Ways To Prevent Tb Health And Social Care Essay

Michael does non cognize absolutely when he contracted TB, yet he figures it must hold been at some point during August 2007 in Bangkok. Prior to the start of his side effects, he did non go to any topographic focuses that appeared to be especially inclined to TB. He could hold got it wherever, in a jam-packed disco, a cantina, or even simply sitting in a taxi with a septic driver. Tuberculosis is transmitted through the air when individual tainted with TB hacks, sneezings, tongues, snickers, or dealings. By making these things, they spread the Terbium sources noticeable all around, and individual can get them from take a taking in the sources and presenting it to their lungs or mucose film. The hatching time of TB is wherever intercede two to twelve hebdomads. In this way, the visual part of indications may non occur until months after the main introduction to the bacterium. There are numerous manifestations related with TB, however they are non ever a noteworthy sign of an infection each piece genuine as this and are as often as possible confused with something significantly less horrendous. Some basic side effects of TB are a constant hack with mucous emission, hacking up blood, excessive dull exercise suits, exhaustion, febrility, and unwilled weight reduction. Some additional side effects incorporate difficulty outer breath, chest strivings, and wheezing. Michael ‘s first imprint that something was inaccurate was a case of the icinesss on an ordinary vesiculation hot twenty-four hours in the focal point of Bangkok. A couple of hebdomads accordingly, he started to hack and experience a stinging which he, at that cut, thought was in his dorsum. His status immedi ately turned out to be more regrettable and more awful, and two hebdomads after his hack chief showed up, he went to see a doctor at the taking global hospital in Bangkok. The doctor closed it was simply a contamination and gave him a few anti-microbials. Of class, the anti-microbials had no outcome, thus he returned to see a lung specializer. The specializer finished up equivalent to the principal doctor, however this clasp Michael demanded a X beam. The X beam demonstrated enormous obfuscated nations at the underside of the lungs. Liquid around the lung, alongside swollen or stamp lymph hubs in the cervix or different nations, and unordinary breath sounds, are a couple of signs of TB. She disclosed to him that it was either lung dangerous neoplastic sickness or TB, and she requested that he hack up some mucus, mucous discharge like stuff from the lungs, so it could be examined. She other than prescribed him to obtain a HIV preliminary in light of the fact that numerous individuals in Thailand have HIV before TB. Luckily, the HIV preliminary returned negative, yet that equivalent twenty-four hours he was gotten back to the doctor ‘s and formally told he had TB. A specific hospital was to make a more top to bottom investigation, yet Michael was recommended his intercession directly off. As referenced previously, TB is very infective in view of its capacity to be transmitted through the air. The infective time of this malady is hard to track down as a set entirety of yearss or hebdomads or months. In principle, TB can be spread each piece long as the bacteriums are effectively being discharged from the septic individual ‘s mucus. In any case, the best chance of passing on the disease is during the period before diagnosing. The risk of passing on the disease is incredibly diminished inside yearss to two hebdomads after get bringing down intercession. This is the reason it is crucially of import to obtain a fast diagnosing of TB and get down taking medication each piece in a matter of seconds as could reasonably be expected. There are approaches to thwart TB. The Bacille Calmette-Gu and A ; eacute ; rin ( BCG ) vaccination is viable for cut bringing down TB meningitis and perish in kids, yet it is only utilized in states with high risk for TB for it is simply adequate for a brief time of clasp. Indeed, Michael had gotten this vaccination when he was conceived in Denmark, yet he was told after he was analyzed it was not, at this point useful. PPD covering preliminaries are accessible in high danger populaces and for individuals presented to TB, for example, doctors and attendants. A constructive covering preliminary shows contact with the bacteriums, and brief intercession is basic to thwart the spread of the bacteriums from individuals with dynamic Terbium to those ne'er contaminated. All states are required to portray data about TB observation to the World Health Organization. This data is utilized to sort out processs to order the planetary spread of the illness. An individual contaminated with TB ought to be disconnected at place or a clinic for 2-4 hebdomads till they are non infectious any more. TB is regularly rewarded by a standard half year class of the four medications isoniazid, rifampicin, pyrazinamide, and ethambutol. It is basic that these prescriptions be taken each piece recommended to thwart the bacterium from going impervious to the meds doing it harder to deal with. On the off chance that the medications are non being taken right, patients might be sent to straight watched treatment where they are watched taking their clinical claim to fame a few times a hebdomad. Michael ‘s hacking immediately diminished in the wake of being put on the medications, and his back/lung harming evaporated in the wake of holding the fluid in his lungs evacuated. Making sure to take his clinical fortes a few times all through the twenty-four hours, without ever bouncing, was a test, yet he was resolved. He was acceptable educated by his doctors about symptoms and various things he could non make. He encountered holding about rosy piss and recalled no intoxicant was permitted during the half year intercession. Despite the fact that he knew nil about TB before his diagnosing, he tuned in to his doctors and was keen bounty non to end taking his clinical claim to fame after the initial hardly any hebdomads when his indications went off. He realized how of import it was to stay on them all the time, and the half year intercession was a triumph. Terbium has the best chance of returning in the two mature ages after an effective intercession, thus today, he is taking better consideration of himself, doing sure to keep up his resistant framework solid. He remains solid intellectually and genuinely, and he is persuaded he ‘s all in TB one time and for all. Tuberculosis is a treatable infection, yet certain fortunes can do mediation a progressively drawn-out, costly, and dangerous endeavor. Suren Arakelyan is a 40 four twelvemonth old grown-up male directly shacking in an Abovyan hospital on the edges of Yerevan the capital of Armenia, his local spot. He has been battling TB for 15 mature ages since undertaking it after a short remain in a Russian jail for a slam in St. Petersburg. Sketchy anti-infection agents vanquished the ailment one time, yet it returned in 2008 in the signifier XDR-TB, widely medicate safe TB. XDR-TB is one signifier of medication safe TB. Medication safe TB is the point at which the bacterium become insusceptible to the medications regularly used to deal with TB. This can go on when recommended the wrong intercession, dose, or potentially length of clasp, when the medications are inaccessible or of awful quality, when individuals do non take the entirety of their Terbium prescriptions or take them all the time, w hen they create TB for a second clasp, or when they are tainted by individual with tranquilize safe TB. Multi-medicate safe TB ( MDR-TB ) is the point at which the bacterium is unaffected by a lower cutoff of INH and Rifadin, the most every now and again utilized and adequate TB prescriptions. Broadly medicate safe TB is an extraordinary kind of MDR-TB that is unaffected by INH and Rifadin, fluoroquinolone, and a lower cutoff of one of the three injectable second-line drugs (, for example, amikacin, Kantrex, or capreomycin ) . XDR-TB is safe to the most grounded first-line and second-line TB drugs, and consequently mediation of this strain is less useful, progressively costly, and inclined to increasingly symptoms. Medication safe TB may require up to two mature ages of chemotherapy relying upon what number of medications the bacteriums are resistant to. Arakelyan is starved and miserable, and he has lost a large portion of his lung tissue from the malady and quite a bit of his hearing because of the harmful medications. He is forlorn and isolated from his family unit, a wedded lady and juvenile children, who live in far off Belarus. Miserable, he skips and declines a portion of his recommended medications, the reactions on his natural structure unnecessarily difficult to hold up under, however this solitary exacerbates his situation and fortifies the bacterium ‘s restriction. Taking the entirety of the prescriptions exactly as they were recommended and ne'er losing or ending mediation early are the most ideal approaches to hinder sedate safe TB. Bing quickly analyzed and get bringing down mediation right away and limiting introduction to those tainted with tranquilize safe TB will other than help prevent MDR-TB or XDR-TB. Researchers consistently lead examination to happen better mediations for TB. Researchers at Yeshiva University in Bronx, NY are investigating how TB contaminates/causes malady in universes, how the human invulnerable framework reacts, and putting the components that permit the perseverance and proliferation of the bacteriums in the host. They are other than breaking down the components of medication restriction and how M. TB can keep going since quite a while ago run tranquilize intercessions to discover progressively adequate medications and techniques for mediation against TB. They progress in the direction of making new ground-breaking vaccinums to break forestall and secure against all strains of TB. Researchers at the University of Illinois in Chicago work to advance enemy of TB medications to murder the bacteriums while being less harmful/non-poisonous to human cells. They are other than investigating the utilization of regular stocks against TB and creating apparatuses to hel p break the find of new medications. Tuberculosis was n't one time called ingestion and the cachexia ailment for nil. Without appropriate intercession, TB can be life jeopardizing and if non can in any case do life hard and languishing. Safety measures ought to ever be taken in high peril nations until the twenty-four hours when researchers find a positive cure.

