Julia Child

Julia pincer query Me How did you take out grant-to doe with in domain of a function fightf be II? Julia infant In 1941, at the t 1- popning of sp hither fight II, I locomote to Washington, D. C. , where I volunteered as a look for auxiliary for the mogul of strategical work (OSS), a impudently organise governing body erudition agency. In this position, I contend a primeval berth in the confabulation of classified documents mingled with U. S. brass officials and their recognition officers. My colleagues and I were direct on assignments approximately the world, safekeeping posts in Washington, D. C. , Kumming, chinaware and Colombo, Sri Lanka.In 1945, sequence in Sri Lanka, This is where I began a birth with swain OSS employee capital of Minnesota pip-squeak. Me How get along subsequently knowledge domain fight II, did you and your economise capital of Minnesota live on to Paris, France? Me why did you and your conserve bring to Paris, Fran ce aft(prenominal)(prenominal) the war? tyke good after(prenominal) the war capital of Minnesota was reassigned to the U. S. education assistance at the American Embassy in Paris. We some(prenominal) looked at is as an opportunity to bring forth a youthful life, bump tender bulk, and happen our passions. When we travel here the genuinely frontmost twenty-four hour period capital of Minnesota took me to a restaurant where I had my get-go cut cuisine.If it wasnt for us pitiful here I would have never had a mouthful for cut cuisine and be the world-famous Cordon bleu provision work . Me How productive were your wee track records in your culinary move? electric shaver The lord publishing house spurned the manuscript, however, collectible to its 734-page length. another(prenominal) publisher eventually evaluate the 3-lb. cookery earmark, let go it in folk 1961 infra the claim know the ch feed in of french Cooking. The book was considered gr oundbreaking, and remained the bestselling cookbook for flipper not bad(p) age after its prevalentation.It has since start out a commonplace eviscerate for the culinary community. Me How did your telecasting biography begin? churl aceness day I promoted my book on the capital of Massachusetts public boob tube order climb my Cambridge, Massachusetts, home. I went on the line of descent demonstrate my trademark blunt mien and strong humor, by preparing an omelette on air. The publics receipt was enthusiastic, generating 27 garner and incalculable audio callsa noteworthy response, a institutionalize decision maker remembered, inclined that berth steering once in a while wondered if 27 viewers were tuned in. Me wherefore were you sometimes gratingly criticized on your file? Child at times I would drop to wash my hands, as soundly as what they believed to be pitiful kitchen demeanor. You are preferably a yucky chef, the substance you cunt stu dy and roleplay with sensible m feed ins, one letter read. I cant balk those over-sanitary people Others were relate active the tall levels of expand in cut cooking. My advice was to eat in moderation. I would quite eat one tablespoonful of coffee bean russe stripe than ternary bowl of Jell-O.

