Saturday, August 31, 2019

Porters Forces Cruise Industry Essay

Porter’s Six Forces I. Threat of New Entrants: Low * Barriers to entry: High * High Capital Requirements: The capital required to start up a cruise line is one of the key factors contributing to this industry’s high barriers to entry. With the average cost of building a cruise ship rising, the amount of capital needed to start up a cruise line is estimated at one billion dollars. Therefore discouraging any new entrants into the industry. * High Brand Equity: A cruise line’s brand awareness and reputation are significant factors to the industry’s high barriers to entry. Cruising is a risk-averse activity, which influences consumers to trust and purchase from established cruise lines. That being said it would be difficult for any new entrants with low brand equity to successfully compete with this oligopolistic industry. (Dowling, 2010) * High Economies of Scale: The cruise line industry has a major cost advantage over any new rival based on two types of economies of scale. These cost savings contribute positively to the liners profitability. * Economies of Destiny: These â€Å"mega-ships† are built with a large number of cabins and lower berths aiding in the spread of substantial fixed costs over many passengers. Therefore, resulting in lower unit costs and making the product much more appealing and affordable to more parts of the population by achieving a break-even point at lower prices. Cruise liners also have a strong incentive to reach high utilization ratios in order to achieve such economics, which result to such discounting. (Dowling, 2010) * Economies of Fleet Size: This is where fixed costs that require a substantial financial capital such as research, design, construction, training, sales, administration, marketing and advertising are spread over a large number of ships. (Dowling, 2010) II. Rivalry Among Existing Firms: High * High Concentration Ratio: The cruise line market is characterized by high concentration, as there are a few but strong market players that make up 90% of market share. The two leading players, Carnival and Royal  Caribbean, account for 75% of the market with each owning a portfolio of lines catering to a specific market. A high concentration ratio allows existing firms to work together in the market and reduces the likelihood of intense price competition between the leading players. This allows them to achieve mass-market penetration. (Cruise Watch) * High rate of industry growth: The cruise industry has had a steady growth over the last five years with a 7.8% increase. The growth increase and high concentration intensify the competition among the leading players to seek ways of gaining a competitive advantage. â€Å"New ships, global destinations, itineraries, and innovative shipboard facilities have driven constant growth in cruise passengers. â€Å" (CLIA) * High competitor diversity: Cruising is characterized by high heterogeneity and this offers the chance for diversification both vertically (quality) and horizontally (variety). (Dowling, 2010) Because of this there is an intensive and ongoing commitment to provide a superior product by offering distinct services, activities, and appealing itineraries that reflect the interests of today’s traveler. Therefore, although the market is oligopolistic which keep competitive pricing low, competitors must make there cruise the most appealing to gain a competitive advantage. * High exit barriers: Cruise companies have high exit barriers due to the difficulty the company may have selling their assets. Cruise lines require large capital requirements that strap the company from leaving the industry and face difficulty when trying to find any potential buyers. III. Threat of substitutes: Medium * Types of available substitutes: In the leisure-industry substitutes includes resorts, theme parks, traveling by air or land, and various other vacation destinations. Research shows that in 2011 only 3% of Americans have vacationed on a cruise, leaving a vast percentage of the population choosing alternative vacations. * Distinctiveness of cruise experience: Cruising is perceived as a more expensive vacation alternative compared to land-based trips, however there is a strong belief among consumers that cruising offers high value for the price consumers pay. Cruising is looked at a full package by offering bundles of travel packages including airfare, dining, itineraries, resort stay, and multiple other amenities. Therefore, a cruise  offers a distinctive type of experience that most consumers would choose over various other traveling substitutes. (UCLIA) IV. Bargaining power of buyers: Medium * Travel agencies: Travel agencies have strong relationships with the cruise industry as they book around two thirds of their cruise. Although this percentage is declining due to the growth of consumer knowledge and technology the percentage of cruisers using travel agents is relatively strong. (UCLIA) * Low price sensitivity: As cruising may be categorized as a luxurious leisure-activity, its target market on average have high annual income of $82,000 – $97,000 with the average age of a cruiser being in their late forty’s. Therefore, they are not as sensitive to pricing, as the price of a cruise vacation is relatively low to the average income of the target market. * Peak seasons: During peak seasons when demand exceeds capacity buyers have lower bargaining power as opposed to when ships offer last minute discounts in order to avoid any empty berths. Therefore making the bargaining power of the buyer medium as competition is relatively high during these seasons, and extreme discounts are offered when demand decreases. * Low threat of backward integration: The huge amounts of capital required to purchase a cruise ship along with the various amenities included make it extremely difficult for any consumers to provide themselves with the cruising experience. Therefore, lowering the bargaining power of the buyer. V. Bargaining power of suppliers: Medium * Fuel and Ships: The bargaining powers of fuel and ship suppliers are relatively high. An increase in the price of fuel not affect the fuel cost of the ship but will cause an increase in the ticket price in order to make up for increased cost. As there are a limited amount of ship building lots and ship builders cruise lines must accept the number given to them. If they do decide to switch builders switching costs are very high because the ship builder owns the design of the ship he builds and therefore the company must raise a large amount of capital in order to go back to the drawing board. * Food and other suppliers: However on the other end most all other suppliers in the hospitality leisure-industry have low buying power. This is because there are many different substitutes available and multiple  suppliers to choose from ranging from food, drink, and alcohol to many others. This makes the bargaining power of suppliers on the other end very low. VI. Relative power of the stakeholders/ Complimentors : High * Rapid Growth: The rapid growth in the cruise industry has resulted in spiked environmental stress and awareness. The cruising destinations offered are frequently those in threatened environments such as the Mediterranean and Caribbean. There are many ways cruise lines can team up with other stakeholders in order to reduce the environmental impact of this growing market. They can work together with local governments and communities to develop management plans for sustainable growth, create standards, and increase their passenger and crew awareness of environmental issues. Companies may also directly contribute to sustainability by investing in local community projects and organizing on-board fundraising. (Mittermeier) * Governments: â€Å"Governments are responsible for enacting policies that protect natural and cultural resources, and providing a supportive enabling environment, for example, by offering financial or business incentives to cruise lines and local businesses for responsible management and operational practices.† (Mittermeier) Therefore, companies must maintain a positive and trusting relationship between governments and other stakeholders in protecting the environment. This will ensure the passengers on board will enjoy a safe vacation and the destinations remain healthy and attractive to the passengers who will visit in the future. Work Cited: Cruise market watch . (n.d.). Retrieved from http://www.cruisemarketwatch.com/market-share/ CLIA. (n.d.). Profile of the u.s. cruise industry. Retrieved from http://cruising.org/pressroom-research/cruise-industry-source-book/profile-us-cruise-industry Cruise lines international association, inc.. (2012, February). Retrieved from http://www.cruising.org/sites/default/files/pressroom/2012CruiseIndustryUpdat eFinal.pdf Dowling, R. K. (2010). Cruise ship tourism. CABI. Mittermeier, R. (n.d.). Sustainable stewardship. Retrieved from http://www.worldcruiseindustryreview.com/feature_articles/WCR017/Sustainable.pdf Rodrigue, J., & Notteboom, T. (1998). The geography of transport systems. Routledge. Retrieved from http://people.hofstra.edu/geotrans/eng/ch7en/appl7en/ch7a4en.html Wheelen, T. L., & Hunger, J. D. (2012). Strategic management and business policy. (13 ed., pp. 159-161). New Jersey: Pearson.

Friday, August 30, 2019

Batter my heart, three-personed God by John Donne

Analyzing the poem by John Donne closely, we can see that he used a lot of figures of speech in order to convey what he feels. In the first line, when he said â€Å"three-personed God,† he was referring to the Father, Son, and the Holy Spirit concept (Jokinen). He was asking the Lord to punish him. The reason behind his request is that he is getting bold, getting so full of himself, as reflected on the â€Å"that I may rise and stand.† He asks that the Lord overthrow him, and then uses descriptive words â€Å"break, blow burn, and make me new,† these word all metaphors of making pottery. In the first lines, there is a clear statement of his aggressiveness, wherein he doesn’t fear even questioning God Himself. He then poses a simile, â€Å"I, like a usurped town to another due,† wherein he compares himself to an uprising, a rebellion. This is a battle of belief, of whether he remains faithful or not.He admits that he was trying hard to believe in the Lord, however, he himself wasn’t able to defend with reason, because of his weak belief, for his reason dwells upon that weakness. He then counters this statement by saying that he dearly loves the Lord, and he wishes to be loved back. But the problem would be his promise to the Lord’s enemy, which is the devil. These shows a simile of physical conflict, of violence which Donne wishes to convey to the readers.The closing statement on the other hand speaks of a grotesque imagery, a description of rape, which would convey the relationship with God, as seen by Donne. But this may be because he wants to show the power of God, that even though there are various factors that affects a certain person, yet still, God remains powerful and can make or break you, depending on how you want it to be. Reference: Jokinen, Anniina. â€Å"John Donne, Holy Sonnets Xiv†. 1996. March 21 2007. .

