Care from the patients perspective - diabetes Essay

Care from the patients perspective - diabetes - Essay Example When there is inadequate insulin glucose cannot enter their body’s cells, and so builds up in their blood and is unable to be used as fuel. In some cases, the patient’s body is producing enough insulin but it is not working properly. This is known as insulin resistance. The two most common types of the condition are Type 1 diabetes and Type 2 diabetes. Diabetes is a complicated disease that medical professionals and scientists are just beginning to understand in terms of its causes. Although symptoms and treatment options are more clear, there are also a multiplicity of these, as well as different types of diabetes. The more common type is Type 2, so the current report focuses mainly on this type. Basically what both types share, in that they are related, is a defining feature of diabetes itself: in cases of diabetes, the body cannot handle or regulate its own blood glucose levels. Glucose, which is given to the body in the form of sugar, is what causes the body to have energy required for tasks of everyday life. This report looks primarily at the causes of diabetes as well as some common treatments today, with a focus on developing more patient-centered care in the UK to address this growing problem, and provide more respect for unique needs of minorities. Patient needs In terms of person and health, the core concepts of healthcare work, these are very interrelated. To me, person means centering on the client. Patient-centered communication is the key to social work implementation and focus, but there are healthcare settings that have different policies. In a client-oriented method, a facility could have different types of patients whose needs differ. This is an increasingly salient option in a setting in which patient attenuation has become a watch-word, and patient attenuation is another facet of the modern healthcare organization that tends to unify rather than divide care priorities. For example, accounting for patient needs it is a major par t of safety at healthcare institutions. Uniting concepts of person and health, one can look at how resistance can particularly impact care of facility residents, by examining morbidity and mortality rates. Diabetes mellitus exists when a patient has a deficiency of insulin or the resistance to insulin in their system, and it may result in symptoms such as an inordinate amount of urination and the patient’s being constantly thirsty as well as other problems. These symptoms are common to diabetes mellitus, but in the case of diabetes insipidus, another type of diabetes, there is no insulin deficiency. Changes in policy In healthcare in the UK generally, a shift towards patient-centered policy has occurred in recent years. To avoid resistance as counterproductive, a patient-centered approach is used, basically, that concentrates on the ways in which patients can help themselves by finding solutions that improve their health and construction of reality. This is a basically optimi stic assumption that object relation has as its impetus, in that the patients are expected to be cooperative and provide meaningful solutions that are assumedly more direct and experiential than an interruptive codified presentation that is staff-centered. In this method, the

