Monday, September 30, 2019

Qatar Petroleum Essay

Qatar Petroleum aims at maintaining high level of safety by trying to reach a zero level of people and environmental harm. The company uses Electronic Document Management System (EDMS) to maintain its daily operations. The methods helps them to save their documents in an organized format, retrieve them for future use share and use them. They also have a team which holds regular surveys of the whole petroleum plant especially of the pipelines. A record of all their daily activities is kept using the EDMS system as mentioned above. A report on the organizations activities can be obtained from their website as well as a book written by P. Tuson Records of Qatar: primary documents, 1820-1960; ed. P. Tuson. Archive edns, 1991. (8v) . Since any oil company poses numerous threats , benchmarks have been set to avoid them or reduce their occurance. Limitations have been set on their expansion, to share mproved ideas and information , maintain an unbreachable security checks and register them regularly. Workers undergo regular physical check-ups and their protective suits are also regularly scrutinized for emission penetration. There are also regular checks held by the government to ensure all the safety activities are being followed regularly. Qatar Petroleum is however not free from threats. Any oil company , Qatar being the biggest is susceptible to terrorist attack as the destruction caused will be massive , eading to a high death rate and heavy financial losses. Avoiding intrusion will be difficult as these companies are located by the sea and remote areas. The attack can be on refineries, distribution system, maritime transport , developmental and exploration sites. Oil companies pose their own threat too as any fault in the whole plant, being of the minutest nature, can lead to the same type of damage as would be caused by any terrorist attack.

Sunday, September 29, 2019

Vampire Academy Chapter 14

FOURTEEN I CONTINUED SPYING ON LISSA over the next couple of days, feeling mildly guilty each time. She'd always hated it when I did by accident, and now I did it on purpose. Steadily, I watched as she reintegrated herself into the royal power players one by one. She couldn't do group compulsion, but catching one person alone was just as effective, if slower. And really, a lot didn't need to be compelled to start hanging out with her again. Many weren't as shallow as they seemed; they remembered Lissa and liked her for who she was. They flocked to her, and now, a month and a half after our return to the Academy, it was like she'd never left at all. And during this rise to fame, she advocated for me and rallied against Mia and Jesse. One morning, I tuned into her while she was getting ready for breakfast. She'd spent the last twenty minutes blow-drying and straightening her hair, something she hadn't done in a while. Natalie, sitting on the bed in their room, watched the process with curiosity. When Lissa moved on to makeup, Natalie finally spoke. â€Å"Hey, we're going to watch a movie in Erin's room after school. You going to come?† I'd always made jokes about Natalie being boring, but her friend Erin had the personality of dry wall. â€Å"Can't. I'm going to help Camille bleach Carly's hair.† â€Å"You sure spend a lot of time with them now.† â€Å"Yeah, I guess.† Lissa dabbed mascara across her lashes, instantly making her eyes look bigger. â€Å"I thought you didn't like them anymore.† â€Å"I changed my mind.† â€Å"They sure seem to like you a lot now. I mean, not that anyone wouldn't like you, but once you came back and didn't talk to them, they seemed okay ignoring you too. I heard them talking about you a lot. I guess that's not surprising, because they're Mia's friends too, but isn't it weird how much they like you now? Like, I hear them always waiting to see what you want to do before they make plans and stuff. And a bunch of them are defending Rose now, which is really crazy. Not that I believe any of that stuff about her, but I never would have thought it was possible – â€Å" Underneath Natalie's rambling was the seed of suspicion, and Lissa picked up on it. Natalie probably never would have dreamed of compulsion, but Lissa couldn't risk innocent questions turning into something more. â€Å"You know what?† she interrupted. â€Å"Maybe I will swing by Erin's after all. I bet Carly's hair won't take that long.† The offer derailed Natalie's train of thought. â€Å"Really? Oh wow, that would be great. She was telling me how sad she was that you're not around as much anymore, and I told her†¦Ã¢â‚¬  On it went. Lissa continued her compulsion and return to popularity. I watched it all quietly, always worrying, even though her efforts were starting to reduce the stares and gossip about me. â€Å"This is going to backfire,† I whispered to her in church one day. â€Å"Someone's going to start wondering and asking questions.† â€Å"Stop being so melodramatic. Power shifts all the time around here.† â€Å"Not like this.† â€Å"You don't think my winning personality could do this on its own?† â€Å"Of course I do, but if Christian spotted it right away, then someone else will – â€Å" My words were interrupted when two guys farther down the pew suddenly exploded into snickers. Glancing up, I saw them looking right at me, not even bothering to hide their smirks. Looking away, I tried to ignore them, suddenly hoping the priest would start up soon. But Lissa returned their looks, and a sudden fierceness flashed across her face. She didn't say a word, but their smiles grew smaller under her heavy gaze. â€Å"Tell her you're sorry,† she told them. â€Å"And make sure she believes it.† A moment later, they practically fell all over themselves apologizing to me and begging for forgiveness. I couldn't believe it. She'd used compulsion in public – in church, of all places. And on two people at the same time. They finally exhausted their supply of apologies, but Lissa wasn't finished. â€Å"That's the best you can do?† she snapped. Their eyes widened in alarm, both terrified that they'd angered her. â€Å"Liss,† I said quickly, touching her arm. â€Å"It's okay I, uh, accept their apologies.† Her face still radiated disapproval, but she finally nodded. The guys slumped in relief. Yikes. I'd never felt so relieved to have a service start. Through the bond, I felt a sort of dark satisfaction coming from Lissa. It was uncharacteristic for her, and I didn't like it. Needing to distract myself from her troubling behavior, I studied other people as I so often did. Nearby, Christian openly watched Lissa, a troubled look on his face. When he saw me, he scowled and turned away. Dimitri sat in the back as usual, for once not scanning every corner for danger. His attention was turned inward, his expression almost pained. I still didn't know why he came to church. He always seemed to be wrestling with something. In the front, the priest was talking about St. Vladimir again. â€Å"His spirit was strong, and he was truly gifted by God. When he touched them, the crippled walked, and the blind could see. Where he walked, flowers bloomed.† Man, the Moroi needed to get more saints – Healing cripples and blind people? I'd forgotten all about St. Vladimir. Mason had mentioned Vladimir bringing people back from the dead, and it had reminded me of Lissa at the time. Then other things had distracted me. I hadn't thought about the saint or his â€Å"shadow-kissed† guardian – and their bond – in a while. How could I have overlooked this? Ms. Karp, I realized, wasn't the only other Moroi who could heal like Lissa. Vladimir could too. â€Å"And all the while, the masses gathered to him, loving him, eager to follow his teachings and hear him preach the word of God†¦Ã¢â‚¬  Turning, I stared at Lissa. She gave me a puzzled look. â€Å"What?† I didn't get a chance to elaborate – I don't even know if I could have formed the words – because I was whisked back to my prison almost as soon as I stood up at the end of the service. Back in my room, I went online to research St. Vladimir but turned up nothing useful. Damn it. Mason had skimmed the books in the library and said there was little there. What did that leave me with? I had no way of learning more about that dusty old saint. Or did I? What had Christian said that first day with Lissa? Over there, we have an old box full of the writings of the blessed and crazy St. Vladimir. The storage room above the chapel. It had the writings. Christian had pointed them out. I needed to look at them, but how? I couldn't ask the priest. How would he react if he found out students were going up there? It'd put an end to Christian's lair. But maybe†¦maybe Christian himself could help. It was Sunday, though, and I wouldn't see him until tomorrow afternoon. Even then, I didn't know if I'd get a chance to talk to him alone. While heading out to practice later, I stopped in the dorm's kitchen to grab a granola bar. As I did, I passed a couple of novice guys, Miles and Anthony. Miles whistled when he saw me. â€Å"How's it been going, Rose? You getting lonely? Want some company?† Anthony laughed. â€Å"I can't bite you, but I can give you something else you want.† I had to pass through the doorway they stood in to get outside. Glaring, I pushed past, but Miles caught me around the waist, his hand sliding down to my butt. â€Å"Get your hands off my ass before I break your face,† I told him, jerking away. In doing so, I only bumped into Anthony. â€Å"Come on,† Anthony said, â€Å"I thought you didn't have a problem taking on two guys at the same time.† A new voice spoke up. â€Å"If you guys don't walk away right now, I'll take both of you on.† Mason. My hero. â€Å"You're so full of it, Ashford,† said Miles. He was the bigger of the two and left me to go square off with Mason. Anthony backed off from me, more interested in whether or not there'd be a fight. There was so much testosterone in the air, I felt like I needed a gas mask. â€Å"Are you doing her too?† Miles asked Mason. â€Å"You don't want to share?† â€Å"Say one more word about her, and I'll rip your head off.† â€Å"Why? She's just a cheap blood – â€Å" Mason punched him. It didn't rip Miles' head off or even cause anything to break or bleed, but it looked like it hurt. His eyes widened, and he lunged toward Mason. The sound of doors opening in the hall caused everyone to freeze. Novices got in a lot of trouble for fighting. â€Å"Probably some guardians coming.† Mason grinned. â€Å"You want them to know you were beating up on a girl?† Miles and Anthony exchanged glances. â€Å"Come on,† Anthony said. â€Å"Let's go. We don't have time for this.† Miles reluctantly followed. â€Å"I'll find you later, Ashford.† When they were gone, I turned on Mason. † ? ®Beat up on a girl'?† â€Å"You're welcome,† he said drily. â€Å"I didn't need your help.† â€Å"Sure. You were doing just fine on your own.† â€Å"They caught me off guard, that's all. I could have dealt with them eventually.† â€Å"Look, don't take being pissed off at them out on me.† â€Å"I just don't like being treated like†¦a girl.† â€Å"You are a girl. And I was just trying to help.† I looked at him and saw the earnestness on his face. He meant well. No point in being a bitch to him when I had so many other people to hate lately. â€Å"Well†¦thanks. Sorry I snapped at you.† We talked a little bit, and I managed to get him to spill some more school gossip. He had noticed Lissa's rise in status but didn't seem to find it strange. As I talked to him, I noticed the adoring look he always got around me spread across his face. It made me sad to have him feel that way about me. Guilty, even. How hard would it be, I wondered, to go out with him? He was nice, funny, and reasonably good-looking. We got along. Why did I get caught up in so many messes with other guys when I had a perfectly sweet one here who wanted me? Why couldn't I just return his feelings? The answer came to me before I'd even finished asking myself the question. I couldn't be Mason's girlfriend because when I imagined someone holding me and whispering dirty things in my ear, he had a Russian accent. Mason continued watching me admiringly, oblivious to what was going on in my head. And seeing that adoration, I suddenly realized how I could use it to my advantage. Feeling a little guilty, I shifted my conversation to a more flirty style and watched Mason's glow increase. I leaned beside him on the wall so our arms just touched and gave him a lazy smile. â€Å"You know, I still don't approve of your whole hero thing, but you did scare them. That was almost worth it.† â€Å"But you don't approve?† I trailed fingers up his arm. â€Å"No. I mean, it's hot in principle but not in practice.† He laughed. â€Å"The hell it isn't.† He caught hold of my hand and gave me a knowing look. â€Å"Sometimes you need to be saved. I think you like being saved sometimes and just can't admit it.† â€Å"And I think you get off on saving people and just can't admit it.† â€Å"I don't think you know what gets me off. Saving damsels like you is just the honorable thing to do,† he declared loftily. I repressed the urge to smack him over the use of damsels. â€Å"Then prove it. Do me a favor just because it's ? ®the right thing to do.' â€Å" â€Å"Sure,† he said immediately. â€Å"Name it.† â€Å"I need you to get a message to Christian Ozera.† His eagerness faltered. â€Å"What the – ? You aren't serious.† â€Å"Yes. Completely.† â€Å"Rose†¦I can't talk to him. You know that.† â€Å"I thought you said you'd help. I thought you said helping ? ®damsels' is the honorable thing to do.† â€Å"I don't really see how honor's involved here.† I gave him the most smoldering look I could manage. He caved. â€Å"What do you want me to tell him?† â€Å"Tell him I need St. Vladimir's books. The ones in storage. He needs to sneak them to me soon. Tell him it's for Lissa. And tell him†¦tell him I lied the night of the reception.† I hesitated. â€Å"Tell him I'm sorry.† â€Å"That doesn't make any sense.† â€Å"It doesn't have to. Just do it. Please?† I turned on the beauty queen smile again. With hasty assurances that he'd see what he could do, he left for lunch, and I went off to practice.