Thursday, August 29, 2019

The Importance of Environmental Protection & Practical Steps to Support It

Since the second half of the 20th century, the results of environmental destruction and the exploitation of natural resources have become increasingly obvious. Now, 7 billion people are sharing this planet, and scientists predict that the population will increase to 10 billion people in this century. However, we already face difficulties with dwindling natural resources and environmental pollution. There is growing evidence that some natural disasters are due to our behavior. We already face tremendous changes caused by carbon emissions and deforestation.Glaciers are melting, and sea levels rise continuously. Our hunger for more gas, oil and water even induced earthquakes. These 1 are enough experiences to wake us up! Environmental protection H. H. the 14th Dalai Lama (the spiritual leader of Tibetan Buddhists) and H. H. the 17th Karmapa Urgyen Trinley Dorje (the spiritual guide of the Tibetan Kagyu tradition)are strong advocates for environmental protection. Vietnamese Master Thich Nhat Hanh is also very active in this regard, only to mention a few spiritual leaders who are engaged in environmental protection. H. H.the Dalai Lama mentioned at the Environmental Summit in Portland in May 2013 that his strong commitment to environmental protection started more than 20 years ago. In 1992 the Dalai Lama attended the first environmental conference in Rio de Janeiro and spoke about his views on universal responsibility. One year later, he was invited to an international conference, â€Å"Ecological Responsibility –a Dialogue with Buddhism† in New Delhi, India. Prominent Buddhist teachers and scientists attended this conference. As a result they published a public appeal entitled, â€Å"For Our Universal Responsibility.† Many talks and articles by H. H. the DalaiLama about this topic followedand are now published in 2 diverse media worldwide. These can be found on his homepage. H. H. the Karmapa has spoken for a number of years on the importance o f protecting the environment for the future of this world and for the Dharma. He says, â€Å"Ever since the human race first appeared on this earth, we have used this earth heavily. It is said that ninety-nine percent of the resources and so on in this world come from the natural environment. We are using the earth until she is used up.The earth has given us immeasurable benefit, but what have we done for the earth in return? We always ask for something from the earth, but never give her anything back. â€Å"3 Sentient beings are totally dependent on the four elements of earth, fire, wind and water. H. H. the Karmapa says, â€Å"Both the bodyand mind are strongly connected to the unaltered, natural elements. â€Å"4We only can survive because nature and other sentient beings make our lives possible. Therefore, we need to strive to bring this awareness into our lives for our own good. We need to educate each other about the importance of protecting and caring for our environment. Practical Steps Towardsa Healthy Relationship with the Environment H. H. the Karmapa’s vision is supported by an association called â€Å"Khoryug,† which means â€Å"environment† in Tibetan. Formed by Tibetan monasteries in the Kagyu tradition, the association promotes environmental projects under the Karmapa's leadership. A bilingual homepage in English and Tibetan has been established to provide information on these projects. In 2009, the Karmapa organized the first conference for environmental protection for Kagyu monasteries and Dharmacenters in Sarnath, India.As a result of this conference, he published a booklet entitled, â€Å"108 Things You Can Do To Help The Environment. † You can download thisbooklet, whichis inspiring and helpful not only for monasteries and Buddhist centers, but also forBuddhist practitioners and non-Buddhists worldwide. I’d like to mention some things you will find in this booklet about what we can do to protect our en vironment from destruction: Environmental protection starts with us. We need to look at our own behavior to consider how we can support a healthy environment for this century and beyond. To start, we can do aspirational

Wednesday, August 28, 2019

Anti discriminatory practice Essay Example | Topics and Well Written Essays - 1000 words

Anti discriminatory practice - Essay Example It can be direct, as when a particular group is adversely targeted, or indirect, when one group is given preferential treatment to the detriment of another group. Discrimination can occur on an individual plane or as institutionalized discrimination, in which the organization itself is structured against particular groups (Webb, 2004). Discrimination can be based on gender, sexual orientation, age, race, religion and disability. Gender discrimination is widely prevalent, from female infanticide to glass ceilings in the corporate world. It is seen in employment policies which are biased against women in recruitment, sexual harassment in the workplace, resentment against pregnancy and maternity leave, fewer chances for promotion and training and unequal pay scales. Stereotypes about career choices persist: nursing and cleaning for women, engineering and construction for men!!! Outside the workplace, it extends to obstacles in securing mortgages or loans and housing (Equal Opportunities Commission, 2005). Discrimination based on sexual orientation usually takes the form of subtle or overt intimidation, hostility and humiliation of lesbians, homosexuals and bisexuals and unfair treatment in cases of recruitment, promotion and dismissal. Age discrimination is seen in all aspects of society, from mandatory retirement ag es at work, elder abuse at home, substandard treatment from public health and social care services, to the lack of supportive infrastructure in public places and on transport (Help the Aged, 2007). Racial discrimination is based of colour, nationality and ethnicity and is inarguably the most high profile issue in discrimination (the recent ‘Big Brother’ episode on television being a case in point!). Racist abuse and harassment, lack of equal access to the best educational facilities and outright physical violence, particularly in the contemporary social climate of post 11/9 terrorism, are prevalent. In many cases, religious

Tuesday, August 27, 2019

Not sure Essay Example | Topics and Well Written Essays - 500 words

Not sure - Essay Example This figure appears as a halo or ring around the head of the sanctified. Moreover, in many religious systems we can find some degree of syncretism. Islam and Confucianism are clearly the hardest to syncretize with each other. Indeed they do have certain similarities between them, but still it is more difficult to syncretize the two as compared to Judaism or Buddhism with Confucianism. Confucianism was brought about by K’ung Fu Tzu (Confucius). He travelled all over China and advised the rulers. He usually preached about morals and ethical values, and how political power should be exercised properly. According to Confucianism it is important for a person to have etiquette; he should be righteous; he should act benevolently with everyone and this, Tzu considered to be the most important virtue; there should be love among family members; and lastly, a person should show his loyalty toward his country. All these features are part and parcel of almost every religion, although in varying importance. Every religion teaches one to be good and treat others well too. However, Confucianism focuses only on this aspect of life. Confucianism is not an actual religion with God to pray to. It is basically more of an ethical system that has clarified certain traditions and rituals to be followed at the important periods of one’s life; for instance, birth, maturity, marriage and death. Islam, on the other hand, is a monotheist religion. This means there is one God that the followers of Islam pray and worship. The Muslims believe that He created the universe and He is omnipotent. Islam is, comparatively, a very young religion. Muslims also believe in the previous prophets, Abraham, David, Moses and Jesus, and consider Muhammad to be the last of the prophets of God. However, they do not consider Jesus to be the son of God as it is their belief that God

Crack Cocaine Research Paper Example | Topics and Well Written Essays - 1750 words

Crack Cocaine - Research Paper Example Importance of medicine and drugs: The greatest invention by humankind was the discovery of modern medicine. As a cure to illness soon progressed to become a science that now affects the lives of all. The breakthrough innovation of medical drugs has helped man combat against disease and improved lives. What went wrong: Side effects if not controlled, similarly misuse of drugs can have consequences that are devastating to say the least. To avoid the harmful outcome of misuse, many detrimental and dependency creating drugs have been declared illegal by authorities yet they still find a way through many loopholes and enter and destroy the lives of many individuals worldwide. Introduce Crack: Crack cocaine is a freebase  form of  cocaine  that can easily be smoked and it is the most addictive form of cocaine.  It is a popular choice since it offers a short but intense  high  to smokers. First developed during the cocaine boom in the 1970s but its abuse did not begin until the mid-1980s. The US Drug Enforcement Agency recounts that by the late 1970s an abundance of Cocaine in its powder form was being shipped to the United States and a large proportion of this came in through Miami, Florida. (Add reference 1) This increased supply caused the prices of the substance to fall about 80%. When the drug dealers faced a drop in profits owing to the lower prices they transformed the powder to â€Å"crack,† which was a solid form of cocaine that could easily be smoked. Advantages of cocaine in form of crack: This form of cocaine could be sold in smaller quantities, to more people at better profit since it was cheap, simple to produce and easy to use. By the mid-1980’s, crack had found its way into many major American cities. A much purer form of cocaine as opposed to powder. Soon after smoking the cheap and affordable hit, they felt a high and immediately would crave more. Phenomenon of crack babies: â€Å"crack babies†; babies who had become dependent to crack

Monday, August 26, 2019

Setting up for urology procedure Essay Example | Topics and Well Written Essays - 500 words

Setting up for urology procedure - Essay Example To properly set up the theatre, the nurses and doctors should work together. The surgery room for the urology procedure needs to have all the equipments ready. This indicates that every item needs to be readily available in the room to avoid the doctors and nurses from running around trying to get the equipments once the procedure starts. The equipment also needs to be placed in a place that is within reach for the surgeons. This will facilitate running of the procedure efficiently. Surgeries are usually timed and it is important that all the equipment required be easily accessed by the surgeons with assistance from the nurses. The people chosen to set up the theatre for the urology procedure should have adequate knowledge of the procedure and what is expected of them. This means that not everyone in the hospital can be tasked with setting up the theatre because some of them may not have the required knowledge. When setting up the theatre, the people involved are encouraged to ask questions in case they need clarifications. This helps to avoid mistakes that may take place in the theatre during a procedure. Mistakes in the theatre pose a great risk to the patient, doctors, surgeons and the nurses involved. The individuals setting up the theatre should ensure that there is enough space to accommodate the patient, surgeons, assistants and all the equipments. Space also helps to facilitate easy movement in the theatre (Dasgupta, Fitzpatrick, Kirby & Gill 2010). Analysis of a situation also needs to be conducted (Ely & Scott 2006). This helps to understand why things happened as they did. In the event that a mistake happened, this process helps to understand why it did and the ways that it can be avoided in future situations. After setting up the theatre, it is important for the process be evaluated (Quinn & Hughes 2007). This means that the nurses or the leader of the surgery can check to make sure that all the set

Sunday, August 25, 2019

Linguistic and Academic Needs of Korean ESL Students Essay

Linguistic and Academic Needs of Korean ESL Students - Essay Example Content-based language teaching is expected to produce self-directed/autonomous learners and motivated students capable of critical thinking (Snow, 2001). The contents that are integrated into language study are subject matter and authentic text, and the subject matters may include literature, economics, mathematics, journalism, sociology, political science, art history and filmmaking (Byron, 2006). Content-based ESL instruction is much needed in Korea, where globalization is catching on but where the ESL system is rooted in rote memorization (Cho & Krashen, 2001). The type of topics ideal for the CBI teaching of English depends on the students' needs and interests. In adopting CBI, there is no need to discard the existing ESL syllabus aimed at developing the student's language skills. All the school needs to do is introduce the CBI concept to enrich the method. CBI is noted for its flexibility such that it can be adapted to any ESL settings and curricula. Methodology The study used the qualitative approach to research through the primary data collection tools of questionnaires and semi-structured interviews with Korean teachers and students in ESL classes. Such interviews are semi-structured if the triangulation method is employed, which is done by checking out the consistency of data obtained from the interviews with those found in the available literature. The references used for this purpose are led by Mohan (1986), Kramsch (2002), Mohan (1986) and Brinton, et al. (1989) for those making a case for CBI in general, and Cho & Krashen (2001), Li (1998), Sook (2002) and Lee (2002) for those focusing on the specific need of Korea for content-based language instruction. For... This paper has demonstrated how multi-lingual collaboration in a socio-linguistics course creates an active atmosphere where the discussion and negotiation of content-based meaning or collaborative dialogue in communities of learners have been evaluated as being motivating to the students. It is argued here that such interaction is necessary in the teaching of socio-linguistics, firstly, as the subject-matter in the syllabus is best enhanced by student experiences and perspectives, and secondly, since it raises and sustains the general level of comprehension for potentially challenging themes. The evaluative framework has also contributed to this motivation, since it is based on active participation in this process rather than accuracy alone. This methodologically hybrid approach to teaching and learning is argued, in this case, as being a direct influence from the language-sensitivity and group-work orientation in the EFL training and experiences of the instructor. Future courses mu st, however, take into consideration the academic culture shock of the demands on students of the interactive lecture which requires students to adopt a student-centered, collaborative learning mode.

