Dracula And The Female Sexuallity As Disease - 2438 Words

Dracula and Carmilla Female Sexuallity as Disease In the two classic gothic vampire tales, Carmilla and Dracula, both novels have similarities through their displays of sexuality. Sexuallity isn’t just displaying sexual intentions towards other people. The two novels explore how vampirism represents female sexuality as a disease through different means. In Carmilla, the character of Carmilla’s vampirism is linked with disease because she has bitten Laura, one of her many victims, and fed off of her. Through Carmilla’s action of biting Laura and displaying deep affection for her, Carmilla’s female sexuality was linked to a disease. In Dracula Mina and Lucy are two females who are both victims of vampirism and showcase how vampirism is a disease. The novel explores how they deal with the effects of vampirism and how the men in the novel treat vampirism. This essay explores, compares and contrasts Carmilla and Dracula through their use of vampirism to represent female sexuality as an illness that affects the women in the novels. Carmilla is like a disease herself, showing up unexpectedly at Laura’s home. When she met Laura mist was used as a symbol of miasma, which represents the disease of vampirism and the danger of Carmilla’s arrival (116 Willis). Throughout the story, Carmilla represented herself as a disease which spread around quickly, as the wife of a pig farmer and daughter of a forest ranger, who are both part of the working class, have been killed off (116 Willis).

Literary Analysis Of Hawthorne s The Old Town Of...

Cherry 1 Source Text Excerpt Analysis This old town of Salem-my native place, though I have dwelt much away from it, both in boyhood and mature years-possesses, or did possess, a hold on my affections, the force of which I have never realized during my seasons of actual residence. (6) Hawthorne shows that although he has moved away, his New England â€Å"soul and spirt† remain in Salem and he is still drawn to Salem and still struggles with some of the Puritan values that were instilled in him. The figure of that first ancestor, invested by family tradition with a dim and dusky grandeur, was present to my boyish imagination as far back as I can remember. (6) Hawthorne’s analogy is used to explain his disdain for the stern morality and rigidity of the Puritans. He was a soldier, legislator, judge; he was a ruler in the Church; he had all the Puritanic traits, both good and evil. (7) Hawthorne’s narrator identifies more closely with the ancestor who embodied different traits, not just those of the Puritan Church, but of someone who was well-rounded, yet flawed in some of his beliefs and ideologies. Cherry 2 Source Text Excerpt Analysis A writer of story-books! What kind of business in life-what mode of glorifying God, or being serviceable to mankind in his day and generation,-may that be? (8) he imagines his ancestors’ disdainful view of him as writers were looked down upon and he believes he will be viewed as unsuccessful, worthless and disgraceful. â€Å"This long connection of aShow MoreRelatedMost Dangerous Game vs. Young Goodman Brown Essay2278 Words   |  10 Pagesa. In the short story, â€Å"The Most Dangerous Game† the setting takes place in the early 1920’s after the First World War on a small tropical island somewhere in the Caribbean, known as Ship-Trap Island by the sailors. b. Whereas, in the short story, â€Å"Young Goodman Brown† the story is set in the late seventeenth century in Salem, a small town northeast of Boston in Massachusetts around the time of the Salem witch trials. II. The characters in both of these short stories have close similarities

Relationship throughout this scene Essay Example For Students

Relationship throughout this scene Essay Examine the end of Act 1 from Hes lucky, believe me what is learnt about the characters and their relationship throughout this scene? This scene marks the end of the first act; it represents the climax of Act One. There is tension in the Carbone household and this scene tells the audience and the other characters on stage how everyone is feeling and their feelings towards the other characters. All from an Italian heritage, where men are portrayed as macismo and women where there to cook and look pretty. Set in the late 1940s it is a play about Eddie Carbone, and Italian American longshoreman. Who takes in the illegal immigrants from Sicily, Marco and Rodolpho, his wife, Beatrices, relatives but trouble begins when Catherine begins to fall for Rodolpho and Eddie becomes jealous. The scene begins with Eddie sitting, taking about Rodolpho. Rodolpho is in the room, dancing with Catherine, Eddies niece, but Eddie finds it difficult to confront him, as he doesnt what to confront the situation as it is. It finds it easier, simply to talk about Rodolpho rather than to him. Thats why the water front is no place for him In this quote Eddie is referring to Rodolphos sexuality, when this play was set, being a homosexual was seen as a weakness and you were seen as being abnormal. In Eddies point of view Rodolpho seems gay, he has blond hair, is creative and likes to sing, he aint right. Even when Rodolpho and Catherine stop dancing, Eddie carries on talking about him, as though he wants Rodolpho to hear what in is saying. Eddie carries on hinting about Rodolphos sexuality, if I could cook, if I could sing, if I could make dress, he is implying that it is wrong for men to behave in this manner, they should be big, masculine and strong. Throughout all of this no one is particularly listening to what he is saying, but watching him. (He has been unconsciously twisting a newspaper into a tight roll), as Eddie is an inarticulate man, his actions speak louder than his words and we see that through his speech he is working himself up, becoming tense and agitated. He has become annoyed with Rodolpho, as he has been talking about him; he is now frustrated with him and wants to take his anger out on something. The Italians wouldnt really talk about their problems; they would solve their problem with a fight. (Suddenly the rolled paper tears in two. Eddie suddenly gets up and pulls his pants up over his belly) His is an important gesture, Eddie is trying to show to everyone that he is the dominant male in the household, Eddie is also displaying the gesture that he is ready for a fight, by pulling his pants over his trousers, the thought of fighting is really on his mind so he starts to talk about it. What do you say, Marco, we go to the bouts on Saturday night. You never seen a fight, did you? What do you say, Danish? You wanna come along? Eddie calls Rodolfo Danish. This is possibly making fun of Rodolfos blonde hair or it may be that he is referring to a Danish pastry, light and feminine. Eddie thinks he can make fun of Rodolfo because he appears to be less masculine than Eddie or Marco. I bet youve done some fighting Eddie is asking Rodolpho this question, really he is satirising him because he knows that Rodolpho has never done any fight, so he is rubbing it in, he is being sarcastic. At this point, Catherine knows something is wrong, she is nervously happy She is delighted that Eddie is trying to make an effort to try and be nice to Rodolpho but is unsure whether he has any ulterior motive. .u87fbbb0539a2da76b1f51d6bafdd8566 , .u87fbbb0539a2da76b1f51d6bafdd8566 .postImageUrl , .u87fbbb0539a2da76b1f51d6bafdd8566 .centered-text-area { min-height: 80px; position: relative; } .u87fbbb0539a2da76b1f51d6bafdd8566 , .u87fbbb0539a2da76b1f51d6bafdd8566:hover , .u87fbbb0539a2da76b1f51d6bafdd8566:visited , .u87fbbb0539a2da76b1f51d6bafdd8566:active { border:0!important; } .u87fbbb0539a2da76b1f51d6bafdd8566 .clearfix:after { content: ""; display: table; clear: both; } .u87fbbb0539a2da76b1f51d6bafdd8566 { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .u87fbbb0539a2da76b1f51d6bafdd8566:active , .u87fbbb0539a2da76b1f51d6bafdd8566:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u87fbbb0539a2da76b1f51d6bafdd8566 .centered-text-area { width: 100%; position: relative ; } .u87fbbb0539a2da76b1f51d6bafdd8566 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u87fbbb0539a2da76b1f51d6bafdd8566 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u87fbbb0539a2da76b1f51d6bafdd8566 .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .u87fbbb0539a2da76b1f51d6bafdd8566:hover .ctaButton { background-color: #34495E!important; } .u87fbbb0539a2da76b1f51d6bafdd8566 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u87fbbb0539a2da76b1f51d6bafdd8566 .u87fbbb0539a2da76b1f51d6bafdd8566-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u87fbbb0539a2da76b1f51d6bafdd8566:after { content: ""; display: block; clear: both; } READ: Brave New World 8 EssayCatherine goes to make some coffee and Eddie becomes weirdly elated, rubbing his fists into his palms When Catherine asks about coffee he says Make it nice and strong. He is implying that he is a man, and can take his coffee really strong, and that he can take anything that is coming to him. Again he is referring to their Italian heritage that as he is stronger that makes him better. Rodolpho doesnt want to fight with Eddie, he respects him as Eddie has taking them in his home and could easily ring up the authorities and get them arrested. Rodolpho is embarrassed by the situation; he knows what Eddie is trying to do. Eddie insists that hell teach Rodolpho. In the end Rodolpho grazes Eddie. Eddie doesnt see it as a let down, instead he sees it as a reason to retaliate, and he knows Rodolpho wasnt putting everything into the punch, but now he has a reason to hit back. Eddie can now hit back harder. Eddie tricks Rodolpho, (He feints with his left hand and lands with his right. ) This now becomes the turning point of the play, Marco rises Catherine runs to Rodolpho.

New ThemeIsle Membership Plans Launched - New Themes, New Plugins, Fast Support, Free Hugs

Just to give you a quick TL;DR: Weve just made some huge changes to our ThemeIsle membership plans: (1) Weve opened our doors to third-party themes, (2) all of our plugins are now included in every membership plan, (3) fast support max 4 hours to first reply.Ever since Zelle has been restored to the WordPress.org repository weve been hard at work rethinking our ThemeIsle membership plans in an effort to be more in tune with what our users actually want and have been asking for.The no.1 thing thats on everybodys mind, as youd imagine, are new themes and plugins. Long story short, we have those for you! Purchase History to check out whats available.But apart from that, setting our existing themes and their latest updates aside, there are also lots of new additions to our library. Particularly:Weve partnered with two of the best theme creators in order to open up to new niches. Four new themes from ProteusThemes and Anariel Design are being added to our yearly ThemeIsle membership plan s.Those themes cater to various industries, from non-profit and legal, to medical and blogging. Check some of them out:LegalPress and MedicPress by ProteusThemes, now available at ThemeIsleWere more than excited to welcome ProteusThemes  into this new initiative, and have some of their great themes included in our ThemeIsle membership plans. ProteusThemes creations are some of the most carefully coded themes out there. A  great example of how to  take WordPress themes to the next level. Were really proud to have them on board, starting with four of their most popular themes for medical care, legal, construction and sports adventures:LegalPress is a new theme dedicated to lawyers, consultants, and financial firms. The theme is highly customizable, so you can actually set it up for any type of business.MedicPress is a new medical theme for  doctors, dentists, surgeons, hospitals, and clinics, suitable for any healthcare institution.Im very happy that Ionut from ThemeIsle reach ed out to me and proposed a collaboration which is healthy for our two companies. Im looking forward to this partnership which is undoubtedly a start of a bigger journey.Primoz Cigler, CEO ProteusThemesDidi and Maisha by Anariel Design, now available at ThemeIsleNext, were equally excited to have Anariel Design  bring four of their beautifully designed themes into our ship. To get started, you get to know their non-profit/charity and fashion blog themes. But theres more stuff on the way a new restaurant theme, for example.Didi is a great match for fashion, lifestyle and magazine style sites. We love the style of this blog theme with its clean modern layout and beautiful typography.Maisha  is a beautiful and easily customizable theme, optimized for charity and non-profit websites.  Its design is inspired by the Virunga documentary.All premium plugins now available in ThemeIsle memberships plansOur complete library of premium WordPress plugins is now available in every membersh ip plan.You can check the full lineup here. Including:Visualizer lets you create beautiful interactive charts and embed them in your WordPress posts or pages. Up to 12 different charts available pie, line, bar, timeline, you name it.AdBlocker Notify detects an ad blocker working in the users browser and lets you ask them to perhaps deactivate it. Simple.Feedzy RSS Feeds allows you to display content from RSS feeds in your posts, pages, and custom post types. You can do so via shortcodes, widgets, and even import content to new blog posts directly (RSS to Post).Improved customer supportIn addition to new themes and plugins, were also improving the support experience for all pro membership packages. Priority support now guarantees first reply within four hours.Best of all, this priority support also includes the newly added third-party themes Didi, Maisha, LegalPress, and MedicPress and will apply to all new themes added in the future.New ThemeIsle membership plans in summaryHeres what you get as part of our new yearly membership plans starting at $89 / year: Access to all 20+ themes Access to all 10+ plugins Access to new themes and plugins Video tutorials for WordPress beginners Priority support (max 4h to first reply) 1 year of free shared hosting with InMotion Hosting 12 months of support and updates (24 months and lifetime for higher membership tiers) License for 3 domains (5 and 10 domains for higher membership tiers) See the new membership plans Were really excited about these changes and the opportunity to feature awesome new themes in our offer. We also hope that these new plans will encourage you to experiment with our premium plugins.