Buy Essay Online: Dishonest Odysseus of Homers Odyssey -- Odyssey ess

The Dishonest Odysseus of Odyssey  â Once he comes back to Ithaca, Odysseus shows deceptive conduct and doesn't once tell an individual who he really is when first gathering him. Odysseus shrouds his personality from the start, regardless of whether by effectively lying or inactively not rectifying their wrong beliefs.â He discloses to Pallas Athena, first, that he is from Crete, had murdered a man there, and had gotten a ride with certain Phoenicians to Ithaca. He reveals to Eumaios that he experienced childhood in Crete, went to Troy for the Trojan War, came back to Crete a short time later and made a trip to assault Egypt, where he was caught by Egyptians. Odysseus (as the homeless person) says that he became well off in Egypt, yet was taken in by a man who intended to sell him as a slave. He tells that he got away, and discovered asylum in Thesprotia. At that point on his way back home to Crete, individuals attempted to make him a slave once more, he got away once more (despite the fact that in an alternate manner), and he wound up in Ithaca. With the exception of the way that it’s the tale of a hard life, this bears positively no connection to the real story of Odysseus. He tells everybody (or allows them to accept) about a similar story to every other person that he meets in Ithaca befo re he murders the admirers. There are a couple of perceptible contrasts that we will get to, yet one must be predictable in one’s lies, all things considered, in adversary held region. In the wake of slaughtering the admirers, he discloses to Laertes a totally unique untruth, for the most part revolving around him (Odysseus as the outsider) having seen Odysseus alive after the Trojan War. Odysseus misleads his adversaries for evident reasons; he doesn’t need them to realize that Odysseus has returned. He begins deceiving his partners and companions for comparative reasons. The main individuals who he can permit to realize his character are those he has te... ...what's more, needs to battle down his feelings, so we can identify with him. At last, however, he keeps his discretion and wins out at long last, making him a genuine saint and a fine character. Works Cited and Consulted Blossom, Harold , Homer's Odyssey: Edited and with an Introduction, NY, Chelsea House 1988 Crane, Gregory , Calypso: Backgrounds and Conventions of the Odyssey,  Frankfurt, Athenaeum 1988 Heubeck, Alfred, J.B. Hainsworth, et al. A discourse on Homer's Odyssey. 3 Vols. Oxford PA4167 .H4813 1988 Homer. The Odyssey. Trans. Robert Fitzgerald. New York: Vintage Books, 1989. Rengakos, Antonios. Homertext und pass on Hellenistichen Dichter. Hermes. Einzelschriften, Heft 64. Stuttgart, F. Steiner, 1993. Tracy, Stephen V. ,The Story of the Odyssey Princeton UP 1990  Van der Valk, Marchinus. Literary Criticism of the Odyssey. Leiden: A.W. Sijthoff, 1949.