Saturday, September 28, 2019

Marketing of Guest Activities Assignment Example | Topics and Well Written Essays - 250 words

Marketing of Guest Activities - Assignment Example Guest-centric thinking is vital in marketing guest activities pertaining to a given resort. The process of marketing guest activities at the resort is one of the easiest and fun (Bowie et al.). The only requirement before undertaking this process is ensuring that there are like many of the state-of-the-art facilities at the resort as possible. The technological and scientific advances in the contemporary world has made marketing easier; where, by frequently advertising the products and services available at a given resort, one is likely to attain the targeted consumer response. Bowie et al. assert that ensuring that the guests spend most of their time at the resort would require that, as many services are made available within the environs or vicinity of the resort. Shops, parks, pools, personal amenities within rooms, laundry services, food, and beverage services, et cetera are some of the services that should be tailored to fit within the resorts. It would ensure that the guests do not need to move from place to place looking for such services, thereby spending most of t heir time within the resorts and in the process getting to spend more. External marketing would also be of importance as it would aid in attracting more clients into the resort. Coming up with the best techniques by which, to attain full marketing would be of significance. Identifying the target market and maximally utilizing the information would aid in attracting as many of the potential clients as possible. Advertising the unique and contemporary products and services would help in attracting a major client base. The use of major media outlets with consideration of the resorts capacity to utilize the same and other technological avenues would prove impactful. Using media outlets with a major client base for instance channels like Disney, would be of significance in attracting the required number of

Friday, September 27, 2019

Story of my leadership Assignment Example | Topics and Well Written Essays - 250 words

Story of my leadership - Assignment Example He should be able to portray optimism even in the face of adversity. This type of leadership advocates for what would be referred to us intellectual stimulation. Offering a room for creativity free from a lot of red tapes predisposes leader’s followers to a greater level of confidence. The followers are able to effectively connect with their leader without fear of any punitive measures against them. In this leadership model, a leader should be able to enhance positive change among his followers. It focuses on the personality of the leader instead of the actions of the same leader. To effect change and impart it among individuals requires a lot of assertiveness which is a must trait that a leader should posses if not learn. Change may be costly to an organization if not handled in the right manner. It includes all aspects of change be it a positive change or negative change. Change involves transition and is complex in nature. Without extreme care, several factors are likely to go wrong and this is one major challenge to transformational leadership model. For change to be effective and minimize negative challenges that are most likely to occur, three dimensional aspects need to be adequately addressed. These include, inspiring and motivating those affected by change. This includes emotional motivation. Emerging factors in the post change phase and their impacts must adequately be addressed. Management of people’s actions that assist them in undertaking whatever is expected of

Thursday, September 26, 2019

September 11, 2001 and the Global War on Terror Essay - 1

September 11, 2001 and the Global War on Terror - Essay Example Further, the fruits of war are important for the businesses which profit from it at the cost of human lives which are wasted because of it. The evidence for this comes in the shape of reports, the government’s official statements and the historical record of the time which shows that Americans had been given a different story from what the ground realities actually were. It certainly makes a person wonder that even though the government tells us that we are winning the war on terror and that everything is fine with the world today, it may not be so in reality. What we know to be true may not necessarily be the facts of the matter and we could still be led astray by what the government and the media would have us believe. For example, even from the historical data that we have, we have always been told that America stands for democracy and that it stands for the freedom of all people. However, when it comes to imperialism and global domination through the use of military power, the sheer number of American army bases around the world paints a completely different picture. America does not appear to express the sam e ideals in deed which it supports in the shape of words. In conclusion, it becomes easy to say that the American government may not be working towards the interest of the American people but in fact could be working towards maintaining the interest of the American corporations which support the government. Further, political objectives and political motivations seem to be far more important for the people who rule our country rather than any ideological belief for supporting democracy and upholding what is right. However, this may not necessarily be a bad thing since the government and their actions from the past have only shown us that they are pragmatic enough to realize that words which sound nice are only good for speeches. Actions which are geared towards securing

Wednesday, September 25, 2019

The Community and Fire Threat Assignment Example | Topics and Well Written Essays - 750 words

The Community and Fire Threat - Assignment Example The results of the article have been achieved through data gathering from pre-existing sources such as the Web-based Inquiry Statistics Query and Reporting System (WISQARS). In the model used for the analysis of the data negative binomial rate regression had been used. To be able to observe the interactions of the different parameters that are measured, control of the socioeconomic factors had been undertaken (Diekman, Ballestero, Berger, Caraballo and Kegler, 2008, p. 1-4). As a result, there is a positive interaction observed. Smoking which is one of the common causes in residential fire, thus, the parameter under study can be closely related to the fire prevention efforts in the community. Although this is the case, it is important to consider that the issue under study is only one of the causes of fire occurrence. The ecological study is undertaken due to the fact that there is a complex interaction of multiple factors specifically involving man and the environment. The impact of smoking is studied to specifically target the residential area. Smoking is one of the primary causes of fire while residential areas are in need of strict study and implementation of the concepts for fire prevention (Diekman, Ballestero, Berger, Caraballo and Kegler, 2008, p. 1-4). Due to the recognized importance of the different parameters studies, the established objective in the article under study is the measurement of the relationship of the state-level residential fire morality and the percentage of adults who smoke. The study presented a relationship between smoking and residential fire mortality while controlling certain parameters, thus, one of the most important contribution of the study then is to focus on the actions to lessen smoking to be able to achieve the prevention of fire occurrences. Another contribution is the presentation of an individual-level perspective to the problems related to residential fire in addition

Tuesday, September 24, 2019

Marriage must be banned Research Paper Example | Topics and Well Written Essays - 1250 words

Marriage must be banned - Research Paper Example 71). Moreover, according to the "Merriam-Webster's Dictionary of Law", "Marriage is the state of being united to a person of the opposite sex as husband or wife in a legal, consensual, and contractual relationship recognized and sanctioned by and dissolvable only by law" (Marriage). In any case, marriage is a partnership or covenant between a male and female which starts normally when at the youth period and ends only at the death of either of the partners. The concept of marriage is getting decreased popularity at present among teenagers or youths because of the changing life styles and life principles. According to National vital statistics reports of 2009, "Number of marriages is 2,077,000. Marriage rate is 6.8 per 1,000 total populations. Divorce rate is 3.4 per 1,000 populations (44 reporting States and D.C.)" (Tejada & Sutton). Current generation perceive marriage as a burden rather than a necessity. In their opinion, whatever the purpose fulfilled though marriage can be obtain ed even without a marital life. Staying together is the new life concept which is substituting marriage. The advantage of staying together over marriage is that if any of the partners face problems in adjusting his or her life with the partner, he/she can put an end to that relationship easily and look for other options. It is difficult for the couples to get a divorce, if they tied their relationship through a marriage. In this paper, I argue that marriage should be banned considering burden it creates to human life. Forced marriage and arranged marriage create lot of problems in the life of people. â€Å"The only reason for the couple to be together is the pressure of the two families and of the society as a whole. They are concerned to keep the marriage going no matter whether it is successful or not† (Opponent’s Views on Arranged Marriages). Neither the male nor the female gets any opportunity to know each other in the case of an arranged marriage. Parents usually arrange the marriages of their children based on their own perceptions about life. However, life is changing rapidly and it is not necessary that the parents have the right knowledge about the necessities of modern life. Parents arrange the marriage based on the knowledge they acquired in their life. Their intention is always to secure the life of their children. So, in most of the cases, the parents will look to the financial aspects of the marriage first before finalizing the marriage. Dowry system is prevailing among many cultures and the marriage is decided based on the amount of dowry the bridegroom is getting. In other words, the choices of the youths get least preferences in arranged marriages. Marriage is a convention. From a thousand years ago to today, people get married by the strong force. â€Å"Article 16 of the Universal Declaration of Human Rights states that: â€Å"Marriage shall be entered into only with the free and full consent of the intending spouses† (C onvention on Consent to Marriage, Minimum Age for Marriage and Registration of Marriages). However, many of the youths try to engage in marital relationships, to keep the tradition intact. They might have learned that marriage is an essential thing which makes human different from animals. They are getting long lectures about the importance of keeping traditions from their school, colleges, and churches. Even if they have different opinions, the pressure from family and society force them to engage in a