Java vs. C++ Essays - Cross-platform Software, Java Platform

Java vs. C++ Essays - Cross-platform Software, Java Platform Java vs. C++ subject = Freshman title = Java vs. C++ Since their inception, computers have played an increasingly important role in todays society. Advancements in technology have enabled computers to become faster and cheaper. Today, the majority of families own a home computer that is vastly more powerful than giant mainframes of years gone by. Computer hardware has been evolving rapidly with no end in sight, and with all of the advancements in computer hardware come advancements in computer software; gone are the days when FORTRAN and COBOL were the languages of choice. Today,vvv two hot new object oriented programming languages have entered the computer programming arena, Java and C++, this paper will examine the similarities and differences between these new languages. Both Java and C++ are object oriented programming languages, but what does that mean? Object oriented programming (OOP) emphasizes data, instead of algorithms for solving problems. Instead of trying to fit a problem to the procedural approach of a language, OOP attempts to fit the language to the problem, in other words, OOP is structured to produce an answer without changing the question. Object oriented programming involves two separate parts, class and objects. Class is a specification that describes a new data form, it is a template that defines how an object will look and behave.(Kaj 1996, 8) An object is that particular data structure constructed using the parameters defined by class.(Prata 1995, 5) The object oriented programming approach to program design is to first design classes that accurately represent those things with which the program deals. A drawing program, for example, might define classes to represent rectangles, lines, circles, brushes, pens, and the like. The class definitions, recall, include a descriptions of permissible options for each class, such as moving a circle or rotating a line.(Prata 1995, 5) The main advantages of OOP, besides being able to create more complex software, and develop answers without changing the questions, are numerous. OOP facilitates creating reusable code, which can save a lot of work. Information can be hidden to safeguard data from improper access. Polymorphism lets the programmer create multiple definitions for operators and functions, with the programming context determining which definition is used, also Inheritance lets the programmer derive new classes from older ones. When using OOP, the programmer can focus on representing concepts, instead of concentrating on tasks. (Prata 1995, 6) Java, although in many respects similar to C++, is actually just a more simplified version of the latter. Java has a C++ like syntax, but it is more purely object oriented, also, memory management, which can be a problem with C++, is no longer a factor with Java, due to the fact that Java incorporates a built in garbage collector, which makes it unnecessary to explicitly free allocated memory.(Kaj 1996, 1) Another difference is that Java, unlike C++, does not contain pointers.(ftc.nrcs.usda.gov/devtools/java/java/noMoreC/index.html) (A pointer is a variable that tells a computer where data is placed.)(Prata 1995, 93) Java does not have an explicit pointer type, instead, it does passes all arrays (information entered into the program and stored in memory) and objects by reference,(ftc.nrcs.usda.gov/devtools/java/java/noMoreC/index.html) meaning that the objects or arrays in question have been defined elsewhere in the program, and the programmer does not have to keep pointing out wh ere that information is stored. Since Java does not contain pointers, struct and union (two C++ favorites) are not part of the language because they rely on pointers to function.(ftc.nrcs.usda.gov/devtools/java/java/noMoreC/index.html) Java differs from C++ in other ways too, command line arguments that are passed to a Java application are different in number and type than those passed to a C or C++ program. For example, when someone starts a C++ program, the system passes two parameters to it: argc- the number of arguments in the command line, and argv- a pointer to an array of strings that contain the arguments. When a Java application is started, the system passes only one parameter, args- an array of Strings (not a pointer to an array) that contain arguments.ftc.nrcs.usda.gov/devtools/java/java/noMoreC/index.html Speaking of strings, (A string is a series of characters, much like a sentence.)(Prata 1995, 8), they are different in Java. In C++, strings are stored in arrays, in Java strings are treated as their own objects, and do

5-Paragraph Argumentative Essay on Abortion

5-Paragraph Argumentative Essay on Abortion 5-Paragraph Argumentative Essay on Abortion In the modern world, the debate on whether abortion should be legalized has dominated discussions for years. While some people see abortion as murder, others believe that abortion should be allowed in the case of ‘unwanted’ pregnancy. This is when the pregnancy was not planned, and the mother is either not ready to have a child, or the birth of the child may pose a danger to the mother and the child. When one participates in this debate constructively, you need to prepare a well-structured essay that demystifies the issues surrounding the abortion issue. Such an essay can be an important tool that people can use to support, or oppose, the issue of legalizing abortion. A 5-paragraph argumentative essay on abortion should include the following five points: The first paragraph should introduce the debate and the contested issues concerning abortion. For instance, the writer should explain who supports legalization of abortion, and who does not. The writer should also give the reasons why people have these differing opinions. The second paragraph should explore one side of the debate. For instance, the writer can explore whether abortion should be legalized and whether such action of legalization of abortion will be a violation of human rights, ethics, laws governing the society, and the rights of any specific member of a group of the society. The third paragraph should explore the other side of the debate. In this case, the writer should explain why legalization of abortion is vital and the conditions under which it should be allowed. The writer can explain what the repercussions would be if the state does not legalize the issue of abortion and what society stands to lose by having a blanket ban on abortion. The fourth paragraph should explore the validity of the arguments that both sides provide. The literature on the issues that the writer raises in support of the issue of abortion and its legalization should be discussed. The writer can use legal arguments as part of its presentation, or, religious arguments to credit or discredit the arguments of both sides of the debate. The fifth paragraph should present the facts that emerged in the previously written paragraphs. Since the fifth paragraph is the concluding paragraph, the writer can give his/her personal opinion based on the facts presented. Why not to try our professional essay writing service designed to help students with writing college essays. Get a custom paper on Abortion now!

Changes in Apple's Supplier Code of Conduct Essay

Changes in Apple's Supplier Code of Conduct - Essay Example At Apple, we value our workers as really, they are the reason for our success. We, therefore, require of every supplier that transacts any dealings with Apple to exhibit genuine intention to protect the rights of our workers at all times. A maximum of 60-hour work week should always be observed. We ensure that our suppliers strictly follow this. This ensures that our workers are not over-worked, and hence they remain productive. By 2014, about 92% of our suppliers complied with this. We are custodians of human rights as well. This is seen in our use of conflict-free minerals in our products. Suppliers affiliated with Apple are usually held accountable to hiring procedures that are ethical.For productivity, good health is key. That is why at Apple, we really care about the safety and health of our workers. In order to ensure that this is maintained, we have sought to train our management staff and workers. In an effort to assure that safety and good health is maintained, we launched a bout 870 projects in 2014 to improve conditions at the places of work. This was done through the Environment, Health, and Safety (EHS) Academy. We have also come up with a comprehensive mapping program that aims to make steadfast our chemical management functions.We have great regard for the environment at Apple. That’s why we ensure that our products and services are environmentally conscious. We are doing all we can to ensure that the natural resources that have been bestowed upon us are well conserved.

CV Creation Essay Example | Topics and Well Written Essays - 750 words

CV Creation - Essay Example r the new joiner to ensure a smooth transition into the company; coordinate with the Line departments and employees on employee separation to collate all company items to be returned by the employee prior to leaving and coordinate with the concerned to ensure all items are collected back to ensure a smooth employee exit process; compile and maintain updated files, records and databases related to department activities for record purposes and to ensure easy retrieval of the same; prepare relevant and timely reports for Manager review and highlight areas of concern for decision making and corrective actions; check the pantry inventory and ascertain adequate inventory stock by replenishing them timely to ensure employee satisfaction Arrange summer training/ internal ship program for UAE nationals in the company as per requirement from various educational institutions to ensure DPG’s commitment towards the society in developing UAE nationals; prepare relevant reports/statistics/surveys related to Junior Trainees in order to provide management information; identify suitable platforms like career fairs, universities etc to source potential UAE national candidates for the company to develop them for future roles Over sixty trainings arranged for internal staff (sales people, technical training, upper management, etc); coordinating with experienced external trainers from various training companies; responsible for writing weekly progress reports for submission to top management; keep an up to date filing system includes proper attendance sheets, certificate copies, feed back forms and training evaluation after each training session as an ongoing basis; prepare summary of training attendees based on the database provided by service team at the end of every month to know the progress of training programs; make sure that the training venues are booked according to the calendar and the training materials are readily available for each session Wrote periodic reports to