Saturday, August 24, 2019

Cochlear implants are a promising intervention for children who have Essay

Cochlear implants are a promising intervention for children who have hearing impairments. However, a fractious debate prevails c - Essay Example They believe that clinical trials have gray areas, which should be addressed before the implants are used on children. The varying viewpoints create a tug-of-war. Cochlear implants change the life of the deaf people in the mainstream society, but its gray areas in scientific research and clinical trials raise skepticism and arouse feelings the implants can destroy the deaf culture. The Cochlear Implant Debate Cochlear implants are the best solution for deafness in the current times. They are small electrical devices which in the inner ear. Cochlear implants stimulate the auditory nerves in the inner ear sending signals directly to the brain. According to James and colleagues (2005) and Papsin and Gordon (2007), cochlear implants can help children develop good language skills. They believe that implants at a young age stimulate the cochlear subsequently regaining its functions partially. In fact, cochlear implants preserve function of some ear cells. Gantz and colleagues point out ear preservation improves from 10% to 30% after cochlear implants. The deaf can live a normal life with cochlear implants. They can watch television, make calls and interact with other people freely. The self-esteem of the deaf improves remarkably allowing them to perform better in their school work and jobs. This has changed the lives of many people. Some who have made it to the university point out, they would not have made it that far without the implants (Blume, 2009). A study in an Australian school confirms children with cochlear implants improved in their school exams. They also interacted well with the other children improving their emotional and psychological wellbeing. Punch and Hyde (2011) also found out there was general acceptance of the children who got cochlear implants by other children. People who have experienced what it is to be deaf in a mainstream society appreciate Cochlear implants. Wilson and Dorman (2008) point out the deaf have major challenges communicating t o other people. They use the sign language which few people understand the meaning creating large communication barriers. Although cochlear implants improve the lives of many people, some deaf people detest them. The major school of though here is cochlear implant surgery pose major health risks. According to them, the surgery is done around sensitive body organs. Balkany and Gantz confirm cochlear implant surgery is done around major nerves, including those responsible for facial movements. Doctors performing the surgery may tough the nerves inappropriately by accident compromising their function. The face of the person would be inclined towards the side the surgery was done. In addition, the remaining good cells in the ears could be damaged leading to worse deafness or diseases (U.S Food and Drug Administration, 2013). Researchers and surgeons agree cochlear implants surgery risks infectious diseases like pneumococcal meningitis. Risks are high if the patient is not immunized agai nst the pneumococcal bacteria. Children are at higher risks of getting the condition compared to adults. Surgeons are cautioned to know the history of the patient well before starting the surgery. However, surgery cannot be delayed because a patient is not immunized against the pneumococcal bacteria (Medical and Healthcare Products regulatory Agency, 2013). It is worth noting cochlear implant beneficiaries have to live a cautious life. The implants are made of metals, which can set off alarm systems, metal

Friday, August 23, 2019

Anthropology of tourism Essay Example | Topics and Well Written Essays - 750 words

Anthropology of tourism - Essay Example on that the more people have to connect, the more reasons arise as to why people would appear to become desperate to unplug.1 It thus leads to the thesis; tourism remains to be a complex phenomenon that can be understood fully through adopting a multidisciplinary approach. The paper is thus going to justify on this these in relation to Pico Iyers concept of tourism. Right from the start of the book, Pico is explaining as to why he starts thinking of how going slow could be more exhilarating in the age of speed. More, Pico claims that he could feel more luxurious through paying attention in an age of distraction. When it comes to the age of constant movement, Pico argues that it is more fascinating when one sits still in a specific location. Pico acknowledges that one is bound to experience a tremendous time by going on a vacation to Paris, Hawaii or New Orleans.2 However, he goes ahead to justify on his idea that in case one wants to feel new, feel alive, feel full of fresh hope, and to fall in love with world, then the best place for an individual to visit if by going nowhere. Pico in such concepts is trying to explain and justify the reason why being present remains to be more beneficial than compared to jet-setting across the world. The question that one might ask is; how could a traveler like Pico Iyer, being an individual that has journeyed in many areas like Easter Island to Ethiopia and from Cuba to Kathmandu, goes about saying that sitting quite in a room could be the ultimate adventure? Part of the reason as to why Pico presents this view is that people are living in a madly accelerating world, whereby their lives are crowded, very chaotic and noisy. It is by this reason that Pico goes ahead to explain that there is a greater need for slowing down, be able to tune out and give self permission of sitting still for the purpose of achieving the ultimate goal of feeling new, feeling alive, feeling full of fresh hope, and to falling in love with world. The

Thursday, August 22, 2019

In What Ways Do Atticus Finch and Robert Ewell Differ and What Do They Have in Common Essay Example for Free

In What Ways Do Atticus Finch and Robert Ewell Differ and What Do They Have in Common Essay Atticus Finch and Robert Ewell are two very different characters, but are similar in some ways. They both live in Maycomb, Alabama, but are respected differently in their communities as Atticus is seen as a brave and courageous man, while Robert Ewell is seen as a drunken coward. Atticus ‘lives on the main residential street in town’, and Robert Ewell lives in ‘what was once a negro cabin’, but it is falling apart. The cabin’s plank walls were supplemented with sheets of corrugated iron, its roof shingled with tin cans hammered flat, so only its general shape suggested its original design: square, with four tiny rooms opening on to a shotgun hall uneasily upon four irregular lumps of limestone. ’ The Ewell’s scavenge a lot in the county dump they live behind to find bits and pieces for their house. Atticus Finch is a lawyer and has fought many battles in the court room, and has mostly won them. He is one of a handful of members in his community who can see the inequality and racism towards black people. Robert Ewell doesn’t have a job, and ‘lives off county cheques, but spends them on green bottle whisky’. He doesn’t even make an effort to try and provide for his family, and is also prejudice and racist. The men’s jobs, or lack of them, reflect their social status in Maycomb. The Ewell’s have lived and behaved in this manner for generations, while the Finches have been successful. Both the men have lost their wives, so have single-handedly raised their children. Atticus sets a good example, and ‘plays with them, reads to them and treats them with courteous detachment’. Atticus also has a maid called Calpurnia, who ‘treats the children like she’s their mother, not their maid’, unlike other maids who favour and are never strict with children. She has been with the family since Jeremy was born. His children are always well kept and polite, and have many friends at school. In contrast, Robert Ewell’s children are dirty, rude and ‘disease ridden’. They all attend school on the first day of every term, but always get sent home for having lice, or being extremely rude to the teacher and fellow classmates. Robert Ewell neglects his children, and it has now become clear that he abuses them, when it is proven that Tom Robinson didn’t harm Mayella Ewell. ‘Nobody is ever sure how many children there are, as there are always several dirty children’s faces peering out the window’. By Harper Lee describing how poor and unfortunate the children are, where they live, and how they behave, shows how neglected they are by their father and the community, and how poverty can seriously affect a family. When the case is first spoken about, people automatically favour Mayella Ewell, due to racism and prejudice, and are rude to Atticus for representing Tom Robinson. He gets called many names such as ‘nigger-lover’, and his children also get a hard time at school, but Atticus continues to defend Tom and ignores the rude remarks and names. By doing so, he still gets basic respect from the people of Maycomb, and still presents himself in a courteous manner. In the trials, he is fair to every person he defends, and always tries his best to make the jury believe that they are not guilty. He also abides by the law, making sure his children attend school; he’s not racist and wanting Jem to speak about the incident where Robert Ewell is murdered, in court. Meanwhile, Robert Ewell is a law breaker, and gets away with it. He lets his children truant from school, and goes out hunting, even though it is illegal in Maycomb. He lies a lot too, like in court he makes up which side Mayella was beat up on, and denies doing it himself. His language in the courtroom is also very bad, as he uses slang and behaves in an uncourteous manner, and his appearance is scruffy, and he doesn’t make an effort to be smart. On the other hand, Atticus looks smart and speaks properly, making sure what he says is true and says it in a clever way, so it means one thing, but implies something else. This is how he proves Tom Robinsons innocence to the spectators, even though the jury think he’s guilty. At the end of the book, Atticus decides to break the law on one occasion, and go along with Heck Tate’s version of the event, as he doesn’t want Jem growing up being told he was let off innocent, as his dad’s a lawyer. It was also easier, as Tom Robinson was dead for no reason, because of Robert Ewell, so it was fair to ‘let the dead bury the dead’. With Atticus being a polite, fair, hardworking and a responsible man, he and Robert Ewell are nothing alike. However, neither fit into their communities perfectly, but none of them are ‘normal’. So, with their being some credible similarities, Robert Ewell is a rude drunk and Atticus is courageous, so therefore Harper Lee has portrayed them to be two different completely characters.