Monday, September 23, 2019

Evaluation Speech Self Essay Example | Topics and Well Written Essays - 500 words

Evaluation Speech Self - Essay Example 4. The speaker needs to work on adding variety his speech patterns more, placing emphasis and stress on the important points he wants to convey. He should add variations in tone and volume, and support with the appropriate gestures. 1. Gabrielle tries to make a strong opening also, but comes across as a bit self-conscious and shy, and this is further underscored by her gestures which are rather frequent and nervous. The beginning is not effective in capturing the audience’s attention. 2. The speech is poorly organized. Her topics are not well-structured. She tended to repeat some things, such as the fact that she wants to help people. She also tended to jump from one point to the next and back again, as in alternating between events in her life (her course, what she wants to take up) interspersed with comments about her personal inclinations, then back again. The topics are not quite ordered in a logical sequence. There don’t appear to be three main points in her speech, but if there are three main points, they would be her aspiration about what she wants to do, her independence from her parents’ decisions, and the fact that she is aspiring to be a doctor in order to fulfil her desire to help others. The topics are not well delineated, however, as she tends to move among them alternatively. 3. The speaker is more animated in her tone, pitch, volume, and so forth, and tries to relate to her audience by maintaining eye contact with them. However, she fails to establish eye contact with the webcam as specified in the instruction. She tries to avoid note card dependence, putting it down at times and trying not to look at it, but then she picks it up again and looks again at it. 4. Gabrielle should not be too nervous, as she conveys this by her seeming desire to be conversational in her approach, and

Sunday, September 22, 2019

Article Critique Essay Example | Topics and Well Written Essays - 500 words

Article Critique - Essay Example It is difficult to argue with the position Adler takes. Today’s media reports are filled with stories of children as both victims and authors of serious crimes. Both scenarios indicate that children are exposed to conduct that entirely adult in nature, with the result that the innocence of childhood is lost. Adler writes of the measures that parents and adults in general take to protect children from crime. These measures involve a stream of â€Å"hyper-vigilance† . (Adler) Fear of crimes against children are unrealistic given that there are diseases that claim the lives of children far more frequently than crimes. (Adler) This is perhaps the only point that Adler makes that invokes dissension. Fear of crime against children can never be underestimated. Children are vulnerable to crime and require adult protection and supervision. When a child is given free licence to traverse on his or her own, they are always potential victims. However, Adler is right in his observation that children have become hostages and imprisoned in their homes. There are parents who attach a leash to their children at the mall to guard against abductions. (Adler) Today’s adults have taken protection to the extreme. Children are cautioned to the point of exhaustion against the harm that can befall them. In one case, Adler notes that one family went beyond merely setting alarms in the cars and in their home. They have even fixed alarm systems on members of the family. (Adler) These kinds of measures cause undue fear and alarm for children and are entirely unnecessary. The best approach to guarding against the risk of harm is to ensure that small children are never left without adult supervision. There is no logical reason for raising the alarm with small children. Adult responsibility toward small children includes protecting them from

Saturday, September 21, 2019

Historical Letter Essay Example for Free

Historical Letter Essay What privileges do you enjoy today? Do you have air-conditioning when the sun scorches your back? Do you have heating machines when the cold bites you from deep inside? Do you have a vehicle that brings you to your destination without you having to hike three mountains or so? Which of these privileges do you take for granted? It’s because you never experienced living without these privileges that you do not fully understand and appreciate their importance. What other rights do you have? Are girls allowed to go school with boys? Are women given access in the universities as men are? Can women engage in careers that men are engaged in? Can women vote? I am Mary Ellise Scott. An eighteen-year-old lady from Pennsylvania. And through this letter I will explain to you how different your time is from my time. There was a time when all these were deprived of women. Take for instance the right to vote. In the 19th century, in my century, I am already am eighteen years old. But despite this fact, I am not allowed to vote – I am not allowed to choose who will represent my needs in government. This is why in my century Carrie S. Burnham, a teacher and a physician took her case to the Supreme Court of Pennsylvania on 4 April 1873. This was already the peak of her campaign, as she was already going around Pennsylvania, Philadelphia, and all other cities in the country, speaking about this. I was just sixteen years old when she came and spoke in our town square. I always thought before that the order that things are in now, is that’s what it’s supposed to be – men vote and women don’t, just because. I never thought of it in a perspective of inequality until I heard her arguments about it. Unfortunately, the Supreme Court rejected her arguments. Susan B. Anthony campaigned for the same rights, and eventually got senators to amend the Constitution and finally allow women to vote. There are others who are like this during my time. There are many women who thought and realized that the handicap they are accorded on account of their sex is just plain unfair. One of these is Mary Church Terrel. Indeed, it is difficult to be a woman during my time. While we are already allowed to go the university and study, most of the parents who send their children who are women to school, just do the same for the sake of saying that they allow their children to go to school. But after graduating, their daughters are already to marry. She goes to the university to study how it is to be a good housewife for the most part, and the other subject matters that would later on translate to a career, are disregarded. I consider those daughters lucky. At least they get to go to the university. For my case, father never allowed me to go to the university. He thought that my education was more than enough to find me a good husband and allow me to become a good mother. Father thinks that this is the only purpose that a woman has. A woman, as my mother had to stay at home, attend to the chores and needs of the husband and the children. He tells me that I do not need some fancy education and some expensive diploma to allow me to do this. He tells me that I will learn about being a good wife and mother, by staying at home and helping my mother out. I want to be a doctor you know. But how can I do that when my father only believes that I am meant for the broom and the ladle. This is also why the men in the family are more valued than the women. Aside from the fact that they have all the privileges you can think of, fathers treat them differently. They are the favorites because for them the men bring glory to the family, as they bring home the money and as they have the chance to pursue careers and become good at their fields, while women are just good for the house. There is a certain repulsion that I feel deep inside, with the knowledge that there really is no substantial difference between my brother and I, for him to be able to go to the university and for him to be able to vote. If he can decide for his country, why can’t I? Just because I am woman, I cannot vote. I do not see any logic in that. You see, you are lucky. You have everything you need and many more. So appreciate what you have and realize how difficult it was for us during this time to pursue something other than being homemakers. Women are not just for the brooms and ladle, we are for the books and for careers as well.