Customer perspectives revisited Essay Example for Free

Customer perspectives revisited Essay When a business loses the drive to pursue and retain customers, it loses its soul and therefore the right to exist. No business can function, thrive or prosper without a reliable customer base. In the customer perspective theory BSC makes it clear that it is not only essential to know who the target customers are and how a business can better serve that customer base. The BSC identifies three primary ways of providing services to customers in the Balance scorecard system. Operational excellence emphasizes low prices, and convenience ( Nevin 2003). Product leadership focuses on providing the  best product in the market. In customer intimacy the business stresses the development of long term relationships with the customer, doing whatever is necessary to know what it is that the customer truly wants. It does so while maintaining as much knowledge as possible of its customers. The reason for these efforts in acquiring superior customer knowledge comes down to the point that the businesses are attempting to provide as much satisfaction to the customers as possible. The other reasons include customer loyalty and the need for more market share. (Balancedscorecard. org. ) INTERNAL PROCESS PERSPECTIVE REVISITED: This area focuses on identification of the things that would need to be done in order to continue to add value to the customers and ultimately to the shareholders (Nevin 2003). The internal process aims to serve the customer and increase the total value of the organization, as well as keep record of the companies progress. The team’s objective is primarily to develop better products, to find better ways of manufacturing better products. To find better ways of delivering their products, and to find better ways of delivering better services after the products had been delivered. LEARNING AND GROWTH PERSPECTIVE REVISITED: This may actually be the most important aspect of the entire process. Organizations would get as far as their employees could take them. A team that lacks knowledge may not be able to provide the necessary services required by the customers. Therefore genuine effort must be made to keep employees abreast of necessary information. And that is what the learning and growth perspective tries to define. It emphasizes that information be made available to the employees. It requires the employees skills be as sharp as necessary. It does not want employees to be ignored. Again the key here is that any organization would only go as far as the employees could take it. With adequate care and education, employees can only do better for the company. It is important to point out that the BSC system does not ignore the financial perspective. But the key is that when a company has satisfied the other objectives, that company stand a pretty good chance of doing well financially. BALANCE SCORECARD AS A STRATEGIC MANAGEMENT SYSTEM: Obviously putting a business and management strategy is important, but no strategy will function if it does not actually get implemented. So the first step in resolving the  issue of non-implementation, is to identify what the potential problems towards implementation may be, and then address those issues. According to fortune magazine (1999) about 70% of strategies are poorly executed, so how can it be executed better. Both the team and the management must pay attention to the four barriers: the vision barrier, the people barrier, the resource barrier, and the management barrier. (1) VISION BARRIER: To overcome the vision barrier, employees must not be kept in the dark. The BSC wants management to be very clear as to what the vision is. When possible place a figure on the  vision . For instance if the goal is to manufacture products without defects 90 % of the time, then it may be made clearer by stating exactly that. That figure of 90% translates the vision to a level that could not be misunderstood. Give the employees the appropriate knowledge base and strategic structure, that makes the entire strategic objective easier to follow. Management should facilitate a total understanding of the strategy and the whole structure in order to enable all the team members to fully understand the strategy and therefore work towards achieving it as a unit. (Kaplan Norton).

Hester Essay -- essays research papers

Throughout the Rocking-Horse Winner†, Hester was overly materialistic, emotionally cold towards her children and in self-denial over her own faults. Hester had expensive tastes and she insisted in keeping up the latest style. The â€Å"expensive and splendid toys† that filled the nursery were more than the parents modest income could afford. Paul asked for an explanation of luck. Hester responded by saying â€Å"it’s what causes you to have money†, quickly making a connection between luck and wealth. And while she discovered she had a knack for sketching â€Å"furs and dress materials† she adored, making hundreds of pounds per year did not appease her elegant tastes, for it still wasn’t enough to keep up her extravagant lifestyle. When Hester found that she had mysteriously acquired five thousand pounds, she quickly asked for the whole sum at once. This money was not used to pay off the debts the household so sorely needed; it was used to purchase more cozy and unneeded items. The â€Å"sprays of mimosa and almond blossom† emanated from the home and was more pungent than before. Hester fe lt that her financial state couldn’t afford to buy a car but ironically she purchases tutors for Paul and expensive items for their home. While Hester fancied lavish items, she also strived to be prestigious and gain social stature. This stature was always hard to preserve for â€Å"there was never enough money†. Hester toiled to maintain her superior status and was willing to sacrifice her money to buy â€Å"iridescen...

Red Bull’s current marketing strategies Essay

How should Red Bull market its brand in the future? I think, although Red Bull has been extremely successful in the past, times have changed and the company and products should change with it, otherwise we probably lose market share to the tremendous increased number of competitors in no time.At the height of early mornings and late nights, Red Bull energy drink became the fuel of choice for people from all walks of life. So how is Red Bull marketing its brand to meet the changing needs and budgets of its customers? How will the privately owned Austrian company expand its product line beyond the silver-bullet beverage that â€Å"gives you wings†? My conclusion is that we should focus on what the consumers want, need, and can afford and different marketing techniques. Red Bull founder, Dietrich Mateschitz, introduced his â€Å"tonic drinks† to the Austrian market in 1987. â€Å"Red Bull got off the ground in no time flat, giving people wings right from the start.† It wasn’t until ten years later, Red Bull charged into the United States, launching a new category of non-soda energy drinks aimed at burned out high school kids, college students, and overworked individuals. In my opinion Red Bull should focus not only on low cost marketing, but also areas of mass marketing. Red Bull is an energy drink with an amazingly clever marketing strategy, but could use an extra shove in areas. Since its inception, Red Bull has shunned print advertising in its marketing strategy. Red Bull has also chosen to eliminate billboards, banner ads, taxicab holograms, blimps, and Super Bowl spots as a form of advertising. It has not created one web-marketing campaign, and it hasn’t nipped or expanded its product line. This could be a good area to begin. Promoting the drink with prints or web-marketing campaigns could add to the many satisfied consumers. Red Bull’s website could also use renovations. The website, http://www.redbullusa.com/start.html, does not include an in-depth analysis on ingredients contained in the drink, whereas Dark Dog and Red Devil do. If consumers wanted to learn what was contained in the drink and how they benefit from the product, the information should not only be available, but in abundance. Also, Super Bowl advertising has proved to be very beneficial,  with more viewers than any TV program. Advanced communications technology is creating a generation where many individual can be touched by one visual. However, Red Bull chooses to use advertising that cost little or nothing. Red Bull has also adopted another form of low cost advertising. Red Bull sets its grassroots ethic into motion with a simple, yet masterful marketing force, student brand managers. In Europe, collegiate buzz junkies have been successfully addicting friends and classmates for years thanks to a foolproof branding plan; Red Bull provides the student representatives with free cases of its energy drink and then encourages the kids to throw a party. Red Bull could also use this technique with older individuals in high stress occupations. This will not only spread the word quickly and cheaply, but to more individuals of different ages. This would allow Red Bull to expand its target. â€Å"In terms of attracting new customers and enhancing consumer loyalty, Red Bull has a more effective branding campaign than Coke or Pepsi,† says Nancy F. Koehn, professor of business administration at Harvard Business School and author of Brand New: How Entrepreneurs Earned Consumers’ Trust from Wedgwood to Dell (Harvard Business School Press, 2001). â€Å"Red Bull is building a beverage brand without relying on the essential equipment of a mass-marketing campaign. Perhaps the indispensable tools of marketing aren’t so indispensable after all.† With the little advertising Red Bull uses, an extra push in one of these areas could prove very beneficial for the company. Resources: Brand New: How Entrepreneurs Earned Consumers’ Trust from Wedgwood to Dell (Harvard Business School Press, 2001) http://www.redbullusa.com/start.html http://www.plan-b.biz/pdf/Speed_In_a_Can.pdf http://www.darkdog.com/ http://www.reddevilusa.com/ http://www.safefoodonline.com/safefood/Uploads/appendix_I_stimulant_drinks_in_ireland%2520_trans_mgmt.pdf

Explore the ways in which writers present strong feelings to interest the reader or audience

Various techniques are used by writers to present strong feelings which evoke emotion from the reader or audience. Literary techniques are used in great lengths to both emphasise strong feelings in a literary piece and to also evoke strong feelings from an audience. The techniques embody language, structure and form. The experimentation of structure and poetic techniques used by writers create strong feelings within both the contemporary and present audience, ensuring audiences were and always will be interested in the literary piece.In the prologue of the play ‘Romeo and Juliet’ the audience learn that two dignified households in the city of Verona hold an ‘’ancient grudge’’ towards each other, which remains a source of the violent conflict which is central to the play. It can be suggested that hatred has grown stronger over a long period of time. Similarly, the structure of the poem undermined traditional Elizabethan sonnets which were tradit ionally love poems. Shakespeare’s, however, changed this form to show hatred, violence, conflict and death to foreshadow the ending of ‘Romeo and Juliet’.An Elizabethan audience would have recognised this, creating a feeling of excitement and curiosity within them. Likewise in ‘sonnet 43’ Browning has also undermined the traditional form of a sonnet to create religious imagery to describe her lover. Browning’s sonnet discusses and compares her strong feelings for her lover and as her description develops she illustrates that she loves him with the emotions of an entire life from childhood right through to death. ‘’I love thee with the breath, smiles, tears, of all my life!– And, if God choose, I shall love thee better after death’’. She worships her lover with all her heart and respects him much more than she does her religion. He touches all aspects of her life and gives meaning to her whole existence. The au dience would be shocked as during the Victorian era religion was paramount in the lives of the people. However, it is not just love for one person that is described but the feeling of love itself. Similarly, as Romeo and Juliet become innocent victims of an atrocious ‘‘strife’’ between their families when they ‘’take their lives’’.Considerably, the poet evokes strong feelings towards the emotion of love when Browning is describing the intensity of religion and the link between death and love, as Shakespeare does when he links the idea of love and death in the prologue, allowing both the audience and the reader to openly question the content without profanity. In the play ‘Romeo and Juliet’ segregated from society is a dominant feeling and a reoccurring theme. Romeo and Juliet go to extreme lengths to preserve their love together.They did this as according to Elizabethan society it was nor their ‘Fate’ nor ‘Destiny’ to ever be together. Therefore by choosing to be together consequences to them both mocking society. Juliet was Romeos second love which is ironic and therefore mocks society because Elizabethans believed in fate and destiny and that you could only ever love one person. If you loved again you weren’t really in love or you previous relationship wasn’t love but lust. Romeo’s feelings power his actions contradicting the Elizabethan norm which would undoubtedly evoke strong feelings such as disgust and shock from the audience.Alternatively in the poem ‘My last duchess’ the writer evokes strong feelings from the reader by focusing on the dominance and control of the Duke towards his wife. The audience in this case is this the ambassador acting on behalf of Ferdinand referred to in the poem as ‘The Count, your master’ but in reality it is the reader. This makes the reader feel rebellious as they are ‘eavesdroppin g’ on an interesting conversation. This completely contrasts to Romeos relationship with Juliet. They respect and accept each other as equals whereas the Duke doesn’t respect his wife or even acknowledge her.The duke refers to his wife, not by her name, by ‘she’. A contemporary reader would accept this as men were the dominant spouse. ‘’Half flushed that dies along the throat’’. This is ironic as it is said that the duke killed or had his wife killed, we could interpret that he beheaded or had her beheaded. This would surprise the reader as the duke earlier in the poem he compliments his wife, calling her a ‘wonder’. Although his words and actions are brutal the duke would have been accepted by society as men were believed to be higher than women.Romeo and Juliet’s love was not accepted by an Elizabethan society but they choose to ignore their friends and family, therefore appalling their audiences and mocking their entire beliefs. In the play Romeo and Juliet confusion, doubt and uncertainty are common emotions. During the balcony scene Juliet is speaking her mind unaware that Romeo had been listening. ‘’Be sworn my love, and I shall no longer be a Capulet’’. She would disown her family to be with Romeo, someone whom she had just met. This would have stunned an Elizabethan audience as she came from a rich, well respected family.There is more confusion when Juliet’s feelings change, ‘’ it is too rash, too unadvised, too sudden’’. Shakespeare uses the ‘rule of three’ to emphasise on the word ‘too’. He does this to show how strong Juliet’s doubt towards Romeo is. An Elizabethan audience would be confused as to how she could change her mind as they believed in love at first sight and this was going against that belief. Shakespeare mocks his entire society though his characters by showing them that fate and destiny is not written in the stars but is decided by you.Equally, in the poem ‘The Laboratory’ there is a lot of confusion between the character and the reader. The woman in the poem is searching for the perfect poison to commit a murder. She cannot seem to decide what poison she would like and is distracted by the â€Å"exquisite blue† colours of the poisons. ‘’Yonder soft phial†¦ sure to taste sweetly, – is that poison too? ’’. Her actions are very child-like and due to her frequent change of mind the reader will begin to doubt her motive and seriousness.The reader feels confused at her motives and could assume the poem is comic and not serious. By using a question mark, the poet emphasises the protagonists confused mind. This confusion is further highlighted by the â€Å"-â€Å"which separates the question from the rest of the stanza and draws it to the attention of the reader. Clearly, Shakespeare and Mr and Mrs Browning all convey strong emotion to the audience and readers whether it is through language, structure or form. This is one of the main reasons why their literature has lasted and is greatly treasured.

