figure 3. 2: Online Purchasing Payment Methods in China An analysis shows that security and service abilities are the main concerns for Chinese to use online banking services, 72. 2% of the people inquired care a lot about whether the banks can guarantee the safety of all transactions in their online services, 60. 6% hope to see more functions and flexibilities. Figure 3. 3: Factors that that will attract Chinese to use online banking services Both Chinese and foreign banks in China realized that the internet solutions provide clients with more channels to communicate with them and allow them to benefit from greater control and cost efficiency, which are top of mind for treasurers today. Domestic Banks and Their Online Banking Services For many Chinese, banking in general is a new experience and in an economy where cash remains important, so bank branches also provide security to customers. However, with accession to the World Trade Organization (WTO), China’s major banks having to face competition, the local players are increasingly seeing their extensive and heavily manned branch networks as a liability. More and more Chinese banks seem to have discovered the Internet as new source of revenue and the powerful attraction of Internet banking is reflected an attractive proposition. The Chinese bank that has bee quickest off the mark in building Internet banking is China Merchant Bank, which launched the first online financing service in China in 1996. The four state-owned commercial banks quickly followed and successively began to offer some online services since then. May 2000, the Agricultural Bank of China (ABC) implemented a trial Internet banking service in its Guangzhou Branch, which allowed their customers in Guangdong province to access their account through Internet. December 2000, ABC launched online banking service in Shanghai called 95599 Online Bank. The new service of 95599 Online bank has reportedly attracted a number of large corporate clients, such as China Worldbest Group and Shanghai Volkswagen. The services offered include currency exchange, personal cheque issuance and access to consumer loans. Users can also report the loss of certificates of deposit, bankbooks and bankcards as well as prearrange withdrawals of cash sums. At the same time, China Construction Bank (CCB) announced its plans to extend its online banking services to 15 cities in the mainland as well as simplify the process of related authentication in a bid to boost the number of clients using online services. The bank began offering online services in April 2000 in cities of Beijing, Guangzhou, Shenzhen and Qingdao. Last year, the Industrial and Commercial Bank of China (ICBC) unveiled a new platform for its personal online banking business – BANKING@HOME. ICBC officials said the upgraded e-banking platform could facilitate a key shift of the bank’s outlets from all-round functions to sales-orientated services, and gives it a firmer foothold in a market with intensifying foreign competition. ICBC officials said the 58-function brand-name allows â€Å"almost all services a traditional banking outlet offers† to be processed by the client on the computer, including 24-hour any-amount transfers of funds or remittances, securities and foreign currency trading as well as collateralized loans. Figure 3. 4: Internet Services provided by the 4 state-owned commercial banks Name Website URL Language Internet Services The Agricultural Bank of China (ABC) www. abocn. com – Chinese – Simplified Banking industry news and website news, Regulation for foreign currency deposits Link to online banking Bank of China (BOC) www. bank-of-china. com – Chinese Simplified – English Link to branch offices in other cities and provinces Link to E-banking services Cash management Information on the bank and its activities Information on credit card deposits online and phone banking, loans and remittances. China Construction Bank www. ccb-on-line. com – Chinese Simplified – English Links to exchange rates, stock quotes, deposit rates, loan rates, bank fees. Link to branch offices in other cities and provinces Credit card information International Operations such as financing, merchant banking, international settlements, currency exchange, treasury services, credit investigations Information on oversea branches and domestic branches that conduct international transactions Foreign currency deposit, multi-currency remittances, account settlement and term deposit. Link to online banking and payment The Industrial and Commercial Bank of China (ICBC) www. icbc. com. cn – Chinese Simplified – Chinese Traditional – English Link to branch offices in other cities and provinces Link to online bank services: personal banking, corporate Banking Information on E-banking Online financing Links to exchange rates, stock quotes, deposit rates, loan rates, bank fees. Foreign Banks and Their Online Banking Services Citibank claims that they are the 1st foreign bank in China that obtained approval from the People’s Bank of China (PCBC) to offer Internet banking services in China to both domestic and international corporations, as well as consumers. Its Internet banking services provide clients with convenient, easy-to-use, and secure access to banking transactions, 24 hours a day, seven days a week, over the Web. Offering its CitiDirect corporate