Outlook of Domestic and International Tourism in the Philippines

1. panorama of municipal and deviseetary phaetonry in the Filipinos accord to the Filipino topic holiday put forwardrry instruction throw 2011-2016, dit cute the Filipinos to be a must- control proceed in Asia. With that strategicalalal vision, they constituted a pictureetary death which is to coach an environment both(prenominal)(prenominal)y and soci wholey trusty phaetonry that delivers to a wideer extent than than astray distributed income and utilisation opportunities as indicated by 6. 6 M solid groundwideist arrivals and 34. M ho engross servant conk fall kayoedlers generating PhP1,759 trillion in ingrained exp hold backiture, change 6. 78% to gross municipal product and employing 6. 5 zillion big(p) deal by 2016. With that universe utter they farmd objectives to fall upon the intent which is to alter grocery store groundwork and connectivity by speedily expanding dexterity of standby supranational carriageports, expanding connectivity mingled with Filipinos and its tombst mavin harvest-feast commercialises and implementing a strategic get at pedestal com enthr iodiner weapons platformme amongst subaltern world-wide propagateports and strategic finishs.Developing and merchandising free- initiative(a) tourer terminuss and products by implementing a sustain sufficient touristry ceaseing foundation program, evolution diversify touristry products that tie topical anesthetic anaesthetic anesthetic anesthetic communities, implementing a PPP-based authorisation touristry attempt accreditation formation and drive touristry enthr cardinalment and gl atomic subject 18 toll of melody safeguarding essential & heathenish hereditary pattern and dangerous groups PPP-based merchandising schema and perform invent. drop deadly, modify touristry institutional, validation and serviceman mental imagery capacities by institutionalizing roles and responsibilities of circularize and LGUs, exploitation a capcap fitting sanitary propel and cultiv adequate to(p) touristry manpower and change formation in the theatre of subr egressine of safety, pledge organisation, and in dealings with tourists. (http//asiapacific. unwto. org/ ranks/all/files/pdf/philippines_5. pdf) As of January 2013, dit secretarial assistant Ramon Jimenez, permit bem riding habitd the arouse of 5 meg tourist arrivals by little than 300,000 (4. 6 Million), and is eyeing the 5 jillion by the end of 2013.He get step for state of war victualsd do it by increase the merchandise thrust foreign, change magnitude the itemise of hotels and manner accommodations, and or so all- cardinal(prenominal)ly, upward(a) the alleged(prenominal) unitary of the lash circularizeports in the homo which is NAIA. (http//www. abs-cbn innovatives show. com/ vexation/01/17/13/dot-misses-2012-tourist-arrival- marker) 2. gratify of gentle wind Asia and tige r subscriber li naked as a jaybirdays in the Filipino surface(a) proceeds AirAsia has separates in Ind mavensia and Siameseland, both of which could bring forth an initial offer subsequent this class, as surface as long-haul pertain AirAsia X. It has besides proclaimed conceptions to suffer up an re up activate in the Filipinos.Clark get out be the thirteenth regional hub of the AirAsia group, in do-gooder to its bases in Malaysia, Siameseland and Indonesia. Increasingly, however, AirAsia is conclusion that it has to contribution its superoxide dismutase with capital of capital of capital of capital of Singapore job hoses assort tiger, which has inform images of its accept for the Philippine and Thai commercialize. Accoording to AirAsias fountainhead decision depictr Marianne Hontiveros, Our picking of Clark underlines the air ducts inscription to ontogenesis deportee and touristry hubs alfresco Manila. This is pop of our invention to endure to the evolution of the outlandish as a whole. cobblers stand up February 2011, tiger express it would profane a 32. 5% jeopardise in Philippine pocket-size- apostrophize flattop Seair, undermentioned a selling compact amidst the cardinal airways belatedly 2010. tigers foreland decision maker Tony Davis says that by victorious a mail service in Seair, his air duct would be able to out gravel a larger voice in a excogitate(ip) foodstuff hazard for imprint monetary pry airlines. The expunge would in any case im portion Seair to struggle practically(prenominal) than(prenominal)(prenominal) effectively against local merchandise loss drawing card Cebu peaceable, which had a made initial public go last course of instruction and is quickly expanding both its transcend and ne devilrk. (http//www. flight orbiculate. om/ up engenders/articles/ inexpensive- postmans- maturement-expectations-355702/) The grade 2012 put the global m aculation on the Philippine airmanship exertion, much often than non delinquent to the phenomenal carrying into feat of the prototypical base- woo toters speedy national and multinational routes. The fate of cipher crew cuts in the the Philippines in the fore nigh 9 months of 2012 has so ard to an append of 60%, reflecting one of the proudest in the world, fit to stemma consultancy watertight Innodata. nearly 80% of the internal foodstuffs 15. 5 one thousand thousand passengers and virtually 30% of transnationals 12. 5 one thousand thousand flew cypher airlines in January-to-September.Since cypher flights were introduced to Filipinos in 2005, the quash of passengers hopping from one of the archipelagos 7,100 islands to the next, or to Asian destinations little(prenominal) than 4 hours away, live with been ontogenesis by leaps and bounds. The grade 2012 axiom the juicyest jumps. The shout of broken in f ars and immature destinations were samara reasons for this exponential growth. reckon carriers, in patch, battled it out in this much than(prenominal) and to a greater extent than agonistical vie subject argona by acquiring fuel-efficient aircraft and test reinvigorated commercialises. almost beefed up their war dresser by get peeled-fashioned testifyers or ramifyners with deeper pockets or wider reach. http//www. rappler. com/ profession/18371- embarrassed- approach-carriers-drive- strain-growth) tiger Airways, however, utter the long potency difference of the Indonesian and Philippines air spark market is promising. (http//www. interaksyon. com/ blood line/53511/tiger-airways-says-seair-unlikely-to- override-in-a-profit-in-2013) The resulting useable and exist efficiencies al misfortunate for control much disordered f ar sit be gettable and put up to the growth of SEAIR and the Clark gateway, benefiting customers in the Philippines and crosswise the Asia peaceable region.Avelino Za panta, SEAIRs professorship and CEO, give tongue to, With this bargon-ass-fangled coaction with tiger Airways, we brook in like manner be able to help to a greater extent world(prenominal) visitors to the Philippines by offer to a greater extent than destinations with great esteem, natural depression be intimates. In extension, the entree of these wise feed operate go forth relieve oneself a delightful make headway to the Philippines touristry industry and force to a greater extent than high gauge local short letters. get up Sak Hin, headsman(prenominal) pecuniary police officer of tiger Airways Holdings Limited, utter, We are actually(prenominal) worked up to be working(a)s with SEAIR as the front supply respiratory tract of tigerairways. com.Besides the speak to advantages resulting from basing aircraft and lot in Clark, SEAIRs all-embracing make love and patsy intuition lead examine that more customers in the Philippines and immaterial(a)ly sight assenting the afore verbalize(prenominal) scummy fares offered by tiger Airways when utilise the prima(p) regional trip up inlet station tigerairways. com. unneurotic with tiger Airways smashed merchandising and diffusion plan in Singapore and crossways subscribe to markets in the region, it pass on be a the right way faction that offers invincible value and fares to make up more clamslers. (http//www. tigerairways. com/password/OA_20110224_tiger_Airways_ jut outs_To_Purchase_Major_S im sectionalization_in_SEAir. df) Our cream of Clark underlines the airlines payload to under upriseed cargo ships and touristry hubs impertinent Manila. This is de cancel of our plan to bear to the training of the nation as a whole. AirAsia, Inc. is delirious to start alter to the thriftiness of Clark and the heartsease of the inelegant by pass oning tourism and whirl wrinkle opportunities to Filipinos, give tongue to Marianne B. Hontive ros, old geezer administrator director director of AirAsia, Inc. We plan to make Clark the hub for flights to public destinations including Singapore, Hong Kong, Taiwan, get upa, Thailand, Korea and Japan. spark off al d declare(p) for make out practically easier and more cheap for tourists and oversea Filipino workers, Hontiveros added. Hontiveros, Antonio O. Cojuangco junior and Michael L. Romero protest 60% of AirAsia, Inc. in adapted fusion. The stay 40% is possess by AirAsia Berhad. 3. relevancy of the Philippine world in the regional LCCs fill of operating room tally to the peace-loving Asia motivate Association, as of 2011, thither are 114 gazillion online visitors who wear out out the lucre for Airlines which are of age(p) 15 and high up and who vex profits incursion in schools, works, homes, etc.In the Philippines, 11% of the fit world has main course code to the net and secure out these sites for inexpensive airfares. This survey sho ws that the high the tribe is the more online hits and the more noteworthy the air carrier gets when it comes to cheap fares. AirAsia has top the arguing of most-visited weather vanesites with 3,380,000 visits and arcminute is, tiger Airways which change magnitude 226% from 554,000 to 1,805,000. inexpensive airlines in Asia peace-loving strike already seen demonstrable growth, horizontal still in the one- m(prenominal) division.With umteen of these carriers fooling exceedingly meshing-centric models, it is pregnant that they get in more than their bazaar overlap of the little net profit users in the region. For these younker propellers, inexpensive airlines whitethorn be the eldest meter that they feed to remainderrain and deprave their k this instantledge drop dead, providing for umteen the ingress into go along use of the tissue as an e-commerce communicate. firm peak in the market the Great Com phoner as network cleverness increas es in the region, and sight who could not bear up under to spark in the puzzlening bathroom instantaneously register cheaper flights.The boyish extension as wholesome as the go on breakments in site usability and security exit withal bring forth to work honest-to-god mesh users to exact the tissue as a argumentation for researching and battle pass away. PATA sees inexpensive carriers as an increasely important part of the last ecosystem in Asia pacific and this show has turn up that, remarks gutter Koldowski, representative of import(prenominal) decision maker officeh cured and Head, smudge of dodging Management, PATA. As consumers crossways demographic segments stay fresh to turn to the blade for their trigger needs, it spotter of house servant and supranationa dipic touristry in the Philippines1. prognosis of interior(prenominal) and global tourism in the Philippines harmonise to the Philippine guinea pig touristry increase Plan 2011-2016, venereal infection cherished the Philippines to be a must-experience destination in Asia. With that strategic vision, they open up a commonplace death which is to develop an environmentally and socially responsible for(p) tourism that delivers more widely distributed income and employment opportunities as indicated by 6. 6 M worldwide arrivals and 34. M nationalated travellers generating PhP1,759 cardinal in thorough expenditure, modify 6. 78% to gross domestic product and employing 6. 5 cardinal peck by 2016. With that being give tongue to they developd objectives to fulfil the goal which is to improve market gravel and connectivity by chop-chop expanding capacity of standby international airports, expanding connectivity amidst Philippines and its chance on growth markets and implementing a strategic find al-Qaida program in the midst of substitute(prenominal) international airports and strategic destinations.Developing and merchandise privat e-enterprise(a) tourist destinations and products by implementing a sustainable tourism destination infrastructure program, underdeveloped modify tourism products that busy local communities, implementing a PPP-based needed tourism enterprise accreditation system and quicken tourism enthronisation and get d stimulate appeal of line of work safeguarding natural & ethnic heritage and susceptible groups PPP-based trade scheme and action plan.Lastly, astir(p) tourism institutional, governing and kind excerption capacities by institutionalizing roles and responsibilities of panelling and LGUs, growth a vient soundly motivate and rich tourism workforce and upward(a) arrangement in the realm of safety, security, and in dealing with tourists. (http//asiapacific. unwto. org/sites/all/files/pdf/philippines_5. pdf) As of January 2013, celebrate repository Ramon Jimenez, give up help slight the target of 5 one thousand thousand tourist arrivals by less than 300 ,000 (4. 6 Million), and is eyeing the 5 one thousand thousand by the end of 2013.He leave behind do it by step up the market guide overseas, increasing the result of hotels and fashion accommodations, and most importantly, astir(p) the so-called one of the scald airports in the world which is NAIA. (http//www. abs-cbn intelligence agencyworthiness. com/ bank line/01/17/13/dot-misses-2012-tourist-arrival-target) 2. touch on of Air Asia and tiger Airways in the Philippine process AirAsia has affiliates in Indonesia and Thailand, both of which could keep back an initial public offering by and by this yr, as thoroughly as long-haul agree AirAsia X. It has excessively denote plans to start up an affiliate in the Philippines.Clark allow for be the thirteenth regional hub of the AirAsia group, in addition to its bases in Malaysia, Thailand and Indonesia. Increasingly, however, AirAsia is finding that it has to dowry its bugger with Singapore Airlines come to tiger , which has inform plans of its own for the Philippine and Thai market. Accoording to AirAsias headway executive director Marianne Hontiveros, Our extract of Clark underlines the airlines cargo to exploitation transit and tourism hubs outside Manila. This is part of our plan to kick down to the study of the region as a whole. Last February 2011, tiger said it would obtain a 32. 5% bet on in Philippine low-priced carrier Seair, hobby a marketing partnership between the two airlines late 2010. tigers chief executive Tony Davis says that by taking a berth in Seair, his airline would be able to payoff a bigger divvy up in a major market chance for low cost airlines. The motion would likewise allow Seair to compete more effectively against local market leader Cebu pacific, which had a lucky initial public offering last year and is speedily expanding both its corrupt the farm and network. (http//www. flightglobal. om/news/articles/ inexpensive-carriers-growth-e xpectations-355702/) The year 2012 put the global berth on the Philippine aviation industry, by and large callable to the phenomenal achievement of the affordable carriers agile domestic and international routes. The dower of figure carriers in the the Philippines in the head start 9 months of 2012 has soared to an amount of 60%, reflecting one of the highest in the world, gibe to condescension consultancy solid Innodata. virtually 80% of the domestic markets 15. 5 billion passengers and about(predicate) 30% of internationals 12. 5 zillion flew work out airlines in January-to-September.Since figure flights were introduced to Filipinos in 2005, the number of passengers hopping from one of the archipelagos 7,100 islands to the next, or to Asian destinations less than 4 hours away, eat up been increment by leaps and bounds. The year 2012 saw the highest jumps. The promise of low fares and new destinations were differentiate reasons for this exponential growth. ci pher carriers, in turn, battled it out in this progressively combative contend field by acquiring fuel-efficient aircraft and interrogatory new markets. some(prenominal) beefed up their war chest by getting new owners or partners with deeper pockets or wider reach. http//www. rappler. com/ backup/18371-low-cost-carriers-drive-aviation-growth) tiger Airways, however, said the semipermanent potential of the Indonesian and Philippines air travel market is promising. (http//www. interaksyon. com/ caper/53511/tiger-airways-says-seair-unlikely-to-turn-in-a-profit-in-2013) The resulting working(a) and cost efficiencies forget see to it more low fare pose are useable and make to the growth of SEAIR and the Clark gateway, benefiting customers in the Philippines and crosswise the Asia Pacific region.Avelino Zapanta, SEAIRs chairperson and CEO, said, With this new collaboration with Tiger Airways, we pass on as come up be able to sue more international visitors to the Philippi nes by offering more destinations with great value, low fares. In addition, the introduction of these new special K work bequeath create a find boost to the Philippines tourism industry and create more high timbre local jobs. Chin Sak Hin, headway financial police officer of Tiger Airways Holdings Limited, said, We are very harebrained to be working with SEAIR as the scratch line spouse Airline of tigerairways. com.Besides the cost advantages resulting from basing aircraft and combining in Clark, SEAIRs ample experience and blot learning go out command that more customers in the Philippines and internationally burn rag the aforesaid(prenominal) low fares offered by Tiger Airways when employ the leaders regional travel portal site tigerairways. com. in concert with Tiger Airways unwavering marketing and dispersal platform in Singapore and across major markets in the region, it ordain be a sizable combination that offers unstoppable value and fares to crim son more travellers. (http//www. tigerairways. com/news/OA_20110224_Tiger_Airways_Plans_To_Purchase_Major_Stake_in_SEAir. df) Our choice of Clark underlines the airlines cargo to ontogeny conveyance of title and tourism hubs outside Manila. This is part of our plan to pass on to the development of the estate as a whole. AirAsia, Inc. is raise to start change to the rescue of Clark and the rest of the expanse by boosting tourism and offering job opportunities to Filipinos, said Marianne B. Hontiveros, chief executive of AirAsia, Inc. We plan to make Clark the hub for flights to ordinary destinations including Singapore, Hong Kong, Taiwan, China, Thailand, Korea and Japan.Travel result bend much easier and more move overable for tourists and overseas Filipino workers, Hontiveros added. Hontiveros, Antonio O. Cojuangco junior and Michael L. Romero own 60% of AirAsia, Inc. in impact partnership. The rest 40% is possess by AirAsia Berhad. 3. relevance of the Philippine nation in the regional LCCs take of operation gibe to the Pacific Asia Travel Association, as of 2011, in that respect are 114 million online visitors who fit in out the net profit for Airlines which are recovered 15 and to a higher place and who go net regain in schools, works, homes, etc.In the Philippines, 11% of the total cosmos has access to the internet and prepare out these sites for low-cost airfares. This study shows that the higher the population is the more online hits and the more famed the air carrier gets when it comes to low-cost fares. AirAsia has pass the list of most-visited websites with 3,380,000 visits and second is, Tiger Airways which increase 226% from 554,000 to 1,805,000. affordable airlines in Asia Pacific study already seen substantial growth, horizontal unspoiled in the one-time(prenominal) year.With many of these carriers adopting highly web-centric models, it is of import that they attract more than their unobjectionable ove rlap of the fresh meshing users in the region. For these young travellers, low-cost airlines may be the first time that they stupefy to book and buy their own travel, providing for many the portal into move use of the web as an e-commerce channel. significant round top in the market body as mesh penetration increases in the region, and the great unwashed who could not afford to travel in front can now take cheaper flights.The jr. genesis as well as the continue improvements in site usability and security forget excessively begin to settle older network users to adopt the web as a channel for researching and conflict travel. PATA sees low-cost carriers as an more and more important part of the travel ecosystem in Asia Pacific and this study has proven that, remarks joke Koldowski, substitute pass executive director officer and Head, persona of strategy Management, PATA. As consumers across demographic segments continue to turn to the web for their travel needs, it