Friday, September 20, 2019

Opportunities and risks of FDI in China

Opportunities and risks of FDI in China China, the worlds biggest and most populated country, which has fourth largest area in world. There is not a single aspect in which china is running behind. All the sectors for China are really working fast with fastest growing rate of economy of any major nation. The countrys GDP ratio is so high, economic structure is working good, social and cultural aspects for business and country is bilateral. But when it is not always true, that all the countrys can enjoy success rate much than failure. There are some sections where China needs to look after like, education, health and safety and environmental crisis. As it is a developing country, there are chances of increasing their business prospective in very huge sense with our developed or developing country. According to the news, China and the rest of the world have become closely interconnected with its large territory and population which guarantees the environmental impacts on all over the world. From the point of view of world, they try to increase these impacts by means of the trade and investment which fuels Chinas rapid economic growth. From the business sector aspect, the trade was negligible before 1980s and even FDI in China was nevertheless negligible till 1991. But the way they are accelerating their fast moving economy which is almost exponential. In economic terms there was 40-fold increase in international trade between 1978 and 2003. Therefore, there are several aspects we need to look at in order to find out the success ratio for Chinese Economy. In following article, we have tried to cover the main aspects of the Chinese strengths and weaknesses, as well as other factors such as political, legal and investments and so on. According to the analysis and research we did, the important aspect for Chinese government are legal, political, motivation and obstacles for multinational firms to invest in the country, sectors or industries likely to attract FDI and what are the reasons, there can be possibility of bigger risk for foreign companies which would like to enter in this country and how can these risks be reduced and so on. The political/legal environment: A very good aspect of global marketing is legal/political features. A binding of rules and regulations with their own principles of state and nations is known as International Law. There are two different characteristics, the first is a law which belongs to an individual in a country and that particular law only exists to certain amount of degree that an individual nations are willing to relinquish their rights. The second law is, lack of truly comprehensive international legal system, which has an adequate international judicial and administrative framework for the countries legal system. If we talk about international business, than it will also relate political decrees which are made by government for different home and host countries. There can be different measures which government would like to consider maintaining enough funding and operating smoothly in host country. Host governments take measures like taxations, ownership controls, operating restrictions or expropriation. Whereas for home country government, they take measure like make deal with eligible and approved parties, in order to avoid frauds and to grant an export licence, or withdrawal of export guarantee cover. Availability of the legal or political system as if like, ideology, nationalism, stability and international relations out of which the main features are best described to know legal and political implications: Expropriation: This can be the main possibilities of investor which may try to reduce their risk of doing business in the country. There are certain points which need to be considered while doing business in China. The country should try to make the business transactions so easy, as in case of local supply infrastructure which will help the people to believe in new entrants of the company with similar tastes, whereas it will reduce any adverse action/damages for the host country. In a way, this can be benefitted to both home and host country. Host country should try to make rapid depreciation of assets and repatriation of funds, if in case, there are uncertainties occurring in China, due to which the company has to wind up, it will also helpful for the company to stand with the loss if they are occurring. For the assets and funds they can be transferred at manipulated prices. For Chinese market, whenever any new company or MNEs wants to enter, they should try to invest as much as they can in order to maintain the stability of the market status, as well as they know the tastes of Chinese people which might be helpful for the host countries companys. To maintain the local stock market rates at the same levels, the company has to retain the control of critical inputs. That means, whenever they share any market share with higher price, needs to maintain the prices of those markets shares within the country. Even to make it low prices in order to earn profit, the company needs to maintain their cost of products to certain limit. Incentives: There are different aspects of providing incentives to motivate their workers, employees, public and for their own benefits. There are many countries which try to reduce their own potential risk of promoting their products, brands or advertising its products in different markets. Therefore, many countries try to reduce perceived risk of advertising or promoting inward investment as they are not tied with sharing, during the condition of tax breaks, free posts, free trade zones etc. this type of barriers affects the countries economy, as for example government tries to attract mobile investor, or considering the scheme for poor local skills which might be withdrawn once capital has been accumulated. It is same in the case of incentives which depend on feasibility of incentives compared to real return on investment? Assessing political vulnerability There are political aspects of economy, which create helplessness for the host and home countries business and its growth. Following are some the crucial aspects which we found out are the main features to make the companys profit or loss in host country. Even Chinese economy could not deny to these aspects: For a new MNEs entering in to any new market, needs to create good relations with its legal, political, CSR and environmental aspects, as in case of its own home country. The products should be good in quality, sensible to consumers, and trustworthy relationship with customers industry. Company needs to keep in mind the area and location of it growth. In order to reduce miscommunication, code of conduct, health and safety and good operating services. Promotions of the products, brands and services are much more important for success. Therefore, visibility of the firm is must, in a way advertising the products in host country gives huge public entrance with competitors. As we have discussed different political and legal aspect of host countrys in order to work out strategy accordingly. Contribution to the host country, that means, giving charity, investing in shares or stocks, merging, partnerships, joint ventures, providing employment, good salaries to employees, motivation, incentives, and pensions to the current workers and so on, it is important to bring up a good goodwill in host country. Localization of operations, in order to reduce import-export duties, getting cheaper rates of raw materials, cheap labor, etc. Marketing implications After discussing the internal implications, we can also describe briefly the main external implication which might be the reason for failure in host country. International law on marketing operations is multitude or crowded. Price controls/decisions- taxation, value added systems, resale price value/maintenance, price freezes after certain level in inflation. Distribution- channel of retail or wholesale agents or distributors, physical distribution or manufacturing the products on your own, insurance policies for products, brands or patents. Product decisions- includes designs of products, healthy and safety measure for using that product, overall performance measurement, packaging, labeling and warranty of the products. Promotion- advertising for the products and its services is must, product restriction includes within which age group the product can be used to reduce dangers with peoples life, and sales promotion for products gives better results. The most important market research- collection of details which are required by local public, tastes of particular brand, stock valuation, storage capacity for delivering goods to different areas and transmission of data to its local branches. Reasons for sectors and industries which are more likely to attract FDI in China: What is FDI? FDI means a multinational or transnational firm which engages in Foreign Direct Investment and owes its controls with value-added activities in more than one host country. The most used and widely accepted by data collecting agencies such as organization for Economics Co-operation and Development (OECD), UNCTADs Division on Investment, Technology and Enterprise Development (DITE) adjoined with national governments and supranational entities. There are main points for the development of Chinese economy which are mentioned below: 1. There has been a positive development trend for Chinese economy, as the economy provides a huge entrance for FDI. In this situation and circumstances, the growth of global economy will rise slowly but the highly developed countries like US and Japan will grow slowly as Chinese government guide lines describes expansion of internal demand, implement of positive financial policy and steady monetary policy which will try to accelerates the adjustment of economic structure in Chinese economy. From this aspect further expansion is possible which will open outside world and will run actively and steadily to promote the reforms which will be in favor of Chinas situation as well as its legislation of market economy, it will boost the overall quality and benefit of economy to run smoothly, which will maintain a strong bond with home and host country with its individual growth. 2. With stable political situation, Chinese economy has encouraged FDI as a part of its main entry policy. For certain period of time, the government itself was taking part to consider foreign direct investment in China which resulting made continuous efforts in improving or growing FDI investment. It was also protecting legal rights and interest of foreign investors. 3. After having FDI in China, foreign firms were attracted to start its business in order to earn like the foreign investors. Even some of the firms who invested experienced success in China. Since last 20 years of Chinas restructuring and strengthens of foreign investors in investing in Chinese Economy increase confidence of every individual to make first choice for every firms, MNEs or joint ventures to work in China or start Business in China. 4. Broad Market Potential: As now we all have an idea that China has got highest population with highest growth rate like developed country. The economy is fast growing, and domestic market of its services and products are massive. This is all because of Chinas consistent political environment; low labor cost with high quality of work, whole range of industries, and return on investment is good and so on. In a way China exhibits strengthen and charismatic attraction to an number of foreign firms and enterprises or MNEs. Motivation and obstacles for MNEs to invest in the China: Market size and growth MNEs need more space to wide-spread their rapid growth and they have comfortable market environment in China. E.g. Tesco Cheap labor cost As China is highly populated country and in this country people are ready to work at any cost, the concerned to earn money for their normal standard of living. Exchange rate The huge difference is currency rate. For example, if US wants to start a business than it will double profitable from the budgeted cost for starting a new business, as they can export- or can get each and every raw materials from China at cheaper rates. High investment return As we have studied, FDI has improved the economical level of China; therefore we can say every country is dreaming to start its ventures in China due to this reason, as before we earn profit we can earn money from the investment itself. E.g. shares, funds and charities Government incentive Policies Local government system is quite compatible to motivate and encourage business to do in China, though is not in case of internal motivation but when it comes to business, the different policies are benefitted for outsiders. E.g. free trade zones, loans, etc. Political stability Rules and regulations are not frequently changing with government; therefore it will be benefitted for new MNEs to enter as they dont have to think about any new shortcuts to enter or any other changes with its business working structure and strategies. Part of companys globalization strategy As we know that china is booming with all the aspect all over the world, that means if the countrys economy is booming, there are chances of new entrants to hit the set targets and run business successfully rather than home country. E.g. Wal-Mart Serving as an export platform Being a mediator China serves all the main countries its varieties of goods, technologies and cheap labor. E.g. watches made in China and sold in USA/India with a brand name, as well as toys. Chinas advanced technology This point is not much used by any MNEs as we all have idea about Chinese technological power, what sort of machinery they use for manufacturing and production. Therefore, for MNEs they dont have to worry about its production of goods, as it can be made with cheap labor, materials but with consistent quality. Chinas weak Indus. infrastructure Infrastructure doesnt really matter as the people in China want to adopt western trend, but they are facing constraints while adopting it. The reason might by cultural. Obstacles for MNEs firms to invest in Chinese environment: Political stability This factor can be weakness, as there is no improvement in political aspect of country so there are no chances of MNEs to innovate something new, or nothing such which is beneficial to MNEs Unsatisfactory foreign trade policy Trade, tariffs, subsidies- aid and loans, custom valuation. Whereas regarding the quotas, MNEs needs to consider- Buy Local Legislation, standards and labels, specific permission required, administrative delays, reciprocal requirements, restrictions on services. These factors are not up to certain limit to satisfy the Foreign firm. Regulations not strictly implemented Legal and illegal actions can take place while doing new business or continuing business. The laws which a business man is bound to follow, which are not being followed properly to maintain sustainability of economy. Unsatisfactory banking system The rates for interest, return on investment and etc., are not too enough for MNEs to get its return with double profit. Even the facility of banking is not sufficient for the new company to enter in China and provide every information/database. This can be the important aspect to be a huge obstacles as employees of the companys who has got bank account will not get up to the mark information, resulting failure. The development of business related industry China is huge in area, so in order to increase GDP, China is out sourcing too much to get the companies in to China for employment, high standard of living, good infrastructure etc. Low productivity Because of cheap labor and materials there are chances of doing fraud with public by providing them duplicate products and earn profit. Risks for entering in to market and how to reduce the risks in host country: Risk is such a big factor, which will consider by every firm, organization or enterprise as hindrance towards success. Even in here, there are different aspects of risks, which includes social, economical, political, legal, environmental and technological. But there are certain features which are the main to consider while you enter in host country. Some of them have been discussed below: Build strategies to recruit and train capable managers: In this case, there are many graduates from Chinese business schools, but they are lacking necessary skills like team leading, managing targets and so on. Chinese universities have formed partnerships in order to get successful and efficient employees to work within the companys environment and its management curriculum. They are providing trading promises for future employment by doing partnership with MNEs. firms are being trained properly, capable and intelligent Chinese student to get jobs in host countrys company. Safeguard intellectual property rights: Confidentiality is much more important while starting a new business in host country. Therefore foreign companies need to be cautious while transferring any important or proprietary information regarding its business growth or its development in china. There are chances of information being stolen and privacy for business strategy, budgets, and employees details can be hacked. Firms can pursue legal action for its patent but they are finding difficulties to maintain within Chinese border. With the help of technological development firms are being operated with creative solutions like existing computer code, alliances with Chinese partners, and joint ventures for production and patents for local public use. Some of the firms have found the solution for their problem, an opportunity of greater chance of influencing Chinese policy and enforcement strategies, which will help a lobby to speak for many parties or it can be a representative for one. Understand the competition. To bit the cut throat competition, Chinese are not competing home countries companies but they are also challenging host countrys company. They work on strategy which emphasis on production of high value added products, which resulting in to increase in amount of production or benefitted for foreign firms over Chinese companies. From the Chinese companys opinion, they are not aware about particular design, marketing strategy or any new distribution channel system. Therefore they are required to have experience for the same. Diversify risk: Corporate governance and strategy in China is very crucial as the elements of RD, production and supply chains are not present or not concentrated in any one Chinese province or region or overall Chinese border. Develop strategies to maintain CSR: After being followed first step, employees and local workers are being trained by foreign firm, as well as they invest for their education and in philanthropy/return firms will support host countrys charities which might be helpful for them to construct strong political relations locally. More or less Chinese communities are sensitive, therefore to perceive anything as corporate efforts to change the infrastructure and development of its country, according to western prescriptions. Have an exit strategy: All over the world, everyone is aware that China is emerging economy and everybody praises that. It will be the most attractive market with new development and emerging strategies within next few years. After all this compliments and comments, the long term perception is more likely uncertain. The reason is they dont have political institutions like India, to minimize/reduce long-term risks of sweeping political change. So it is worth to be secure for long-term profits, as if it prematurely cashes in its chips and moves out. So its better to have an exit strategy as plan B, if plan A doesnt work.