A Typical Friday Night

A Typical Friday Night As you might have read in my last entry, I had a 6.046 (Design and Analysis of Algorithms) exam this past Thursday. Once it was over, my brain just kind of shut down and didnt do anything productive for the next 96 hours :) I thought Id share the fun times I had this past Friday night, post-6.046 exam. I know that before I came to MIT, my impression of the school was just that (1) everyone was a genius, and (2) no one did anything but work. These admissions blogs (+ my CPW experience) helped change that perspective I had, and hopefully, this entry further shows that MIT is about BOTH work and fun. Not just work! Sooo on Friday night, several friends and I headed over to Harvard Square (about ten minutes away by bus) and went to L.A. Burdick, a store known for its delicious chocolate. We all got some hot chocolate (actually, I ended up getting a latte. Im a coffee addict I dont deny it), and of course, we took way too many pictures (2 of which Ive included here): (Rishi 14 is hitting a real-time fb like off on the left) (I love these peeps) On the way back, Anirudh 16 and Samvaran 12 busted out some dance moves in the subway: Then we took the MIT tunnels from the subway station back to McCormick, the dorm I live in. There, Anuhya 14 used her mad design skills to draw henna on my hand. Gorgeous, right? Following which, we just relaxed and talked for a few hours before my eyelids started drooping and I fell asleep. As a rule of thumb, Im generally always the first person to fall asleep -__- I know this entry is kinda short, but I wanted to make sure I posted something before the rest of this week gets crazy/busy. MIT can be tough sometimes, but taking nights off like this makes such a huge, positive difference :) Have a great week, everyone!

Women vs Walmart - 1358 Words

WOMEN VERSE WAL-MART Women Verse Wal-Mart, the Largest Class Action Lawsuit in History Jeremy Banks LEG100 October 31, 2012 Professor, Harden WOMEN VERSE WAL-MART Abstract Women nationwide have joined a class action lawsuit against Wal-Mart. The women are suing based on gender bias. They claim men are promoted faster and receive higher pay. This is especially noticed in the management ranks. The lawsuit could have been avoided with better training within the company. If the company trained managers in different or better ways of evaluation, the situation would have been avoided. The other training managers need is that is documentation. Everything that happens to an employee from the date of hire to the end†¦show more content†¦The ethical considerations for a gender bias lawsuit can be difficult. First, there is the ethics held by the person who feels discriminated against and then you have the workplace as a whole. In the book â€Å"managers and the legal environment† it says WOMEN VERSE WAL-MART â€Å"the law does not prohibit all â€Å"bad† behavior. An action that is unethical may nonetheless be legal† (Bagley/Savage, 2010). Ethics is defined as the set of moral principles or values that defines right and wrong for a person or group. The problem with ethics in today’s world is most employees do not believe their organizations leadership is ethical. The other consideration is one of mistrust. Employees are afraid to report anything for fear of retaliation. Companies should think about having an ethics program. Essentially, ethics programs are meant to affect how people think about and address ethical issues that arise on the job. Gretchen Winter, vice president of business practices at Baxter International, puts it this way: By providing employees with ethics standards, training, and resources to get advice, organizations seek to create a work environment where (1) it’s okay for employees to acknowledge that they have an ethical dilemma, and (2) resources are readily available to guide employees in working through such dilemmas before making decisions (Joseph, 2000). In the workplace, there are two types ofShow MoreRelatedWalmart Vs. Macy : A Different Shopping Experience981 Words   |  4 PagesWalmart vs Macy: A Different Shopping Experience We all know that both Walmart and Macys are two of the most popular stores, they both have different concepts of the customer experience have manage to divide the public right down the middle. Macy’s stores serves high-end clientele, Walmart has more relaxed and price friendly appeal to those of who are in the middle or even low income. Many middle income Americans shop at Walmart primarily because of their low prices, there are shoppers that gathersRead MoreCase Study : Walmart Case Study1252 Words   |  6 Pages Walmart case study To start of my case study, I’ll give you a brief history of Walmart’s background and what they do as a company, I will reiterate some of their contributing to society. I’ll also touch on some of the information I learned in the article and my take on it. Per the case study article Wal-Mart is the largest retail store in the United States, and is larger than any other retail chain in the world. Currently Wal-Mart operates over 4Read MoreDollar General900 Words   |  4 Pages( ¶2). Alexander’s list covers more price comparisons, but these three items alone show a savings of $3.09 to the customer. Customers The customers of Dollar General come in all ages and both sexes, but the majority entering Imboden’s facility are women. Approximately 80-85 percent is female. The income level for the customers at this facility is from low-, middle, and fixed incomes. This was determined from observation and knowledge of the people entering the store. Most of the customers observedRead MoreEssay on Where Are Womens Rights?1616 Words   |  7 PagesWhere are Women Rights? Did not God create everyone equal and gave them his or her rights? Did God ever say that people should treat every human differently based on his or her gender? Who does not know about gender discrimination? Gender Discrimination, which is also called sex discrimination, was gone in the twentieth century right! This is not true. Gender discrimination still exists today around the world in many countries including the United States. Women are being discriminated directlyRead MoreDiscrimination : Women And Color Discrimination Essay1694 Words   |  7 Pageswent into Influence one year after it was announced. The Glass Ceiling is also a form of gender discrimination. The term refers to the invisible barriers that prevent women from climbing the ranks of management because the upper level and executive positions are given to men. (Workplace discrimination women- N.P. Article pg.3). Women were discriminated on by their looks, for being too old, for not being sexy enough, or not being pretty enough. An employer might hire an attractive woman over otherRead MoreThe History of Walmart Essays2030 Words   |  9 PagesIn 1950, former J.C. Penny employee, Sam Walton opened Walton’s Five and Dime in Bentonville, Arkansas. By 1965, in the same small town Walton would open the first Walmart store unknowing that his investment would become the world’s largest retailer. By keeping sales prices low Walton was able to get ahead of the competition and successfully opened an additional store within the same year. Walton’s success continued and by 1967 his chain of stores had grown to 24 locations, and was bringing in aboutRead MorePotential Stakeholder Decision : Wal Mart1111 Words   |  5 Pagesassociates in 2013, 51% of new hires were women and 49% were people of color. †¢ Emergency preparedness: Collaboration with the United Nations Office for Disaster Risk Reduction to leverage best practices in helping build resiliency in communities around the world. While these points are instrumental to the sustainability of Wal-Mart as a company, it begs the question why. For instance, why does the company place such significance on ensuring to hire women? A little research can provide the answerRead MoreCurrent Ethical Issue in Business1476 Words   |  6 Pagescompany. It is surprising to see so many discriminating issues within the company. Women working for the company are consistently treated unfairly, yet other issues exist. It is as if Wal-Mart has fallen into the negative economic routine. The company is guilty of everyday social discrimination; gender discrimination is just one main focus of our discussion. The affects of gender discrimination affect how women are treated, their income, and company policies. Women’s Rights have been anRead MoreWalmart s Reputation For Unfair Labor Practices1922 Words   |  8 PagesWalmart is the one of the biggest retailers in the United States and one of the foremost and influential corporations in America. It has become one of America s most successful retail chains by offering â€Å"everyday goods at low prices† for middle and lower class families. Even with all of its financial success, the company cannot open a store without dealing with an abundance of protest groups. Walmart always overcomes these groups, but nonetheless there is always opposition against them. WalmartRead MoreIs It Ethical or Unethical to Shop at Walmart?2963 Words   |  12 Pagesit ethical or unethical to shop at Walmart? â€Å"If we work together, we’ll lower the cost of living for everyone†¦ we’ll give the world an opportunity to see what it’s like to save and have a better life.† –Sam Walton (â€Å"What We Do†) Walmart was founded on the belief stated above by its founder Sam Walton in 1962. â€Å"Saving people money, so they can live better,† was the main objective when Sam Walton opened the doors to the first Walmart (â€Å"History†). Today, Walmart is the world’s largest retailer and