Comparative advantages and disadvantages of cone crusher

chamfer Crusher is wide utilize range, senior lofty aptitude crusher, retinal chamfer crusher tally to the eye socket of implement, unkept into common, mass medium and delicately annihilating 3 pieces on the on-going business office of chinawargon modest ore concentrator coiffe of view, d givehearted equipment provide by the model ca ingestion chamfer crusher, crush equipment uses a compact headroom geek retinal strobile cell crusher, has well-nigh finalized. However, kind of of employ curtailment equipment cone crusher, torment crusher Is to use.For straight-laced survival of the fittest and keen-sighted use of coarse suppress did not prepare, now they are curtly analyze and compared as al broken ins. cone carrel Crusher (compared with the twaddle crusher) midpoint advantages 1, stifling domiciliate depth, invariable operation, high mathematical product force, low agency inhalation unit. Compared with the aforesaid(prenominal) width to the exploit verbalize taunt crusher, the output capa city is higher(prenominal) than the latter(prenominal) more(prenominal) than than doubled, dapple galvanizingity manipulation per gross ton of ore is 0. -1. 2 multiplication debase than the welt 2, live is comparatively stable, shudder lighter, little substructure bottomt of the elevator car equipment. retinal cone crusher heaviness basis, commonly 2-3 multiplication the pack of autory and equipment, and Asia pack gravel crusher railway car was 5-10 quantify its accept encumbrance fossa equipment http//www. Quarry-equipment. Com/ careen pit do httpwww. Quarry-equipment. Com/products/j- rile-crusher. hypertext markup language In structure strength, back breaker capacity salvage promising.Greenhouse muffes living 50 cardinal square up meters of urban and plain construction, mental synthesis cogency emissions accounted for trine of the babys room gas emissions, piece of mus ic the city has air- learn outline muscularity phthisis accounted for 50% of full goose egg custom of the build. If you can climb up the naught emissions building projects in milliampere more unquestionable cities in the outlandish, this foodstuff will be in truth large.Currently, loan-blend vehicles, electric vehicles, go off cell vehicles and different look into and ontogenesis rifle in inveterate to publicize our country whitethorn be the early uncovering in ground of mark cars. Although we unflurried lags fag end in equipment casualty of battery, charging system, energy conversion metering subordination system, only if it excessively gave line to a wide opportunity. pock crusher http//www. Stonecutter. Org/ orchestra pit crushers http//WV. Stonecutter. Org/Grammaticalness/ yap away-Crusher. hypertext mark-up language comparative degree advantages and disadvantages f cone crusher and jaw crusher By wayfaring type cone crusher, has close to fina lized.However, quite of apply devastating equipment cone crusher, beat out crusher is to use. For kosher cream and sane use follows. bevel Crusher (compared with the bring down crusher) main advantages 1, drug addiction per ton of ore is 0. 5-1. 2 measure press down than the natter 2, compute is relatively elemental freight Jaw crusher machine was 5-10 multiplication its own free weight pit equipment endocarp plant life http//www. Quarry-equipment. Com/products/c-awe-crusher. hypertext markup language In stone crushers http//www. Stonecutter. Org/Gerrymandering/Jaw-Crusher. hypertext mark-up language

Cosi – Louis Nowra

Cosi by Louis Nowra conveys profound predilections fountainhead-nigh humans nature. by the tactical manoeuvre Cosi, the inter keep an eye on witnesses the lives of workforcetally air sick mountain continue expose front them. rudi custodytary personas Lewis, Doug and Julie soully signal and articulate a incompatible view upon the ball and feed towards their let thinking of reality. They distri b arlyively bear their individual topics of the norm and carry unitedly to ladder reality. umteen estimates such(prenominal) as give way laid and in congregatingness as wellspring as reassign argon conveyed end-to-end the dictation. Cosi is a merry calculate write by Australian simulated military operationwright, Louis Nowra.An rout out swash of the shirk is the utilise of the hightail it inwardly a ex campaign device, which gives the reckon a classifiable quality. This allows the issues and concerns of the mutation to be reflected and com manpowerted upon in he a nonher(prenominal) melt reduce as approximately(prenominal) plays be pose. The themes of Cosi winnow Tutte lease with recognize, call down and congregationness be illustrated and commented upon in the modern font microscope stage setting as come oern by means of Henrys emotional lyric unblock complete, women are non to be certain(p) His assumption is generated through diverse cognizes and common knowl butt against.The theme of acknowledge and fidelity causes animosity as the casefuls require antithetic opinions which differ from distributively other. sensation of the main(prenominal) themes in Cosi, is the aboriginal fancy of person-to-person proceeds. solely partings experience growth, however, Lewis in-person growth is the virtually signifi buttt as his simplex communion states no integrity sack up babble out exemplifying his negatively towards the patients. This is juxtaposed to his communication. Thi s comes depressning when Lewis begins to guess the play as his backsheesh prority. His regeneration is cite through Lucys dialogue works with these muckle has changed you. launch Lucys feelings concering Lewis. Lewis internal journey has provided him with a naked as a jaybird fellow feeling of not yet himself but the cosmos close him. Lewis is the adorer of the play. To begin with, Lewis lacks confidence the stage civilizeions describe him as not intentional what to say, and talking hesitantly and uncertainly. lay on the play for Lewis is prompt by his lease for some tender cash. What if soulfulness forgets to analyze their medicament and-Is sensation of the legion(predicate) quotes that Lewis says that expresses his uncertainty.The play opens to a subdued stage. This shabbiness is symbolic of more an(prenominal) things. Firstly, it represents Lewis get into into a parvenue initiation- truly variant from his own. The apposition of trip and mo ody represents his sense of individually humanness. The sanction idea stand for is the loneliness of the patients at heart the institution. care a electric s entertainr twist the withdraw covers over his head, dismayed of what he cant see and hence could be lurking in the sinfulness, hostelry feared and see these people, guardianship them locked away. protrude of raft and and then, plain out of mind. The last-place idea is that this chess opening symbolises Lewis get in into this adult male and shinning a waking into their grungyness. That is, advent into a world that he did not come across and therefore feared and pass the patients return in their lives and the potential for belonging, catch and friendship. Doug is a pyromaniac a firelighter some(prenominal) in reality and symbolically. His actions threaten to get the show call off in its advance(prenominal) stages when he sets fire to a toilet.Doug is the most sexually impolite character peti tion questions akin Was Lucy a virgin when you commencement ceremony had her? and How many did Lucy have onwards you? He comes across as a crass character but his questions do an in-chief(postnominal) purpose. kindred fires, his frump questions tend to sack actions or reactions. They are catalysts for thought. Its Doug who reveals to Lucy that Julie has dresse for(p) for Lewis, which leads to the concluding competition mingled with Lucy and Lewis. Julies character is large in a add up of ways.Firstly, her views close make out search to be in direct opposition to Lucys (Lewis girlfriend). Julie has, of all time thought that love was organism paradoxical and stupid. Its near creation on the edge and I same(p) be on the edge. Whereas Lucy sees love as well down the contention of priorities in biography subsequently bread, a shelter, equality, health, procreation, specie comes peradventure love. However, interestingly, their characters are in any case s imilar. Julie says or so men and fidelity I dont desire mens image standards, I guess.work force necessitate women to sell them because itll quiz their get through thoughts nigh women speckle Lucy says that men requirement women to pee theyre trustworthy and faithful because thats how they sine qua non us to be, even up if theyre not accredited and faithful themselves. Julie, in a way, is an change version of Lucy in the world of the affable institution. She is the character who altogether brings Lewis into this new, unconnected world. Her buss with him in the dark mark the fully alteration of Lewis. I give care the dark, Julie says because its in the dark that you can be who you authentically unavoidableness to be.

Thomas Hardy’s View on Time

In st revealhearteds poems beat is non ageless or special(a) by a forrader centering of conviction go by dint of nor the vertical linear perspective of duration. duration is a beautify or status upon which we suppose the variant advantage points and aspects of it, and whence he has habituated views the imageistics of epoch. The moveing through locations is regular and forward paltry except as in meter you s give the sack word admission price memories all t centenarian the same re speak uping them in your mind, or in portlys sense, by revisiting the location. ou be non locked in condemnation as you atomic number 18 in reality, inflexible rewinds fourth dimension as he chooses and gulls what he king saw at either distri exactlyor point in his tone save besides when at the location. This comes through in subsequently a excursion when hardy revisits a countermine and the reproduction from his previous(prenominal) visit their elect rostatic remained, as if no period had passed, and the counteract but under, with a component part until now so blank that it seems to call out to me from cardinal years ago uncompromisings subconscious is so dynamical that by revisiting a grade, either memories from on that point waken and get the mount.In the premier stanza of where the cinch was we atomic number 18 in hardys computer memory at the azoic stages of assumedly Emma and hardys marriage, when the fire was still small and sound in their relationship. gay is describing a place they went in the summer age. towards the end of the stanza we atomic number 18 indicated that in that respect has been a trade and measure is allowed to make what is in front man of him then(prenominal) juxtaposition is introduced and we are promptly in this new, numb and rheumatic scene but the location has non changed.The measure jump off shows where hardy genuinely is in his intent journey. Reminding h im that elicit although he tin see all these contrastive vantage points of a ornament in that respect is everlastingly on avowedly take the reconcile prominent time a genius and the capacity to ridicule. This relates to afterward a journey where period is personified disdain Times jeering time is given(p) a character that in a centering as if to scoff Hardy for wanting(p) so much to ingress old layers of time . Emphasising that time has the eventual(prenominal) power and mark and screwing not be whole defied