banking service for cash management, the bank has developed an internet-based payments system specifically for the country. The system enables corporate clients in China to make local currency (renminbi) payment transactions to beneficiaries in over 7000 locations. The system, called Citibank Easy Payments, also delivers various payment and collections reports for clients to view or download into their computers. Its Internet-based banking services available in China for corporate and consumer clients include: CitiDirect(r) Online Banking is Citibank’s Web-based delivery channel for corporate clients, designed to securely deliver online an ever-expanding array of Citibank transaction products. CitiDirect(r) Online Banking provides access to account information, payment initiation capabilities, collections data, trade finance transactions, and import/export file integration capabilities. CitiDirect(r) replaces traditional electronic banking applications with a single Web-based delivery channel, thereby improving efficiency and reducing costs to clients. Available in 90 countries and 20 languages including traditional and simplified Chinese, CitiDirecti Online Banking gives clients the benefits of real-time processing, robust security and integration with their in-house treasury systems. * Citibank Easy Payments, an Internet-based payment system that allows corporate clients in China to make local currency (Renminbi) payment transactions to beneficiaries in over 7000 locations in China. This system was specifically developed for the China market. Citibank Easy Payments also delivers various payment and collections reports for clients to view or download into their computers. Citibank Easy Payments supports interface with all major Enterprise Resource Planning (ERP) packages such as SAP, Oracle, BPCS as well as locally developed Chinese accounting packages.   Citibank. com. cn, an Internet banking portal that allows corporations and consumers to manage their accounts online, make online enquiries or transactions, view customize and personalize pages as well as get online tools and real-time global market information. Global banking group HSBC, Hang Seng Bank and Bank of East Asia received online-banking license and launched online banking service in China on January 2003. This new service allows their customers to check their balances, transfer funds, make time deposits and account enquiries, check interest and foreign exchange rates, and send remittance instructions through Internet. It is said that more foreign banks, like London-based Standard Chartered Bank, have also received approval to launch online banking services in China, but it is not clear when the emerging market specialist would offer such service.

Dementia Care Aging Innovation - Free Essay Example

Sample details Pages: 6 Words: 1928 Downloads: 9 Date added: 2017/09/15 Category Advertising Essay Did you like this example? NMIH306 The Challenges of Ageing 3463205 Michelle James Assignment (Essay) 40% The ageing of the world’s population is a global phenomenon increasing the demand for adequate health care services available to older people. It continues to challenge those who plan and manage the services for older people and even more importantly those who deliver the professional and clinical care within the system such as Nurses. The Australian Bureau of Statistics (2009) predicted that the number of older Australians, as a proportion of the total population, will double over the next 40 years and in addition to this the World Health Organisation (2006) estimated that there are 18 million people living with dementia, which is expected to double to 37 million by 2025. Dementia is a general term indicating changes to cognitive function that result from a range of specific, usually progressive and irreversible disorders of the brain. Don’t waste time! Our writers will create an original "Dementia Care Aging Innovation" essay for you Create order The most common of these disorders is Alzheimer’s disease (50-70% of cases) (Alzheimers Association 2007). The symptoms of dementia include loss of memory, confusion and problems with speech and understanding (Alzheimers Association 2007). Innovations in care for older people aim to demonstrate major shifts in the aged care workforce to improve the future supply and adaptability of the workers, therefore enhance and improve older peoples’ health outcomes and health services. This paper will address and discuss the issues and challenges involved with creating environments that enhance dementia care, a key innovation in care of older people. ‘Design of the physical environment is increasingly recognised as an important aid in the care of people with Alzheimer’s disease and other dementias. †¦ Design is regarded as a therapeutic resource to promote well-being and functionality among people with dementia. ’ Day, Carreon Stump (2000) According to Nay Garrett (2009) the impact of the social and physical environments on older people who have dementia is critical to their care outcomes. An effective innovative concept aims at providing a physical environment for people with dementia in order to achieve their full potential and avoid causing disability. Research and practice has and continues to gain a better understanding of dementia and design innovations in regards to specialised