Trapped in the Darkness Essay -- Papers

Trapped in the Darkness It's dark, indescribably dark. Usually there's moonlight, artificial light, starlight, something, but not here; there's nothing. I try to move, but I am restrained. I listen, but I hear nothing. I smell but I smell only something clinical. If it wasn't for my heart pounding and my lungs racing to catch up, I might imagine I am dreaming, but I'm not. I'm not! I fearfully reach out with my right hand and, afraid of what I might find, I try to resist the temptation to clench my fist. With each centimetre I stretch comes a new level of terror. I reach further and further, shivering in anticipation of what I might find. Shivering allows me to feel the clothes I'm wearing and bringing with it the frightening realisation that I'm not wearing the jeans and shirt I was last night. I'm dressed in something quite different. I bring my hand back, from its outward reach, to touch my waist: it feels like a jacket. I slide it up to my neck. I feel fabric: it's a bowtie. I'm in a suit. I rarely wear suits. Reluctantly I force my hand to resume its search for a clue to where I am. It's an unspeakable dread, not to know what I might find. I reach out my hand. Thud. It hits something. I hesitantly stroke the face of the object that it met. I reach out in another direction. Thud. And then I reach out in another. Thud. Increasingly alarmed by this feeling of being trapped I rub the surfaces with my hand, hoping they will yield some clue to my situation. I feel all around me, but it's futile. My sense of desperation mounts. Realising that senses alone won't help me I try to remember what I did last night. It was my bi... ...ain. There is a slight jolt and I'm stationary. Thank God! There's a low hum, like the hum of machinery, and I'm moving again, but not rocking this time. This time the movement seems quite linear, and as I begin to relaxà ¢Ã¢â€š ¬Ã‚ ¦ There is a roar, like the roar of a furnace which causes my heart to quicken, my lungs to race and my mind to panic. Tiring of this torture, I just want it to end. It's hot. My God it's hot! I begin to perspire; the air thins and I gasp for oxygen. My feet blaze, and suddenly I realise that this is no nightmare; this is no illusion. I scream in agony. Aware of the inferno approaching my feet, I start to convulse, fitting in a futile effort to break free from my constraint. Flames rupture the coffin that restrains me, and the foul smell of burning flesh is masked by the inevitability of death. Trapped in the Darkness Essay -- Papers Trapped in the Darkness It's dark, indescribably dark. Usually there's moonlight, artificial light, starlight, something, but not here; there's nothing. I try to move, but I am restrained. I listen, but I hear nothing. I smell but I smell only something clinical. If it wasn't for my heart pounding and my lungs racing to catch up, I might imagine I am dreaming, but I'm not. I'm not! I fearfully reach out with my right hand and, afraid of what I might find, I try to resist the temptation to clench my fist. With each centimetre I stretch comes a new level of terror. I reach further and further, shivering in anticipation of what I might find. Shivering allows me to feel the clothes I'm wearing and bringing with it the frightening realisation that I'm not wearing the jeans and shirt I was last night. I'm dressed in something quite different. I bring my hand back, from its outward reach, to touch my waist: it feels like a jacket. I slide it up to my neck. I feel fabric: it's a bowtie. I'm in a suit. I rarely wear suits. Reluctantly I force my hand to resume its search for a clue to where I am. It's an unspeakable dread, not to know what I might find. I reach out my hand. Thud. It hits something. I hesitantly stroke the face of the object that it met. I reach out in another direction. Thud. And then I reach out in another. Thud. Increasingly alarmed by this feeling of being trapped I rub the surfaces with my hand, hoping they will yield some clue to my situation. I feel all around me, but it's futile. My sense of desperation mounts. Realising that senses alone won't help me I try to remember what I did last night. It was my bi... ...ain. There is a slight jolt and I'm stationary. Thank God! There's a low hum, like the hum of machinery, and I'm moving again, but not rocking this time. This time the movement seems quite linear, and as I begin to relaxà ¢Ã¢â€š ¬Ã‚ ¦ There is a roar, like the roar of a furnace which causes my heart to quicken, my lungs to race and my mind to panic. Tiring of this torture, I just want it to end. It's hot. My God it's hot! I begin to perspire; the air thins and I gasp for oxygen. My feet blaze, and suddenly I realise that this is no nightmare; this is no illusion. I scream in agony. Aware of the inferno approaching my feet, I start to convulse, fitting in a futile effort to break free from my constraint. Flames rupture the coffin that restrains me, and the foul smell of burning flesh is masked by the inevitability of death.