Thursday, September 19, 2019

War, Peace, the Homefront, and Uncle Sam :: Personal Narrative Writing

War, Peace, the Homefront, and Uncle Sam I. In our house when I was growing up, there were three WWI posters that my great aunt had saved in her attic. My father rescued and framed them, hanging the posters in the hallway at the top of the stairs. I walked past them on the way to my room which was at the end of this hallway. There was no way I could avoid Uncle Sam trying to recruit me every time I went up the stairs. He never budged, determined to enlist me before I could even read. I had the sense that he was measuring every ounce of my patriotism: I Want YOU for US Army, he called out, pointing and glaring straight at me as I made my way up the stairs. I always continued forward, nearing closer to that long, protruding finger as though responding to his beckoning, feigning my conscription, only to turn the corner to my room. There is some speculation as to whether Uncle Sam was a real person. (Many historians point their fingers to Samuel Wilson, a meat packer from Troy, New York, who during the War of 1812 provided large supplies of meat to the US Army. Soldiers noticed that the crates of meat were marked with the letters "U.S." and it was then said that the meat was from "Uncle Sam" Wilson.) I knew he was real because Uncle Sam appeared before me in many forms. At night, if the hall lights were not on, Uncle Sam’s white stars would stand out, glowing softly. When I was sick the red YOU became demonic, hurting me if I looked at it for too long. In the late afternoon when the sun had drifted into the hallway and hit the walls in a slant, half of the poster would be cast in shadow, sometimes leaving Uncle Sam’s face concealed in darkness, yet his hand would be exposed, dangling in the sun. In the morning if it wasn’t overcast, if the light filtering inside the house was bright enough, I could see my reflection in the glass as I came up the stairs, my face on top of his. II. Uncle Sam has disappeared. He no longer urges civilians to enlist in the military. Today, Uncle Sam has been replaced with slick, sensational ads, often enhanced with computer graphics. At the end of these commercials, the slogan "Be all that you can be" is sung, the last "be" drawn out so it lingers in your head after the commercial break is over.

Wednesday, September 18, 2019

Silent Epidemic :: essays research papers

  Ã‚  Ã‚  Ã‚  Ã‚  Ã¢â‚¬Å"I wish I’d die right then† this was â€Å"Laetitia† reaction when she found out she was infected with HIV. (Breaking 36) Imagine living in a home in Africa, with 10 other people including yourself, then finding out that two of them live with one of the worst epidemics ever AIDS! What can the residents of Africa do to stop it? Is there a possibility that it could be stopped? Scientist have a number of theories about this epidemic, but recent news show that AIDS is not as silent as predicted. Where does the virus come from? Who is involved in this epidemic? Who are the most affected? Answer is the residents of the continent of Africa.   Ã‚  Ã‚  Ã‚  Ã‚  Ã¢â‚¬Å"AIDS epidemic may be just one of the latest of sexual Mammalian cross-species viral transfer, triggers by the techniques of virology developed in the 20th century, which subsequently spread out of control in the new host species. Which there was a missing link too.† (Breaking N.P.) According to most scientist it has been said that AIDS first appeared in Mid-Africa in 1959, in Leopoloville, The Bulling Congo, and Kinshasa, Africa. It does suppose to have come from a â€Å"single common ancestor†. What is meant is that it might have come from a vaccine that the United States secret military service was trying to create for polio. (Curtis 54)   Ã‚  Ã‚  Ã‚  Ã‚  The U.S. hired a naturalized American polio researcher from Switzerland named Hilary Koprowsky. Dr. Koprowsky traveled to the epicenter of the epidemic ¾Belgian Congo, Rwanda and Burundi. Dr. Koprowsky believed that by contracting liquid from chimps, or monkeys it would avoid the contamination of polio. Reason for that is because he would do test among the apes, and they would be immune to it. He then first tried the vaccine on children who where suppose to be â€Å"mentally deficient†. Then several African citizens would volunteer to be vaccinated for money. Four years later Dr. Koprowsky warned congress that it could be dangerous, and that the experiments should be stopped. Between 1957-60, a missing link was found in chimps from Gallo. Monkeys, and it’s kingdom have a virus similar, therefore if it is transfer to human, it turns into Human Immune Deficiency Virus (HIV), after a period of 7-10 years or less it turns on to AIDS. This led to find out that AIDS virus would eventually turn up on humans.   Ã‚  Ã‚  Ã‚  Ã‚  There are several tribes all over Africa. Silent Epidemic :: essays research papers   Ã‚  Ã‚  Ã‚  Ã‚  Ã¢â‚¬Å"I wish I’d die right then† this was â€Å"Laetitia† reaction when she found out she was infected with HIV. (Breaking 36) Imagine living in a home in Africa, with 10 other people including yourself, then finding out that two of them live with one of the worst epidemics ever AIDS! What can the residents of Africa do to stop it? Is there a possibility that it could be stopped? Scientist have a number of theories about this epidemic, but recent news show that AIDS is not as silent as predicted. Where does the virus come from? Who is involved in this epidemic? Who are the most affected? Answer is the residents of the continent of Africa.   Ã‚  Ã‚  Ã‚  Ã‚  Ã¢â‚¬Å"AIDS epidemic may be just one of the latest of sexual Mammalian cross-species viral transfer, triggers by the techniques of virology developed in the 20th century, which subsequently spread out of control in the new host species. Which there was a missing link too.† (Breaking N.P.) According to most scientist it has been said that AIDS first appeared in Mid-Africa in 1959, in Leopoloville, The Bulling Congo, and Kinshasa, Africa. It does suppose to have come from a â€Å"single common ancestor†. What is meant is that it might have come from a vaccine that the United States secret military service was trying to create for polio. (Curtis 54)   Ã‚  Ã‚  Ã‚  Ã‚  The U.S. hired a naturalized American polio researcher from Switzerland named Hilary Koprowsky. Dr. Koprowsky traveled to the epicenter of the epidemic ¾Belgian Congo, Rwanda and Burundi. Dr. Koprowsky believed that by contracting liquid from chimps, or monkeys it would avoid the contamination of polio. Reason for that is because he would do test among the apes, and they would be immune to it. He then first tried the vaccine on children who where suppose to be â€Å"mentally deficient†. Then several African citizens would volunteer to be vaccinated for money. Four years later Dr. Koprowsky warned congress that it could be dangerous, and that the experiments should be stopped. Between 1957-60, a missing link was found in chimps from Gallo. Monkeys, and it’s kingdom have a virus similar, therefore if it is transfer to human, it turns into Human Immune Deficiency Virus (HIV), after a period of 7-10 years or less it turns on to AIDS. This led to find out that AIDS virus would eventually turn up on humans.   Ã‚  Ã‚  Ã‚  Ã‚  There are several tribes all over Africa.

Tuesday, September 17, 2019

Iliad :: Literary Analysis, Homer

The Iliad Comparison and Contrast of Achilles and Hector When audiences read Homer’s Iliad, we find that this epic tale is centered around the Greek and the Trojan War. We notice in this tale, that Achilles of the Greeks and Hector of the Trojans carry the title of greatest warrior for their perspective armies, both men are an inspiration for their countrymen in this battle. Each man shows us their strengths and weaknesses, which we will use as points of comparison and contrast between the two heroic men. When reviewing the two men, we find that there are actually very few comparison points. However the common points we do find are critical in describing the characters of both men. One major comparison is that both men are warriors and known as fierce fighters. Agamemnon describes Achilles as â€Å"the most violent man alive (pg. 123).† Achilles himself describes Hector as â€Å"man-killing Hector (pg. 126)†. Another key similarity is that for both men, their fates are influenced by the Gods. Achilles was very angry with Agamemnon because of the situation with the priest’s daughter. Achilles vowed to Agamemnon that he would no longer follow him in battle, bringing home a pittance of the spoils while Agamemnon always brought home the lions share. Agamemnon answered back that he would give back the priests daughter but in return for his loss, he would take Achilles spoil, Briseis. Achilles is gripped with rage and strongly considers killing Agamemnon on the spot, â€Å"should he draw the long sharp sword slung at his hip, thrust through the ranks and kill Agamemnon now? – or check his rage and beat his fury down (pg. 124 – 125)?† Although still extremely angry, Achilles listens to the voice of Athena and pulls back his fury, â€Å"†¦a man submits though his heart breaks with fury. Better for him by far. If a man obeys the gods they’re quick to hea r his prayers (pg. 125).† For Hector, his godly influence is Zeus. He is even described as â€Å"dear to Zeus (pg. 141).† He constantly prays to Zeus and seeks his guidance. He curses his brother Paris to Zeus because he blames Paris for causing the war between Troy and the Achaeans, â€Å"let the earth gape and swallow him on the spot! A great curse Olympian Zeus let live and grow†¦that man – if I could see him bound for the House of Death, I could say my heart had forgot its wrenching grief (pg.