dementia care. This innovative notion of providing dementia friendly environments is emerging, with significant evidence that it has a positive impact on the lives of people with dementia (Nay Garrett 2009). The Alzheimers Association (2007) supports this innovation, and acknowledges that the environment should support the functions of people with Alzheimer disease, accommodate behavioral changes, maximize abilities, promote safety and encourage independence. They acknowledge that care settings for people with dementia should provide positive, therapeutic stimuli. Alzheimers Association (2007) highlights that best practices in dementia care have been developing for close to two decades and during this period the physical environment has been considered a fundamental component of best practice. The physical environment in an aged care residential facility can become a challenge to people with dementia, however this innovation to design an environment to specifically meet the needs of people with dementia enables them to utilise their retained abilities with minimal frustration, and experience the highest possible quality of life (Alzheimers Association 2007). According to Nay Garrett (2009) a dementia-friendly environment can be achieved through providing an appropriate physical, social and organisational environment. It is acknowledged that a home or home like physical environment is beneficial. The appropriate environment design for personally meaningful activities should be established as it aims to reinforce the individual’s identity and sense of autonomy in areas such as dining, grooming, dressing and bathing, offering a range of abilities and experiences during these times (Nay Garrett 2009). Underpinning the social environment in order to support personhood is also important as a sense of self is preserved during dementia, though the ability to communicate it may be hindered. In order to promote independence for people with dementia, the physical environment should offer support and orientation cues so that they can find their way around the facility along with the essential hand rails and resting spots to adequately promote and support mobility (Nay Garrett 2009). Outdoor spaces provide diverse stimulating opportunities for people with dementia but must be planned with appropriate safety precautions and wayfinding cues to avoid falls and ensure orientation (Nay Garrett 2009). According to Blackman, Schaik Martyr (2007), older people with mild to moderate dementia should be encouraged to be active outdoors, as this can be facilitated by small environmental modifications. Over 20 years worth of research into the design of environments for people with dementia has proved that people with dementia can either be helped or harmed by the environment in which they live (Fleming, Forbes, Bennett 2003). In recognising this reality Fleming, Forbes, Bennett (2003) have developed and executed an empirical study for ‘Adapting the ward for people with dementia’ under the NSW Department of Health. From this study they developed a manual consisting of ten principles from which the design of environments for people with dementia can be derived. The manual is based on following ten principles in order to offer an environment to provide care and maintain the abilities of people with dementia (Fleming, Forbes, Bennett 2003). The first principle acknowledges the need to be safe and secure due to the confusion which accompanies dementia, therefore there is a need for safety features to be built into the environment such as a secure perimeter, hot water control and safety switches in the kitchen. Secondly, be small, referring to that fact that the larger a facility, the more confusing it is likely to be for patients. High-quality care for the mobile, confused and disturbed is easier to provide in small groups of 8-14 (Fleming, Forbes, Bennett 2003). The third principle addresses the need to be simple and provide good ‘visual access’ as a uncomplicated environment may reduce confusion . The simplest environment is one in which the patient can see everywhere she wants to get to or from wherever she is. This principle limits the inclusion of corridors in the design and results in staff being able to see the patients almost all the time. This reduces anxiety in both staff and patients (Fleming, Forbes, Bennett 2003). Fourthly, the need to reduce unwanted stimulation is acknowledged, as people with dementia may find it difficult to cope with a large amount of stimulation. The unit must be designed to reduce the impact of stimulation that is unnecessary for the well-being of the patient, and can be achieved with entry and exit points and noise must being kept to a minimal (Fleming, Forbes, Bennett 2003). Highlighting helpful stimuli is the next principle in the manual and involves highlighting toilet doors, exits to safe outside areas, aids to recognition on bedroom doors and some light switches. Blackman, Schaik Martyr (2007) concur with this principle and address the need for planners and designers to make more use of simple text signs as aids for navigation in identifying the purpose of objects and places in the environment. The sixth principles suggests that it is important to provide for planned wandering as wandering is sometimes a feature of the behaviour of people with dementia. The design should