British Petroleum Company, Ltd. Essay Example

British Petroleum Company, Ltd. Essay Example British Petroleum Company, Ltd. Essay British Petroleum Company, Ltd. Essay Formed in 1909, British Petroleum (BP) was the world’s seventh largest industrial company and the third largest oil company based on 1986 sales figures. As a part of its decentralization plan which prepares for the privatization of the nationalized industries, the British Government initiated a sale of BP’s stock in March 1987. Later on BP announced an offering of new stock in conjunction with the government sale in July 1987. Underwriting agreement was made between BP and both the domestic and international underwriters on 15 Oct 1987.The offering date was set for 30 Oct 1987. The price for both the fixed-price offer and the international offer was set at ? 3. 30 payable in three installments. While the first installment of ? 1. 20 was due immediately upon sale, the second and third installment of ? 1. 05 were due on 30 Aug 1988 and 27 April 1989 respectively. Right after the underwriting agreement was made, the stock market suffered its largest decline in history. The underwriters of the BP issue faced substantial losses as a result of the drop in BP price.Refusing to rescind the deal, the British government announced on 29 Oct 1987 that the offering would proceed as planned, and the Bank of England would offer a repurchase plan for the underwriters. The bank would buy for ? 0. 7 any and all partly paid BP shares that would begin trading the following day. Those who sold their shares to the bank would then be relieved of the second and third installments. The offer to repurchase shares would expire on 6 Jan 1988. Case ObjectivesWith the drop of BP’s stock value and the Bank of England’s offer of the repurchase plan, the objectives of this case study is to 1) Evaluate from the point of view of the U. S. underwriters the value of the repurchase plan, so as to help decide if they should sell their partly paid BP stock to the Bank of England instead of holding on it to sell it to the individual investors after the offering date; 2) To compare the value for the repurchase plan with the total change in equity value of the U. S. underwriters, so as to have an extra reference on the value of the repurchase plan. Discussion The Repurchase Plan as a Put Option According to the case, anyone who owned partly paid BP shares could sell them at any time to the Bank of England for ? 0. 7 regardless of the then prevailing market price. We have concluded that this offers the equivalent of the Bank of England writing a put option with the strike price of ? 0. 7 plus the present value of the remaining two installments of the price of the BP shares. To be more specific, since the option could be exercised anytime during the life of the offer, it should be treated as an American option. Â ¦ Methodology The Black-Scholes ModelAfter the identification of the repurchase plan as a put option, it comes to the vital part of the case study- valuation of the option. As stated earlier, the repurchase offer resembles an American put option which means the Binomial model would be more appropriate for the calculation of the option price. We are aware that the a major limitation with the Black-Scholes model is its incompetence in pricing an American option due to the fact that it only calculates the option price at expiration. However, the statistics given are not sufficient enough for us to precisely compute the price of an American option.Furthermore, the main objective of this report is to estimate the value of the repurchase offer as a whole rather than calculating the exact price of the option at a specific date. That being said, we would treat the option as a European option for the sake of simplicity. For European options, the binomial model tends to converge with the Black-Scholes formula as the number of steps increases. Since the statistics of days after the announcement of the repurchase plan are fairly limited, we have decided that the Black-Scholes Model would perform better for this case scenario. Assumptions Limitations Term Structure As the period between the announcement and expiration date of the repurchase plan is a little bit more than 2 months (From 29 Oct 1987 to 6 Jan 1988), we have chosen to use the term structure of 3 months (Exhibit 8), which is closest to this period, for the pu rpose of our calculation. Volatility In selecting the data to calculate for the volatility, we did recognize that using the daily stock prices from 16 to 19 Oct 1987 (Exhibit 7) should be problematic with the stock market crash.As the Black-Scholes model assumes a lognormal distribution of volatility, using the Black-Scholes model to process this set of extreme data would lead us to the assumption risk, which is the risk that the Black-Scholes is inappropriate to be used to value options for the period. Alternatively, we considered about avoiding the crash period by only using the data before or after the crash (i. e. from beginning of Oct to 16th or from 19th to the end of the month). However, as we only have one month data on hand, further cutting half of it would leave us too little data for a fair calculation.However, if we do have data of a longer period, we would choose to use the data after the crash as it would be better matched with the case. Â ¦ Stock Price As we see a he althy financial status of BP according to its income statements and balance sheets (Exhibit 1-3), it is assumed that the stock price of BP will never drop to zero in the period. To support this, we have calculated the book value per share of BP, which is USD3. 73. (Please refer to the work sheet Book Value of BP in the Excel file for calculation details. Â ¦ Trading Days The number of trading days in a year is assumed to be 252 according to the usual practice for the calculation of volatility. Â ¦ Calculation Results With the help of the Black-Scholes model, we come up with the answer of USD0. 38 as the value of the put option, which is equivalent to the value of the repurchase plan to the U. S. underwriters at the end of 30 Oct 1987. (For details on the calculations, please refer to the work sheets of Black-Scholes Model and Volatility in the Excel file. )Apart from using the Black-Scholes model, we also calculated the implied put option/repurchase plan value by calculating the c hange in equity value of the publicly traded U. S. underwriters between 29 Oct 1987 and 30 Oct 1987 for comparison (Please refer to the work sheets of Equity Value Change and Black-Scholes Model for the calculation details). Before the results were being worked out and compared, we have assumed the two values to be close to each other, as we assumed a semi-strong form of market efficiency, with which stock prices are believed to reflect all publicly available information.In this case, as the announcement of the repurchase plan was made to the public on 29 Oct 1987 after the close of the London and New York markets, we believed the change in stock prices of the U. S. underwriters should reflect the value of the repurchase plan on the next trading date (i. e. 30 Oct 1987), with the assumption of the repurchase plan being the only factor influence the stock prices on that day. However, the two values that we got turned out to be more inconsistent with each other than we thought, with U SD0. 8 as the value from Black-Scholes model and USD1. 02 as the implied value from the equity value change. Assuming the market participants are rational, the change in the equity price of the US listed underwriters should correctly reflected the true price of the repurchase plan (i. e. the put option). If the put option was USD1. 02, the volatility of the stock price of BP should be 145. 49% under the Black-Scholes model (calculated by trial and error) instead of 60. 11% (Please refer to the work sheets of Volatility for the calculation details).The great difference between the two volatilities may be due to insufficient of data (especially the price change after the market crash) as provided by the case and the Black-Scholes Model may not be applicable in the time when the stock market is fragile. Apart from using Black-Scholes model and market reaction to the stock price of the US listed underwriters, we use another way to evaluate the put option. We estimated that the book valu e per BP share as of 30 Oct 1987 was USD 3. 73. Normally, the stock price should not below the book value per share.Otherwise, it would provide an incentive for the major shareholder to privatize the company. As of 30 Oct 1987, the share price of BP was USD4. 56 (? 2. 65 X 1. 722 (the exchange rate of USD to GBP). The difference of the share price and book value per share as of 30 Oct 1987 was USD0. 83. If the estimated book value per share was correct, the room for the drop of BP would be USD0. 83. When we compared the put option price implied by the market (i. e. USD1. 02) with USD0. 83, we see that there is a premium of USD0. 19.The premium may be the reward for the insurance protection factor and time value of the put option. The premium may also reveal the market overreacted to the information of repurchase plan. Conclusion BP’s stock offering was an important part of the British Government’s decentralization plan back then. The repurchase plan had not only succes sfully prevented a political setback, it had also worked well as a protective arrangement of the British Government to ease the nerve of the panicking domestic and international investors amidst the aftermath of the largest stock market decline in history.The limitations discussed above may have inevitably caused some error in the computation of the implied volatility of the stock price of BP after the announcement of the repurchase plan. However, from the prevailing up movement of the stock prices of the four US investment banks and BP, we could see that the response to the plan from the financial market was excellent.

How to Pronounce the Spanish RR

How to Pronounce the Spanish RR Pronouncing the RR sound in Spanish can be difficult for some, but its possible to learn! 10 Steps to Master the Spanish RR Sound Keep in mind that there are two R sounds in Spanish: the single R sound and the double R (or RR) sound.Keep in mind that the single R sound is used whenever the single R appears in a word, except when its at the beginning of a word or after an L, N or S, when the RR sound is used.The RR sound is also used to sound the letter combination of rr, which used to be considered a separate letter of the Spanish alphabet.Keep in mind that the Spanish R and RR dont share the distinctive R sound of English. Think of them as separate letters entirely.Remember that the RR is a trilled sound formed by a flapping of the tongue against the front roof of the mouth.Visualize the front of your tongue as a flag flapping in a vigorous breeze.Now try purring like a cat. If youve succeeded, you are approximating the RR sound.Alternatively, relax and pretend youre a child making the sound of a revving-up motor.Another way is to pretend it is extremely cold. Now make the sound of exhaling with your lips flap ping together. Now do the same thing with your tongue against the roof of your mouth. Alternatively, loosely hold the tip of your tongue at the front roof of your mouth. Now try blowing air between the tip of the tongue and roof of your mouth while you partly relax the tongue. Try an Audio Lesson To hear the rr sound in words as spoken by native speakers, listen to an audio lesson on rr. Sample words in this lesson are perro (dog), carro (car), barra (bar, such as one made of metal) and hierro (iron, the metal).