Museum Project Formal Analysis

ARTH 1001: Museum Formal Analysis Paper The Tiber Muse Winged Victory of the Nike of Samothrace Justinian and Attendants from San Vitale Adrienne Keiser TA- Anna, Tuesday Section April 23rd, 2013 The Tiber Muse, originally discovered in the vicinity of the Tiber River in Rome in 1885, is a product of the Graeco-Roman era and is dated around the 2nd-1st century BCE. This date and other formal qualities of the sculpture such as the pose, drapery and medium suggest that it was produced during the Hellenistic Period of Greece and Asia Minor, and then imported to Rome at a later date.The importation, copying, and public display of Greek art were common from the start of Roman conquering of Greek territories and throughout the Roman Imperial era. The formal qualities of this piece, to be explored later in this exhibition, are comparable to those of the Nike of Samothrace in that they both exhibit the dramatic, elaborate techniques common of the Hellenistic Period (323-30 BCE) that embrace a range of emotions, providing us with an overpowering, multi-sensory experience as we view these pieces.The qualities and purpose of art during the Hellenistic Period were quite different from those of the Byzantine Era, to be further explored by comparing these two sculptures with the Justinian and Attendants mosaic from San Vitale in Ravenna, Italy. Through a formal analysis of these three works, the meaning, purpose and values of the culture that produced them will become clear, and we can further understand the historical context of these two very different time periods. The Hellenistic Period is the time between the death of Alexander the Great in 323 BCE and the emergence of the Roman Imperial Empire.Greek cultural power and influence was at its height, and there was great prosperity and progress with the arts, theatre, literature, music, philosophy, science and architecture. During this period, Greek culture, influence and language was spreading to other parts of the world. This contributed to a wide variety in art, producing complex, individual and idealized works, allowing us to admire them from all angles. Hellenistic art seeks expressability and a forcefulness of details, focusing on the height of the moment by expressing the violence of movements.In great statuary, Hellenistic art explores themes such as suffering, sleep, age, victories, and real, intimate moments frozen in time. The Tiber Muse and the Nike of Samothrace both exhibit these qualities in many ways. The Tiber Muse is about four feet high and constructed out of marble. The pose and arm positioning of the subject suggests it is a sculpture of a muse caught in the moment of playing an instrument. Even though she is missing her head, most of her arms and feet/base, her pose is similar to other known muses.The oval tear (near her right arm) in her garment suggests a rare, iconographic tradition whereby musicians were represented with less restricting clothing on their playing arms. Thus, this tear does not suggest an erotic encounter, but rather a young female bending over a rock, caught in the moment of playing an instrument. This element of sculpture capturing an intimate moment in time is definitely a quality of Hellenistic sculpture. This statue projects into our space, and it is clear one needs to observe it from many different angles to fully understand it.This is very similar to the Nike of Samothrace, even though it is safe to say the Nike statue projects into our space more intensely than the Tiber Muse. This is because the Nike of Samothrace was originally placed on the front of a ship to commemorate a naval victory, and then turned in to an elaborate fountain structure at the head of the Daru staircase in the Louvre in Paris. The Tiber Muse was meant to be a smaller, more intimate piece that demonstrates the moment of a musician playing, whereas the Nike of Samothrace was sculpted to be a larger-than-life symbol of victory and strength.Both the Tiber Muse and The Nike of Samothrace show a mastery of form and movement in marble, that creates a deliberate relationship to the space around the statues. In the Nike statue, the wind that has carried her and which she is fighting off, straining to keep steady, is the invisible complement of the figure and the viewer is made to imagine it. The Tiber Muse’s pose draws us in to her moment, and forces us to imagine all sensory elements of the space around her—the sound of the music, her motions of playing, and the air around her.In this way, both statues create this sense of auditory drama as well as a multi-sensory, overpowering experience that encompasses many Hellenistic artworks. These two works both make us a participant while viewing, however, I would argue that the Tiber Muse reflects the range of real emotions and a more realistic view of people than does the Nike statue, because the Nike was used to commemorate a victory and was meant to be more symbolic, honoring a godd ess and a sea victory, whereas the muse is nameless and captures a more intimate, real moment.The Nike depicts a more supernatural experience that blows us away with its incredible deep undercuttings, shadows and Phidian style drapery. While the Tiber Muse also uses similar drapery techniques as well as deep undercuttings and shadowing, the Nike is seen as an iconic depiction of triumphant spirit and the divine momentarily coming face to face with man. The Tiber Muse’s use of these techniques was to create an idealized portrait of a muse caught in the moment of playing, rather than to represent a goddess of victory and connection to the divine.This idea of capturing a raw, realistic moment and the movement from portraying the divine to portraying real people became more apparent later in the Hellenistic period, explaining why these two works differ in their purpose and meaning. Thus, although using similar mediums and sculpting techniques, the original contexts of these two w orks differ greatly, in that the Nike was meant to be viewed publicly on a grand scale, and the Muse is smaller and was probably meant to be a private display of one’s social status or education.Although the Justinian mosaic in San Vitale is very different from these two statues in medium, time period and display of figures, the idea of connecting man to the divine is alive in this work as well. Here, the purple on the robe of Justinian connects him to the divine, in that purple was considered a Holy color, often shown on representations of Christ. However, the purpose of this connection of Justinian to Christ was of propagandistic use, not to symbolize a great victory and a triumphant spirit, as in the Nike of Samothrace.During the early Byzantine Era, Justinian ruled from Constantinople, but expanded his rule into the west, making Ravenna a new Western outpost. He constructed San Vitale and the mosaics on the sides of the nave archade to display his ultimate rule and to por tray himself as being above most citizens and having a close relationship to Christ. Some even go as far as to argue that he believed he was a descendant of Christ. The colors in this mosaic and throughout San Vitale were of traditional Byzantine style in that they are meant to disorient you and bring you into a different world.The method of using glass tesserae to create mosaics is also a creation of the Byzantine times. The portrayal of the figures in this mosaic is what makes this work differ greatly from the other statues explored earlier. The figures are flat, clearly two-dimensional subjects depicted with little difference in size, facial expression and human anatomy. Their only difference between the figures comes from the color of the clothing or what they are holding. There is no clear depiction of human form, using little to no shadowing or drapery.This is due to the purpose and time period in which it was created. During Byzantine times, this portrait of Justinian and his ensemble was to demonstrate power to the illiterate people about the authority of Justinian Rule, thus making the original purpose of this work truly propagandistic. By exploring, comparing and contrasting formal qualities of the Tiber Muse, the Winged Victory of Nike of Samothrace, and the Justinian mosaic of San Vitale, we can deduce several conclusions about the purpose and historical contexts of each work of art.Although the two statues examined were from the same stylistic period, each has its own purpose for being. The Nike of Samothrace is a brilliant Hellenistic display of the multi-sensory drama that a great naval victory entails by projecting into our space. Its purpose was to symbolize a great victory over struggle and divine help or grace. The Tiber Muse also exhibits those Hellenistic sculpture techniques that the Nike statue has, such as drapery and shadowing, but is a more realistic display of an intimate moment.Both show intense detail of human anatomy, but the muse doesn’t have the â€Å"divine† element the Nike has, but rather a sensual element that brings us into her moment of playing music. The purpose of the Justinian mosaic was to demonstrate the fusion of his political and religious power, thus there is little attention to detail or the human form that is so pertinent in the two Hellenistic sculptures. Works Cited: Roberts, Christopher. How to Recognize and Date a Muse: Torn Garments, Marble Types, and the Tiber Muse in the Minneapolis Institute of the Arts.The Classical Association of the Middle West and South. N. p. , 2005. Web. 21 Apr. 2013. . Images of the Works of Art The Winged Victory of the Nike of Samothrace 220-190 BCE, Hellenistic Period The Tiber Muse 2nd-1st Century BCE, Graeco-Roman or more specifically, the Hellenistic Period Gallery G230, Acquisition Number 56. 12 Justinian and his Attendants from San Vitale in Ravenna, Italy 546 CE, Byzantine Era