Wednesday, August 21, 2019

Pharmacological rationale for the use of beta blockers and nitrates in the treatment of patients with ischaemic heart disease Essay Example for Free

Pharmacological rationale for the use of beta blockers and nitrates in the treatment of patients with ischaemic heart disease Essay The goals of treatment in acute myocardial infection are the restoration of blood flow to the coronary arteries and salvaging as much as possible of a functional myocardium. Nitrates and betablockers are some of the main medications used in the management of acute myocardial infarction. Nitrates are beneficial due to their vasodilator effect. Nitrates are metabolized to nitric oxide in the endothelium of blood vessels (Rubenstein et al, 2006, pp261). The nitric oxide has the effect of relaxing vascular smooth muscle causing the blood vessel lumen to dilate. Vasodilation leads to a reduction in cardiac afterload and preload. This decreased the oxygen requirements of the myocardium. Vasodilation in the coronary arteries leads to an improvement in the flow of blood through the partially obstructed coronary vessels and also through the collateral vessels. Nitrates reverse the vasoconstriction that occurs during coronary occlusion (ACC/AHA, 2006). When administered intravenously or sublingually, nitroglycerin has a rapid onset of action. Evidence for the use of nitroglycerin has shown substantive benefit in the long term following therapy for MI. It is useful in such cases when there is no residual ischemia or a severe pump dysfunction (McInnes, 2008, pp255). The use of nitroglycerin is however limited by side effects such as headache, low blood pressure and tachyplaxis (Reid et al, 2006, pp62-63). The tolerance to nitrates can be overcome by providing a nitrate-free interval of eight to twelve hours or by increasing the dose of nitrates. Beta blocker therapy is usually initiated within twelve hours of the start of myocardial infarction symptoms and usually continues for an indefinite period of time. Betablockers are started intravenously and then continued orally with the dose being titrated upward until the maximal dose that can be tolerated (Mozayani and Raymond, 2004, pp220-221).Treatment using a beta blocker has the effect of decreasing the occurrence of ventricular arrhythmias, reinfarction, and recurrent ischaemia. When given early enough, the beta blockers also reduce the size of the infarct and have overall reduce short-term mortality associated with myocardial infarction (ACC/AHA, 1999, pp). Beta blockers act by decreasing the force and rate of myocardial contraction. This decreases overall myocardial oxygen demand and with reduced oxygen supply, there is minimized myocardial death and injury (Roach and Ford, 2006, pp 350). Betablockers inhibit the sympathetic actions mediated by epinephrine. In blocking the sympathetic nervous system, beta blockers lead to a release of renin that in turn causes a reduction in the aldosterone release which causes the blood pressure to fall. They reduce the effect of physical exertion or excitement on the heart rate and also reduce the force of contraction as well as dilation of blood vessels (Mozayani and Raymon, 2004, pp224). The antianginal effects of the betablockers result from inotropic and chronotropinc effects that reduce the workload of the heart and the oxygen demand of the cardiac tissue. The negative chronotropic properties of beta blockers are responsible for the lifesaving property of control of heart rate. Betablockers have a number of adverse effects. Heart failure is the most recognized amongst this and the most serious. Other side effects include bronchospasm and bradycardia. The benefits in reduction of the risk for reinfarction and mortality however outweigh the side effects thus there are no absolute contradiction to the use of beta blockers in myocardial infarction. In addition to beta blockers, statins are also given for the purpose of lipid management. High LDL cholesterol levels are likely to increase incidents of acute myocardial infarction (Bolooki, 2009). Other hypertensive drugs helpful in controlling blood pressure Other treatments that can be used in the management of acute myocardial infarction include angiotensin converting enzyme inhibitors class of drugs which have been shown to decrease the mortality rates of patients who have reduced left ventricular ejection fraction. ACEIs reduce myocardial afterload by causing vasodilation. ACE Inhibotros also reduce the size of myocardial infarction and improve the remodeling of the ventricles. These effects have a benefit in reducing the mortality and morbidity of patients post infarction (American Family Physician, 2001, p1). Patients who cannot tolerate the ACEIs there Angiotensin receptor blockers are used. The angiotensin receptor blockers act by causing vasodilation and reducing the secretion of vasopressin. The angiotensin II receptor blockers also Case Presentation: Management of the patient Initial treatment for acute myocardial infarction is directed toward restoring perfusion so that the as much of the jeopardized myocardium as is possible can be salvaged. One of the ways through which this can be achieved is through thrombolytic therapy. Thrombolytic therapy is administered within twelve hours of the beginning of the symptoms (McInnes, 2008, pp255). Prehospital thrombolysis is indicated when there time of call to arrival will probably be over thirty minutes (ACC/AHA, 2006, pp240-241). The aim of thrombolytic therapy is to restore circulation through a blood vessel that has been occluded by a pathological embolus or thrombus. There is however a risk for bleeding complications especially with aspirin administration (Antithrombotic Trialists (ATT) Collaboration, 2009, pp1851). The potential for haemorrhaging increases with age, thus careful consideration is important in Andrew’s case (he is 70years old). Andrew will also have aspirin administered to him. The aspirin can be chewed or dispersible.   Aspirin has antiplatelet activity which interferes with platelet cohesion and adhesion an effect which benefits all patients with coronary syndromes (Mozayani and Raymond, 2004, pp338-339). Clopidogrel can be combined with low dose aspirin in cases of myocardial infarction with ST-segment elevation (Reid et al, 2006, pp61).The patient should also be put on supplemental oxygen to ensure that the red blood cells are fully saturated to the maximum carrying capacity. This consideration is important because myocardial infarction impairs the function of the heart in circulation which could lead to decreased oxygen uptake. To determine what treatment is appropriate it is important to view MI as part of a wide spectrum of coronary syndromes (ACC/AHA, 2006, pp238). This spectrum includes ST elevated myocardial infarction; non ST elevated myocardial infarction and unstable angina. Those patients who persistently have an elevated ST are considered for reperfusion therapy (ACC/AHA, 2006. pp238-239). Andrew is one of these hence thrombolyis is a very significant factor in his treatment process. For those who there is no ST elevation, this indicates that there may be no myocardial injury. Thus such a patient may not require immediate thrombolysis but can receive anti-ischemic therapy. The initial focus of the ECG is to determine whether there is an ST elevation or not. Once identified, then thrombolysis should be started. Because the pain from MI is intense, it requires adequate and prompt analgesia. The agent of choice for pain management is morphine sulfate. The morphine sulfate will be given at five to fifteen minute intervals. Precaution should be taken administering morphine as it has the likelihood of making hypotension worse which Andrew has. Additionally it also has the side effect of nausea which can lead to an increase in nausea. Since morophine increases the incidence of nausea, it should be administered with an anti-emetic. When myocardial ischaemia is reduced, the patient’s pain is also reduced, thus nitrates, oxygen therapy and betablocker agents all serve to complement the effect of morphine. Nitroglycerin should also be administered as it helps to relax the smooth muscles of vessels causing their dilation. It can be administered intravenously or sublingually. These modes provide a rapid onset of action. Nitroglycerin has its serum concentrations increased by aspirin thus dose adjustment may be necessary when giving both nitroglycerin and aspirin. Specific prehospital care will thus include, obtaining intravenous access, providing supplemental oxygen and providing pulse oximetry to monitor oxygen saturation levels. Immediate administration of aspirin will then follow coupled with administration of nitroglycerin to reduce the chest pain. Additionally, telemetry and a prehospital ECG will be provided for monitoring of the patient’s cardiac activity. Blood will also be taken for renal function tests, electrolytes, clotting screen, cardiac enzymes, C reactive protein, glucose, lipids and full blood count. Precaution however needs to be taken in administering nitroglycerin as Andrew already has a low systolic blood pressure. The patient is in hypotension with a blood pressure of 90/60 mmHg. Questions to ask the wife and patient Some of the questions that Andrew or his wife may be asked relate to compliance with the treatment that has been prescribed for him. Other questions include any life style habits that he may have. There is a possibility for difficulty in compliance with treatment due to the long term nature of the medication such aspirin and the beta blockers. Andrew will thus be asked about his compliance to the medication to find out whether he has been taking the medication as prescribed. It is also important to find out what effects the medication have when the patient takes them; that is does he feel relieved, does he have symptoms of nausea, haemorrhaging and   unawareness of hypoglycaemia. These are important to identify as they are some of the side effects of the drugs that could have a negative impact on his adherence to treatment. It is important for Andrew to maintain his lipid levels at a low point so other questions will revolve around the patient’s lifestyle such as whether he has modified his diet to decrease the intake of foods high in cholesterol, whether he is taking the statins to reduce cholesterol levels and whether he smokes or not and whether he has been participating in exercise. References ACC/AHA, 1999, ACC/AHA Guidelines for the Management of Patients with Acute Myocardial Infarction, 1999, A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on Management of Acute Myocardial Infarction). J Am Coll Cardiol. 34: 1999; 890-911. American Family Physician, 2001, Use of ACE Inhibitors in Treating Acute MI, available at http://www.aafp.org/afp/20000501/tips/4.html ACC/AHA, 2006, ACC/AHA clinical performance measures for adults with ST-elevation and non-ST-elevation myocardial infarction: a report of the American College of Cardiology/American Heart Association Task Force on Performance Measures (Writing Committee to Develop Performance Measures on ST-Elevation and Non-ST-Elevation Myocardial Infarction). J Am Coll Cardiol. 47: 2006; 236-265 Antithrombotic Trialists (ATT) Collaboration, 2009, Aspirin in the primary and secondary prevention of vascular disease: collaborative meta-analysis of individual participant data from randomised trials, Lancet.  May 30  2009; 373(9678) pp1849-1860 McInnes G, 2008, Clinical Pharmacology and therapeutics of hypertension, Elsevier Health, ISBN-13: 978-0-444-51757-9 Mozayani A and Raymon LP, 2004, Handbook of drug interactions: a clinical and forensic guide, Humana Press Reid JL, Rubin PC and Walters RM, 2006, Lecture notes: clinical pharmacology and therapeutics, Wiley-Blackwell Roach SS and Ford SM, 2006, Introductory Clinical Pharmacology, Lippincott Williams and Wilkins Rubenstein D, Wayne D and Bradley, 2003, Lecture notes on clinical medicine, Wiley-Blackwell