Socket programming Research Paper Example | Topics and Well Written Essays - 1500 words

Socket programming - Research Paper Example However, sockets can also be used to facilitate communication on one computer being either as synchronous (blocking) or an asynchronous (non-blocking) socket (Luo etal., 2009). The difference between the two is that the blocking socket ensures socket operation to be completed before the program resumes the next execution. On the other hand, non-blocking socket usually allow the application to be responsive to other events The development of socket programming has achieved notable success over the years. It all started with the development of a free version of UNIX operating system in the year 1978, the BSD UNIX by Bill Joy. The second free version of BSD was released some months later which become the internet backbone due to its open source concept. On this front, it was notable in facilitating the development of TCP/IP with UNIX as the research platform (Parziale etal., 2009). This breakthrough into spearheading internet research using UNIX operating system made Bill Joy to be regarded as the â€Å"Edison of the Internet†. The socket interface development was initially conducted on BSD UNIX after which it was later incorporated into other operating system to simplify porting applications (Mansfield & Antonakos, 2010). Stream socket (SOCK_STREAM) – mainly involved in connection-oriented data transmission where the data is usually considered as a stream of bytes. Uses the bind (), listen (), accept (), and connect function to establish connectivity and develops flow control to ensure there is no data overruns. To effect communication successfully, a stream socket requires that the two parties involved in the communication process to establish the connection first before initiating the dialog process. The client program requests for connection after which the server program determines the suitable socket connection. The data being transmitted is bound to arrive following its sending order without any duplication or errors.

Position Essay Example | Topics and Well Written Essays - 500 words

Position - Essay Example Cellopharone is an organic substance, polysaccharide in nature (Carlisle 338). Being a constituent of plant cell walls, it is the commonly recognized organic substance. It is appropriate for foodstuff packing due to its limited permeability on various aspects. Cellophane is processed from extremely purified cellulose obtained from bleached sulphide pulp (Carlisle 338). In addition, cellophane is biodegradable, and thus ecologically friendly. However, its processing causes air pollution. It is produced by employing carbon disulfide, found freely in the air. Carbon disulfide, under elevated concentrations, responds when exposed to other unstable chemicals thus forming smog in the atmosphere (Carlisle 338). It also injures ones sight and cause pain in several human systems. Cellophane product and use should be minimized because when produced in large quantity, they lead to environmental pollution and other health complications. Inorganic foods are foods, which are raised by the use of inorganic methods. This is through the use of chemical compounds such as pesticides, synthetic fertilizers, antibiotics and hormones (Carlisle 338). Foods raised in this way contain remnants of these chemicals which are dangerous to health. Inorganic foods are harmful to human consumption as herbicides and pesticides used to raise these crops are very toxic. When these chemicals build up in human bodies, they lead to diseases and other health complications. A good example is a herbicide called glyphosate commonly used for crop production (Carlisle 338). A laboratory study done by scientists in France in the year 2005 proved that glyphosate destroyed completely human placental cells and abnormal embryonic cells. These chemicals lead to birth defects and cancers, in addition to crop and animal losses (Lawson). Inorganic chemicals lead to the gastrointestinal tract erosion, dysphagia, cardiovascular, kidney damage,

Portfolio Annotated Bibliography Example | Topics and Well Written Essays - 2250 words

Portfolio - Annotated Bibliography Example This article is about a study where women are offered a variety of birth control methods. The results from the study stipulate that most women who chose long acting techniques such as implants which lower the chances of acquiring pregnancy other than birth control pills do not worry about unplanned pregnancies. Notably, it shows that birth control reduced rates of abortion in United States from 19.6 abortions per 1000 women to approximately 4.4 abortions per 1000 women. In addition, the article notes that the introduction of birth control measures reduced rates of birth among teenage girls from 34.3 per 1000 girls to 6.3 per 1000 girls. This article exposes an individual to the effects of birth control on abortion rates. National Public Radio (2012, October 8). Cloud Computing Saves Health Care Industry Time And Money: All Tech Considered: NPR. Retrieved  October  8, 2012, from http://www.npr.org/blogs/alltechconsidered/2012/10/01/162080613/cloud-computing-saves-health-care-industry-time-and-money This article explains how cloud computing power makes it less expensive and easier for clinicians and firms to find out newfangled cures and medicinal drugs. Notably, the article portrays that analysis of data that used to take a long time and was expensive can now be done for lesser time and at a lesser cost. In essence, health care organizations can lease gigantic workstation resources per hour at relatively cheap charges. The aptitude to examine and evaluate colossal information in this manner has changed a lot of industries including health care. Needless to say, the article notes that cloud computing has aided medical research where a doctor or any other health care practitioner can use the internet to search for other cases of a disease or a disorder. Cloud computing has aided researchers to evaluate and sequence large amounts of data which is not possible for a person to do on his or her own. Amazon is an excellent

Cause and Consequences of the Great Recession

Cause and Consequences of the Great Recession 1.0 Introduction There was a recession in the United States (US) at the end of 2007 (Verick and Islam 2010). McKean (2010) noted that a healthy economy will proceed into a period of high growth, slow growth or no growth. Power (1996) commented that the economy is needed to be contracting and expanding in order for the economy to be healthy. When the contracting period has last for a long period of time (such as at least two consecutive quarters of a year or 6 months in a row), the economy is considered as a recession (Arnold 2008; Brainard and Perry 2001). According to National Bureau of Economic Research (NBER) (2010), recession was defined as a significant decline in economic activity spread across the economy, lasting more than a few months, normally visible in real gross domestic product (GDP), real income, employment, industrial production and wholesale-retail sales. According to Wang (2009), the US recession has leaded to a global financial crisis shattering businesses and consumers confidence in many countries such as in European Union, China, Japan and Asia countries. As a result, it has been named as the Great Recession which has caused financial meltdown in the US and was spread out quickly affecting almost every corner of the world (Kurki et al 2009). The great recession was seen as the worst economic downturn since the great depression that the world was in recession after World War II (Wang 2009; Verick and Islam 2010). According to economists, this episode of great recession was resulted from a sudden busting of house bubble in US, where the house bubble was caused by rapid growth of improper regulation on sub-prime mortgages (Merriam 2009; Wang 2009; Whitney 2007). This episode of great recession have proven and shown the accuracy of Greenspan prediction who was the former Federal Reserve Chairman predicting that US has one-third probability getting into recession at the end of 2007 (Torres 2007). In order to have a better understanding on the great recession, causes and consequences of this recession will be analysed at the following chapters. 2.0 Causes of the Great Recession Apparently, US was faced many severe problems including banks on the verge of bankruptcy, high record levels of public debt, a falling stock market, a plummeting dollar, frozen money markets and imminent threat of a recession (Lyons 2009; Stiglitz 2010; Taylor 2009). According to Verick and Islam (2010), the global financial crisis was greatly affected by global imbalances, perceptions of risks, interest rates, and regulation of the financial system (Figure 1). With references to the Figure 1, causes of the great recession was summarised as below: 2.1 Housing Crash US housing market are a major determinant of consumers spending and rate of economic growth (Congressional Budget Office 2007). There are various factors affecting house price to rise much faster than consumer incomes, and thus it was created overvalued assets (Eklavya 2008). Taylor (2008) noted that US house prices were raised rapidly until 2006 and experienced a fall of house prices after the boom. Figure 2 shows the trend for house price for 1991 to 2007. When house prices fall to correct the imbalance, it had a significant impact on consumers spending where people cannot remortgage to obtain extra capital for spending (Taylor 2008). 2.1.1 Subprime Mortgages Burst According to Eklavya (2008), there was no regulation of subprime mortgages where the mortgage industry was able to sell mortgages without considering whether the buyers could pay back. Global research (2009) was estimated the value of US subprime mortgages at $1.3 trillion on March 2007, but there was over 7.5 million first-lien subprime mortgages outstanding. It was because the subprime mortgage was spiked to nearly 20% of all mortgage originations during the peak of US housing bubble (Smith 2007). In figure 3, it shows that subprime mortgage was expanded significantly during the period of 2004 to 2006. The huge majority of the subprime mortgages were caused massive foreclosures, and thus it was greatly affected the institutions and independent mortgage brokers which were not covered by the Community Reinvestment Act (Pressman 2008). Thus, it was indirectly affected a slow growth or even started to fall on consumer spending and investment (Taylor 2009). 2.1.2 Low Interest Rate Economists commented that US monetary authorities had adjusted the interest rates at unprecedented levels which created a debt-finance consumption boom leading the way in boosting housing bubble (Taylor 2009; Eklavya 2008; Kurki et al 2009). Similarly, some economists argued that interest rates in the US were stayed too low for too long and even stood at just 1 per cent in 2003 and 2004 which activated the great recession (Figure 4) (Elmendorf 2007; Taylor 2009; Verick and Islam 2010). Verick and Islam (2010) criticized that the monetary policy in US was failed to tackle the overvalued asset bubble, and at the same time contributed to the rapid growth in subprime mortgages. 2.2 Credit Crunch McHugh (2007) commented that high subprime mortgage defaults in US had caused credit crunch which referred to a sudden shortage of funds resulting a decline in loans available. According to Bloom (2008), many investment banks and commercial banks were faced huge losses due to the risky mortgage loans. Therefore, banks were reluctant to lend money to anyone and even to other banks leading a shortage of funds in the money markets (Smith 2007; Verick and Islam 2010). Whalen (2007) commented that the shortage of liquidity in the finance sector had caused borrowing to be more difficult and more expensive which had leaded to a lower consumer spending and investment. 2.3 Budget Deficit and National Debt According to GAO (2009), the US national debt was stood at 65% of GDP for 2007 and it was even worst when pension liabilities were included. With such a large deficit, US government had less room for expansionary fiscal policy because demographics worked against fiscal stability and the stage of economic cycle worsened the deficit (Auerbach 2009). Kurki et al (2009) noted that the deficit has caused difficulties in attracting capital flow because Asian investors who were aware of the US deficit had slowed down the capital flow to US and contributed to devaluing dollar. Thus, it indicated that there is a fundamental imbalance between domestic production and consumption which had become a constraint for future economic growth (Auerbach 2009). 2.4 Devaluation of Dollar According to basic economic theory, a decrease in exchange rates will eventually help to increase exports and stimulate growth in the export sector (Grant and Vidler 2003). However, the depreciating dollar had contributed to cost-push inflation and declining in living standards where consumer goods were more expensive leading to lower spending power of individuals (Bloomberg 2010). Bloomberg (2010) argued that decline in dollar was resulted US to become less competitive compared to its trading partners. 3.0 Consequences of Great Recession Since US went into recession at the end of 2007, it had caused a crisis on economies across the world (Verick and Islam 2010). According to Taylor (2008), middle-incomes countries (especially in Central and Eastern Europe, and the Commomwealth of Independent States) were severely affected (Figure 5), where as low-income countries such as Uganda and Ethiopia were able to grow strongly despite the downturn (Figure 6). Verick and Islam (2010) noted that although most low-income countries have evaded from recession, these countries had experienced a slow growth in economy due to the negative implications for poverty. Lockstein (2010) argued that, in overall, the smaller and more open economies countries had been hit stronger, whereas the larger emerging economies countries could be survived by the supporting from domestic demand and government spending. It had been noted that China and India were able to recover faster from the great recession (Taylor 2009; Verick and Islam 2010). Llaudes, Salman and Chivakul (2010) commented that the great recession had caused various impacts to different countries. Thus, an analytical study on the consequences of great recession towards US and India have stated as below: 3.1 The United States According to Gulzar (2010), the great recession had caused a great impact on US labour market. Laibson (2010) noted that although government had adjusted the inflation rate causing the economy grew 2.2% in 2009 Q3, 5.6% in 2009 Q4, and 2.7% in 2010 Q1, the unemployment rate had stubbornly remained high. The unemployment rate had risen from 9.5% in June 2009 to 10.1% in October 2009, before it felt back to 9.5% in June 2010 (Laibson 2010). Altig (2010) commented that the disconnection between the demand and supply of workers which was reflected in statistics such as the hiring rate, the layoff rate, and the unemployment rate can be expressed by the Beveridge curve (Figure 7). Altig (2010) argued that, with the given average number of job opening in April and May, the unemployed were expected about 10.4 million instead of 15 million as stated in Figure 7. Some analysts have commented that the unemployment benefits policies should responsible for abnormally high unemployment rates (Altig 2010; Gulzar 2010; Verick and Islam 2010). Valletta and Kuang (2010) estimated that extended unemployment benefits may have increased between 0.4% and 1.7% of unemployment rate. Krugman (2010) argued that there is a strong tendency of high unemployment to become permanent because those who have out of work for a long enough periods have become less productive and less competitive in the job market. Ball (cited in Krugman 2010) prompted a problem that high unemployment tend to increase the level of structural unemployment, if there is a weak policy, thus inflation will increase much higher unemployment rates than before. 3.2 India During great recession, India economy was turning down because of Indian companies with big tickets dealing in the US were seeing their profits margin shrinking, and majority of Indian companies have major outsourcing deals with US (Malik and Pandit 2010). According to Alex and Kumar (2009), Indias merchandise has been exported to ASEAN (52%), followed by the EU27 (21%), and the US (13%). However, Malik and Pandit (2010) noted that the global crisis has caused the USs share felt to 11% (March 2009), which was even lower than the United Arab Emirates (13%) (Figure 8). Figure 9 shows that all of the products (except gems and jewellery) were experienced a major contraction during the great recession: petroleum and crude products have the largest contraction (about 45%), whereas agriculture and allied products contracted by 28%, engineering goods exports by 22%, chemical and related products by 9%, and textiles by only 2% (Alex and Kumar 2009). Besides, Indias financial market was hit badly from the great recession where share market was fall, rupee was weakening again dollars, and banks were faced severe cash crunch resulting in shortage of liquidity in the market (Eklavya 2008). Due to Foreign Institutional Investors (FIIs) were the main investors for India, the investors (majority based in US and Europe) had withdrawal their money from Indian Stock Markets to meet their liabilities at their home countries (Mohanty 2009). Alex and Kumar (2009) commented that rupee was lost its strength against dollar when FIIs converted their invested money into dollars. However, India was able to recover faster from the great recession due to Indian Banks were escaped from the ill-effects of subprime mortgage crisis where major Public Sector Banks exercising extremely caution in giving loans to needy people or companies (Eklavya 2008). 4.0 Conclusion In the age of globalisation, every country is affected by the fluctuations of world economy where no country can remains isolated (Eklavya 2008). Thus, great recession has caused a vast impact to the world such as fall in demands, shortage of cash, decreasing growth rate, and high unemployment rate (Taylor 2008; Verick and Islam 2010). On the other hand, recession can help to transform country or businesss outlook for the future (Kurki et al 2009). Although the recession has turned down the growth process, it helps to generate ideas and strategies stimulating the economic growth and maintaining stability of the market in order to become more competitive in the world.