Definition Of Organization Culture At American Airlines

Culture Assignment Ram Balasubramanian (CWID – 50144322) MGT 585 04W – Management Skills Development College of Business - Texas AM Commerce TABLE OF CONTENTS Abstract – Definition of Organization Culture 3 Organization Culture at American Airlines 5 Summary 9 References 13 Definition of Organization Culture There is no perfect book definition for Organization Culture. It is a term that has a generic definition and has a different meaning in different organizations. Every organization has a different culture based on its products and business and the people working in it, in order to be successful. Informally we can coin the term saying ‘the way we do things around here’ that would make the organization look ‘hip’ and ‘cool’. There are multiple ways to look at the culture of an organization more specifically, as an outcome and as a process. The outcome describes the behavior attitude of the people in the organization, the way the person treats its employees, performs the tasks, solves problems and deals with customers in resolving conflicts etc in other words the way in which the person carries out their job on a daily basis. On the other hand, the process creates the behavior, people have when carrying out their job. It can also be defined as the informal values, attitudes and the norms that control the way people behave in the organization. A general hypothesis is that if an organization possesses strong cultureShow MoreRelatedSouthwest Airlines : The Highest Levels Of Emotional Intelligence1076 Words   |  5 Pages Southwest Airlines is known as one of the most caring and considerate companies. Since 1971, Southwest Airlines has prided itself in their exemplary customer satisfaction and family like approach to customers. 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Literature Review Heart Healthy Lifestyle Education Essay

Literature Review: Heart Healthy Lifestyle Education In individuals with high risk of developing heart disease, does proper education compared to no education reduce the development of heart disease? According to a study completed in the United Kingdom, heart disease is the number one cause of death in all of the United Kingdom (Merriman, 2013). Heart disease claims the lives of several individuals every day. A common concern with heart disease in patients is nonexistence of education. Without proper education, patients do not have the understanding on how to avoid or manage heart disease from further worsening. Many impacts can be presented to decrease one’s chances of developing heart disease such as, regular exercise, healthy body weight, balanced diet, no use of tobacco, normal blood pressure and normal cholesterol levels (Merriman, 2013). 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Issues with Social Development in Adults Free Essays