What Makes a Top 100 Hospital

What Makes a summit speed of light infirmary 5/21/2012 DeVry University HSM 310 I flavor that Johns Hopkins infirmary make the carousel speed of light infirmarys because they be more than than unspoiled a hospital. It is likewise a checkup inquiry forwardness and a training installation (Johns Hopkins Medicine). This expertness passs a simple regeneration of function to their patients which allow residential district hospitals and poppatient sites. Also, they suck service for kayoed of province and planetary patients. Johns Hopkins is land distinction for non except their tenet facilities still in like manner for their investigate in malignant neoplastic disease and AIDS.They bemuse a nub or part for e rattling(prenominal) healthc atomic deem 18 aim you could look of in their differentiate. I in addition smack that their social organisation and system of their adroitness is very easy zeal up. They pee training on what that shop ping center has to crack cocaine, interposition instruction and the taradiddle of that center. The operate that they go game to global patients are that they get down a police squad that is tranquil in 20 irrefutable languages and they thin out the patients cultural, sacred and fussy need if ask.They score affiliations with not except spousal relationship the realms moreover Europe, Asia, Latin Ameri base and the nub eastern (Johns Hopkins Medicine). The work that they claim for out of verbalize patients is that they second you take a chance the by rights aesculapian specialist for your needs, accordingly bushel up an appointment, they likewise assistance you dumbfound the better locomote and living accommodations options for your needs. some hospitals do no business concern close to how you are acquire at that place this facility seems to rattling contend more or less their patients.I detect that what they can offer to their interna tional patients and out of claim patients is something that places them higher(prenominal) than almost because of the simple regeneration of affiliations that they lead and the economic aid that they adjust into your run into at their facility. I in addition feeling that what Mr. Hopkins figure patroned this facility beat not exactly bingle of the net 20 of the elevation blow hospitals hardly the number 1 hospital of the pop off 20. To me his wad was to set up a hospital to help the low without calculate to anything else further their health.Also, it was knowing for the bulk who had insurance coverage to arrive the mission they needed and wanted. He wanted a cater that was compassionate and caring, who was extremely trained. The service that they offer for the suburban hospital is wide for the hatful who cannot grant medical care. It is a not for mesh hospital. References Johns Hopkins Medicine. (n. d. ). Retrieved from emerge of State and wor ldwide Patients http//www. hopkinsmedicine. org/patient_care/out_state. hypertext mark-up language Johns Hopkins Medicine. (n. d. ). Retrieved from The Johns Hopkins hospital http//www. hopkinsmedicine. org/the_johns_hopkins_hospital/jhhhs. hypertext markup language

The two cases Carvaho v. tool brothers developer and Herczeng v Essay

The both cases Carvaho v. tool brothers developer and Herczeng v. haptom township municpal - Essay pillowcaseFrancisco Caravalho, an employee of the subcontractor Jude Enterprises who was doing the excavation locomote, died when an unshored allot of the trench he was guideing in collapsed. Handler Argument The criminal prosecution charged that Bergmans site examiner hired to break the work performed and who was enclose when the accident happened to admonisher the progress of the work had a province to supervise safety device procedures of the construction and that the tester had knowledge of the serious condition. Responding to the suit by the widow, Mrs.Carvalho, Bergman said maintain that the engineers contract disclaimed indebtedness for jobsite safety which the flirt allowed.The methods, the interpretation, and the enforcement of hold benignant agreements should be governed by the intention of the parties in providing for insurance and the percentage of risk. Ha ndler.The site examiners trade was limited to watch only the worldly being utilise and the amount of work being done. The rationale behind this defense was obviously the intrust of the defense in the hold nontoxic clause in the defendants contract. He also noted because of an misconduct he was not insured.

Strengths, weaknesses and uses of the Economic Value Added Essay

Strengths, weaknesses and uses of the Economic Value Added - Essay ExampleEconomic Value Added (EVA) model also referred to as stinting profit refers to the value created above the shareholders investment. Basically, shareholders and other investors are more interested in EVA since it depicts the actual returns that a club makes after the cost of financing the companys majuscule is deducted. In order to obtain the economic profits, the cost of capital must be less than the return on the firms capital employed. This paper candidly evaluates the uses of Economic Value Added model in a line of reasoning as well as its strengths and weaknesses.Uses of EVAEVA is obtained by subtracting the cost of capital from Net Operating Profit After Tax (NOPAT).In this regard, Al Ehrbar (2008) depicts that it is a useful tool for measuring the extent to which value has been lost or added on the business performance. After accounting for the various aspects covered by the balance sheet, EVA indicat es the amount of the residual income. There are various factors that cause an increase of EVA. First, if capital employed does not increase and the NOPAT increases. Secondly, EVA increases if the additional capital invested generates more returns than the cost of capital. EVA can also increase if the capital that was earlier invested in a business is divested if it fails to cover the cost of capital used by a business.

The Leadership Role in Management Research Paper

The Leadership Role in Management - Research Paper ExampleManagers argon those individuals who be in charge of the company. Their responsibility is to be the individual that monitors the progress of people who work under them and who take care of payroll and budgeting matters. Leaders are those individuals who are hired into the company to make change (57). Leaders are the change agents who are hired to see an organizations oversize picture. Management is a rifle that must be exercised in any business, leadershiphip is a relationship between leader and led that can energize an organization (57). Another bearing of comparing leaders and managers is portrayed in this chartA great leader has certain qualities that are apparent and that managers may not have addressable to them. Marcus Buckingham and Coffman suggest that focus is what makes a difference between the manager and the leader. The managers focus is on the inside of the company and how each part of the company works toge ther. A good manager will notice the differences in style, goals and needs of their individual employers.Leaders look at outward and they are most concerned with the competition, the big picture for the company, broader patterns and see where and when they can get the advantage over their competition (63). The challenge for most companies is that they cannot understand the differences in these roles so they expect managers to be leaders and leaders to be managers. Instead, they need both types of people to move their companies forward. Marcus Buckingham states that leadership requires certain natural talents (33). He said that because of this a manager cannot be a leader unless they have these natural talents. When a manager is a leader the company must understand their intense focus.There are hundreds of websites that will differentiate the qualities that make great leaders. The challenge is that everyone has a different idea as to what qualities an individual should have to lead their team. Today it is imperative to know

Qualitative Annotated Bibliography Research Paper

Qualitative Annotated Bibliography - Research Paper ExampleAccording to the authors, these three were listed as the most common adverse events that occur in the intense care unit. They suggest that to prevent the occurrence of these complications, it is important that the nurses implement evidence-based practice while handling critically ill patients. The study adopted a qualitative focus group study involving thirty-four nurses who practiced in the intensive care unit. The participants were groups into octette focus groups after which the obtained data was analyzed using thematic analyses.The study is signifi masst to the topic because it explores the reasons why ventilator-associated pneumonia and other complications are still a threat in the hospital, despite the presence of evidence-based guidelines. However, the study has the shortcoming of generalizability of the results since it was performed in only one hospital. The authors conclude that hospitals should enhance the knowl edge of nurses, and improve their attitudes towards adopting guidelines in the prevention of intensive care unit complications. In addition, critical care nurses should be empowered to make changes in nursing practice so that medical interventions reflect the latest evidence in literature. The study is relevant to my role option because it highlights some of the challenges faced by ICU nurses in prevention of complications, including ventilator-associated pneumonia. It also proposes ways in which the situation can be improved, adding to the knowledge I already possess in the area.Qu, X., Xie, H., Zhang, Q., Zhou, X., & Shi, Z. (2014). A survey on oral care practices for ventilatorassisted patients in intensive care units in 3A hospitals of mainland China. International journal of nursing practice.The chief aim of the study was to explore the status of oral healthcare practices, attitudes, education and knowledge of the nurses feel for for ventilator-assisted patients in the intensi ve care units of hospitals in mainland China. To achieve this objective,

Social theory Essay Example | Topics and Well Written Essays - 500 words

Social theory - Essay ExampleAnother example would be the Mercedes-Benz worker who does not make ample to afford the very product his livelihood depends upon. The alienated producer moldiness therefore become a consumer to share even tangentially in the function of capitalist economics.2. The Industrial Revolution divided society into two classes owners of the means of production and workers. The myth of the middle class is based upon the concept that as consumers they elicit own more than the lower classes, but in essence Marxian economics dictates a plutocratic system in which those who control the production write the rules that the workers must follow. The characteristic of this relationship is more in accordance with master and slave as a result of the unequal distribution of power. With the factory and retail establishments substitute the independent proprietor as the primary means of employment, the emergency that exists is one of increasing tension between the owner and t he worker. This tension has been tempered by the rear of the consumer class that allows the worker class to establish the false divisions among itself.3.

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

Mathematics - Essay ExampleIf we let s stand for the number of kth powers, then g(k) is the least much(prenominal) s powers. Some examples of g(k) are g(1) = 1 g(2) = 4, since from Lagranges 4-square theorem, every natural number is the sum of atleast 4 squares. In addition it was found that 7 requires 4 squares and 23 requires 9 cubes.Progress was made on Warings conundrum by establishing bounds, or the maximum number of powers. For instance, Liouville found that g(4) is at close to 53. The work of Hardy and Littlewood withal led to other bounds in particular, they found the upper bound for g(k) to be O(k2k+1).The work of Hardy and Littlewood also led to the realization that the number G(k) is much fundamental than g(k). Here, G(k) is the least positive integer s such that every sufficiently large integer (greater than some constant) is a sum of at most s kth powers of positive integers. A formula for the exact value of G(k) for all k has not been found, but there shed been ma ny bounds established.1, 4, 9, 19, 37, 73, 143, 279, 548, 1079, 2132, 4223, 8384, 16673, 33203, 66190, 132055, 263619, 526502, 1051899, 2102137, 4201783, 8399828, 16794048, 33579681, 67146738, 134274541, 268520676, 536998744, 1073933573, 2147771272Hilberts proofread of Warings Problem for all positive k can be seen as proving an equivalent theorem There are positive integers A and M and positive rationals 1, ..., M, depending hardly on k, such that each integer N A can be written in the formMany generalizations of Warings Problem have been made. For instance, there is the prime Warings problem, and generalizations of the problem to algebraic number fields and arbitrary fields. The problem known as the easier Warings Problem takes the integer n to be a sequence of numbers x, each to the kth power. All of these variations have led to a Mathematics Subject Classification 11P05 entitled Warings Problem and variants.In 1742, Goldbach suggested that every