Overview of Purple Hibiscus by Chimamanda Adichie

Throughout the centuries, the roles of Nigerian women have continuously evolved. During the pre- colonial era, women in Nigerian tribes were not only child bearers and wives, but also free adults. They played critical roles in food preparation, weaving, pottery, and the economy. However, the impact of British rule in Nigeria made a significant shift from the pre-colonial to the post- colonial era. The influence of the Catholic Church, Western style education, patriarchal government and modern ways of making money took a major toll in a woman’s role in society. In Chimamanda Adichie’s novel, Purple Hibiscus, Mama Beatrice and Aunty Ifeoma are dynamic female foils who represent opposite sides of spectrum in post- colonial feminism. Mama†¦show more content†¦In the terms of colonial European men, the dependency of men showed respect and increased their patriarchal power. In Purple Hibiscus, Mama Beatrice fully relies on Papa Eugene for her luxurious home, Mercedes Benz, and figurines. However, everything comes with a price; Mama is powerless and inferior to Papa. Mama Beatrice endures and is manipulated by Papa’s physical and mental abuse. Colonial missionaries also introduced westernized schools. Colonial policies not only encouraged male dominance, but also Catholic traditions and influences. In Adichie’s novel, Papa Eugene, Mama Beatrice and Aunty Ifeoma all attended and received a Catholic education. Out of all the characters, Papa Eugene received the most influence. Papa Eugene’s abusive nature stems from his days as a student in a Catholic boarding school. Growing up, Papa was abused by the priests for his sins and wrongdoings. Influenced by his past in Catholic school, Papa did the same to his wife and children whenever they misbehaved and disobeyed his rules. Papa Eugene was stern and strictly ordered his family and has his wife and children behave submissively (Adichie). Papa’s impulse to control his wife and children and contradictory religious beliefs serves as a parallel to how British colonialized Nigeria. In 1945, Nigeria was ruled by policies of the British and Mama Beatrice’s family is dictated by the hands of Papa Eugene. On October 1,Show MoreRelatedCultural Practices between Men and Women in Nigeria1858 Words   |  8 Pagesrights are labelled as irresponsible, ‘feminists’ or the male society blames the rebelliousness on hormones, but â€Å"literature has proved a worthy tool in interrogating the female condition†. (Chukwuma 2006). Novelist and short story writer Chimamanda Ngozi Adichie captured the essence of stereotyping in a talk titled, The Danger Of The Single Story, she gives an account of how she discovered her original cultural voice and she informs that â€Å"if we hear only a single story about another person or country

Anne Sexton Free Essays

1) The speaker is Anne Sexton, IMO. This poem is one of Anne Sexton’s strophic poems, with a clear rhyme scheme and stanza order. The speaker is insane, yet she is able to maintain a sense of reality. We will write a custom essay sample on Anne Sexton or any similar topic only for you Order Now She identifies with female oppression. â€Å"Her Kind† was written to lay out Sexton’s despair towards the world, while coping with mental illness. 2) â€Å"I have been her kind† means that she closely identifies with each type. This, I believe, is Sexton’s transference of her many selves into the poem. She was, in her mind, many different personalities. 3) In the first stanza, the figure is obviously a witch or someone who has beliefs that go against what society dictates, maybe a vixen. In the second stanza, the figure is the woman who keeps a nicely stocked home is misunderstood for reasons such as the loss of independence. The last stanza is an allusion (I believe) to Joan of Arc who was burned at the stake for trying to be more than what society deemed a woman should be. Anne Sexton often uses references to her admired her greatly. Sexton wrote this poem in such a manner that it will continue to speak to and empower women everywhere. She is looking into a looking glass and identifying with all women and with all aspects of her own mentally ill mind. Her state of mind is one of despair, loneliness, and her feelings of being an outcast. Anne Sexton battled depression and dissatisfaction with her place in life all of her life. How to cite Anne Sexton, Papers