Tuesday, August 20, 2019

Treatments for Hair Loss

Treatments for Hair Loss Best Hair Treatment   There are many causes for hair fall ranging from male pattern hair loss to thyroid disease, Iron deficiency anaemia etc. Many causes are gender specific like Androgenic alopecia in males and female pattern hair loss seen usually in females. There has been ample research that shows that losing about 100-150 hairs per day is normal for an individual. That is the normal process of cyclical shedding of hair. The hair growth cycle can be divided into 3 phases viz. Anagen, Catagen and Telogen. Anagen Phase is characterized by active growth of the hair strands. Catagen phase is characterized by fairly short phase of hair break down. While in telogen phase the hair follicle is in resting state. The hair that are shed daily are ususally in the resting phase or in the late phase in the catagen. Hairs that are in telogen phase are not growing and are in the preparation for its shedding. In our scalp about 10% of the hair follicles are in telogen phase at any given time frame. There are many health condition like Thyroid disorders, iron deficiency anaemia etc can lead to severe hair loss as stated above, hence it is vital for us to undergo appropriate lab investigations for the same to exclude these or any other underlying disorders that might be triggering or causing severe hair loss. Now let us elaborate a little on the most commonly seen primary cause of hair fall i.e. Androgenic or Androgenetic Alopecia As the name suggests this type of hair fall is liked to hormone as well as genes. Therefore it has to do with hormonal as well as hereditary factors. This was first thought to be only present in males, as in case of males this type of hair loss is often faster, more extensive and has a relatively earlier onset as compared to females, but later research showed that it is seen in female as well as males. Till now the factor that triggers this type of hair loss is unknown. It seen the every male even though he does not go totally bald, has thinning of hair over time. Here unlike the hair that shed out regularly that are in telogen phase, there is no actually falling of hair seen but only eventual thinning oh hair observed as they no more come up!! Common Hair loss Myths – Busted !! It is commonly thought that people with longer hair has more hair loss as it leads to straining of the roots. This doesn’t happen. It is thought that people who wear hats have their hair choked off hence there is deficient circulation leading to hair loss. This is incorrect. It is also said that one inherits from mother’s male relatives. This is incorrect, as it is possible for one to inherit it from either side i.e. mother’s as well as father’s side. It is wrongly thought that hair loss is due to poor circulation of blood in the scalp and hence massaging will stop the hair fall. It doesn’t. The above was a brief on what is hair loss and its causes. Let us now outline various treatment modalities that may act as preventive or curative for hair loss. Having a hair wash every day with a mild and gentle shampoo. The way it is important to wash our face every day and clean our teeth every day the same way it is also important to wash our hair every day. As it helps in removing the dust, dirt and other pollutants from our hair and scalp making it less vulnerable to hair fall. So washing hair ever day causes more hair fall is one of the biggest myths. It is rather other way round i.e. not washing hair every day will cause more hair fall. This myth has become prevalent due to the fact that people tend to notice more hair falling while having hair wash, but what they don’t know is that these hairs were anyhow going to fall off with hair wash or without hair wash. Following a â€Å"Treat your hair well† practices: Though one of the most apparent things, it needs to be given attention because many of us unknowingly don’t follow them and adopt many unhealthy practices. Treating your hair with chemicals and so-called herbal products, which are meant to drastically change the way our hair looks (Perming, straightening, hot ironing etc.), are a big NO. Blow drying hair- What is does is that is dries out the moisture from the scalp and makes the hair dry, this leads to damaging of the hair follicles. Therefore it is advisable to always air dry your hair or if it is absolutely necessary to use the blow dryer then use it on lowest heat setting. Using hair styles that put a lot of stress or pull on the hair follicles like while making braids of tying hair tightly in a pony tails. Many a times what females do is that they tie their hair so tightly that there is enormous tug in the hair follicles making them to be pulled out from the roots. If this practice is continued for longer time it may lead to permanent hair loss from the sites at which these hairs experience the pulling the most. Combing or toweling it roughly when hairs are wet is a very commonly made error by most. What this does is that it stretches the hair strands and will lead to breakage. Following a healthy lifestyle: Healthy hair is the outward mirroring of a healthy body. So it is a good indicator of one’s general health condition. If hairs are shining and beautiful it indicates that the person is in good health and vice versa. Therefore to have healthy looking hair one has to do everything that is necessary to have a good healthy body which includes eating all types of fruits and vegetables regularly thereby supplementing a wide range of vitamins, and minerals like iron, calcium and zinc, one should also have a protein rich diet as hair are basically made of proteins. It is also important to hydrate our bodies with adequate amount of water. Oil is for food, not scalp. Oiling the scalp leads to seborrhoeic dermatitis and dandruff in the scalp. This leads to hair fall. So no matter what ever your granny says oiling your hair is not healthy for hair. If still one insists on oiling one’s hair it should be done just 45 minutes prior to hair wash, never should we oil our hair and let it stay overnight. Quick home remedies for hair health: Washing hair with a concoction of tea or lemon squeezed in the bathing water used for hair wash will help in getting rid of dandruff. Applying a paste of curd and egg onto that scalp and shampooing it after an hour, if done regularly, will make hair smoother and stronger. Treatment for androgenic alopecia: There are many treatment options available for hair loss but very few of them are scientifically proven and approved by FDA. These treatments help in slowing down the hair loss. Starting these treatments and thereafter stopping them will not leave you at a worse stage than what you were at when you started. Minoxidil: IT is a topical medicine. It helps in decreasing the hair fall, but doesn’t help in increasing the hair growth. It is available over the counter without the need for any prescription from the doctor. It can be used by both males as well as females. Its action is seen best over the crown area of the head. It’s less effective over the frontal area. It is available in the form of lotion, foam and mousse in 2%, 4% and extra-strength 5% solution. Finasteride: It is a medication belonging to 5-alpha reductase inhibitor class of drugs. It is approved by FDA to be used only in males with androgenic alopecia, but it is also used in females â€Å"off-label† who are suffering from androgenic hair loss, and who are not pregnant while on medication. It is available in the form of 1mg tablets. It helps in promoting hair growth and makes hair thicker in some people. But its main purpose is to maintain the hair that are still present on the scalp. The possible side effects include lowering of libido or impotence. Dutasteride: It is FDA approved medicine for treatment of enlarged prostate in men but it is used as â€Å"off-label† medication for treatment of hair loss in men. The action of dutasteride is very similar to finasteride. Recently there is research going on Prostaglandin analogues as topical applications for treatment of hair loss in both males and females. It has a scope for potentially acting as a hair regrowth agent, but till now it hasn’t received FDA approval for it use for treatment of hair loss. One of these newer medication is called by the name Bimatoprost. These are currently used for the purpose of eye lash enhancement. Other alternative treatment options available for hair loss: Hairpieces and hair weaving: It is one of the quickest and tried and test methods to add or enhance hair. It is a temporary method in which a mesh is applied on the patch of scalp which has hair. And over that natural human hair or artificial hair are attached to this by weaving them with the existing hair. The hair that are weaved are selected is such a way so as to match the color and texture of the hair that are existing. Over a period of time there may be oxidization, stretching or loosening of weaved hair. Hair fiber powders: These are used to cover up patches of hair which has undergone thinning. These powders are nothing but colored fibres that are powdered and are such that they attach easily to the existing hair when they are sprinkled on them. This results in a scalp having an appearance of one having fuller hair growth. Toppik is one of the leading manufacturers of these products and it can be ordered via internet portals. It is safe and is pretty cheap about $20-$40. Surgical hair restoration: This includes many versions of hair transplantation procedures like harnessing hair from back and then transplanting them in the front or it may include surgical procedures like scalp reduction where the bald areas are cut away and are stitched together. Over the years the procedures for hair transplantation has undergone major improvements. Of them the latest technology is harnessing of micrografts in which grafts containing only one to two hair follicles are removed from the donor sites and are successfully transplanted to the sites that has bald patches. It is a fairly expensive and time consuming affair. The cost depends on the number of grafts transplanted. The cost may go in the range of $1000 $20,000. Stem Cell Therapy for prevention of hair loss and regrowth of hair. This is one of the areas in which there is active on-going research. Like in other parts of the body hair follicles too have stem cells. The researchers are trying to activate the stem cells progenitor cell. By this the already present stem cells will become active and send chemical signals to the hair follicles nearby which might have become inactive due to aging process. This would ultimately lead to regeneration of healthy hair. PRP injection therapy for hair loss: PRP is nothing but Platelet Rich Plasma that is derived from patient’s own blood. PRP activates the follicular progenitor cells (adult stem cells) thereby causing the hair follicles that have shrunken to become larger and healthier. This enhances the hair growth. Also there are lots of growth factors loaded in PRP so this promotes a rapid hair growth. This method can be applied for both male and female. It can be used for scalp and also over eyebrows in case of hypotrichosis of eyebrows. The treatment procedure requires about 80 minutes to complete Here what is done is, patient’s blood sample is collected and is then processed to extract PRP. This is then introduced in the scalp fully or in localized areas. QR 678 Hair Growth Factor injection treatment for hair loss. This growth factor was developed after a lot of research conducted by top medical centers. It is by far one of the latest treatments for hair loss in India. It is much advanced then PRP treatment and stem cell therapy treatment. This treatment was first reported as a cover story in Times of India newspaper in 2010.QR 678 consists of combination of 6 hair growth factors. They are known to stimulate a significant hair growth when injected in to the scalp. It is more advanced than stem cells therapy for hair fall because here QR 678 injection consists of targeted growth factors that are directly injected in the patches which has hair loss, whereas in case of stem cell therapy the stem cells are reactivated which in turn will lead to production of growth. Hence QR 678 therapy is more specific, selective and advanced. The treatment consists of about 8 sessions of injections of QR 678, each of these sessions are repeated after an interval of 4-6 weeks. There are no side effects to this tre atment. The approx. cost for each QR 678 injection sessions is about $100. The Indian patent is already been awarded, the global patent is still being awaited. Hair Cloning: This treatment modality is still at research stage. What this treatment will consist of is that your own hair will be cloned and there after more hair will be produced from the existing cloned hair by themselves, by the help of genetic engineering. So now to sum it up we can say that alopecia is a very much treatable condition and there are multiple temporary as well as permanent treatment options, both medical as well as surgical, available to us. Therefore it is not very early to say that with the constant advancement and research in this field, baldness will be the thing of the past.