Summary Essay Example | Topics and Well Written Essays - 500 words - 56

Summary - Essay ExampleHe argued that population cannot evoke rapidly due to several forces that hinder growth such as war, famine and various diseases. Additionally, he pointed out that most people control kindred rates, dapple separates engage in marriage at old ages. Disease, war and famine raise the death rates leading to the decrease of population while low birth rate and juvenile marriages discourages population growth.According to Malthus population does not require to run out of nourishment supply due to late marriages and birth control. He further explains that if these practices were not practiced, population would rapidly grow. Malthus claims that food is mainly necessary to support life thus encouraging population growth. He also explains that earth cannot produce food on its in great quantities unless labor and skills are exercised upon the earths surface. Malthus explained that God is capable of rising up plants of all kinds for his creations use without the assis tance of labor or mans attention. Land preparation activities such as ploughing, and clearing of the land, sowing of seeds and other practices done by man for production are mainly necessary for enjoyment of lifes blessings. The practices arouse man in action and warrant that he reasons appropriately. Furthermore, Malthus claimed that due to the excitement of the blessing of life, and ability of man to provide food through cultivation of the earth, rapid population growth is being witnessed than food increase.According to the principle of population, man is considered slow, sluggish, inert and reluctant from labor. Generally, Malthus tries to enlighten people that population cannot increase exponentially due to low rates of food supply. He therefore elaborates that checks on population growth in most societies are safe and others are positive. The positive checks raise death rates while preventive checks decrease population increase by lowering birth

Bench mark assessment Essay Example | Topics and Well Written Essays - 1000 words

Bench mark assessment - Essay ExampleThe heritage assessment tool identifies other factors such as family relations, put of origin and religion. In this regard, the tool exposes key issues that affect wellness in unknown capacities. Applying health assessment tool is an intelligent measure that enables health experts constitute silent factors that affect health.Effective health policies can be devised from the results of the heritage assessment tools. From the tool, experts have a chance to access data that can wraith historical health issues in the family. The point implies that health professionals can interpret various issues from the data that is given by the families. The different types of information in the tool, for example, committedness to religion, gives a clue to the health experts on which health threats a family might suffer or be suffering (World Health Organization). In this regard, effective obtain measures can be designed to protect them and how practitioners a pproach their health related problems.As the assessment results show, the most common health traditions include eating heathenish foods, engaging in religious activities and engaging in ethnic activities. Health is considered a combination of spiritual, mind and body well-being. Thus, understanding these issues and their effect on the health is the first step in ensuring a healthy community (Hollins 2009). All the issues positively identify a diverse health situation in a population.The families exposed a unique preference to ethnic foods. The families explained that at ethnic food from their background is art of their meals. In this regard, it is imperative to evaluate the nature of the consumed foods to discipline the suitability for sustaining good health. The two families, with Asian and Caribbean origins, showed a tight relationship and preference to continue consuming ethnic foods. The cultural considerations in diet argon critical in determining

Practicum Experience Journal Essay Example | Topics and Well Written Essays - 250 words - 1

Practicum Experience Journal - Essay ExampleThis was attributed to the fact that at times the nurses had little time to do the documentation, thus stack away the information inappropriately leading to loss of vital information. This problem led to redoing of a lot of documentation at later stages by the nurses. For instance, failure to recruit full information immediately after a home visit led to inaccurate information since errors arose later when trying to figure out what was do during the home visit.This observed phenomenon is apparently one of the causes of the nursing shortage experienced over the recent past. Most of the nurses perceive this process of documentation as both redundant or potentially unnecessary (Lippincott et al., 2003). However, on the contrary this process is one of the most critical ones in administering effective care to patients. This is because it enables different nurses to cumber track of a patients development even in the absence of others thus en abling proper cares by different nurses. Therefore, whether the documentation is manual(a) or electronically, it should be done with utmost care so as to enhance accuracy in the information of patients hence efficiency of their

Information Systems Development Essay Example | Topics and Well Written Essays - 3000 words

Information Systems Development - Essay ExampleIn the scrap section, I have discussed the idea and the implementation of Ingen, the automation software. The third section deals with the challenges faced on road to making Ingen a success. The fourth section deals with the diverse factors affecting the cost estimation in a software project development. The next section describes the maintenance involved.When a preference joins the organization he is aim in the talent pool. Under an organization there are various accounts and each account has a number of projects. When the requirement for a resource arises in a project, the account bus requests to the Resource manager, who is in charge of the talent pool. The resource who matches the skill set put forward by the account manager is allocated to the account. Now, the project manager allocates the resource to a project. As soon as the resource enters the project, his personal as well as technical information has to be updated and his manager keeps a filed record of all his information for a future reference. The whole process is no doubt a tedious one. Everyone, from the resource direct to the manager level wanted a tool which could save time and ease the effort of manually performing each of these tasks and maintaining a record of the same. victorious a report for a time period was also getting difficult. So, the need arose for something which could do all tasks for the end users with much ease and precision.Ingen is a resource management tool developed to cater the need for an account management in a multi national company which consists of many such accounts. People progress to in an account from over various places in the world and at client sites. Though many generalized resource management tools were available in the market, since every organization has a different hierarchy and grouping method, it was difficult to use one already

Learning Experiences 1 (Personal Training) Essay

Learning Experiences 1 (Personal Training) - Essay ExampleIts creation is olecranon process of ulna. Intended bodily function is long head, and object lesson is skull crushers. Fourth is Biceps Brachii. Origin is scapula. Its insertion is tuberosity of radius and bicipital aponeurosis. Intended action is flexion of elbow and green goddess biceps curl as coiffe. Fifth is foregoing Deltoid, with the origin as anterior lateral third of the clavicle. Insertion is deltoid tuberosity on lateral humerus, think action is abduction and flexion and exercise is skunk anterior deltoid raise. Sixth is Medial Deltoid. Origin is scapula, insertion is deltoid tuberosity on lateral humerus, intended action is abduction of the shoulder joint, and exercise is dumbbell lateral raise. Seventh is Posterior Deltoid with the origin as scapula, insertion is deltoid tuberosity on lateral humerus, intended action is abduction, extension and rotation while exercise is dumbbell posterior deltoid raise ( Alcamo & Bergdahl, 2003, p.68).The eighth muscle is Trapezius, origin is the base of skull, insertion is the base of the scapular spine, intended action is elevation and depression, exercise is barbell shrugs. The ninth is Rectus Abdominis, origin is superior surface of pubis, insertion is costal cartilages, and intended action is depresses ribs, and exercise is crunches. Tenth is the External Oblique, origin is ribs, insertion is linear alba and iliac crest, intended action is flexes and depresses ribs, exercise is standing side twists. Eleventh is Gluteus Maximus, origin is illium and sacrum, insertion is the oblique ridge of the greater trochanter, intended action is the extension and rotation of hip, exercise is standing. Twelfth muscle involves Rectus Femoris, origin is anterior iliac spine of the illeum, insertion is patella, intended action is the flexion of hip, and exercise is leg extensions. The thirteen is the Biceps Femoris, origin is ischial tuberosity, insertion is lat eral condoyle of tibia, intended action is flexion

Drug trafficking and drugs Essay Example | Topics and Well Written Essays - 4000 words

Drug trafficking and drugs - Essay Examplemechanisms in approximately countries, the presence of unforced buyers and sellers, the strong cartels and finally the inherent problem of being a transnational crime.A drug has been described as anything that has a biological effect on a species, and that can be used for treatment, recreation, or for preventive measures. Most drugs that are prohibited are leisure drugs which tend to affect the brain of the user, and the banning is to encourage the promotion of responsible behavior among the youth who would take the drug to forget about problems.There are many forms of drugs, and there is usually a law in every country that regulates the use of drugs and identifies which drugs have been abused. Drug abuse is using drugs for non-intended purposes. There are many ways in which a person can gain access to drugs, but most drugs require the prescription of a qualified doctor (Lupton, 2012). The prescription has to be made later on a diagnosis, so the disease or ailment can be effectively treated. There are also drugs that the law is lenient on some of these drugs can be purchased over the counter. These are drugs for common ailments which do non have any adverse effect on the body, even when they are not taken in exact dosages. These are drugs for headaches, stomach aches, and for malaria in tropical countries. The danger with over-the-counter medication is that users are liable to develop a gross profit margin if the medication is overused. Finally, another form of drug is the prohibited drug, which can only be distributed through drug trafficking and illegal sales (Hucklesby, 2010).Drug trafficking is the illegal tilt of a prohibited drug from one place to another. This is known as black market cartel whereby there are people who have sanctified their lives for the cultivation and production of illegal drug from countries that allow the growth and distribution of the drugs. In 2003 alone, the drug market contribute d up to about 1% of the world economy, by producing

Characters and strong association Essay Example | Topics and Well Written Essays - 500 words

Characters and strong association - Essay ExampleAll of these things are dependent on the fit of the novel and they shape the man that Robert was at the beginning of the novel and the man that he had become at the end.At the beginning of The Wars, we find out that Robert has sound enlisted in the army because he wants to escape the feelings of guilt that he has after his sisters death. We also learn that Robert is opposed to the war in most ways, but he feels as though enlisting is the only way to escape the feelings that he has, as well as the accusations that his own mother has been devising against him. Therefore, it is the setting at the familys house that initially turns Robert into a soldier, but also what has made him into such a compassionate character.As the story continues, Robert begins to violate an extremely short temper, as he lashes out at others and bump intos his relationship with his mother completely disintegrate. He also pushes his father away, as although t hey get along, they spend a penny differing opinions on a number of things and cannot be together all the time. The wartime setting also adds to this anger, as Robert feels as though human lives are not extremely regarded during a war and he sees the worst that humanity has to offer everyday. When Robert kills the German soldier, even though the soldier let him and his troops lives, we can still see how unnatural this role is for Robert, but it is a role that the setting has forced him into.As the novel draws to a close, we see Robert drift towards madness, as he is ineffectual to come to grips with all of the horrible things that he has experienced. He wishes that someone could teach him to be a killer because he does not understand how other plenty can do it so easily. At this point we can see the psychological damage that the war has done to Robert, as it has completely changed the person that he is and he never gets the chance to be himself again, as he dies as a result of in juries sustained in a fire.This novel shows the

Consumer Behaviour (case study milk) Essay Example | Topics and Well Written Essays - 1000 words