allow it to take place safely but should not encourage it (Fleming, Forbes, Bennett 2003). The seventh principle suggests the need to provide surroundings that are familiar to them. This may mean that the decor should be such that it would have been familiar to the patients in their early adulthood as people with dementia can associate more so with their distant past than the present. The eighth principle advices that opportunities are provided for both privacy and community as people with dementia require a range of opportunities for social interaction (Fleming, Forbes, Bennett 2003). Providing links to the community is the next principle, which gives people with dementia the chance to remain part of their social network after admission. This can simply be achieved with amenities available to visitors, so that links with family and friends are not broken. Finally, be domestic. Providing an environment for people with dementia that is homelike as possible can help to maintain the person’s abilities for as long as possible (Fleming, Forbes, Bennett 2003). This is also researched and encouraged by Anne Conner (2009), as she notes that the physical environment can also act as a means to enhancing a positive sense of self. She gives the example of a kitchen setting being a familiar feeling of the warm sense of home, activating memories and conversations (Connor 2009). Zeisel et al. (2003) performed a study to describe the associations found between seven special care units’ environmental design features and agitation, aggression, depression, social withdrawal, and psychotic symptoms of residents with Alzheimer’s disease. The environmental features associated with the care units included privacy and personalisation in bedrooms, residential character and an ambient environment that residents could understand and resulted in both reduced aggressive and agitated behaviour and fewer psychological problems (Zeisel et al. 2003). Characteristics of the environment associated with reduced depression, social withdrawal, misidentification and hallucinations included common areas that vary in ambiance and exit doors throughout the care unit. It was found that there were in fact associations between each behavioural health measure and particular environmental design features, thus demonstrating the potential that environment has for contributing to the improvement of Alzheimer’s symptoms (Zeisel et al 2003). This study concluded that a balanced combination of pharmacologic, behavioural and environmental approaches is likely to be most effective in improving the health, behaviour, and quality of life of people with Alzheimer’s disease. This is just the beginning for further exploration into environmental design as one important non-pharmacologic treatment for people with Alzheimer’s disease (Zeisel et al 2003). As for implementing this innovation into practice it is imperative that we address reasons why dementia friendly design features are dismissed, with existing regulations being the common cause, including building codes, fire regulations and aged care regulations (Nay Garrett 2009). It is therefore an important recommendation that collaborative approaches are taken to gain partnership to advance regulations and ensure that care providers continue to advocate and educate about the essential need for enhanced environments for people with dementia (Nay Garrett 2009). Future studies are needed in order to identify the optimum balance and arrangement of treatment for those with dementia, including drug treatment, supportive environments, and focused caregiving (Zeisel et al. 2003). It is clear through current research and studies that environmental factors have the potential and do improve Alzheimer’s symptoms. The greatest likelihood for this approach of environment to make a significant contribution to those with dementia is to provide it as part of their care in collaboration with pharmacologic and behavioral care. This will enable the quality of life, health, and behaviour of people with Alzheimer’s disease to improve, and will therefore enable them to live more satisfying lives (Zeisel et al. 2003). References Alzheimer’s Association 2007, Designing a Care facility, Viewed 01 August 2010, Blackman, Schaik Martyr 2007, Outdoor environments for people with dementia: an exploratory study using virtual reality, Ageing Society, Vol. 27, pp. 811–825 Australian Bureau of Statistics 2009, Population by Age and Sex, Australian States and Territories, no. 3201. 0, ABS, Canberra Connor, A 2009, Design Environment: Dementia friendly environments and wellbeing, Dementia Supplement, Vol. 12, No. 2, pp. 52-54 Day, Carreon Stump, 2000. ‘The Therapeutic Design of Environments for People with Dementia: A Review of the Empirical Research,’ The Gerontologist, Vol. 0, No. 4. Fleming, R Forbes, I Bennett, K 2003, Adapting the ward for people with dementia, NSW Department of Health, Sydney, Australia. Nay, R Garratt, S 2009, Older people: issues and innovations in care, 3rd ed, Churchill Livingstone, Sydney. World Health Organisation 2006, Age-Friendly Environments Programme, Viewed 08 August 2010, Zeisel, J, Silverstein, N, Hyde, J, Levkoff, S, Lawton, M and Holme s, W 2003, Environmental Correlates to Behavioral Health Outcomes in Alzheimer’s Special Care Units, The Gerontologist, Vol. 43, No. 5, pp. 697-711.