Math and Music Essay Example For Students

Math and Music Essay Math can be used in music in many different ways. Music theorists often use mathematics to understand music, and although music is evidently abstract in modern mathematics, mathematics is the basis of sound and sound itself in its musical aspects exhibits a remarkable array of number properties. The average person lacking in great knowledge of math and musical theories would not categorize mathematics with music. In actuality, math and music are related, and we use this to describe and teach and learn music without even knowing it. This research paper will e proving the relationship between math and music, and how one is used to assist the other. Music is read in ways very similar to how math symbols are read. Music, wrote the great 17th-century German mathematician Gottfried Leibniz, is the sensation of counting without being aware you were counting. Musical pieces are divided into sections called measures, or bars. Each measure contains an equal amount of time. These measures are further divided into equal portions called beats. These are all mathematical divisions of time. Furthermore, fractions are used in music to indicate he lengths of notes. The time signature is usually written as two integers, one above the other. In other words, these are fractions. The time signature indicates the rhythm of the piece. The number on the bottom, or the (denominator), tells the musician of the note with a single beat count. The top number, or the (numerator), tells the musician of the number of notes in each measure. Numbers are vital in musical pieces. But there is more to the mathematical and musical relationship than counting, and beats, and time signatures. As the French baroque composer Rammer declared n 1722: l must confess that only with the aid of mathematics did my ideas become clear. When we realize and further discover the mathematical foundations in music, we are able to gain much more in-depth knowledge on the structures of music and sound. An important factor in sound is frequency. Frequency is the rate at which a vibration occurs that constitutes a wave, either in a material (as in sound waves), or in an electromagnetic field (as in radio waves and light), usually measured per second. The most common unit of frequency is the hertz (Hzs). When we hear two notes an octave apart, we feel like we are hearing the same note. We even give them the same name. This is because the frequencies of these two notes are in an exact 1:2 ratio. It vibrations and weights. He was then able to discover that the pitch of a vibrating string is and can be controlled by its length. Ultimately, the shorter the string, the higher the pitch. This is w hy stringed instruments, such as the guitar or cello, are tuned tighter on certain strings, to create a higher or lower pitches. Pythagoras also realized that the notes of some frequencies sound best when played together with overall other frequencies of the same note. For example, notes of GHz sound best with notes of GHz, and so on. From this, we can find harmony. Harmony occurs when two pitches/sounds vibrate at frequencies in small integer ratios. For example, the middle C and high C sound good together, because high C has twice the frequency of middle C. It is a 1:2 ratio, or the octave. Middle C and the G right above sound good together because the frequencies of G and C are in a 3:2 ratio. This is also called the Perfect Fifth. Another ratio is the 4:3; Perfect Fourth, and the Pythagorean whole tone; 9:8. These pure integer ratios help us see deeper into the realms of harmony, and why certain notes sound good with others when heard by ear. The OCTAVE; 1:2 RATIO is the most basic ratio in music. It is basically the relationship of one thing vibrating twice as much as the other (hence the 1:2). If you play a string, then stop the string at half its length, it will sound exactly an octave higher. If you play a string, then play another string that is exactly twice its length, it will sound an octave lower. .uf5630c4dfb95d14df4d777cc79e81b68 , .uf5630c4dfb95d14df4d777cc79e81b68 .postImageUrl , .uf5630c4dfb95d14df4d777cc79e81b68 .centered-text-area { min-height: 80px; position: relative; } .uf5630c4dfb95d14df4d777cc79e81b68 , .uf5630c4dfb95d14df4d777cc79e81b68:hover , .uf5630c4dfb95d14df4d777cc79e81b68:visited , .uf5630c4dfb95d14df4d777cc79e81b68:active { border:0!important; } .uf5630c4dfb95d14df4d777cc79e81b68 .clearfix:after { content: ""; display: table; clear: both; } .uf5630c4dfb95d14df4d777cc79e81b68 { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .uf5630c4dfb95d14df4d777cc79e81b68:active , .uf5630c4dfb95d14df4d777cc79e81b68:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .uf5630c4dfb95d14df4d777cc79e81b68 .centered-text-area { width: 100%; position: relative ; } .uf5630c4dfb95d14df4d777cc79e81b68 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .uf5630c4dfb95d14df4d777cc79e81b68 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .uf5630c4dfb95d14df4d777cc79e81b68 .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .uf5630c4dfb95d14df4d777cc79e81b68:hover .ctaButton { background-color: #34495E!important; } .uf5630c4dfb95d14df4d777cc79e81b68 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .uf5630c4dfb95d14df4d777cc79e81b68 .uf5630c4dfb95d14df4d777cc79e81b68-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .uf5630c4dfb95d14df4d777cc79e81b68:after { content: ""; display: block; clear: both; } READ: Music and second language acquisition EssayThe result is 2, and then the previous fixed number is added to the current sum. The sequence grows exponentially using the same pattern. Here is a formula that helps us easily put this sequence into practice. Using this formula, we can conclude that the first 6 numbers of the Sequence would So the question is, how is this sequence used MUSICALLY? The Fibonacci numbers and sequence are often found in the timing musical compositions. Music can be composed through three known methods using Fibonacci. There is the Binary Method, the Note to Number Method, and the Best Ratio Method. I will be expanding further on the Best Ratio Method . This method involves the use of beats thin a musical time frame in order to achieve a golden ratio hierarchy through the Fibonacci Sequence. For example, the composer might choose to use 4/4 time, meaning 4 beats per measure, to compose their piece. In relation to the length of a note orbeat, the composer may have: 1 whole note per measure 2 half notes per measure 4 quarter notes per measure 8 eighth notes per measure 16 sixteenth notes per measure 32 thirty-second notes per measure 64 sixty-fourth notes per measure In the first bar or measure, you would have a single whole note which would mark 4 beats. The next measure would incorporate two half notes marking the 4 beats. It is by the third measure that the golden ratio starts to form as a result of the sequence. In the third measure two quarter notes are used and one half note is used marking the 4 beats. The fourth measure will contain four eighth notes and one half note marking the 4 beats. The fifth will contain eight eighth notes marking the 4 beats. The next and final section will contain twelve sixteenth notes and one quarter note marking the 4 beats within a measure. It can be noted that the number of notes laced within each measure thus far has incorporated a number in the Fibonacci Sequence. Measure 1 = 1 note Measure 2 = 2 notes Measure 3 = 3 notes Measure 4 = 5 notes Measure 5 = 8 notes Measure 6 = 13 notes reached and Fibonacci music is successfully composed! Although at first glance, we would not put math and music together, after a deeper scope into the matter, we can conclude that mathematics play a huge role in music. Music is actually extremely mathematical; every aspect of it ruled by a principle based on mathematics. The discovery of frequency (by Pythagoras) gave us whole new outlook on sound and music. Beats being the mathematical divisions of time. Musical patterns based on mathematical sequences. These few factors prove to us that math is, in fact, needed to make music delightful. Math is needed in order to make a melody perfect to our ears. Essentially, math is needed in order for us to even listen to music. We use math to complete perfect harmonies, and to play beautiful music on our instruments. Math is all around us. Music is amazingly mathematical, and mathematics are amazingly musical.