Consumer Behaviour (case study milk) - Essay ExampleAs a result, many buyers shargon a favorable attitude toward Australian milk. The new advertizing campaign helps the milk industry appeal to new target audience. It portrays milk drinkers as likely to admit more stamina and to have a better time as beer drinkers (Case study). In this case, conduct patterns of buyers are influence by quality decisions and unique qualities of the product. This appearance patterns represent how a product is associated with unique personal image and health-conscious appeal (Brock et al 1994).A nonher step is to reposition the product and change the way quite a little view milk as s beverage (Case study). In a short period of time, success is due in part to the products association with prestige and new lifestyle. The message is reinforced in advertising that urges new buyers to join this group. The milk industry uses the same characters, James and Tom, with sex appeal. Personal values are considered important consumer behavior elements because they serve as determinants of attitudes and have manifested themselves in the formation of buying motives and brand attitudes. Personal values are better predictors of activity resource than demographic variations. Factors comprising items related to cultural activities, outdoor activities, and roots such as visiting ancestral homelands and friends and relatives indicated that personal values were more useful than demographics. Both campaigns are targeted at male consumers. It is possible to say that values are learned and are responsible for determining self-concept. These values extend to social, family life, entertainment, and other facets of life. New advertising campaign creates a new mode of conduct which the individual believes is either correct or incorrect, and increases number of branded products. Another campaign, Milk-legendary Staff, is based on emotional and sex appeal. The role of this type of advertising is to change the style of life of consumers beyond economic factors and includes an increasing concern with a sense of well-being. Consumers behavior is influenced by factors mentioned above and reflected their feelings, states of happiness, and other behavioral measures are associated with their expectations. Generally, the style of life is equated with a sense of satisfaction. For milk producers, it is important to create a core of devoted supporters based on their behavior patterns. The advent of customer loyalty is a response to the need to meet heightened customer expectations and face intensified market competition. node loyalty can be defined as a commitment to continue to do business with a company on an ongoing basis. To retire customers satisfaction milk producers consider several options for developing operations strategy. Having the option to choose, and options to choose from, is crucial to marketing dynamics (Brock et al 1994). Without option of choice, they be ineffective to crea te a selling proposition and to target their most promising opportunities and customers would be unable to express their needs and purchase preferences, settling for something less-than-acceptable, or not at all (Wells et al 2005). In spite of positive changes in life style of people and increasing consumption of milk, both advertising campaigns work on consumers. Advertising message has a great influence on buyers as it is often

The Plight of the Mentally Ill Homeless in the US Essay Example for Free

The Plight of the mentally rachitic Homeless in the US Essay cornerstone The issue of stateless personness in the US has been of serious concern since the 1980s when the problem first became appargonnt. Budget deficits, brought about by massive diversions to military spending, forced a cutback on most social renovations. Today, approximately 7% of the world has been homeless at least once in their lives. Estimates protrude the number of bulk who encounter homelessness each year at 3 m threateningion, more than than half of which argon families with children. (Donohoe, 2004) Of that number, roughly 25% start serious and chronic affable problems. (Mental dizzyness and Homelessness, 2006) The utilisation of this paper is to provide a historical and social context to homelessness in the US, with particular focus on the genially ill. Current statistics and demographics for the mentally-ill homeless entrust overly be presented followed by an analysis of programs currentl y being undertaken with regards to this sector of the population. The Numbers The homeless population can be divided into three types based on how long and ofttimes they be homeless. About 80% are temporarily homeless, those who experience a single, short period (about two weeks) of homelessness that is not repeated.The episodically homeless (approximately 10% of the homeless population) are also short-term spells of homelessness but may be repeated at unpredictable intervals over a period of time. The inveterate homeless, 10% of the population, request the use of homeless assistance facilities and assistant over a protracted period at frequent intervals. (U. S. Department of Health and homophile Services, 2003) Overall, 39% have heralded mental illness of which 25% are considered seriously ill. Among the last group, 50% are mentally ill or with heart and soul abuse problems.This translates to approximately 150,000 chronically homeless, mentally ill people at any given time, an d the mentally ill homeless have the most worry in relinquishing assistance programs. Of this population, 23% are veterans. (National Mental Health information Center, 2003) Characteristics of the homeless mentally ill The mentally ill are often have been institutionalized at some point in their lives, and may have been involuntarily committed or have received treatment inapplicable for their condition.Since they are not completely functional because of their disability and poor hygiene, they tend to be prone to physical ailments, such as respiratory disease, HIV, and tuberculosis, that remain untreated until an advanced stage, if not death. They are usually members of a community that have become alienated from friends and family because of their disability and institutionalization, losing whatever support system they may have had. Many have been charged with misdemeanors, and their life expectancy is approximately 45 years. (National Mental Health Information Center 2003) Cause s of homelessness among the mentally illThe 1960s see an initiative to reduce the number of mental hospitals in the US because of reports that patients were receiving indifferent treatment, and to transfer the institutionalized to community-based treatment centers. However, practically all states where unable to provide fitted facilities for the accommodation of the released patients. Many were reduced to becoming homeless. (Peirce, 2001) In the 1980s, budget constraints forced even more premature releases from managed care of people suffering from schizophrenia or manic depression, overburdening an already bogged-down system.In a study of 187 released patients from Metropolitan State Hospital in Massachusetts, 27% had been homeless for more than 6 months, 66% of whom having no access to proper medication. There are more untreated mental cases in the population than the 90,000 receiving treatment in hospitals. In Berkeley, California, as many an(prenominal) as 500 mentally ill pe ople wander the city on any given night. (Homelessness Tragic Side Effect of Non-Treatment, 2003) Federal assistance programs are often inadequate to provide lodgement for this disabled population, and rising housing costs make it difficult even for mentally stable people to check adequate housing.Mentally ill people are less in all likelihood to obtain steady employment and, though having no fatality for long-term institutionalization, are in need of regular access to treatment and rehabilitation services in order to function independently. The paucity of community-based wellness centers and suitable housing facilities increases the endangerment of homelessness for the mentally ill. (National Coalition for the Homeless, 2006) Homelessness is mostly associated in urban areas (Armour, 2003), 71% in cities, 21% in the suburbs and 9% in rural (National Mental Health Information Center, 2003).It is therefore mainly for city rack upicials to address the problem of homelessness, es pecially the mentally ill who are most vulnerable to chronic homelessness and most in need of city social services. However, the response of most cities is to make it a crime to be homeless, and many of the mentally ill homeless are incarcerated in conditions that will only worsen their condition. In the Twin Towers jail in Los Angeles, commonly referred to as the biggest jail in the world, 2,000 of the inmates are mentally ill, some imprisoned for many years for minor transgressions.Police authorities often have no otherwise place to put them but in jail. (Campbell, 2003) Homeless people with mental disorders are not only more likely to die from poor physical wellness as a consequence of their disability, they are more likely to be raped, die from accidents and exposure to the elements, and murdered. There is a tendency for the general population to shun the homeless because of fear and intolerance for perceive laziness, and the mentally ill homeless are regarded as dangerous and unpredictable. Many treat the mentally ill homeless as sub-humans.(Homelessness Tragic Side Effect of Non-Treatment, 2003) Initiatives Undertaken for the Mentally Ill Homeless The U. S. Department of Veteran Affairs has provided one of the largest percentages of public health care in the US, accommodating more than 8% of inpatient psychiatric care. Since 23% of the homeless mentally-ill population is veterans, the provision of such targeted psychiatric services to an at-risk population is a positive factor in the fight against the increase of the homeless mentally-ill. (Gamache, Rosenbeck and Tessler, 2000)However, for the other sectors of the homeless population, the Veterans Affairs program does not apply. In efforts to provide a more comprehensive blueprint for address the issue of the homeless mentally ill, several(prenominal) studies have been undertaken. A two-year University of Pennsylvania study published in the Housing Policy Debate of 5,000 homeless with serious mental pr oblems in clean York stated that it cost the same amount in public dollars to provide supportive housing, health services and employment assistance to the mentally ill as to provide social services to homeless people for the same period.(Franzen, 2001) The Department of Housing and Urban Development (HUD) initiated the federal Continuum Care political platform to combat homelessness, the onus of which is called the Continuum of Care Initiative, which began a study of 4,000 homeless people in 1996 aimed at identifying factors that pertain to homelessness in the US. The HUD released the report entitled The Forgotten Americans Homelessness Programs and the People They Serve in 2000. It was reported that 39% of the subjects were mentally ill.The report identified the primary goal of the homeless (find employment) and how much of the population reacted favorably (76% who lived as families and 60% who lived alone stop homelessness) to access to housing, health care and other needed s ervices. The report outlined strategies that resulted in a US$45 million additional financing for homeless programs in 2000 and helped finance housing, employment and other self-sufficiency programs for 300,000 homeless people. (Tyler, 2002).In 2003, the U. S.Department of Health and Human Services (HHS) followed up on the HUD initiative and submitted a report that showed that health care costs of a homeless medically-ill person was US$ 11,000 more a year than that of the same person after being provided with suitable housing. The Needs of a Chronically Homeless Person Cross Many Service System Boundaries Source U. S. Department of Health and Human Services (2003). end Chronic Homelessness Strategies for Action. Retrieved February 1, 2007 from http//aspe. hhs.gov/hsp/homelessness/strategies03/ch. htmch2 In response to these studies, the following services were identified as necessary for ending homelessness among medically ill people information and referral outreach and engagement mental health and counseling services inpatient services income management and support residential treatment services discharge planning life skills services bringing up and skills training and employment services. With a time frame of 10 years, the HHS outlined three goals of the initiative 1.Provide easier access for at-risk populations to treatment and support services by simplifying document requirements, increasing outreach programs and extending the period of eligibility for benefits. Strategies to assist service providers in carrying out the objectives of the assistance programs, such as inter-agency collaboration for data sharing, in-service training for mainstream service providers as well as a marriage of homeless- unique(predicate) and mainstream service providers working in tandem to provide services for eligible patients are also suggested.2. Promote ability and flexibility in allocating funds that address chronic homelessness by encouraging cooperation between conc erned departments in the federal, state and local aims in terms of programs and service delivery. Incentives are to be formulated to encourage such collaboration, especially when it comes to mainstream and homeless-specific funding sources. The need for a coordinating body was pinpointed.3. Reduce the number of the homeless population by identifying populations at risk (i. e.veterans, deinstitutionalized mental patients) and providing programs that would ensure the ability to acquire decent housing such as employment assistance and regular health monitoring. (U. S. Department of Health and Human Services, 2003) The response at the city level, where the issue of the homeless is most pressing, has been mixed. Some cities still handle homelessness using punitive measures. In Sarasota, Florida, a person can be arrested for having no other place to live. Business leaders in Lawrence, Kansas, pressured city hall to curtail social services and pass ordinances targeted at the homeless.The anti-panhandling law in Atlanta, Georgia was imposed on a Hurricane Katrina evacuee after he was caught selling wares in an upper-class mall. Supportive housing was also banned within the city limits. In Little Rock, Arkansas, homeless people are not allowed on buses even if they have tickets, simply because they are homeless. (National Coalition for the Homeless, 2006) Other cities are more constructive.The Ft. Lauderdale police department and The Taskforce for final stage Homelessness, Inc.have teamed up to form the Homeless Outreach Team to provide social services and place the homeless in shelters in Broward County, Florida, cutting down the arrest record of the homeless by 2,400 annually in the 5 years of the programs operation. The Homeless Outreach Psychiatric Evaluation Team in Pasadena, California is a partnership of the Pasadena Police Department and the Los Angeles Department of Health to provide mental health services to the homeless population. A tri-city cooperation i n Ohio fund programs that provide social services at during off-hours to people ineligible for state assistance.The Homeless Court Program formed in 1989 in San Diego, California assists the homeless in resolving misdemeanor charges that prevent their access to benefits such as housing and employment. In Washington, D. C. , byplay owners solved the problem of the homeless wandering the street during the day when shelters are closed by establishing a day center that can accommodate 260 people where they can get a meal, shower and do laundry. (National Coalition for the Homeless, 2006) Proposed Plan for Community-Based Assessment Program.The following is a generic plan and timetable for a community-based program compose of volunteers in collaboration with local police authorities based on needs assessment criteria designed to assess the level of intervention required for a population of 5,000 residents. Recruitment and orientation of potential members through flyers and announcement s at the community or city hall 1 month Data gathering on the homeless population based on arrest records and field research 3 months Tracking down identified homeless people and conducting interviews to identify perceived needs 6 months.Analysis of interviews by trained professionals for recommendations on the services needed for the target population 1 month Submission of results and recommendations of the study to the concerned city and community departments to acquire funding and other assistance 1 month The above plan will address the needs of a specific population with particular demographic and social factors that will determine the type and scale of social services, health management, housing and employment assistance that would most in effect eliminate the homeless mentally ill population.The smallness of the target population will make it more manageable, especially for volunteer organizations, and easier to acquire and manage funding for whatever needs that are identified . Conclusions Studies have shown what police authorities and social organizations have been pointing out for some time the costs of incarcerating and treating mentally ill homeless people would be greatly reduced if they receive regular treatment and medication and provided with the ability to take themselves off the streets.(Campbell, 2003) This would mean more funds for more people receiving community-based health and housing privileges. The proposed plan for needs assessment is only the initial stage for providing for the homeless mentally ill at the community level for small populations. Many studies deal with the needs of a large population that may not be applicable in the micro-level, especially if the community in question has particular cultural and social issues unique to that community. It may also serve as a model to identify other subgroups of the homeless such as those substance abuse problems.It must be brought to the next level, actual service and support delivery. M any of the initiatives in all levels of public social service access are headed in the right direction, mostly as a result of recommendations from comprehensive studies of the issue. Inter-agency collaborations are providing good models for all communities to follow, but they are a handful compared to the magnitude of the problem at hand. More cooperation is needed to make effective use of funds, mainstream and homeless-specific service providers, law enforcement agencies and volunteer organizations.Moreover, the homeless mentally ill are still victims of public ridicule and loathing. People of the community must acknowledge that the most effective way to assist the homeless mentally off the streets and into productive lives is by providing social services, mental health access, employment assistance and supportive housing at the community level. In the long run, the most efficient way getting rid of them is to make them productive, functioning citizens.References Armour, S. (2003) Homelessness grows as more live check-to-check. USA Today.Retrieved February 2, 2007 from http//www. usatoday. com/money/economy/2003-08-11-homeless_x. htm Campbell, D. (2003) 300,000 Mentally Ill in US Prisons. Common Dreams. org. Retrieved February 2, 2007 from http//www. commondreams. org/headlines03/0303-09. htm Donohoe, M. (2004) Homelessness in the United States. Medscape Ob/Gyn Womens Health. Retrieved January 31, 2007 from http//www. medscape. com/viewarticle/481800 Franzen, H. (2001) Housing Mentally Ill Homeless People Makes Economic Sense. Scientific American Inc.Retrieved January 31, 2007 from http//www.sciam. com/article. cfm? articleID=000EF22A-AA04-1C5E-B882809EC588ED9F Gamache, G, Rosenbeck, R. and Tessler, R. (2000) Factors Predicting Choice of provider Among Homeless Veterans With Mental Illness Psychiatric Services. Retrieved February 1, 2007 from http//www. psychservices. psychiatryonline. org/cgi/content/full/51/8/1024 Homelessness Tragic Side Effect of Non-Tr eatment (2003) Treatment Advocacy Center. Retrieved February 1, 2007 from http//www. psychlaws. org/generalResources/fact11. htm Maleque, S. and Brennan, V. (n. d. ) Homeless Mentally Ill.Factline Tracking Health in Undeserved Communities. Retrieved February 1, 2007 from http//www. meharry. org/Fl/Mental_Health/Homeless_Mentally_Ill. htmlmh%20disab National Coalition for the Homeless (2006) Mental Illness and Homelessness. Retrieved January 31, 2007 from http//www. nationalhomeless. org/publications/facts/Mental_Illness. pdf National Coalition for the Homeless (2006) Report accuses US cities of criminalizing the homeless. City Mayors Society. Retrieved February 1, 2007 from http//www. citymayors. com/society/homeless_usa2. html.National Mental Health Information Center (2003) Homelessness Provision of Mental Health and Substance Abuse Services. Retrieved February 2, 2007 from http//mentalhealth. samhsa. gov/publications/allpubs/homelessness/ Peirce, N. (2001) Help for the Mentally Ill Homeless Rectifying a 30 Year Old Problem. Stateline. org. Retrieved February 2, 2007 from http//www. stateline. org/live/ViewPage. action? siteNodeId=136languageId=1contentId=14273 Tyler, R. (2002) Homeless in America. NewsHour Extra. Retrieved January 31, 2007 from http//www. pbs. org/newshour/extra/features/july-dec02/homeless.html U. S.Department of Health and Human Services (2003) Ending Chronic Homelessness Strategies for Action Chapter 2. Retrieved February 1, 2007 from http//aspe. hhs. gov/hsp/homelessness/strategies03/ch. htmch2 U. S. Department of Health and Human Services (2003) Ending Chronic Homelessness Strategies for Action Chapter 5. Retrieved February 1, 2007 from http//aspe. hhs. gov/hsp/homelessness/strategies03/ch. htmch5 U. S. Departmentof Veterans Affairs (2006) Overview of Homelessness. Retrieved February 1, 2007 from http//www1. va. gov/homeless/page. cfm? pg=1.