Use of Allegory and Symbols in William Goldgings Lord of the Flies Es

Use of Allegory and Symbols in William Goldging's Lord of the Flies   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   William Golding's Lord of the Flies allegorically shows the good and evil that co-exists in every human being.   Each character and symbol renders this possible by what it represents.   Ralph and Jack allegorically represent opposing political forces: Jack as the dictator or fascist and Ralph as the prototype of a democratic leader.   The island represents the archetypal garden and the conch shell represents power.   Golding uses British schoolboys to show progressive degeneration and to prove that a little bit of evil exists in all of us.   Each of these symbols aid in proving that we all have some evil in our hearts.   Ã‚  Ã‚   Ralph begins the story as a carefree boy who does not understand the tragedy befallen upon the boys.   Ralph soon realizes a need for authority and becomes the true leader of the boys.   He represents a democratic leader and a traditional form of government.   To enforce a parliamentary procedure, he uses to conch shell.   It symbolizes power and authority.   No boys are aloud to speak at a meeting without holding the conch.   He symbolizes the exact opposite of Jack; his evil and rage remain well hidden which aides in keeping peace on the island for most of the time.   In one scene, when Jack and Ralph are brought together physically after Jack refuses to help build the huts, Golding seems to prepare the way for a larger contrast of two life-views as he opposes Jack-the-hunter to Ralph-the-builder.   Ralph also helps to bridge the world of his common sense and Piggy's intelligence.   Golding's comparisons are reminiscent of moral allegories.   Ralph could not defend civilized ideals without his sidekick Piggy's insightful ideas.   Ã‚  Ã‚   Pig... ... parachutist symbolizes as the past, the legacy taught by history, which the older generation always expects the younger generation to accept and follow.   It could also represent the wellspring of evil, which becomes manifest most obviously in the act of one man killing another.   Perhaps it represents fallen man, whom Simon later redeems or sets free.     Ã‚  Ã‚   Lord of the Flies teaches many valuable lessons about evil and its impact on human behavior.   Golding uses allegory effectively to remind us of this potential hazard. Recent events in Afghanistan and New York City painfully remind us of this flaw in human nature.   Hopefully, this powerful novel will open people's eyes to the evil inside of them so they will not make the mistakes made by the characters in this book. Works Cited: Golding, William. Lord of the Flies. New York: Putnam Publishing, 1954.