Monday, September 16, 2019

The Beginner Nurse

CHAPTER 1 PREPARATION TO THE JOB A. Transition from beginner to Professional Before a nurse can become effective as a health care provider he or she should be psychologically and physically prepared for the job. Psychological preparedness means that the mental set and emotional state of the nurse must be ready for the everyday routines and stressors in the job. Psychological preparedness requires assessment of the self or awareness of the self. The nurse should know own strengths and limitations as a beginner. The nurse strengths include the academic theories and trainings in the BSN degree. This will require the new nurse to refresh self about those principles, fundamentals, and theories learned from the study. Limitations include lack of expert skills and dexterity (speed and efficiency in the use of hands) of nursing procedures as hospital trainings as a BSN student were not enough to encounter those specific procedures. Expert nurses in the workplace shall serve as source of the skills not encountered in academic trainings. Proper and appropriate attitude must be adopted in adjusting into working with colleagues who had earned skills and knowledge by their tenure in their job and the environment they are used to. The beginner nurse must use therapeutic self to gain confidence and trust with existing staff in the hospital. B. Hospital Policies The beginner nurse, if not given the opportunity to have job orientation, should strive to know the existing policies of the hospital. Policies which pertains to absences, tardiness, documentations, and safety of the clients should be given due attention. The beginner nurse cannot put the safety of the patient by sudden absence or tardiness from the job. The nurse should put to mind that the welfare and safety of the patients are his or her main concerns. C. Personal matters A beginner nurse and until such time he or she had become a professional should never allow personal matters to interfere in their responsibilities in the work. This is part of the emotional preparedness of the nurse in order to maintain therapeutic use of the self. CHAPTER 2 THE ROUTINE WORK OF A GENERAL NURSE PRACTITIONER There are areas in the hospitals that have common routines. Routines are nature of works or responsibilities that are normally done and repeated throughout succeeding shifts of the work. The routine works in departments like Surgical, Medical, Pediatrics, Isolation, and some critical care units such as the ICU and CCU may have some similarities. But special areas like Operating Theater, Delivery Room, OPD, Emergency, and ambulatory units may have their own unique routines. Routines in the special areas in the hospital are not taken into consideration in this handbook but individual items may be applicable to such areas. A. First Endorsement of the Shift First endorsement is defined as an endorsement of an outgoing nurse in a shift to an incoming nurse. The main purpose of this endorsement is to ensure continuity of care and avoid errors as well as missing vital interventions to the patient such as medications and special instructions. Endorsement will also safeguard personal safety of the incoming nurse of cases that are infectious that deserves special infection precautions. Below is the table for chronological items for endorsement. Table 1. Relevant Chronological Data for Patient Endorsement Patient’s name and Bed Number Diagnosis (medical) Attending Physician Age of the patient Medications Special InstructionsOngoing Interventions Laboratories and Diagnostics Special Needs of the Patient Latest Vital Signs THE PATIENT’S NAME and BED NUMBER Knowing your patient is an indispensible part of safety of care. This is to avoid mix up in the identification and documentation of the right patient. Though merely knowing the name of the patient is not enough this has to be validated by the incoming nurse when the nurse performs his or her own rounds. The endorsement shall give the name and the bed number of the patient. DIAGNOSIS Knowledge of the diagnosis or diagnoses are both for the safety of the nurse and the client as well. What is endorsed is the medical diagnosis as determined by the attending physician. With knowledge of the medical diagnosis, a nurse can immediately provide appropriate independent and dependent interventions per clinical judgment as he or she performs the nurse rounds. ATTENDING PHYSICIAN Endorsing the name of the attending physician will alert the nurse who to immediately refer to in the event of emergency or urgent situation arises. There should be an established system of how to reach attending physician or an alternate physician in case of emergent situation. One such system is the permanent list of telephone number to which the physician can be reached. If there is special consultant/s assigned to the patient it might as well be included too in the endorsement. AGE OF THE PATIENT Age of the patient is necessary for endorsement information so that the incoming nurse can anticipate what nursing approach to implement. MEDICATIONS As a matter of principle, errors in medication are never tolerated. However, no matter we desire for perfection, the chance and occurrence of an error may always be present. Errors in medication have different aspects. See Table 2 for types of medication errors. Wrong medication administered once absorbed by the body may have from nil to serious effects. We cannot afford to wait for a serious incident before becoming conscious of the proper medication. Table 2. Some Types of Medication Error 1. Failure to properly document medication. 2. Missing to carry out medication advice such as new prescription, modification of medicine, and discontinuance of medicine. 3. Mistake in the correct name, dosage, route, and timing of the medication. 4. Missed or interrupted medication. 5. Failure to observe Rights to Medication 6. Failure to maintain asepsis in medication administration. 7. Failure to validate doubts to medication. 8. Inappropriate nursing assessment of the client prior to medication administration. SPECIAL INSTRUCTIONS Special instructions are instructions coming the principal care provider of the patient such his or her attending physician, specialist, consultant, or from a senior house officer (SNO) Table 3. Some Lists of Special Instructions 1. Complete bed rest without bathroom privileges (CBR w/o BP) 2. On NPO 3. On clear or liquid diet only 4. No dark colored diet5. Gluten free diet 6. Turn to side q certain hours 7. Instructions to known allergies of the patient such as aspirin or a kind of antibiotic 8. For breath retraining Note: the nurse should also exercise clinical judgment to implement independent nursing intervention without the instruction of professional advice. Table 4. Some List of Independent Nursing Interventions 1. Nursing assessment 2. Turning the patient 3. Deep breathing and coughing 4. Checking of gag or swallowing reflex 5. Vital signs as PRN or stat 6. Referral to head and physician 7. Infection control and safety 8. Splinting of abdominal surgery9. ROM exercise 10. Providing comfort and massage 11. TSB 12. Early safe ambulation 13. Oxygen therapy 14. Positioning of HOB or head of bed 15. Oral suctioning 16. Termination of infiltrated IV access ONGOING and TO BE- CARRIED-OUT INTERVENTION Ongoing intervention is a nursing implementation of an advice that is currently being administered and is attached to the patient when the nurse who initiated it is to leave from work or bound for home. The safety of the client is primary purpose of the importance of this endorsement; secondly to avoid miscommunication or confusion to the ingoing process on the patient; and finally to ensure continuity of care. It is best to include in this aspect of endorsement relevant data to obtain accurate fluid intake and output monitoring such as the present volume of current IV, all volumes of catheter bags, level of serous fluids in water seal bottles, level of fluids in drainage bag, syringe pump, and all other similar procedures. Ongoing lood transfusion endorsement shall include the number of bags required, the current number of bag, number of remaining bag, date and time started, blood and Rh type, Serial number, and date of expiration. It is important that pending or to be-carried- out advice such as diagnostics and laboratory studies and fluid therapy be included as well. Missing out the advice and costly redundancy will be avoided through this way. Important attention should be given to blood transfusion advice. To be carried-out blood transfusion or BT should have result of cross-matching before implementation. Blood and Rh type for the right patient should be checked three 3 times with the last time to be confirmed by another staff. Table below lists some common intervention that may be having medium or long term intervention. Table 5. Some Medium and Long-Term Interventions 1. IVF therapy 2. Blood transfusion 3. Bladder irrigation 4. CTT with water seal bottle 5. Machine Ventilator 6. Lavage 7. Central Venous catheter 8. Urinary catheterization9. Phototherapy 10. Wound drainage 11. Hemovac 12. Skin or skeletal traction 13. Infusion pump 14. Syringe pump 15. Antithrombotic device By Dennis D. Monte, University of Sirte, Libya

Sunday, September 15, 2019

Grendel as a Sympathetic Character Essay

Can you imagine being born and automatically being considered evil? This is what happens to Grendel. Throughout the book everyone’s feelings towards Grendel is that of a bad person or creature. In Grendel my sympathy for Grendel fluctuates. Grendel starts out as a sympathetic character because he is an innocent curious child with a mother who doesn’t talk, and lives in a cave. As the story moves on Grendel is misunderstood then starts to make decisions that makes my sympathy for him decrease. Throughout the book there are three stages to Grendels’ life. The first stage starts off with his childhood, which he spends exploring and questioning. He eventually finds the lake of firesnakes and the land after it is his introduction to a larger world full of danger and knowledge. The second stage starts when a bull attacks Grendel; this teaches Grendel that the world is full of danger and makes him question the meaning of life. Grendel tries to figure out the meaning of life by observing how humans go through life and it interests him. While Grendel is trapped and getting attacked by a bull some humans intervene and see him trapped. Grendel tries talking to the humans and ask for help, and all of a sudden they attack Grendel because they do not understand him and fear him because of his appearance. Grendel’s mother comes to the rescue to save her son. How could one be a monster yet be saved by his mother? This is an example of my sympathy for Grendel who is a misunderstood creature. Grendel eventually sees how Hrothgar treats other humans and decides that he does not like what he does to them. He eventually attacks the people in the mead hall all of the soldiers, which makes me lose sympathy for him but I could see why he does it. It is a personal feeling Grendel has towards Hrothgar. Grendel is a character that goes through many stages throughout the story, but to be born from evil does not necessarily make you evil. He was just a curious little creature who was still babied by his mother in the beginning and then learns of humans and does not like the way that they treat each other and eventually is killed by Beowulf.