The Blood Theme In Macbeth Essay -- essays research papers

Shakespeare's classic play MacBeth is the story of a young and ambitious noble, MacBeth and his wife, Lady MacBeth living in 11th century Scotland. When MacBeth is told by three witches that he will become King of Scotland, his mind begins to wander. He considers killing the current king, Duncan, but he soon dismisses the thought from his mind. When Lady MacBeth hears of the witch's prophecies, she urges him to take fate into his own hands and kill the king. With her help, he commits this treasonous act and becomes King. This one murder is only the beginning as the couple strives to protect their power and maintain their innocence. Both characters fail to take into account the vast guilt that comes with their sinful actions. Shakespeare manifests this guilt in the images of blood and disease.   Ã‚  Ã‚  Ã‚  Ã‚  Duncan makes the fatal decision of paying an overnight visit to MacBeth's castle. With lady MacBeth's coaxing MacBeth agrees to drug the grooms and murder Duncan. However, Lady MacBeth must go back after the initial killing and frame the sleeping grooms for the murder. Both MacBeth and his wife's hands now carry the blood of the late king, Duncan. 'A little water clears us of this deed,'; is Lady MacBeth's response to this situation. She thinks washing the blood off their hands will also wash the guilt off their minds. Nothing so complicated is ever that easy.   Ã‚  Ã‚  Ã‚  Ã‚  Lady MacBeth soon learns that guilt is heavier than water. She is...

Monday, August 19, 2019

Custom Written Term Papers: Evil in Othello -- Othello essays

Evil in Othello  Ã‚        Ã‚  Ã‚   What can compare to the evil present in William Shakespeare’s tragic drama Othello? The sinister aspect of the play is so heavy at times that it has a depressing effect on the audience.    In the essay â€Å"Wit and Witchcraft: an Approach to Othello† Robert B. Heilman unveils the evil awaiting the reader in Othello:    Reason as an ally of evil is a subject to which Shakespeare keeps returning, as if fascinated, but in different thematic forms as he explores different counter-forces. ]. . .] Although Iago, as we saw, does not take seriously the ennobling power of love, he does not fail to let us know what he does take seriously. When, in his fake oath of loyalty to "wrong'd Othello," he vows "The execution of his wit, hands, heart" (III.3.466), Iago's words give a clue to his truth: his heart is his malice, his hands literally wound Cassio and kill Roderigo, and his wit is the genius that creates all the strategy. (338) By an extraordinary composition of character Shakespeare has made Iago, literally or symbolically, share in all these modes of evil. And in Iago he has dramatized Dante’s summary analysis: â€Å"For where the instrument of the mind is joined to evil will and potency, men can make no defense against it.† But he has also dramatized the hidden springs of evil action, the urgency and passion and immediacy of it. He contemplates too the evildoer’s â€Å"potency† and man’s defenselessness: but these he interprets tragically by making them, not absolute, but partly dependent on the flaws or desire of the victims themselves. (343)    First of all, Iago’s very words paint him for what he is. Robert Di Yanni in â€Å"Character Revealed Through Dialogue† states that the evil antagonist rev... ...rizona Quarterly (Spring 1956), pp.5-16.    Mack, Maynard. Everybody’s Shakespeare: Reflections Chiefly on the Tragedies. Lincoln, NB: University of Nebraska Press, 1993.    Shakespeare, William. Othello. In The Electric Shakespeare. Princeton University. 1996. http://www.eiu.edu/~multilit/studyabroad/othello/othello_all.html No line nos.    Wayne, Valerie. â€Å"Historical Differences: Misogyny and Othello.† The Matter of Difference: Materialist Feminist Criticism of Shakespeare. Ed Valerie Wayne. Ithaca, NY: Cornell University Press, 1991.    Wright, Louis B. and Virginia A. LaMar. â€Å"The Engaging Qualities of Othello.† Readings on The Tragedies. Ed. Clarice Swisher. San Diego: Greenhaven Press, 1996. Reprint from Introduction to The Tragedy of Othello, the Moor of Venice by William Shakespeare. N. p.: Simon and Schuster, Inc., 1957.      

Sunday, August 18, 2019

Clothing and Body Language in Literary Works and Art Essay -- Poe Baud

Clothing and Body Language in Literary Works and Art   Ã‚  Ã‚  Ã‚  Ã‚  Throughout life, clothing and body language are often utilized as sources of emotional expression. These emotions can also be portrayed in literaray works and artisitic displays, such as those of Poe, Baudelaire, Manet, and Warhol. In Poe's â€Å"Man of the Crowd,† there are several descriptions of different types of people based on their appearances, but one particular man is focused on by the narrator due to his unique appearance. Baudelaire's â€Å"The Painter of Modern Life† emphasizes the emotional expressions of beauty and fashion expressed in art. Manet is an artist who paints scenes to his liking. All of his works were done in his studio and set up the way that he wanted them. He holds a particular focus on men and women and the relationship between them. The positions and clothing that the men and women are set up in hold strong emotional implications about their feelings towards one another and the emotions involved in the social setting.   Ã‚  Ã‚  Ã‚  Ã‚  The opening of â€Å"The Man of the Crowd,† describes the emotions involved in untold secrets and the deepest of crimes; there are internal conflicts, struggles, anxieties, and agonous results due to the horror of the unsolvable crimes. The possibility of these crimes is introduced through the man of the crowd through his unseemingly unidentifiable expression The narrator describes his thoughts of this man as: There arose confusedly and paradoxically within my mind, the ideas of vast mental power, of caution, of penuriousness, of avarice, of coolness, of malice, of blood-thirtstiness, of triumph, of merriment, of excessive terror, of intense - of supreme despair. I felt singularly aroused, startled, fascinated. â€Å"How wild a history,† I said to myself, â€Å"is written within that bosom!† Although the narrator had never spoken to this man of the crowd, he was compelled to follow him based on his expression that had never been viewed by the narrator. He continued to follow the man of the crowd, noticing his patterns of following people by the mass and his shambled cloting and he concluded that he â€Å"[was] the type and genious of deep crime. He refuses to be alone.†   Ã‚  Ã‚  Ã‚  Ã‚  Prior to viewing the man of the crowd, the narrator observed several different types of people, all of which were able to be â€Å"read† through their outward appearances... ...p is not meant to be applied naturally and should be used as a method of exhibition of their beauty. Although Baudelaire does not describe the actions of women in the section of makeup, he clearly praises women who wear makeup because of their holy nature and uncriticalness.   Ã‚  Ã‚  Ã‚  Ã‚  Monet is able to express several emotions through his paintings, particularly through the arrangement and the depiction of the subjects in his work. In In The Conservatory, Manet focuses on the relationship between the man and the woman. The woman is properly dressed with buttons vertically lined up through her dress, thus constricting her presense. She has a fixed gaze and is not looking at the man. Although she is sitting comfortably, the woman has a rigid appearance. The man is leaning over towards her and is dressed like a dandy. The expressions on their faces and the way the man is leaning over the woman and looking at her appears as though he is pleading for forgiveness or attention. The rims of her eyes are red adding the possibility of her crying and an emphasis is placed upon their hands, which both contain wedding rings, suggesting that they are a married couple with problems.

Saturday, August 17, 2019

Critical Thinking and Sexual Decision

Critical Thinking and Sexual Decision PSY/265 January 18, 2013 Critical Thinking and Sexual Decision When using value systems for making sexual decisions, you are talking about legalism, Situational ethics, ethical revelation, hedonism, ascetism, utilitarianism and rationalism. Each of these value systems is another way of justifying why you make the decisions you make. According to Rathus, Nevid, and Fichner-Rathus (2011) legalism is when people base their decisions on an external code of moral laws such as religion.Situational ethics is when people base their decisions on what they are facing at the present time. Ethical relativism is when people believe that there is more than one correct moral view and bases their decisions on their principles and their conscience. Hedonism is when people base their decision on if something feels good or not with no regard to any morals. Ascetism is the belief of self-denial of material and sexual desires, therefore making their decisions based o n that belief. Utilitarianism is when people base a decision on â€Å"the greatest good for the greatest number. Rationalism is when people base their decision after weighing the pros and cons about doing something. When it came to me personally I would have to say that I can see myself using two of the value systems. The first would be ethical relativism. Although I do not feel that there is one set of morals, I do base my decisions on my principles and my conscience. An example of this would be when a man thought that he could buy me. He told me that I could have anything I wanted, and that he would pay my bills, as well as making sure that my children would want for nothing and that all I had to do was sleep with him.The catch is, he was married. When facing this choice it was my principles and my conscience that made me say no. The second would be rationalism. The reason for this is because I always weigh the pros and cons before making any decision in my life. These decisions can be anything from how I spend my money, to whom I may have sex with. References: Rathus, S. A. , Nevid, J. S. , & Fichner-Rathus, L. (2011). Human Sexuality in a World of Diversity (8th ed. ). Boston, Massachusetts: Allyn