Congestive Heart Failure Health And Social Care Essay

Approximately five million Americans are populating with Congestive Heart Failure ( CHF ) and each twelvemonth about 550,000 new instances are diagnosed. CHF is a status where damage occurred to the bosom, ensuing in the bosom is incapable to present sufficient oxygenated blood to the variety meats in order to back up the organic structure ‘s demands. There are many causes that lead to CHF, for illustration bosom onslaughts, infection, high blood pressure, valvular diseases and intoxicant. [ 1 ] C: UsersosmDesktoposmdocumentsBio Report about CHFsymptoms of CHF.bmp CHF patients would chiefly endure from fatigue, shortness of breath and swelling in mortise joints, legs and venters. Along with the promotions in engineering, there are interventions to assist CHF patients. So, what are the possible interventions available to command and alleviate the symptoms? Symptoms of Congestive Heart Failure hypertext transfer protocol: //www.clivir.com/lessons/show/symptoms-congestive-heart-failure-is-worsening.html ( 125 words )Solution for Congestive Heart Failure ( CHF )Drugs TherapyThere are two rules in the intervention of CHF. First, take or command the underlying cause such as high blood pressure, valvular disease and thyrotoxicosis. In some instances, the jobs of CHF could be removed if the cause were treated early plenty. Second, command the marks and symptoms. These are done by utilizing three types of drugs: water pills, vasodilatives and positive inotropic drugs.Diuretic drugsFor CHF patients, the important symptoms would be the puffiness of venters, legs and mortise joints. Excess fluid would besides show in or around the lungs, taking to shortness of breath. The cause to these symptoms is sodium and H2O keeping. Therefore, water pills which act to cut down Na and H2O keeping by advancing the flow of fluid through kidneys are normally prescribed. The illustrations of Diuretic drugs are Thiazide water pills ( bendrofluazide ) , loop water pills ( Lasix and bumetanide ) and K sparing water pills ( Aldactone ) . [ 2, 5, 6 ] The pick and the dose of water pills depend on the badness of CHF and age. In mild CHF, thiazide water pills would be sufficient whereas in terrible CHF, cringle water pills or combination of thiazide and cringle water pills are recommended. [ 29 ] Normally, patients are asked to keep a low Na diet as good. In add-on, it is normal for patients taking water pills to see frequent micturition. When there is no extra fluid, the symptoms could be relieved and the external respiration would be easier. Besides frequent micturition, water pills besides cause the organic structure to lose K and Mg. Hence, it is critical for physicians to order K and Mg addendum to patients to guarantee that they do non endure from malnutrition. Other side effects of taking water pills include desiccation, hypokalemia, hearing perturbations, and low blood force per unit area. [ 2, 27 ] ( 408 words )VasodilatorsVasodilators dilate either arteriolas, or venulas, or both to cut down the work burden of the bosom so that bosom could pump with higher efficiency to transport oxygenated blood. ACE inhibitor is one of the vasodilatives. It serves to suppress the action of Angiotensin Converting Enzyme ( ACE ) from change overing Angiotensin I to Angiotensin II. Angiotensin II is a neurohormone which causes vasoconstriction of the bosom vass, taking to high blood pressure. Besides, Angiotensin II besides causes the organic structure to let go of aldosterone – a substance that causes our kidneys to retain Na and fluid, doing hydrops. [ 3, 29 ] So, bEnce, Hdy forestalling the formation of Angiotensin II, both high blood pressure and hydrops could be controlled. Therefore, among vasodilatives, ACE inhibitors are ever the first pick as they have extra action besides vasodilatation. They are besides proven to protract the lives of CHF patients by decelerating down the procedure of bosom harm. [ 25 ] Other illustrations of vasodilatives are hydralazine, prozosin and the illustrations of ACE Inhibitors are captopril, enalapril and lisinopril. [ 4, 5, 29 ] Different vasodilatives have different consequence on arteriolas and venulas. Drug Arterial distension Venous distension Hydralazine++–Calcium adversaries+++ACE inhibitors++++Prazosin++++Salbutamol++++Nitroprusside++++Nitrates+++Opiates+++Consequence of different vasodilatives on arteriolas and venulas Retrieved from â€Å" The Drug Therapy of Cardiovascular Disorders † ( 613 words ) Although ACE inhibitors have been the most normally used drugs for CHF patients, there are side effects. The possible side effects are pecking, dry cough, low blood force per unit area, declining kidney map and electrolyte instabilities, and seldom, true allergic reactions. [ 2 ]Positive Inotropic DrugsPositive Inotropic Drugs serve to increase the cardiac end product by increasing the force of cardiac contraction. Cardiac glycosides are the most normally prescribed positive inotropic drugs. Cardiac glycosides enhance the cardiac contraction by commanding the bearer protein, Na – K pumps in the cell membrane. It inhibits the conveyance of Na ions out of the cells, ensuing in high intracellular Na concentration. This inhibits the map of the 2nd membrane ion pump, NCX, from pumping Ca ions out of the cell and Na ions in. [ 22,29 ] Accumulation of Ca ions inside the cell consequences in a stronger and faster contraction as more Ca is released when stimulated. Q PhosphorusVentricular end- diastolic force per unit areaLow end product symptomsCardiac OutputNormal Congestive symptoms CHF CHF+ Inotropic drug Untitled.jpg The Frank-Starling curve shows the consequence of positive inotropic drugs. It would increase the cardiac end product ( indicate P ) and that would let the ventricular end-diastolic force per unit area to fall without cardiac end product falling below normal ( indicate Q ) , keeping normal cardiac end product. Retrieved from â€Å" The Drug Therapy of Cardiovascular Disorders † ( 811 words ) Other illustrations of positive inotropic drugs are phosphodiesterase inhibitors ( Xanthines, Enoximone ) , adrenoceptor agonists and illustration of cardiac glycosides is Digoxin. Cardiac glycosides should non be used or uneffective in the undermentioned conditions: left ventricular outflow obstructor, constricting pericarditis, chronic cor pulmonale and thyrotoxicosis. [ 25 ] Congestive Heart Failure Positive Inotropic drugs Vasoconstriction Reduced cardiac end product Increased after-load Reduced nephritic blood flow Increases chymosin & A ; Angiotensin Vasodilators and water pills Sodium and H2O keeping ACE inhibitors Diuretic drugs Summary of the mechanisms of action of drugs used in CHF intervention Retrieved from â€Å" The Drug Therapy of Cardiovascular Disorders † By and large, the initial intervention of CHF is by water pills. If the response towards water pills were deficient, combination of water pills and vasodilatives chiefly ACE inhibitors is common. In terrible CHF, a combination of a diuretic with either a vasodilative or a cardiac glycoside from the start, continuing to a combination of all three if necessary is recommended. [ 28 ] ( 962 words ) As mentioned above, to handle CHF, foremost is to take or command the implicit in cause. Thus, for CHF caused by high blood pressure, it is indispensable to handle high blood pressure. A combination of ACE inhibitors and water pills can be used. It is more effectual than utilizing ACE inhibitors or water pills entirely. The chart below shows that the blood force per unit area of the patients is lowest when combination of ACE inhibitors and water pills is used. The chart shows the comparings of the hypotensive effects of Capoten ( ACE inhibitors ) , water pills and the combination of both in patients with indispensable high blood pressure. Retrieved from Handbook of Hypertension ( 1061 words ) In add-on, medical research workers have found that Aldactone can better the endurance rate of patients with CHF. [ 4, 6, 7 ] They besides prove that the consequence of Aldactone, a diuretic which is an aldosterone adversary can be enhanced by ACE inhibitors as it besides inhibits the stimulation of aldosterone. [ 27 ] Through the survey of RALES ( Randomized Aldactone Evaluation ) test, the study showed a 30 per centum decrease in overall mortality with Aldactone ( 35 versus 46 per centum for placebo ) and it is enhanced by ACE inhibitors. [ 6 ] Graph demoing the decreased mortality rate by 30 per centum with Aldactone ( 35 versus 46 per centum for placebo ) hypertext transfer protocol: //cmbi.bjmu.edu.cn/uptodate/congestive % 20heart % 20failure/Treatment/Use % 20of % 20diuretics % 20in % 20congestive % 20heart % 20failure.htm Degree centigrades: UsersosmDesktoposmdocumentsBio Report about CHFchart demoing cut down mortality httpcmbi.bjmu.edu.cnuptodatecongestive % 20heart % 20failureTreatmentUse % 20of % 20diuretics % 20in % 20congestive % 20heart % 20failure.htm.gif Last, drugs therapy should be assisted by lifestyle alterations. Changes like modest exercising, quit smoke, abstaining from intoxicant and diet with low Na and fluid are utile to alleviate the symptoms and better life ‘s quality. In fact, analyze shown by American College of Cardiology in March 2009 stated that 30 proceedingss of exercising twice a hebdomad, under the attention of your heart specialist, can cut down the hazard of hospitalization or decease. [ 16 ] ( 1233 words )Economic DeductionTreatments like medicines or hospitalization has become the basic demand for CHF patient and both caused great fiscal load and economic impact. The cost of CHF admittances to the infirmary ranges from 8 to 15 billion dollars a twelvemonth. [ 14 ] Based on The British Heart Foundation, 2004, over 625 million lbs per twelvemonth in direct medical costs in the UK is used for CHF. Besides, CHF patients are frequently prescribed with more than a individual medicine in a class. [ 15 ] This had further increased the cost for medicines. Degree centigrade: UsersosmPicturesGraph for deduction 2.jpg The chart illustrates Top 4 medicine classs, by New York Heart Association category of bosom failure, prescribed for patients with chronic bosom failure. Retrieved from hypertext transfer protocol: //ajcc.aacnjournals.org/cgi/content/full/11/5/474 Due to the high cost, medical insurance are utile when it comes to medical fees. However, it is of import for the patients to be cognizant that the claiming process is sometimes complex and time-consuming. Therefore, patients should ever be financially prepared. ( 1390 words )Social ImplicationCHF patients would endure from symptoms such as hydrops, weariness and shortness of breath. They have to command their diet, monitor their weight to do certain there is no unstable keeping and take a heap of medical specialties to command the symptoms. For patients who are tobacco user and alcoholic, they would hold to fight to discontinue their bad wonts as good. They will shortly happen it hard to work and finally neglect to carry on day-to-day activities like bath and frock by themselves. Due to the sudden alterations in their qualities of life, they tend to be emotionally stressed. They would go anti-social as they developed low self-esteem and anxiousness. Thus, aid and societal supports from households, friends and health professionals are of import for CHF patients. In my sentiment, the authorities and non-governmental organisations should collaborate to supply aid for CHF patients and advance healthy life style through runs and negotiations to cut down the instances of CHF.Benefits and hazardsMedicines are proven to be effectual in alleviating symptoms and cut downing mortality of CHF patients. Patients barely enjoy their lives like playing with their grandchildren or going as they experience fatigue and shortness of breath. However, with these drugs available, CHF patients get to protract endurance and alleviate the symptoms. Hence, they would hold more cherished clip to be with their households and friends. In contrast, drugs therapy does hold hazards. Different types of medicines have different hazards of side effects. Some of the side effects are mild but some are non. For illustrations, although water pills relieve symptoms of CHF, it has side effects like low blood force per unit area and desiccation. Besides, it is rare but non impossible that some drugs cause terrible side effects. ACE inhibitors, for case, may do an utmost decrease in infection-fighting white blood cells. [ 26 ] Treatments are needed to last but hazards are inevitable. is isTherefore, CHF patients are advised to follow the doses prescribed by physicians consequently and be cognizant of the side effects before taking the medical specialties. ( 1720 words )Alternate SolutionsCardiac Resynchronization Therapy ( CRT )Ventricles of a CHF patient frequently do non pump in unison and the contraction would be out of synchronism. As a consequence, the left ventricle can non pump sufficient oxygenated blood to the organic structure. In this status, CRT is frequently recommended. CRT, besides known as the biventricular pacesetter, is a specially designed pacesetter which treats the hold in the ventricles contraction of the bosom. It keeps the right and left ventricles pumping in unison by directing little electrical urges through the leads. [ 10 ] This device has 2 or 3 lead wires positioned in the bosom. The leads are implanted through a vena in the right atrium and right ventricle and into the coronary fistula vena to gait the left ventricle. [ 11 ] Biventricular Pacemaker Heart Illustration Diagram of biventricular pacesetter hypertext transfer protocol: //www.medicinenet.com/biventricularpacemaker/article.htm CHF patients are at hazard of arrhythmia, which is any upset of bosom rate or beat. [ 12 ] Thus, physicians would urge a combination of implantable cardioverter defibrillator ( ICD ) and biventricular. ICD helps by observing the irregular bosom beat and present a daze to acquire the bosom rhythm back to normal. Surveies approved by the U.S. Food and Drug Administration have shown that an ICD with biventricular better life quality and may cut down mortality by up to 40 per centum in patients with CHF. [ 13 ] ( 1932 words )Heart TransplantHeart organ transplant is a surgical process to take a morbid bosom and replace it with a healthy bosom from a giver who has been declared brain-dead but remains on life support. [ 8 ] It is a accomplishable intervention option for terrible CHF patients when their conditions are beyond control of drugs and devices like CRT and ICD. After bosom organ transplant, energy and mobility of patients can be restored. However, the hazard of bosom organ transplant is high. The new bosom transplanted may neglect to work or rejected as it is considered as a â€Å" foreign organic structure † . [ 17 ] Thus, the immune system is suppressed to forestall rejection. By stamp downing the immune system, receivers are at hazard of acquiring infections and malignant neoplastic disease as their organic structure immune system can non support them any longer.A AGermanyA 22.9 %A AItalyA 10.7 %A AFranceA 10 %A ACanadaA 9 %A ABelgiumA 6.8 %A AAustriaA 5.5 %A ANetherlandsA 3.8 %A APolandA 3.6 %A ACzech RepublicA 3.1 %A ASpainA 2.7 %A AAustraliaA 2.6 %A ANorwayA 2.1 %A ATaiwanA 1.9 %A ABrazilA 1.5 %A ASwedenA 1.5 %A AArgentinaA 1.5 %A AColombiaA 1.4 %A AMexicoA 1.4 %A ADenmarkA 1.3 %A AIrelandA 1.1 % pie chart of bosom transplant.jpg Pie chart demoing the per centum of bosom graft in the state surveyed in 2002 hypertext transfer protocol: //www.nationmaster.com/graph/hea_tra_hea-health-transplants-heart ( 2076 words ) In fact, there are some conditions where bosom organ transplant is non recommended, for illustration for those who have malignant neoplastic disease, infections, hapless map of other variety meats, malnutrition or diabetes. [ 8 ] Consequently, terrible CHF patients would be evaluated by bosom graft squad to make up one's mind whether they are suited campaigners for bosom organ transplant before their names are added into the state waiting list. After the organ transplant, careful monitoring and interventions are ongoing procedure to do certain no infections, rejections and other hazards. [ 9 ]Evaluationâ€Å" Medical research workers have found that Aldactone can better the endurance rate of patients with congestive bosom failure † This infusion is taken from mention, [ 4 ] , hypertext transfer protocol: //www.medicinenet.com/congestive heartfailure/page5.htm. This beginning is dependable since the similar information is found in beginning [ 6 ] . Besides, the wellness information of the web site is provided by professionals and experts in the Fieldss of medical specialty and health care. The physicians of Medicine Internet are besides the writer of the â€Å" Webster ‘s New WorldTM Medical Dictionary † for the first to 3rd editions ( May, 2008 ) . Therefore, with them as the writer or editor, the beginning is dependable. Furthermore, this website complies with the â€Å" HONcode † criterion for trusty wellness information. Another beginning which I found dependable is, [ 8 ] , hypertext transfer protocol: //www.nlm.nih.gov/medlineplus/ency/ article/003003.htm. It is really utile in supplying the elaborate information related to bosom organ transplant. The information of this beginning is a service from the U.S. National Library of Medicine ( NLM ) , the National Institutes of Health ( NIH ) , and other authorities bureaus and health-related organisations which is trustable. Besides, this beginning is one of the five victors of â€Å" 2005 World Summit on the Information Society awards † for e-health and it besides complies with the â€Å" HONcode † criterion for trusty wellness information. [ 24 ] In add-on, Consumer Reports on March 2009 mentioned that the beginning, Medline Plus is recognized as the authorities wellness web site that is â€Å" most dependable and easiest to voyage † . This farther ensures the dependability of this beginning. ( 2385 words )