Rotana Hotel Management

The corporate profile Rotana hotel management is a limited corporation operating as hotels and resorts Management Company in Middle East and North Africa regions. The company assets total over seventy facilities within twenty-six cities in Middle East and North Africa regions.Advertising We will write a custom report sample on Rotana Hotel Management specifically for you for only $16.05 $11/page Learn More The corporation is headquartered in Abu Dhabi UAE where it originated. The company sales and marketing strategy aims to be effectual and practical in maximizing the expansion of each property’s market share. Rotana hotel chains consist majorly of five star hotels with over thirty-five luxury guest rooms. Rotana hotel chains specialize majorly in servicing business and corporate clients. The hotel chains service the business communities around the cities they operate in and visiting corporate travelers especially in major cities in Middle East an d North Africa. The key clientele of the Rotana hotel management are corporate clients coming from domestic and international markets within the travel trade segments. The strategic locations of the properties are vital for their success due to their accessibility and proximity to other social services. In addition, the repeated business the hotel management receive annually and the customer loyalty are vital to its success. Rotana hotel management is committed to offering its guests the most current technical business facilities both within the hotels conferences facilities and inside the rooms. Situation analysis Marketing strategy Corporate mission Rotana hotels management is dedicated to offer its clients high quality and standard services. Offering quality and value to the quests is above everything in Rotana hotel management. The hotel management also recognizes their place in communities they operate and will always work towards developing cordial relationships with these com munities.Advertising Looking for report on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More Above all, the management will always respect and protect the environment of these communities. Rotana hotels management will strive to create and add more value not only to their clients but also to its suppliers, owners and the shareholders. Moreover, the management will continue to honor the hotel brand values while encouraging all the staff to widen their scope in an atmosphere of conviction and faithfulness. Market research and knowledge Rotana hotel depend mostly on corporate guests primarily guests from travel trade. With the current situation in the Middle East and North Africa where most of the hotels are situated, the market is expected to grow. Moreover, with the continuous growth of the Middle East economies, corporate travels are also expected to grow thereby expanding the market. With these high expectations, Rotana ho tel management must continue to focus on offering exemplary services to its clients at reasonable rates to build up customer relationships that go beyond one stay. However, the hotel management is facing stiff competition from other group of hotels mushrooming in Dubai and Abu Dhabi. Therefore, the hotel management must offer competitive room rates to maintain and attract other clientele. The survival of Rotana hotel management in this highly competitive environment will depend on the client’s loyalty to the corporate brand. Thus, the brand must continue to provide quality, value, and deliver on its promises.Advertising We will write a custom report sample on Rotana Hotel Management specifically for you for only $16.05 $11/page Learn More Customer profiling Rotana hotel management is committed to offer value and benefits to its clients. Above all, the management is committed to offer standard services and facilities at affordable prices, which is according to the customers’ needs. Moreover, Rotana hotel management will always continue offering its guests with exemplary personal services as well as the reliable recognition that they always need. In fact, it is in Rotana where guests are given more recognition. Above all, guests are provided with relaxed and luxurious environment ideal for business purposes. Guests are also given an opportunity to develop personal relationship with the hotel that will result in increased efficiency, reliability, and value for their money as well as providing them with support they require at any given time. Market analysis The researches indicate that over 68% of the travelers are aware of the presence of Rotana hotel management. This number is continuously growing and is expected to reach its peak in the next few years. The market trends also indicate that the target market is growing at a steady and considerable rate. The travel trade has grown averagely within the rate of 6-7% in al l the countries where Rotana has facilities and at 9% in areas, it expects to put up new facilities.Advertising Looking for report on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More The projected growth in the last five years has been slowed by world events. However, the current trends indicate that this growth rate will increase. Once it steadies, it is expected to increase with the increase in economic activities in the region. Porters Five Forces To facilitate the analysis of the industry and surroundings in which Rotana hotel management operates, the five forces model proposed by Porter will be applied. In other words, the Porters five forces approach will be utilized in evaluating Rotana hotel management competitiveness in the market (Porter 17). The customers bargaining power The Rotana hotel management products and services can easily be substituted with other services being offered by competing hotels at any point in time weakening the Rotana hotel management control. The buyers of the Rotana hotel management services majorly constitute business and corporate travelers that in the last few years have reduced drastically. This clientele are the end users . Therefore, it can be concluded that the buyer’s power is quite high (Porter 17). Bargaining power of suppliers Firms within the hotels industry mainly deal with suppliers of highly perishable products. However, these companies may integrate to form a new competing company. Furthermore, firms such as Rotana hotel management are not capable of switching between supplying companies quickly and cheaply. This makes the bargaining power of suppliers rather high (Dunning 7). New entrants threat Because of renewed competition, Rotana hotel management had to go into additional cost to maintain its brand loyalty and promote new products. However, hotel clientele tend to be indifferent based on brand differentiation. There is an easy switch of networks among the non-loyal subscribers. This presents low product differentiation and barrier to entry (Dunning 7). Competitive rivalry within an industry Hospitality is one of the highly competitive industries in the world. Majority of local hotels like Rotana hotel management find it easy to set up since they could utilize their market leadership capabilities (Wernerfelt 175). However, the foreign companies have an advantage in both technological and financial capabilities. Regarding the market accessibility, hotels are free to sell their brands to the consumers. The intense competition will lower Rotana hotel management control particularly, the prices of its services. Threat of substitute products There