In my research on issues of social development in adults, I found change and consistency in social participation plays a key role in early adulthood. I felt the need to choose and touch on this topic because I have the tendency to be a social butterfly and I also lost a dear friend that committed suicide from social isolation. I chose this article because after reading it I felt as if the information was solid and backed up with surveys and facts. We will write a custom essay sample on Issues with Social Development in Adults or any similar topic only for you Order Now I also felt as if the topic was thoroughly examined and the article gave a lot of helpful information about this particular issue with social development in adults. Social interactions and activities play a key role in the physical health and well being in adulthood. It is healthy and fun to be around friends, loved ones, and even relationship partners. Making plans, going out, and being social gives one the since of self worth. Further more, the lack of desire and absence of social contact and participation can cause one, such as in the incident of my friend, to become depressed, self-isolated, and have suicidal thoughts and/or even commit suicide. In the event that I would need to write a research paper on this topic, I would use this article. I would use the article because it has a lot of information about the topic and has many different details and survey information. This would all help my research and provide me with information to include in my paper. The authors, Harry Reis and Yi-Cheng Lin, research was to determine if age-related changes in social relationships and to see if interaction patterns would stay the same from college years to adult- hood. They researched a variety of different things like opposite-sex socializing, intimacy and satisfaction in adulthood, and implications for social development during early adulthood. How to cite Issues with Social Development in Adults, Papers