Importance of Computer Literacy Essay

Introduction Patient safety is described by the US Institute of Medicine as â€Å"the freedom from accidental injury due to medical care or from medical error† (Mansour, 2012). With that being said, patient safety has long been a major issue for hospitals. In the past many patients have been injured during hospital stays, some being injured severely with death being the result. With the growing trend of lawsuits, hospitals were becoming more and more vulnerable to financial liability when patients were injured on their grounds. No one wants to be responsible for the injury or death of another individual. This is why many hospitals have begun doing their own independent research as well as looking at the research from other patient safety organizations. Patient safety goals are being put into place by organizations such as The Joint Commission, as well as falls reduction campaigns being implemented by the individual hospitals. While regulatory agencies like The Joint Commission require hospitals to identify who is at risk for a fall, and gives minimum standards to go by, it is up to the individual hospital to go beyond these required interventions to reduce the risk of a fall occurring within their facilities. Some ideas to prevent falls include the implementation of a new Clinical Nurse Leader position, purposeful hourly rounding, as well as sensors for beds to ensure they are in the low position. Topic One of the first ways to prevent falls in patients is to identify who is at risk. According to the United States Department of Veteran Affairs, the major intrinsic, or physiology-based, risk factors for falls include; altered elimination, cognitive impairment, sensory deficits, altered or limited mobility/gait, and impaired balance (2009). Contributing to these risk factors are, for example, medications that act on the central nervous, circulatory, digestive, or urinary systems; age-related conditions that affect sensory organs; history or fear of falling; and fluid and/or electrolyte imbalances (United States Department of Veteran Affairs, 2009) For most hospitals, there is a list of questions that nurses are asked used in documenting about patients on a daily basis to determine the ever changing status some patients have while hospitalized. These questions make up what is called The Morse Falls Scale. A Morse Falls Scale must be done each day, and with any condition change, to determine a patients risk for falling. The Department of Veteran Affairs also states â€Å"A score of 0-24 indicates no risk for falls. A score of 25-50 suggests a low risk for a fall while a score of greater than 51 indicates a high risk of falling†(2009). To determine the score a person will have several questions must be asked such as: Does the patient have an IV? Is the IV a saline locked or does it have medications infusing? Has the patient fallen in the last three months? How does the patient ambulate? Are they on bedrest, use the nurse to assist, do they have a weak gait, or do they have an impaired gait? Are they taking diuretics/sedatives/tranquilizers? Is the patient over the age of 70? Are they oriented to their own ability or do they forget their limitations? (2009). Answering the aforementioned questions may seem tedious and like busy work however it is very important in the implementation of effective interventions for at risk patients. Now that you have identified who is at risk and how at risk they are, it is imperative to quickly implement the necessary interventions to prevent those at risk from becoming a statistic and more importantly keep them safe from harm. Even those individuals, who are alert, oriented and are at a low risk for falls should still have preventative measures taken to prevent an accidental fall. One of the leading causes for falls in this group is from hospital staff not lowering the bed down after attending to a patient. Also it is important to keep the patients call button within reach at all times, and educate the patient to call for assistance when needing to get up. Make sure the patient has all of their possessions within reach. For some it might be advisable to turn on a night light at night. For even alert patients, waking up in the middle of the night in a strange place can lead to a fall. Non-skid slippers are another way to prevent falls. Make sure your patients are wearing those any time they are out of bed. Side rails at the head of the hospital bed must be kept up on any patient who is hospitalized, but especially on those patients who are over 65 years of age or those receiving narcotics or sedatives (2009). Patients who are at a slightly increased risk for a fall should have the same interventions taken to protect them as a person with a low risk, but additional interventions are also needed. Rounding on patients is supremely important for many reasons, one of which is decreasing falls. (Tucker, Bieber, Attlesey-Pries, Olsen & Dierkhising, 2012). It is usually during these rounding times you will find noncompliance within patients of this category. If you go into a room and find a patient who is at moderate risk up and out of bed, reeducation is required and in some cases it may be beneficial to turn on the bed alarm to prevent them from getting up again without assistance. It is important to use judgment here when deciding to implement the bed alarm or not (National Guideline Clearinghouse, n. d. ). Take into consideration things such as are they hooked up to a central line, suction, is there a chest tube? Typically when patients insist on getting up without help and have various kinds of tubing hooked to them it is recommended to implement the bed alarm for their safety (National Guideline Clearinghouse, n. d. ). Patients who are at a high risk for falls should have all previously discussed interventions taken along with additional interventions, such as having signs posted so all staff knows that a patient is at risk for a fall. A yellow arm band should also be placed on the patient to alert all staff of the patients risk for falls. There is also no question that these individuals should have a bed alarm activated. If possible it’s always a good idea to have these patients close to the nurses’ station (National Guideline Clearinghouse, n. d. ). Having them closer to the nurses’ station improves the response time for when or if the bed alarm does go off. Having patients closer to the desk also given the staff a better opportunity to more closely monitor the patient. When it is not an option for a patient to be moved closer to the nurse station, it may be advisable for the patient to have a one to one sitter. In many cases families will be more than willing to stay with a patient to help make sure they do not get out of bed without assistance. If this is not possible a hospital staff member, usually a nurse assistant, will need to stay with the patient. Most all hospitals have moved away from using restraints. The liability had become too great for hospitals and staff to continue such a practice. As previously alluded to one important tool most facilities have adopted is hourly rounding. Studies have shown that by hourly rounding and addressing the 4 P’s, which are pain, potty, position, and possessions, reduces the amount of falls that occur in an inpatient setting (Ford, 2010). It is also a great way to make the patient feel safe. According to the research done by Beverly Ford in 2010, patients who see that someone from the faculty is coming in to their room each hour to check on them feels that they are being taken care of and safe. More often than not a patient will avoid using the call bell because they do not want to bother their nurse. (Tucker, et al. ,2012). Particularly with these patients it is important to see them as often as possible and at a minimum once an hour. Studies have shown that one factor in reducing the risk of falls is to have the bed in the lowest position when leaving the room. (Tzerg, Prakash, Brehob, Devecsery, Anderson, Yin. ,, 2012). Studies have also shown that 26. 5% of patients who fell during a hospital stay fell from their beds. 3. 6% fell over the bed rails, footboards, or headboards. (Tzerg et al. ,2012). If the bed is raised from the lowest position it dramatically increases a patient’s chance for falling. According to research done in 2012 by Tzerg, et al, the appropriate height of a hospital bed in the horizontal position is the patients’ knee height. For women the average keen height is 19. 49 inches and in men it is 21. 3 inches. (Tzerg et al, 2012). There is also research to suggest that a bed height sensor should be placed on all hospital beds to ensure that a bed is not left in the up position. Many hospitals have started implementing a new nursing position that helps bridge the gap between nurses with a heavy patient load and the patient who needs closer monitoring. According research The Clinical Nurse Lead (CNL) position has been created at the encouragement of several agencies such as The Joint Commission and Accreditation of Healthcare Organizations. (Stanly, Gannon, Gabuant, Hartranft, Adams, Mayes, Shouse, Edwards, Burch, 2008). In the Fall of 2006 the first CNLs graduated from 12 different masters nursing programs across the united states. â€Å"With a heightened awareness these new graduates went out into the workforce to improve healthcare quality and patient safety, national indicators have been identified and they are being used to determine the quality of care being provided to patients† (Stanly, et al. , 2008). While not the answer to improved patient safety, studies have shown that implementing the position, especially on surgical units has improved the level of care received by patients while hospitalized (Stanly, et al. ,2008). There is no question that falls more often occur in the older population. Medicare has taken a huge interest in this factor and many questions are now being asked. Some of the questions being asked involve things such as what were the risk factors leading up to the incident, how did the incident occurred, what interventions were taken to prevent, and what was the response time after it occurred? (Liang, Mackey. ,2011). Because of the association of falls with mortality and disability, especially in the elderly, several studies have investigated the incidence of falls and the associated risk factors. In 2011 research done by Liang and Mackey reported The Centers for Disease Control and Prevention estimation of approximately one third of people 65 years of age and older fall each year, with many of those falls taking place in hospital settings. In October 2008, the Centers for Medicare and Medicaid stopped reimbursing for hospital-acquired conditions, or events, that should never occur during hospitalization (Liang, Mackey. ,2011). The guiding premise on why these â€Å"never events† should not occur is because there is a sufficient evidence base to prevent those events (Liang, Mackey. ,2011). If a patient experiences one of these events during their hospitalization, the hospital will not be reimbursed for the treatment costs associated with the event if the patient’s insurance is provided through Medicare or Medicaid. With the already serious losses most hospitals take each year, they simply cannot afford to have more revenue lost. This pay-for-performance initiative includes some patient outcomes that are considered to be nursing-sensitive, for example, injuries from falls. This phenomenon of hospitals not receiving reimbursement based on patient outcomes is a relatively new phenomenon for nurses in acute care. This is why hospitals are being serious and taking a hard stands on patients’ safety while in their care. Summary While there is defiantly a trend toward improvement to increase patient safety while hospitalized, it is obvious that there is still a long way to go. Nurses more than ever are using their role as a patient advocate to find new and insightful way to reduce risks for falls. Implementing falls precautions before there is a fall is one of the best ways to avoid an incident. Keeping beds in low position reduces the risk for the alert and oriented patients to fall. Implementing unit standards, researching and revising things that needs to be addressed are highly important for patient safety initiatives to be effective with a hospital setting. Continued research is also needed. Hospitals and patient acuity are both changing almost on a daily basis. It is up to those in the medical profession to avoid becoming stagnant and continue to grow in an effort to protect our patients from harm. REFERENCES Ford, B. M. (2010). Hourly rounding: a strategy to improve patient satisfaction scores. MEDSURGE Nursing, 19(3), 188-191. Retrieved from http://ehis. ebscohost. com. ezproxy. gardner-webb. edu/ehost/pdfviewer/pdfviewer? sid=02fda96b-2386-46ab-a942-0c65dcde3704%40sessionmgr113&vid=6&hid=124 Johanson, L. S. (2008). Interprofessional collaboration: nurses on the team. MEDSURGE Nursing, 129-130. Retrieved from http://ehis. ebscohost. com. ezproxy. gardner-webb. edu/eds/pdfviewer/pdfviewer? sid=bfbb16e7-99ab-43bb-8aed-c12cfa010014@sessionmgr14 Liang, B. A. , & Mackey, T. (2011). Quality and safety in medical care what does the future hold. Quality and Safety in Medical Care, 135(11), 1425-1431. doi: 10. 5858/arpa. 2011-0154-OA Mansour (2012). Current assessment of patient safety education. British Journal of Nursing, 21(9), 536-543. 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