“On the Waterfront” and the Music of Leonard Bernstein

Addam Farmer MUS 468I Written Project Professor Perry La Marca 3/19/2012 â€Å"On the Waterfront† and the Music of Leonard Bernstein (1954) â€Å"On the Waterfront† is a masterpiece film about a union man (Terry Malloy) whom makes an attempt to stand up to the corrupt mob bosses leading the Longshoremen’s Union. Just as important as the plot of the film is the music; the original score by Leonard Bernstein greatly influenced how other composers would approach film scoring.Bernstein combined the â€Å"American† characteristics of Aaron Copland’s music (disjunct melodies, wide intervals, small but colorful ensembles) with the dark and somewhat disturbing elements of modernism. Bernstein did not shy away from dissonance, and he also incorporated jazz elements (such as brass and rhythmic syncopation) into the equation. During the opening credits, we can hear a solo French horn followed by a small music ensemble. This is expected of the modernist techniq ue – to start off with one instrument followed by others mirroring the opening melody and/or providing contrapuntal contrast.What is amazing about â€Å"On the Waterfront† is not just the music itself –rather, it is the way in which Bernstein employs his music. The movie score is not wall-to-wall; there are long periods of silence in the film (other than sound effects and dialog. ) Strategic musical entrances and long periods of silence are carefully placed to help with the storytelling of the film. For instance, when the â€Å"non-corrupt† members of the Longshoremen’s Union meet in the Church to discuss their problems, there is no music.Suddenly, thrilling â€Å"danger† music begins to play, followed by the mobsters’ attempt to break up the union meeting. The corrupted mobsters begin to beat up the union members, showering them with intimidation. The placement of the music plays a vital role in this scene as the absence of the music symbolizes the absence of conflict. Another way Bernstein helped the film is through his utilization of various themes. The â€Å"Waterfront† theme serves as the frame of the musical score.Parts of the theme can be heard throughout the film, but the â€Å"Waterfront† theme is only heard in the complete form at the beginning and end of the film. There is also a love theme that acts as the catalyst for the portrayal of Edie and Terry’s chemistry. Lastly, the dominant theme in the film is the â€Å"Violence† theme, which is first heard in the second scene with the death of Joey. These themes help to distinguish the films elements: the love story between Edie and Terry, the violent nature of the corrupt union bosses, and the overall message of the film.The greatest point in the music occurs at the climax of the film, when Terry gets severely bruised and beaten by the union boss’s men. At this point, Bernstein utilizes the â€Å"Violence† theme surrounded by dissonance and jazz-style syncopated rhythms. Then, when we see Terry’s bloodied face, a plainer version of the â€Å"Violence† theme is heard in the woodwinds. The opening â€Å"Waterfront† theme is then heard by a solo horn after Terry asks the others to â€Å"Put me on my feet. † The horn is joined by an orchestra.The proceeding music follows the nationalistic, proud, â€Å"American† music style of Aaron Copland – Bernstein again shows the listeners where his own compositional influences come from. The grand performance of the theme suggests the unity of the union members standing up to the mob bosses. The theme also can suggest the courage held by the longshoremen as working citizens of American society. Leonard Bernstein was a musical genius in many different aspects. It is kind of a shame that â€Å"On the Waterfront† was his only original film score – even â€Å"West Side Story† was later adapted for film.His intelligent use of various themes coupled with his great sense for rests in the score create a mood that sucks the viewer into the world of Terry Malloy. His careful decisions concerning where to place the silences also help to surprise the viewers in a way that is conducive to the film; the viewer can’t help but wonder what will happen next. It is no wonder that Bernstein’s scoring for â€Å"On the Waterfront† was held in high esteem by the very composers that inspired him.

Saturday, September 14, 2019

Nursing Home vs. Home Health Care Essay

INTRODUCTION Either young or old, we love our family members dearly, and disabilities does not focus on a specific age group. We would love to feel assured that they are being taken care of the best way possible. As we all know, time does not allow us to take care of them ourselves, with business to tend to of our own, it makes it almost impossible. There are a few options to assist with this matter, but making the best choice is always in our best of interests. NURSING HOMES Nursing homes are facilities that provide high levels of care assisting elders and even young people that are temporarily or permanently disabled. There are several options that you can refer to for payment method. Medicare is an option. Medicare is a national social insurance program, administered  by the U.S. Federal government since 1966, it is currently using about 30 private insurance companies across the United States. You can also pay through your private insurance company, as well as out of pocket. Within a nursing home facility, they will be assisted with all of their ADLs. (Activities of Daily Living is a term used in healthcare to refer to daily self-care activities within an individual place of residence, in outdoor environments or both.) In this facility, they will interact with their peers, medical professionals, as well as others when visiting. They will have continuous care around the clock including routine vital signs. Vital signs includes the blood pressure, temp erature, heart rate and respirations. With the option of being able to choose a nursing home, there are a few factors in which you might need to consider. One factor is the ratio of CNA’s (Certified Nursing Assistant) to the residents, the ratio might not match the entire time accordingly to state requirements. According to Abbasi and Rudman, medical literature has continued to identify many clinical problems occurring within nursing homes. With this being said, there is a possibility that the patient will not have the required undivided attention that is necessary, because the aide will have several others to tend to as well, the aides time will be limited with each patient, especially if an emergency occurs within the facility. Due to other situations that occur within the nursing home, aides will not have the time to make sure each resident consumes their proper fluids and nutrients which are essential to daily intake. Malnutrition and dehydration are the main issues that affect the patients most of all, because of lack of the proper nourishment and fluids can lead to rapid skin breakdown and a quick decline in the health status. The patient will also be more prone to infections. Depression is an issue the family member will be faced with as well. Being stripped from everything you know is a heart wrenching experience of its own, which can lead to stress that will also affect their health. The wrong medicine given to the wrong resident is another issue. With all the patients that the nurse have to deal with on a daily basis, juggling them can result in such mistakes. Being understaffed can result in a many of mishaps. A majority of these mishaps can be avoided with the proper attention. The more you think about it, one on one attention is very important to ensure the safety and  well-being of your loved ones. HOME HEALTH CARE Another option when it comes to providing care for your loved one is home health care. This option allows the aide to assist your family member within their home. Home health care provides plenty of one on one attention, and allows the aide to focus entirely on the patient and the patient’s needs. This option can also be covered by Medicare, your private insurance company or out of pocket pay as well. The need for home health care is greater than ever. You will be able to choose the healthcare provider, which not only eases the mind of the guardian but it is also affordable, being that you are able to set a wage that is comfortable enough to meet the guardian’s or the relative needing assistance means of income. Who wouldn’t want their relatives to be cared for within the comforts of their own home? This specific kind of care will allow the guardian to feel more at ease. Even the LPN (licensed practical nurse), and RN (registered Nurse) make home visits as well. In this option, they are also assisted with activities of daily living. The one on one attention is the only attention your loved one will receive and is a repeated occurrence versus that of a nursing home. Vitals signs are also checked in this method of care. Another positive factor in this method is that there is a high possibility that the aide can develop a great relationship with the patient, which will allow the patient to feel more comfortable. The personal relationship can benefit the patient and the patient’s family greatly. This can also help the aide to pin point any improvements and odd changes in the patient’s health. Being that they are in a well-known environment, they are more likely to do for themselves more, rather than depending on the assistant they will be provided at a nursing home. Medical literatures has identified that a family member that is allowed to be cared for in the comfort of a familiar environment is less likely to become depressed. The one on one attention will guarantee the proper care for your loved one. Your family member will feel that sense of independence, which helps them emotionally as well as physically. CONCLUSION When it comes to ensuring the well-being of our loved ones, we have to weigh out the positive and negative in order to come up with the best choice possible. One on one attention that can truly assure the proper care that our loved ones need and deserve is definitely a positive factor. Just the idea of knowing that our loved ones are well taken care of is a gift within itself. At the end of the day, it is about family, their health, and how we can keep them in our lives longer. REFERENCE Abbasi, ., & Rudman, . (1994). . , (). (1996, August). . The New England Journal of Medicine, (335.5), 324-329. D, M. (). What is a Nursing Home?. , _Volume 5_(), p. 410.

Friday, September 13, 2019

The Currency of Kenya Essay Example | Topics and Well Written Essays - 750 words

The Currency of Kenya - Essay Example An emerging market is those countries that have their cost of labor, either direct or indirect, low as compared to other countries cost of labor. This means that emerging markets have cheaper labor compared to wealthier nations. The wealthier nations have their labor cost high; hence investment in the wealthier countries is expensive. When wealthier nation invests in the emerging market, they spend less in their expense on the labor. They move fast to take advantage of the readily available cheaper source of labor. They invest in these emerging markets, capitalizing on their profits because they will spend a little amount of foreign currency on the labor. The emerging markets provide cheaper readily available labor, hence wealthier nations move quickly and invest in the emerging markets (Commission). The currency of Kenya exists as Kenyan shilling. Kenya offers to investment opportunities to the US government. Kenyan economy is moving to an open economy from a closed one. This ensures a stronger and a more stable economic prowess. An Exchange reform ensures a stable economy. When the US invests in Kenya, the Kenyan Shilling will be stable hence growing the economy to a greater height, hence attracting more investment. Sound political and economic environments attract investors. Foreign donations by the World Bank, IMF, and other world organization increase the confidence of other nations investing in Kenya (Commission). The spread return: this is the total amount the investor is expecting to get a profit from the investment. Investors risks by investing in foreign countries. Investors will invest more in a country when they ascertain more returns than when they invest in their country.