Contract Melba Tours and Blacksoft IT

Question: Discuss about theContract for Melba Tours and Blacksoft IT. Answer: Introduction A local, newly established city tour guide called Melba Tours is the project client and would like to create their website presentation that forms a vital part of their business plan. Blacksoft IT is chosen as the developer for the project and has been asked to create the web site of the client in the defined budget and scheduled timeframe. Contract Objectives To be able to create value with the association of Melba Tours and Blacksoft IT To agree upon the quality parameters that will be followed and provided during the project To manage and decide upon the productivity between the two parties To ensure compliance to the standards that are followed in two organizations in terms of methodology and development procedure Services Provided Melba Tours Funding of the Project Requirements for the project including the functional, non-functional, quality and user requirements Approval of the various documents Assistance in terms of decision making Blacksoft IT Present the 3 different city routes that the Melba Tours currently offering (Golden Mile, Botanic Garden and St Vincent cathedral) with details on each route and most importantly the images of each attraction Online booking system where tourists can book one of the 3 tours that are conducted each day for each destination. Clients should enter their personal and contact details and receive confirmation of booking. Clients should also be able to re-schedule or modify (delete) the booking as required. The staff members should be able to manage the bookings, add bookings or move, modify or delete the existing booking if requested by client Each staff member has to login to the system to access the bookings Each user will belong to a different group with different rights Managers can delete and/or modify the bookings Other staff members can only view/modify the bookings. The time and date are displayed in the browser, with the DD-MM-YY format being followed by the time. The type and version of the users browser is displayed at the top of the page. Pop-up window is launched with navigation buttons for previous, next and close should an image in the table be clicked showing the full-size of the image. Disable the context (right mouse button) menu. Terms of Contract The project will be completed in the budget of AUD 8000 AUD 10000 The project will be completed in a period of three weeks The web site will be created using the agile software development and the management methodology will be PMBOK The tools and equipment cost will be covered in the budget defined The quality standards will be maintained for all the project activities as per the six sigma quality framework Fee Payable The project will be completed in the budget of AUD 8000 AUD 10000 Stakeholders Project Client Melba Tours Project Sponsor Melba Tours Project Manager Blacksoft IT Project Developer - Blacksoft IT Testing Engineer - Blacksoft IT Implementation Expert - Blacksoft IT UI/UX designer - Blacksoft IT Contract Boundaries The limits and range that are applied while creating a contract between the parties are termed as boundaries of a contract Legal Boundaries Infrastructural Boundaries Management Boundaries Contract Implementation and Management A tangible contract management function assists in managing obligations in an effective manner; this saves the two parties significant time and effort and provides benefits in terms of business strategies and procedures. Contract Management is important throughout the entire process of the contract cycle and not just at award process, effective contract management will bear dividends for both supplier and purchaser to ensure a well managed trading agreement in practical and logistical terms. Effective contract management starts at the sourcing process through to the relationship management of the supplier to ensure the optimum efficiency and increased service levels so as to avoid having to utilize contractual terms to achieve the performance expectations. Its a process that requires teamwork and partnership skills through regular reviews and engagement. The following steps will be followed to implement and manage the contract between the two parties as Melba Tours and Blacksoft IT. Envisioning the goals and identification of the problem Mapping out new contract process requires company to look back on its current processes: What are current steps? Note all the activities in the process from start to finish. Put them in order to get an idea of how the work flows. What steps need to change or eliminate? Identify steps that could be inconsistent or slows the process down. Steps can be combined to save time or excluded if they create errors or slow downs. What are the process input and outputs? Identification of the stakeholders Who will own the process?There need to be a handful of individuals to act as the authority on decision-making and post-rollout. They need visibility into the whole process to enforce their decisions. Who will administer?There should be at least two administrators who know the solution in and out. They can answer day-to-day questions and train other employees on the solution. Who are the executive sponsors?Support from senior management in your company is critical. They will help encourage the transition, enforce new roles and make the decision on expanding the solution after its been successful. Who are the subject matter experts?Finding SMEs who love the solution will help advocate the solution and boost adoption. They can also identify tricks or shortcuts that can resonate with other employees learning the solution (Gutterman, 2016). Documentation activities Performance Measurement Preparation of performance rating data sheet Based on the parameters defined in Data Sheet, Performance of concerned Contractor would be computed and graded accordingly. The measurement of the performance of the Party would be its ability to achieve the minimum scoring points in the given parameters (Bifm, 2014) Depending upon the Grading of Performance, corrective measures would be initiated by taking up the matter with concerned Contractor. Response of Contractor would be considered before deciding further course of action (Cantens, 2016) Sr. No. Report Content Frequency Location 1 Daily Status report Project activities and progress Daily 2 Weekly Status Report Key project activities in the said week, list of open issues, and project report with test status. Weekly 3 Defect Report A full list of defects logged in the week along with last known status Weekly 4 Monthly Status Report Key project updates. Extract from metrics. Milestone track Monthly 5 Project Completion Report Consolidated project report with all test inventory One Time Unsatisfactory Performance will be Dealt with the Aid of following Steps: Give agency chief acquisition officers the responsibility and authority for overseeing both the contracting and program management communities to ensure effective collaboration in all elements of the acquisition process, from developing requirements to awarding contracts, to assessing contractor performance Designate career senior procurement executives as deputies to chief acquisition officers to ensure full coordination of agency-wide acquisition functions. Put in place a robust human capital strategic planning process that provides a full picture of all federal and contractor resources likely to be needed to accomplish agency missions. Provide sufficient resources to ensure that the right people with the right talent are in place to carry out all aspects of the acquisition function (including seeing that contractors are producing the business results sought). Establish a new business council that reports directly to the agency head at each civilian agency. This council should be chaired by a deputy secretary and meetings should be attended by the chief acquisition officer, chief financial officer, chief information officer, and chief human capital officer of the agency. Each chief should have an equal vote on internal human resources, operational, programmatic, and funding issues (Burman, 2016). Feedback Procedure Direct Methods Getting customer feedback through third party agencies. Direct marketing, in-house call centers, complaint handling department could be treated as first point of contact for getting customer feedback. These feedbacks are compiled to analyze customers perception. Getting customer feedback through face to face conversation or meeting. Feedback through complaint or appreciation letter. Direct customer feedback through surveys and questionnaires. Indirect Methods Customer Complaints:Customers complaints are the issues and problems reported by the customer to supplier with regards to any specific product or related service. These complaints can be classified under different segments according to the severity and department. Customer Loyalty:It is necessarily required for an organization to interact and communicate with customers on a regular basis to increase customer loyalty. In these interactions and communications it is required to learn and determine all individual customer needs and respond accordingly. Signature of Parties References Bifm,. (2014). Measuring Contractors Performance Using KPIs (1st ed.). British Institute of Facilities Management. Burman, A. (2016). Six Practical Steps to Improve Contracting. Retrieved 13 September 2016, from https://www.ago.noaa.gov/acquisition/docs/six_steps_to_contracting_2009.pdf Cantens, T. (2016). Wcoomd.org. Retrieved 13 September 2016, from https://www.wcoomd.org/en/media/newsroom/2015/may/~/media/F965A98326164D2195BBDD810F332317.ashx Gutterman, A. (2016). Top Ten Steps for Effective Contract Management. Acc.com. Retrieved 13 September 2016, from https://www.acc.com/legalresources/publications/topten/ttsecm.cfm