are several similar products offered by other hotels in the industry. Therefore, the threat of substitutes to the Rotana hotel management services is quite high. Rotana hotel management products demands are threatened by substitutes from other hotels products. In the condition that there is increased threat of substitute, there would be variety of alternatives. This presents disparaging situation to the corporation. Rotana hotel management utilizes strong promotions in order to increase their brand loyalty and capture a considerable market share (Aiginger 64). SWOT analysis Strengths Rotana hotel management has well established differentiated strategy that distinguishes its products and services from its competitors. Moreover, the corporation has flat decentralized structures that eases management and reduces costs. In addition, the management and staff consist of diverse skills, which is resourceful to the Rotana hotel management (Davies and Ellis 1190). The shared values of the hotel management are easily understandable and well communicated to all members of the staff. This is combined with strong and participative culture of all the stakeholders. All the staffs in Rotana hotel management are highly skilled and experienced, motivated and specialized. The personnel consist of a well-trained team that is proud, respects, and promotes the corporation brand values. The staff of the corporation presents the brand values bring about brand loyalty in the midst of existing and new clients (Fyall and Garrod 23). The corporation also enjoys a strong reputation both within the domestic and international markets because of quality, reliability, and exemplary services to its clients. Weaknesses Rotana hotel management differentiated strategy need to be well communicated both at the local and international markets. Moreover, seasonal staff turnover need continuous training and orientation, which might be costly to the corporation. Some of the hotels rooms need renovation regarding putting in place technical equipments that support client’s services. The environment the chain of hotels operates is high volatile depending on the political climate each country presents in the Middle East and North Africa. Opportunities There are growth opportunities in the industry after long duration of slouch. Opportunities are also available in some countries such as Hong Kong and Russia where similar model of hotels are yet to be established. Moreover, direct competitors have been absorbed or merged with other thereby providing a vacuum for Rotana hotel management to thrive. In addition, Rotana hotel management has already established strong and long-term relationship with the suppliers thereby reducing most of the supply costs. It is in Rotana hotels where guests enjoy personal services and quality. This has enabled the corporation to enjoy repeat corporate business. Therefore, guest dependency so far established and developed is another opportunity for the Rotana hotel management. Threats It is easy for new competitors to enter this market with similar products and brand. This poses a potential threat to the Rotana hotel management. New entries can either be from both domestic and international firms. In addition to the threats of new entrants, substitute products offered by small and medium sized hotels and larger corporations are currently fully furnished with facilities that Rotana hotel management also offers. Another threat is the slow growth of economy and some of the political instability being experienced in most parts of the Middle East and North Africa. This instability may cause some of the guests shy away from travelling to the Middle East where most of the hotels situated. Product strategy and branding Rotana hotel management brand development and operations strategy is highly aggressive. The strategies are currently being administered in Middle East and North Africa states. The strategies depend heavily on structures that have been put in place to keep up its reliability and existence on the Middle East and North Africa regional mass media, and worldwide satellite televisions. The product and branding strategies has also been achieved through recurrent efforts and partnerships with marketing organizations around the world. Market Communications and CRM The marketing strategy provides opportunity for the corporation to communicate its brand values, foster close relations with its clientele as well as other stakeholders and to be eff ective in identifying the needs of the customers. The corporation communicates its brand through its own PLCRS (Private Label Central Reservations System) as well as the internet technologies. The PLCRS system provides instant messaging to all the communication tools that maintain its presence in Middle East, North Africa and around the world. The constant use of internet technologies provides a medium for hotels rooms reservations, customer relations, and online sales. Macro-environment Political factors Not only internal factors but also external environmental issues affect Rotana hotel management. These include political factors, economic, social, and technological factors (Hartline 99). Like any other industry or business, Rotana hotel management requires politically stable environment in order to achieve its goals. In a stable political environment, any industry or business will thrive since they will generate revenue. Political stability has only been experienced by hotels sit uated in Abu Dhabi, Qatar, UAE and those in Saudi Arabia. However, those in Iraq and North African have experience intense political instability thereby reducing revenue generated considerably. Economic factors The recent economic recessions in Europe and other trading partners has resulted in many smaller business oriented hotels chains going under (Reid and Bojanic 71). The reason is that travelers have reduced considerably and few businesses are transacted. In addition, these hotel chains do not have supportive infrastructures as larger hotels do. Fortunately, Rotana hotel management has considerable infrastructures that can support underperforming facilities. Therefore, economic recession not only affected smaller hotel chains but also larger ones including Rotana hotel management. Social factors Costs determine business and corporate travels. Since costs are continuously increasing, guests are constantly seeking value for their money (Reid and Bojanic 71). This is the reason wh y Rotana hotel management has come up with differentiation strategy. Another important social factor is culture. Most of the Rotana hotel management facilities are located in Arab countries where culture is different and highly restricted. Technological factors All Rotana hotels have been fitted with the modern reservation systems to add quality of services to the clients. The installation of on board reservations systems has to be integrated with the hotels central reservation systems to fully operate. The installations of such systems are always costly and require huge investments. Internal-environmental factors Rotana hotel management structure The corporation has adopted flat decentralized structures that have been perceived as simplifying management and reduces costs. Each hotel operates as a distinct entity with its own staff management strategies and culture. The reason why the corporation has flat decentralized structures is that each hotel operates in different administrati ve and economic environment. Even