Friday, August 16, 2019

Oedipus Rex and Plato’s Allegory of the Cave: The Illusion of Reality Essay

Sophocles was known for his emphasis on the individual’s uncompromising search for truth, particularly in â€Å"Oedipus Rex. † In Plato’s â€Å"Allegory of the Cave,† he, similarly to Sophocles, illustrates man’s pursuit of truth and what that means. Plato suggests that truth is subjective to each man. But what is truer? What is illusion and what is reality? Just because something is illusion for one man does not make it falsehood for the other. â€Å"To them, I said, the truth would be literally nothing but the shadows of the images† (Plato). The story of Oedipus offers a lot of examples of the philosophy that Plato poses in his dialogue. In both works, the men first had to realize their ignorance before they could begin to acquire knowledge and true understanding of the complexities of the human condition; Oedipus in a literal sense and the man in the cave in a more theoretical sense. Oedipus discovers, after piercing out his eyes, that he has finally arrived at the truth of his life and that he now has a responsibility to share his story with his children, extended family, and citizens. And in Plato’s â€Å"Allegory of the Cave,† the prisoner’s difficulty discovering the truth lies in his unfortunate restricted life within the cave. And when he escapes, he feels compelled to enlighten others with the newly found truth he has stumbled upon. â€Å"And when he remembered his old habitation, and the wisdom of the cave and his fellow prisoners, do you not suppose that he would felicitate himself on the charge and pity them? † (Plato) â€Å"Oedipus Rex† and Plato’s â€Å"Allegory of the Cave† are works about truth and falsehood, about sight and blindness, about light and darkness; all of which represent the great divide between illusion and reality. Oedipus is blinded by the illusion that he has fled his fate, having overcome the prophecy. He thinks he has escaped his parents, and this illusion is his reality. Throughout the play, Oedipus utters curse upon curse onto himself without knowing because he refuses to see reality of the harsh truth before him. The contrast between what is truth and what is falsehood is a prominent theme throughout both classical works. Oedipus is on the search for truth, no matter what the cost. He finds truth to be a worthy cause, no matter what harsh realities it may show them. The emphasis on truth is seen with more clarity in the dialogue between Oedipus and Teiresias. Oedipus rages at Teiresias for speaking out against him by dictating Oedipus’ fate. Oedipus yells, â€Å"Can you possibly think you have some way of going free, after such insolence? † Then Teiresias replies, â€Å"I have gone free. It is the truth that sustains me. † Oedipus retaliates, â€Å"It seems you can go on mouthing like this forever. † Teiresias then concludes by saying, â€Å"I can if there is power in truth† (Sophocles 889-890) Teiresias, a blind man, takes consolation in the truth, despite the harshness of the reality. Oedipus, though initially enraged at this proposition, then starts to understand its importance and power. This situation is very similar to what is seen in Plato’s work. The prisoner is bound by the illusion of his false sense of comfort and security. When he is released and emerges from the cave, he is overcome by the power of the light of the sun. â€Å"The glare will distress him, and he will be unable to see the realities of which in his former state he had seen the shadows†¦ Will he not fancy that the shadows which he formerly saw are truer than the objects which are now shown to him? † (Plato) Plato’s proposition of man’s reaction to new and better truths, despite the harshness, almost perfectly parallels Oedipus’ reaction. And even the irony of when the prisoners mock their fellow inmate for being â€Å"delusional† in his lack of belief in the realities of the shadows parallel the relationship between Oedipus and Teiresias. Oedipus, after being told the reality by Teiresias says, â€Å"You child of endless night! You cannot hurt me or any other man who sees the sun† (890 lines 156-157) Oedipus is blinded by his illusions and perception of what is reality. There is blatant irony in the contrast of sight and blindness in Sophocles’ play. Oedipus, while being able to physically see, is indeed blinded to reality. Teiresias, who is physically blind, sees the reality and accepts it and attempts to spread that reality to Oedipus who is obstinate to see. Teiresias rebukes Oedipus in his mockery saying, â€Å"You call me unfeeling, if only you could see the nature of your own feelings†¦ Listen to me. You mock my blindness, do you? But I say that you, with both your eyes, are blind. You cannot see the wretchedness of your life† (Sophocles 890-891). This sight of the reality, the truth, is represented in Plato’s piece by the emerging out of the cave into the world. Obtaining sight happens, as Plato puts it, with the â€Å"mind’s eye† and the â€Å"bodily eye. † But this conversion from being blind to being able to see does not happen to everyone and not very easily. Plato argues that the capacity of sight is in the soul already, the eyes of the mind just need to turn from darkness to light in order to see the world. â€Å"†¦ the instrument of knowledge can only by the movement of the whole soul be turned from the world of becoming into that of being, and of learn by degrees to endure the sight of being, and of the brightest and best of being, or in other words, of the good† (Plato). The transition from blindness to sight, darkness into light, is not a quick or easy process. It is harsh and requires determination and a strong, intellectual mind. After Oedipus is brought into the light of reality, he longs for the time he was not burdened with the harshness and misery reality brings: he wants to return to darkness, returning to the security of his illusion. â€Å"If I could have stifled my hearing at its source, I would have done it and made all this body a tight cell of misery, blank to light and sound: so I should have been safe in a dark agony beyond all recollection† (lines 159-163). The darkness of the cave and the power of the light outside of it is the most vivid picture painted by Plato in his allegory. He then continues, taking the allegory to the next level: â€Å"the prison-house [cave] is the world of sight, the light of the fire of the sun, and you will not misapprehend me if you interpret the journey upwards to be the ascent of the soul into the intellectual world according to my poor belief†¦Ã¢â‚¬  (Plato) Plato is saying that the material world we live in is not the fullest reality. We live in a world that is but shadows of the fuller reality we cannot see. In the context of Plato’s world, Oedipus, then, at the end of the play is still stuck in the next level of illusion. That is why he is so depressed. He has lost all of his â€Å"sensual pleasures† that Plato warns humanity about, and Oedipus is thus left feeling hopeless and lost – in darkness. The complexity of these two works is enormous and poses questions which seem almost unanswerable. Yet they complement each other very well, as you would expect given their mutual classical background. They both address the same characteristics of life and human nature: truth and falsehood, sight and blindness, and light and darkness, all tied together by a theme of the seemingly relative divide of illusion and reality. Both works put an emphasis on the importance of truth and it’s always worth it, no matter what the cost. There are different types of sight: bodily and mental. It seems that in order to have stronger mental sight, it is better to be bodily blind as seen with Oedipus and Teiresias. Escaping from the darkness into the light is escaping the illusions that the world and you yourself have created. The individual, according to Plato, â€Å"must have his eye fixed,† so that he may, in the world of knowledge, see the idea of good, which is seen only with effort and with a wisdom which â€Å"more than anything else contains a divine element which always remains†¦Ã¢â‚¬  Sophocles and Plato both see there is something missing in the reality of our world. There has to be more to this reality, we, therefore, must be living illusory lives and we need to emerge from the cave. If we do not, we are confined to a life lacking of meaning, true knowledge, and purpose. Thus the picture we have of Oedipus at the end of the play: stuck in a life which is full of falsehood, blindness, darkness, and is†¦ an illusion? Alas for the seed of men. What measure shall I give these generations that breathe on the void and are void and exist and do not exist? Who bears more weight of joy than mass of sunlight shifting in images, or who shall make his thought stay on that down time drifts away? Your splendor is all fallen†¦ O Oedipus, most royal one! The great door that expelled you to the light gave at night – ah, gave night to your glory: as to the father, to the fathering son. All understood too late†¦ For I weep the world’s outcast. I was blind, and now I can tell why: asleep, for you had given ease of breath to Thebes, while the false years went by. (911-13 lines 1-9; 32-36; 49-53)

Thursday, August 15, 2019

Expensive Medical Technology Case Essay

Most developed countries spend a large proportion of their health budgets on expensive medical technology and procedures. This money should be spent instead on health education to keep people well. To what extent do you agree or disagree with this opinion? Give reasons for your answer and include any relevant examples from your own knowledge or experience. You should write at least 250 words. Answer The idea of diverting the money assigned for expensive medical technology and procedures towards health education will not ensure the health of the people. Firstly, health education has only a limited role in dealing with a large number health related problems. For example, in order to treat patients who meet with serious accidents huge expenses are required to diagnose and perform medical procedures. Many diseases like cancers and strokes cannot be avoided just by educating people about preventive measures. Furthermore, there are many diseases that are hereditary, like heart ailments and psychiatric problem which require expensive treatment. Secondly, in spite of continuous awareness programmes through the media or education, many people do not have the discipline to keep away from unhealthy practices. An ideal example would be the increasing popularity of fast foods, which can cause many life style diseases like blood pressure, cardiac problems and diabetes, especially among the young. Educating people about taking precautions against diseases is definitely an important aspect of ensuring the health of the people, but greater importance should be given to treatment of people who are affected by diseases. On the other hand, health awareness programmes have made great contributions in reducing spread of many epidemics like small pox, bird flu and other viral infections. People have realised the importance of living in a hygienic environments in order to keep away from many common ailments. The prevention of AIDS has been made possible through the world wide awareness programme undertaken by WHO and similar organisations. Greater allocation of funds is required in this area of healthcare but it should not be at the expense of reducing the expenses involved in expensive medical technology and procedures. In conclusion, the present system of giving greater budgetary allocation to expensive medical care is reasonable.