Thursday, September 12, 2019

Motel Essay Example | Topics and Well Written Essays - 1500 words

Motel - Essay Example In the report, there is a summary of the issues that cropped up in the scoping process, some of which need to be addressed in the full AEE. Some of the relevant issues for consideration include environmental impacts such as pollution, legal considerations and accessibility. In case of any queries, kindly contact the person undersigned. Sincerely, _____________ Department Manager, Engineering Section. Development of the waterfront hotel in Dunedin: Scoping Report Introduction Purpose and need The scoping process is necessary for identification of various issues such as land, conflicts the environment, ecological issues, cultural issues, health issues and social issues. In order to have a viable scoping report, it was essential that various public meetings were held. The scoping process is more so important in that it identifies all the relevant issues. Such issues stem from the introduction of information or some changes in circumstances. Addressing of the environmental impacts is als o essential due to various concerns that may arise. It can also be relevant to address that might need realignment due to new information. Planning area The proposed project is the building of a 27 storey, five star hotels on an unused section of industrial land. This land is located near Dunedin at 41 Wharf St. This report will be a documentation of the scoping process for the development of the hotel. The scoping report will include the process and an overview of issues realized in the scoping process. Scoping process and limitations Being the first stage in any planning process, scoping largely involves public input in the identification of issues, provision of the requisite resources and any other information, and development of criteria for the planning process. This process is required for the development of an EIS for determination of the scope of issues related to the proposed feat lime the building of the hotel. With such, issues relevant for the management of the area are identified, including those that call for more considerations. This process requires a lot of public input. There were some limitations, however, that came up in the scoping process for the building of the waterfont hotel. Public involvement was limited by the time scheduled for scoping. In order to have a fully representative report, it was essential that the process was accorded more time, for more involvement of the public. Discussion of issues Environmental impacts Among the key considerations the constructors must make include the effects of the facility on the environment. The environment is a primary factor that every construction project must make. Pollution may result either from the construction process or from the completed structure. The constructor must thus consider such with the view of minimizing the effects of pollution. The site for the construction of the twenty seven-story hotel is an unused park. This implies that the park that overlooks a water body is idle thu s open for development. However, people live in the area around the park in both private and public formal settlement structures. The height of the perceived structure demands a deeper foundation. The presence of a water body just within the land may imply that it is a wetland a feature that may affect depth of the foundation thus the height of the hotel by extrapolation. The architecture must consider

Wednesday, September 11, 2019

Cash rate, loan rate, equity funding Essay Example | Topics and Well Written Essays - 1000 words

Cash rate, loan rate, equity funding - Essay Example This can be attributed to the increased cost of debt funding for the major banks in Australia. Study of major banks’ fund composition shows that the banks are shifting their focus towards deposits and long term borrowings more and there has been a decline in share of short term debt in banks funding. Amongst others, higher deposit rates have contributed significantly towards increase in debt funding costs for banks. Although the share of equity has also increased in the banks’ funding composition but it has not contributed much towards changes in housing loan rates, since they are less risky. Until recently, in 2011, the spread between standard housing loan rate and cash rate has reduced by about 10 basis points due to the increase in discounts offered by the banks on new mortgages, but it’s only a small reduction compared to the overall spread. Table of Contents Table of Contents 3 Widening of the spread between the major-banks standard variable housing loan rat e and the RBA’s cash rate since 2007 4 RBA’s Cash Rate 4 Variable Housing Loan Rate and Cash Rate 4 Composition of Banks’ Funding 5 Cost of Debt and Equity Funding 5 Pricing for Risk and Banks’ Housing Loan Rates 6 Conclusion 6 List of Graphs 7 References 10 Bibliography 12 Widening of the spread between the major-banks standard variable housing loan rate and the RBA’s cash rate since 2007 RBA’s Cash Rate The key objective of RBA’s monetary policy is to lower the inflation rate, targeting around 2 to 3%. Other objectives of RBA’s monetary policy include low unemployment rate and maintaining a stable growth of Australian economy. Cash rate is the primary tool which is used by RBA to regulate the monetary policy in the country. It increases target cash rate when the inflation pressure is in excess of the RBA’s target and it decreases the target cash rate when the economy can grow at a faster rate without creating any infla tion problem (Lowe, 1995, p. 3-15). If we look at the history of RBA’s cash rate, it can be inferred that there has been a steady increase in cash rate from 2007 till mid 2008, which was the beginning of Global Financial Crisis (GFC). Then there was a sharp decline in cash rate during the period of mid 2008 till April, 2009. The cash rate was as low as 3% and continued to be so till September, 2009. Since October, 2009, there had been a steady increase in cash rate (Graph 1). Until recently there had been minor cuts in cash rate and is at 4.25%, as of today (RBA, n.d.). Variable Housing Loan Rate and Cash Rate The trend of standard variable housing loan rates is believed to follow the trend of cash rate. It is so because the household cost of funds are driven by the cash rate. If we compare the standard variable housing loan rate with cash rate, we find an overall strong correlation between these two rates over the years but with some anomalies in between (Graph 2). If we wat ch closely, it can be found that there has been an increasing spread between the major bank’s standard variable housing loan rate and the cash rate since 2007. This increase in variable housing loan rate by major banks relative to the cash rate can be attributed to the increase in bank’s cost of debt funding. In addition to this, higher equity funding costs and increase in expected losses have also attributed to this widening of spread between the two rates. Until recently, in 2011, the spread has reduced by about 10

Tuesday, September 10, 2019

Factors affecting mortgage interest rates Essay

Factors affecting mortgage interest rates - Essay Example As far as the business world is concerned, people have ventured into many different ways of acquiring capital as well as property. They have gone as far as borrowing money from financing institutions as loans which they commit their real property as security. Mortgage financing institutions as a capital market has since.Mortgage is money borrowed as loan from mortgage institutions to finance real property acquisition. It is usually paid back in specified periods, installments and interest rates. There are several factors that affect these mortgage interest rates in any given transaction and they vary from one financial institution to another. Us government debt is whereby the government raises funds from the public through issuing of debt instruments to finance its projects and debts. Treasury bill rates are defined as a short-term debt instrument of one year or less issued by the government to raise money from the public. After the maturity period, the government will pay back to th e bill holder by selling him or her at a discount as matter of fact when the treasury bill interest rate increase, the mortgage interest also increases because the debt instrument encourages buying more security for the benefit of the prevailing rates. Money in circulation will hence reduce due to its demand and so fewer funds are available to facilitate property acquisition, this therefore forces the financial institution to raise mortgage interest as they are in high demand.... reases the public will invest more on the debt instrument and consequentially the mortgage interest rates increases since there will be high demand for funds for property purchasing Treasury bonds are long term debt instrument issued by the government to the public. They are issued to a period of 30 years with interest being paid quarterly to the bondholder. If the interest rate is low the public will be mean to invest on them and hence mortgage interest rate due to the fact that demand for money to finance mortgage is low. Factors arising from Federal Reserve board. Federal reserve board is a government run board to oversee the banking system in US. Federal fund rates affect the mortgage interest rate. These are rate charged on loans that are given by depository institutions overnight These interest rates lead to increase in mortgage interest rates in that for example if a depository institution lends money to another, it has to charge a certain interest. Then the receiving institution has to raise its interest rates when lending money to the public so as to offset the interest charged by the other financial institution. To effect this, the New York foundation development governs all these transactions. Federal discount rates are interest rates charged to commercial banks as well as other depository institutions for money they receive from other financial institutions operating within the Federal Reserve. These rates are usually above the prevailing market interest rates. The mortgage financial institutions, which in this case are the commercia banks, and the depository institutions will have to increase the interest rates to their clients due to the fact that they have to recover the Federal

Monday, September 9, 2019

Screening for early detection of Colorectal Cancer Research Paper

Screening for early detection of Colorectal Cancer - Research Paper Example The condition in its early stages may not be noticed by the person concerned, but can be detected in a number of ways. The United States Preventative Services Task Force recommends that every citizen aged between 50 and 75 be tested, thus prolonging the lives of 60 % of those affected. Those over this age can request a test. Detection can be done by testing stools for the presence of blood. This is done either using the chemical guaiac or by seeking for antibodies. Somewhat more invasive is a sigmoidoscopy, i.e. the lower bowel is examined using a flexible tube. A colonoscopy is a more extensive version of this, but searches the whole colon and may involve the removal of any suspicious polyps. This would normally be a follow up to other tests. In some cases a barium enema is used and the results x-rayed. In some cases a complete stool is sent for analysis. There is continued research on this topic. Pertinent issues to the delivery of healthcare raised by this topic. Because this cond ition is so prevalent in American society it is important that as much as possible to cut its incidence and severity as a life threatening condition. This can be done be early detection so that any polyps can be removed before they become cancerous. Therefore it is necessary that all those aged 50 – 70 have regular checks – perhaps every two years. If this is to be achieved the subject will need publicity, education, central organization and funding. Another area that requires public education would be in the area of diet. Americans tend to consume a high fat, high dairy food diet. Something similar to the ‘5 a day’ campaign in the United Kingdom . ... Something similar to the ‘5 a day’ campaign in the United Kingdom - that is the promotion of the idea that everyone needs to eat at least 5 portions of fruit and vegetables each day. ( NHS Choices , 5 a Day). Putnam, Allshouse and Kantor (2002) report a huge jump in average calorie intake within the United States over the last 25 years, this despite a recent tendency to use lower fat options. According to a report cited by Barone, (2007) those with colon cancer who ate a healthier diet, i.e. one based upon fruit, vegetables, poultry and fish, stand a better chance of total recovery than those who continue to consume lots of red meat, fats, refined carbohydrates, fat and sugar. The latter have a higher chance of the cancer recurring according to a study by Meyerhardt. Government Involvement In 2010 the NIH Consensus Development Program, part of the United States Human and Health Services, produced a statement entitled ‘Enhancing Use and Quality of Colorectal Cancer Screening.’ This document covers such things as trends in screening and how this might be improved. It considers such things as how screening can be monitored and what research is required and so indicates that this topic is one of concern to government agencies. The aim was ‘To provide health care providers, patients, and the general public with a responsible assessment of currently available data on enhancing use and quality of colorectal cancer screening.’ In 2004 the American Food and Drug Administration approved new treatment for advanced colorectal cancer. However more new treatments have since become available and require assessment and acceptance. Literature National Center for Biotechnology Information, U.S. National Library of