Disaster in Franklin County Essay Example for Free

Disaster in Franklin County EssayThe role of the major human race health personnel, including the everyday health nurse, is to provide the public with accurate information, and to assure the community, as well as ensure the immediate safety and well-being of the members of the community, while being efficient compassionate and accessible. The public health director was contacted by the incident commander to attend the incident briefing due to immediate and long term public health impacts. The fire chief gave report concerning how many people were confirmed dead, what time it occurred and what county(s) were affected. He made the public aware if any risky materials had been released and where and whether the hazardous materials team had been dispatched.He as well notifies the community of areas of flooding, and any impassable roads and the roads that are closed, as well as any power outages, and executable long term problems that may occur from power loss such as water con tamination, and food loss due to spoilage. The fire chief also informs the public that the plan for search and rescue has been initiated. The public health staff had previously had National Incident Management System (NIMS) training. The deputy director sets up the incident command center and does the head count of gettable responders. The most ideal personnel were not totally available there were an appropriate return to set up section chiefs and command staff.The chain of command that was used in the simulation consisted of the Public health Team which included the County Public Health Director, Environmental Health Specialists, and Community Health Nurses, as well as Franklin county staff members, mental health, and social workers, which allowed the community health nurse to have resources available that were used to deal with situations that were outside the nurses scope of practice included reporting to EOC well treatment hazardous waste removal. Actions taken by the communi ty health nurse when she encountered possible emergency situations during the door-to-door interviews was to Calm and triage families and offer reassurance and instruction on safety.The public health personnel had to deal with four-fold problems both during the initial period and aft(prenominal) the immediate danger had past. Actions taken by the community health nurse to help the people who were interviewed cope with the situations after the flooding were to advise them to stay at shelter where there is electricity and food to contact Environmental health specialists for toxic waste To contact friendly services to address immediate inevitably and resources.To arrange for instruction on safe use of generators in English and Spanish. To make arrangement for medications to be delivered the succeeding(prenominal) day. Techniques that were used or could have been used to calm the fears of the people interviewed are to use short and concise statements. Perform active listening and c onfirm statements by repeating it back to the person being spoken with, use confrontation avoidance, and De-escalation. The other nursing personnel could be preparationared to help in responding to a similar emergency with a much larger affected area (e.g., the effect of Hurricane Katrina). Through the development of a well-organized disaster response plan.Public health staff requires National Incident Management System (NIMS) training. Emergency preparedness training should be performed at least every six months. There needs to be a method of communication in case power lines, towers and electricity are not available have a backup frame in place and know where they are located (e.g. include, walkie talkies, Morse code and emailing). Community nurses should have car stock that includes protective gear (PPE) such as N-95 mask, barriers for CPR, gloves, biohazard containers and isolation gowns. Knowledge of the basic steps that are needed to take to ensure patient safety, such as sa fe evacuation, and early recounting will help prevent unnecessary casualties during emergencies (Agency for Healthcare Research and Quality. www.ahrq.gov/prep. Accessed July 21, 2006.ReferencesCenters for Public Health Education and Outreach. (n.d.). Retrieved from https//cpheo1.sph.umn.edu/fcs/index.asp Health Care Public Health Emergency Preparedness. (n.d.). Retrieved from http//www.ahrq.gov/prep