Wednesday, August 14, 2019

Middle-Range Theory Continues to Guide Nursing Practice

Middle Range Theory Continues to Guide Nursing Practice Lisa M. Sanford Maryville University Middle Range Theory Continues to Guide Nursing Practice Nursing theory has three distinct categories to describe the level of abstraction: Grand, Middle-Range, and Situation-Specific (Meleis, 2012, p. 33). Hugh McKenna (1997) defined these three categories, stating: Grand theory is highly abstract and is broad in scope. Middle-range theory is more focused and is normally the end product of a research study.Narrow-range theory is even more specific and while also being based on research findings, it guides specific actions in the achievement of desirable goals (p. 17). When thinking about nursing theory, one might ask: What is the purpose of theory? Is it even relevant to current nursing practice? The best response to answer these questions I have found is from Meleis (2012): The primary uses of theory are to provide insights about nursing practice situations and to guide research. Through int eraction with practice, theory is shaped and guidelines for practice evolve.Research validates, refutes, and/or modifies theory as well as generates new theory. Theory then guides practice (p. 35). This explanation of theory by Meleis identifies nursing as a profession. Without theory to shape and guide nursing practice and research, nursing would not evolve and would remain stagnant. Additionally, without theory could nurses really claim that we are a profession? I think not. I believe that theory is necessary for the identity of nursing as a profession verses a vocation.The nursing profession as a whole has had issues with identity for various reasons. I believe this to be true in part due to the numerous educational ways of entering the profession. I cannot think of any other field where one could earn either a diploma, two-year associate’s degree or a four-year baccalaureate degree as a starting point into a profession. The educational debate still continues, however, in recent years more emphasis is being made to have the baccalaureate nurse the entry level of the nursing profession.Evidence from research has suggested that the baccalaureate-prepared nurse is associated with a five percent lower mortality rates in both the likelihood of patients dying within 30 days of admission and the odds of failure to rescue in hospitalized clients (Aiken, Clarke, Cheung, Sloane, & Silber, 2003, p. 1617). This research study was conducted because nursing is a profession. Would research in nursing even exist if there were no theory? All in all, taken to its end, the loss of theory could mean the demise of nursing as a profession.When reflecting on current trends of clinical practice, I feel that middle-range theories are more applicable. Middle-range theories are broad enough to incorporate in everyday clinical practice for the average floor nurse without being too narrow in scope as the situation-specific theories. Additionally, middle-range theories are less a bstract than grand theories and are easier to relate to and put into practice (Liehr & Smith, 1999, p. 85). One example of applying middle-range nursing theory into practice is patient education. Patient education is a major focus of the clients I serve post transplant.It is imperative that a newly transplanted client understand his/her medications that are such an integral part of their new life in order to maintain the transplanted organ. â€Å"Caring through Relation and Dialogue: A Middle-Range Theory for Patient Education is derived from the two disciplines of nursing and education† (Sanford, 2000, p. 8). According to Sanford (2000), A middle-range theory addressing the phenomenon of patient education through caring can add clarity and direction to this area of concern for nursing, and it can provide an opportunity to link theory, practice, and research (p. ). Caring and dialogue are described in this theory as follows: Dialogue is a process of naming our world. It is a process that opens the possibility for participants to pose problems, to critically reflect, and to perceive solutions not previously realized. This process occurs within a caring relation where the carer and the cared-for exhibit receptivity and engage in â€Å"reflection, invitation, assessment, revision, and further exploration† (p. 9). Another example of the applicability of middle-range theory is the theory of care transitions.A hot topic in today’s times involves hospital acquired conditions (HACs) and readmission rates. Medicare expenditures are estimated at $15 billion annually due to readmissions (Averill, et al. , 2009, p. 1). As a result, policymakers have implemented the The Deficit Reduction Act of 2005, which eliminates any increase in hospital payments due to the occurrence of HACs. Furthermore, it is viewed that high readmission rates are a reflection of poor quality, and ospital payments for readmissions were recommended in the FY2010 budget from the O bama Administration to reduce payments for readmissions as one way of controlling Medicare expenditures (Averill, et al. , 2009, p. 1). As a staff nurse, I am all aware of the importance of HACs and the importance of diligent documentation. For example, when a client is admitted a thorough assessment is completed. Wounds and skin breakdown are crucial to document upon an admission or a transferred client to our division.If the documentation of skin assessment is not completed correctly, then the â€Å"blame† is placed on our unit for an ulceration if it was not charted within 24 hours of admission. What are the causes or issues that surround care transitions? Increasingly fragmented care is one reason associated with hospital readmission rates. Issues include communication breakdowns related to plans of care, unclear expectations, uncertainty about illness trajectories, lack of continuity in medical follow-up, and incomplete or inaccurate understanding of medication regimens (Geary & Schumacher, 2012, p. 237).In my practice of nursing, the utilization of inpatient care management for clients begins upon admission in preparation for discharge. A multidisciplinary approach of the transplant team includes the doctors, inpatient nurses, social workers, dieticians, case coordinators, post-transplant coordinators, and transplant pharmacists working together to coordinate and ensure continuity of care upon discharge. According to Geary & Schumacher (2012), â€Å"Through the transition process, agents act and interact within relationship with each other, causing emergence of new behaviors and outcomes.Just as important, through supportive dialogue and discussion, sensemaking is enabled for everyone involved in the transition, effectively reenvisioning multiple understandings of the situation and changing outcomes for the better† (p. 246). Middle-range nursing theories can be viewed as a cookbook for nursing. There are many recipies in the middle-range th eories which can be utilized by the average hospital-based nurse in a variety of ways. In any given 12-hour shift of a nurse, there are several theories which can be applied to specific situations.I have unknowingly used nursing theory in my practice over the years. This course has brought to my attention the diverse ways in which I have used middle-range nursing theories and has given me a better understanding of how nursing theory is applied to current clinical nursing practice. It is my opinion that middle-range nursing theories will continue to guide nursing practice throughout the 21st Century. References Aiken, L. H. , Clarke, S. P. , Cheung, R. B. , Sloane, D. M. , & Silber, J. H. (2003).Educational Levels of Hospital Nurses and Surgical Patient Mortality. The Journal of the American Medical Association, 290(12), 1617-1623. Averill, R. F. , McCullough, E. C. , Hughes, J. S. , Goldfield, N. I. , Vertrees, J. , & Fuller, R. L. (2009, Summer). Redisigning the Medicare Inpatient PPS to Reduce Payments to Hospitals with High Readmission Rates. Health Care Financing Review, 30(4), 1-15. Geary, C. R. , & Schumacher, K. L. (2012). Care Transitions: Integrating Transition Theory and Complexity Science Concepts.Advances in Nursing Science, 35(3), 236-248. Liehr, P. , & Smith, M. J. (1999). Middle Range Theory: Spinning Research and Practice to Create Knowledge forthe New Millennium. Advances in Nursing Science, 21(4) 81-91. McKenn, H. (1997). Nursing Theories and Models. New York: Routledge. Meleis, A. I. (2012). Theoretical Nursing Development and Progress (5th ed. ). Philadelphia: Lippincott, Williams & Wilkins. Sanford, R. (2000, March). Caring through Relation and Dialogue: A Nursing Perspective for Patient Education. Advances in Nursing Science, 22(3), 1-15.

Work Psychology Essay Example | Topics and Well Written Essays - 1000 words

Work Psychology - Essay Example It may comprise of competences and qualifications that a person needs to perform a job. The personal specification and job description that the author refers in this case is that of appointing the European Social Fund Programme Coordinator. This is a particularly vital position in the company and management should be extremely keen during appointment. This is a critical task since it covers the central area of London and requires the person that the management appoints to carry out challenging programmes (Matthewman, Rose, and Hetherington, 2009). The person that the management appoints should have qualities such as the ability to convince, skill, and motivate individuals. They should have relevant qualifications and work experience in the field. This personal specification is sufficient since it provides all the details that match this job. It should incorporate meticulous details of the level of qualification and experience that is necessary. Importance of using job analysis Job an alysis is a valuable method that managers have employed to access information concerning this job of project coordinator. It is a process through which they acquire information concerning responsibilities, skills, and work environment of a job. It is a process that demands them to collect a lot of information to emerge with the right conclusion on the requirements. The process is extremely valuable in preparation of both job specification and description. It enables managers to hire the appropriate coordinator who will facilitate delivery of the European Social Fund programmes in the organization. This leads to proper utilization of the resources of and hence leading to success of the organization. Job analysis aids management to select the best candidate who will deliver the necessary information to young people (Arnold, 2005). This will ensure that the project achieves its target of reaching young people who have many issues that require support. Methods of using job analysis Job analysis is decidedly vital in an organization since it impacts directly on productivity of an organization. The human resource department should be thoroughly keen when deciding the method that an organization should adopt for job analysis. There are various ways of conducting job analysis that managers can adopt. These include conducting interviews, questionnaires, incident investigations, gathering background information, and observation (Matthewman, Rose, and Hetherington, 2009). These methods provide reliable information concerning job description and various specifications for the available job opportunities. The human resources professionals should adopt several of these methods to enhance credibility of the information. The most appropriate method for this job is conducting interviews. This is an ideal method because a panel of interviewers examines the candidates physically. This enables them to acquire all the relevant qualities that they need for the job opportunities ava ilable (Nankervis, Compton, and Morrissey, 2009). Methods of Personnel Selection This is the process that organizations adopt to promote or hire individuals. It mainly focuses on selection of appropriate workers in an organization. The most reliable methods of Personnel Selection that the Organizations should adopt include work sample tests, situational and competency based structural interviews, and cognitive ability. They are the one that are available in this case where selection of a program coordinator is the key issue. These methods are the best since they provide a high level of validity (Nankervis, Compton, and Morrissey, 2009). The management adopts appropriate means of appointing the Program

Tuesday, August 13, 2019

Human Rights Law Essay Example | Topics and Well Written Essays - 5000 words

Human Rights Law - Essay Example This paper has attempted to analyze the case of unfair discrimination against the Sub-Saharan African countries in the area of international trade and how this can be considered as an example of a violation of the â€Å"Human Right against Discrimination†. (Blackhurst, Lyakurwa, Oyeide, p.491-510) Critical Appraisal of the Literature Review The authors Blackhurst, Lyakurwa and Oyeide have utilized a number of authentic sources to gather information on their subject of research. Out of the resource materials, some sources provided general information about underdeveloped African countries belonging to the region of sub-Sahara. However, other sources presented more specific information about the trading activities of these countries and how they still have to encounter unfair discrimination in the arena of international trade. Research Design In their research paper, authors Blackhurst, Lyakurwa and Oyeide have attempted to investigate the â€Å"Options for Improving Africaâ₠¬â„¢s Participation in the WTO†. The authors have considered the data which exhibit the current trends of globalization,that is prevalent among countries across the world. ... he authors have concluded that the African countries belonging to the Sub-Saharan region are increasingly being left behind in the international efforts of globalization. The concept of globalization envisages a singular global economy, where the different countries would be allowed to engage in commercial exchanges with each other following fair terms of trade. However, the African nations are falling behind in this respect. The developed countries are unjustly discriminating against them, in the arena of international trade, thus preventing them from participating freely in commercial exchanges. Conclusion The unfair discrimination against the Sub-Saharan African countries is actually an example of the violation of one of the fundamental civil liberties: The Right against Discrimination. If the international community wants to achieve complete globalization of trading practices, then international trade has to be based on the fundamental principles of human rights. In that case, th ere would be no unfair discrimination against the participation of any nation or any groups of nations. Till that time, the authors advise the global community to think of methods of improving the participation of the African countries in international trade under the regime of the WTO Agreements. Preliminary Bibliography 1. Alston P., Goodman G., and Steiner H.J. (2007) International Human Rights in Context: Law, Politics and Morals, UK, Oxford University Press 2. Blackhurst,R, Lyakurwa,B, Oyeide, A.,Options for Improving Africa’s Participation in the WTO’, The World Economy,Volume 23, Issue 4, pages 491–510, available at http://onlinelibrary.wiley.com/doi/10.1111/1467-9701.00286/abstract 3. Campbell T. (2005), Rights: A Critical Introduction, USA, Canada, Routledge 4. Charter of the