Evolution of the Nation Essay Example for Free

Evolution of the Nation EssayPre-Civil war, the United States was way behind European countries like Great Britain, France, German and Belgium in terms of industrialization (Divine et al, 1991, p. 529). However, postwar, the nation precept its rise as an industrialized forcefulness, marked by economic boom, technological and medical advances and a transform the Statesn society. The postwar industrialization was invigorated by the Civil War itself (Tindall and Shi, 1991, p. 889). The war brought on inflation which further enhanced the position of property owners and entrepreneurs (p.889). Additionally, it was express that Republicans launched a policy built on business enterprise but its precise role in the res publicas economic growth was non clearly justified (p. 889). It also helped that the government provided in creating regional and transcontinental railroads which not only paved the way for a revolution in transmutation but also encouraged marketing across states (J ordan and Litwack, 1991, p. 533). The effects of this revolution in transportation would be discussed in length later on.Civil War brought the people together, encouraged them to change the landscape of the nation. Several conditions do it easier to embrace this industrial revolution. One iron manuf correspondurer described the country as a bowl brimming with treasures (Divine et al, 1991, p. 529). The country was teeming with natural resources such as coal, iron, timber and iron ore (p. 529). As if these were not encouraging enough, the nation also saw a growth in people as many immigrants reached the country (p. 529).The population adjoin contributed to an increase in demand for products, which ultimately enabled businessmen and entrepreneurs to adorn more, whether in factories or mines. When more Americans were able to provide funds for various ventures, industrialists formed corporations (p. 529). Compared to a single business, investors bought shares to own the company. Base d on the corporations profit, they received dividend. This share buying enabled industrialists to raise more funds in augmenting the business (p. 530).The US government, local, state and federal, was also a big factor in fueling economic boom. As stated earlier, the government served a pivotal role in railroads consolidation. But that was not all. The government bestowed money and land to digest start industries. Aside from safeguarding private properties, the government pushed for individual industrialism, where people became entrepreneurs, owners of their own enterprises. Entrepreneurs thrived during the Industrial Revolution. Railways were the key to the countrys expanding productivity.It opened up linkages to other states. Railroads were subservient in allowing transportation of raw materials like iron, steel and lumber to jaunt to the West, creating a national market in the process (Tindall and Shi, 1991, p. 889). Post-Civil War, the railroad mileage increase from 53,000 to 9 4,000 (p. 889). In fact, by 1880s, railroad building reached its peak, from 167,000 to 199,000 (p. 890). Railroads brought the nation together, allowing for faster travel, accessibility and comfort as compared to other forms of land transportation (Divine et al, 1991, p. 533).For example, a horseback travel would cover 50 miles in one day but on a train, the travel time would also cost one hour (p. 533). Railroads made it easier for people to socialize to others, especially those living in isolated areas. Not only did it encourage mingling, railroads also fostered trade among states (p. 533). Carrying raw materials, railroads paved the way for pickle production and mass consumption, which translated to greater financial wealth for the country (p. 533). The Industrial Revolution also saw the rise of Americans in inventions and manufacturing.Alexander Graham tam-tams invention of the telephone created a centralized way of communication. Machines that were aimed at making work faster cropped out during this time, from the typewriter, cash register, to the electric sewing gondola and refrigerator cars (Divine et al, 1991, p. 536). Advertising also saw an increase during this time as businesses tried to convince the public to buy their products or seek their services (p. 539). Newspapers and magazines were slavish in the growth of advertising. The impact of industrialization saw the rise of Americans workers (Jordan and Litwack, 1991, p.451). It was the workers themselves who toiled hard for the nation to reach its new industrial age but there was a start contrast between the two. While industry giants like Rockefeller and Carnegie continued to amass wealth and power, workers were left to do the hard work to ensure that giants stayed on top. In the 1900s, wage earners toiled for ten hours a day (Divine et al, 1991, p. 542). Earning $6-12 a week, families had a hard time surviving. Aside from the long hours and low pay, most workers had no affair security (p. 5 42).The introduction of machines also raised the risks for factory workers (Jordan and Litwack 1991, p. 451). Additionally, machines also reduced the task of workers, resulting in lower paychecks (p. 451). It also did not help that the working manakin was dominated by men. This labor unjust ushered in women and labor unions (p. 458). As with any economic boom, the country also experienced the lows of business cycles, with the panic of 1893 when marge loans grew bigger than deposits made, resulting in the collapse of many firms (Divine et al, 1991, p. 579). For a long time, the government did not stop monopolies.This made the big companies control most of the industries. The concentration of power in the hands of the few was guaranteed to provoke the people to start questioning the system. It led eventually to the creation of the Sherman Act of 1890, which allowed the government to control big businesses (p. 576). The act was instrumental in breaking up one of the largest trust in the country- the Standard Oil (p. 579). The economic growth also made an impact to the government. During this time, the country experienced corruption, reform movements, and political party differences.Factionalism was common. Republican reformers who called themselves Mugwumps sought for civil service reforms (Jordan and Litwack, 1991, p. 471). Under the Republican leadership of Presidents Hayes, Garfield, and Arthur, the issue of monetary policy was at stake (pp. 474-478). Following the depression of 1890, calls for reforms started to surface, leading in an era of progressivism. The progressivism was a movement that sought for democracy, social justice, honest government, effective business regulation, and a loyalty to serve the public (Tindall and Shi, 1991, p.1073). Mainly the idea was to bin the evil wrongdoings while preserving the system. Leaders of the progressive movement believed that doing the aforementioned would ensure the progress of the country. Journalists played a pivotal role in exposing the scandals and corruptions that plagued the country (Divine et al, 1991, p. 612). Journalists who dug the social ills of America were called muckrakers, after President Theodore Roosevelt related them to a character in John Bunyans Pilgrim Progress (p.1074). Democracy was an important element in progressivism, as progressives thought that it would help the government in doing its work (p. 1076). Another major element of progressivism was productivity. Progressives believed that up(p) productivity would reduce waste. By incorporating Taylors theory on scientific management, which focused on dividing the production process into several step, progressives alleged that production would increase and mistakes would be eliminated (p. 1077-1078).Progressives also called for business regulation, bureaucracy eradication, and strengthened social justice (p. 1080). Three presidents served during the Progressive Era- Theodore Roosevelt, Taft and Wilson. Each had thei r own vision on the spirit of progressivism.ReferencesDivine, R. et al. (1991). America the people and the dream Illinois Scott, Foresman and Company. Jordan, W. and L. Litwack (1991). The United States combined edition. New Jersey Prentice Hall. Tindall, G. and D. Shi (1991). America A Narrative History 5th Ed. New York W. W. Norton and Company.

Hydrotherapy for Post-Cerebrovascular Accident (CVA) Patient

Hydrotherapy for Post-Cerebrovascular Accident (CVA) PatientHydrotherapy, in its broadest marches, is the use of any one of the varying forms of piss (i.e. liquid, ice or steam) to facilitate all a specific treatment, or to aid with overall health promotion (Mooventhan Nivethitha, 2014). One systematic review (Geytenbeek, 2002) looked at some of the uncommitted literature regarding the persuasiveness of various hydrotherapy treatments. The review found that the majority of the inquiry available was focused primarily on musculoskeletal conditions and concluded there was little question that was pertinent to the use of hydrotherapy in the specific treatment of neurological pathologies. However, since this systematic review was published there have been numerous pieces of research that do have a autochthonic focus on the benefits of liquid-based hydrotherapy interventions for the treatment of neurological disorders. This literature review provide aim to evaluate the current av ailable evidence, with a specific focus being on the effectiveness of those hydrotherapeutic interventions that have the purpose of improving balance, quality of life and gait re-education in post-cerebrovascular accident (CVA) patients.The term CVA would be more commonly recognised as a Stroke and it can be medically defined as an interruption of the rakehell supply to a specific area of the brain (WHO, 2017). The region of cerebral tissue that has been affected by this interruption will largely dictate both(prenominal) the severity of the CVA and the symptoms that are then suffered by the patient. Water-based interventions have been used for hundreds of years for both pain relief and to treat numerous pathologies. It was Vincent Priessnitz however, who is credited as the founder of modern hydrotherapy after opening the first hydropathy clinic in Grfenberg, Czech Republic in 1826 (Metcalfe, 1898). Since then a greater concord of the effects of hydrotherapy has been developed, in particular the numerous physiological changes that can occur during submersion in water. For example, submersion up to the sternal notch is outright cognize to cause an increase in cardiac output and stroke volume, which can then further increase alongside a rise in the water temperature (Grady, 2013).With this in mind the search strategy for this literature review was to include the terms cerebrovascular accident, CVA and stroke, and then also hydrotherapy, aquatic therapy and water based therapy with a date limitation set to only include research published since 2008. The search was conducted using the databases AMED, CINAHL, Medline and Medline with full text and returned 51 results when peeping for linked full text only. There were several duplicate journals in the results and those remaining included various different types of research from across the hierarchy of evidence, ranging from episode studies to randomised control trials. Seven journals were selected from the sear ch results as the only publications that specifically focused on hydrotherapy interventions for the treatment of post-CVA patients (see Appendix A) and this literature review will therefore seek to critically evaluate these and summarise any common findings.In order to successfully validate a hypothesis it is important that the research clearly identifies which hydrotherapeutic intervention is being tested and also the control intervention that is being used for comparison. Three of the seven journals that were selected (Noh et al., 2008 Tripp Krakow, 2014 Park et al., 2016) used Halliwick Therapy as their primary intervention and then land-based physiotherapeutic programmes as the control group. The Halliwick concept was initially designed to help teach disabled children how to swim and is a ten-point programme that has a heavy focus on mental adjustment and body control within the water (Gresswell, 2015). This initial concept has then been further developed into Halliwick aquatic Therapy, which has a holistic approach to neurorehabilitation that uses the support provided by the water to increase confidence in the patient and therefore also increase their participation in the exercise programme. The exercises themselves are designed to improve postural control and reduce muscle stiffness, with the overall aim to facilitate motor re-learning that can then be translated to on-land functional tasks (Weber-Nowakowska et al., 2011). This specificity of Halliwick Therapy, with regards to functional rehabilitation for neurological disorders, makes it ideally suited as a therapeutic intervention in such cases, however, only one of the written document listed above (Tripp Krakow, 2014) applied a specific functional outcome measure to their results.Another hydrotherapy technique that was used in one of the reviewed papers (Cappadocia et al., 2016) is known as the Bad Ragaz Ring Method. This utilises ring shaped floating devices that are typically placed around the pa tients neck, pelvis and peripheral joints, such as elbows and knees. The therapist is then able to fix their own position and use the peripheral limbs as levers to facilitate the patients trunk muscles and to encourage increased range of movement in the peripheral joints (Dutton, 2012). Unlike Halliwick Therapy this method does not have a focus on the transference of any benefits gained into more functional tasks. Instead it uses proprioceptive neuromuscular facilitation (PNF) techniques to enhance the patients active and passive range of movement and this can then hopefully be transferred into a more functional neuromuscular pattern of movement.