though much of the operations have been decentralized, they have been integrated with central systems. Rotana hotel management culture Despite operating in different cultural environment, the corporation encourages participative culture among its staff and all the stakeholders. All the stakeholders are encouraged to contribute positively to the development of the corporation and promote its values. The provision of quality services, promoting brand loyalty and adding value to the services offered are encouraged among the staff, suppliers, as well as shareholders. Rotana hotel management leadership and resources The greatest asset of the firm is its leadership and staff. All the staffs in Rotana hotel management are highly skillful and knowledgeable, aggravated and expert in his area. The diverse skills, management, and staff are resourceful to the corporation. The well-trained personnel promote the corporation brand values. In essence, the corporati on leadership depends entirely on its staff while the staff operates under good leadership. The leadership roles and resourcefulness of the staff are integrated and this makes it possible for the corporation to achieve its goals (Nijssen and Frambach 117). The effectiveness of the corporation marketing strategies The corporation marketing strategies are designed to resourcefully and effectively maximize the expansion of the entire facilities market share. In addition, the strategies have generated the sales targets and delivered the brand value and messages around the world. The key objective of the marketing strategy is to attract guests and corporate clients into the Rotana hotels. Moreover, the marketing strategies are aimed at setting up and preserving individual links with significant travel operators in all its market segments. In essence, all these objectives have been achieved. However, some of the strategies that have been put in place have proved costly to the firm. Ignori ng the competitive structure, product positioning and appropriate market analysis has contributed negatively to the marketing strategy (Handlechner 67). Recommendations An inquiry into the overall supply chain of the corporation reveals that the number of new entrants will increase considerably leaving the hotel operators with less concern to take advanced benefits of the market share. Nevertheless, it has never indicated the closing stages of development as the target market is estimated to increase up to ten percent in the next three years. Furthermore, new hotel operators within the industry depend on value addition as a means of penetrating the market. In line with the increasing commerce in the region and around the globe, the need for hotel services will also rise in the coming years. The fact that major players in the industry dominate the market share in Middle East and North Africa regions does not necessarily mean that they are the only contributors in the regions hospital ity sector. The in-depth analysis on their operations and business activities as well as the recent developments is highly required. Rotana should consider putting in place strategies that will increase its competitiveness in the global market place. That is, its strategies should be visible within the global context (Handlechner 78). Besides, the corporation operations must be geared towards increasing the customer value. Its services and products must be differentiated from those of the competing firms in addition to continuous provision of quality services. Moreover, the corporation must focus on creating, communicating, and delivering the value offerings to the target market. In its differentiation strategy, the firm must position its products and services in such a way that the clients understand the ability to fulfill their needs. Pricing is critical in this strategy. Customers will always go for high quality and high quality attracts high prices (Hartline 234). However, for t he corporation to remain competitive and attain its goal of offering high quality and value to its customers, its products, and services must be at reasonable prices. In essence, it must position its products in feasible locations (Handlechner 117) (see the generic price-quality perceptual diagram in the appendix). Customer focused survey Q1. Please rate each aspect of our service (tick) The time taken to speak with our support desk staff Very long Long Moderate Short Very short The staff’s expertise in solving your problems Excellent Good Fair Poor The staff’s professionalism/courtesy Excellent Good Fair Poor The staff’s interest in solving your problems Very interested Interested Fairly interested Not interested The overall time it took to solve your problem Very long Long Moderate Short Very short Q2. Please point out how satisfied you are with our overall services. The hold time it take to be serviced Very long Long Moderate Short Very short The staff’s expertise in services provision Excellent Good Fair Poor The staff’s professionalism/courtesy Excellent Good Fair Poor The overall time it took to be serviced Very long Long Moderate Short Very short Q3. Do you consider thoroughly serviced? Yes No Q4. Was your issue sorted out immediately you contacted support staff? Yes No Q5. Have you seen or use our online support web site before? Yes No Q6. Please provide a general remark on how you would like our services to be improved or other services to be provided Works Cited Aiginger, Karl. â€Å"Competitiveness: from a dangerous obsession to a welfare creating ability with positive externalities.† Journal of Industrial Trade and Competition, 6.3 (2006): 63–66. Print. Davies, Howard and Ellis Paul. â€Å"Porter’s competitive advantage of nations: Time for the final judgment?† Journal of Management Studies, 37.2 (2000): 1189–1213. Print. Dunning, John. à ¢â‚¬Å"Internationalizing Porter’s Diamond.† Management International Review, 33.4 (1993): 5-13. Print. Fyall, Alan and Garrod Brian. Tourism Marketing: A Collaborative Approach. Bristol: Channel View Publications, 2005. Print. Handlechner, Manuel. Marketing Strategy. Munich: GRIN Verlag, 2008. Print. Hartline, Michael. Marketing Strategy. Farmington Hills, MI: Cengage Learning, 2010. Print. Nijssen, Edwin and Frambach Ruud. Creating Customer Value Through Strategic Marketing Planning: A Management Approach. New York: Springer, 2000. Print. Porter, Michael. â€Å"Location, competition, and economic development: Local clusters in a global economy.† Economic Development Quarterly 14.1 (2000): 15–35. Print. Reid, Robert and Bojanic David. Hospitality Marketing Management. Hoboken, New Jersey: John Wiley and Sons, 2009. Print. Wernerfelt, Birger. â€Å"A resource-based view of the firm.† Strategic Management Journal 5.2 (1984): 171–180. Print. App endix Appendix 1 Example of generic Price-Quality perceptual map This report on Rotana Hotel Management was written and submitted by user Tombstone to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.

The novel progresses Essay Example

The novel progresses Essay Example The novel progresses Essay The novel progresses Essay The reader begins to realise that Fagin is an evil character as the novel progresses.  In chapter thirteen, Charles Dickens portrays Fagins determination to get Oliver back: Whats become of the boy? said the Jew, seizing the Dodger tightly by the collar, and threatening him with horrid imprecations. This brings about suspicion in the reader as Fagin is showing much determination to retrieve a little boy. But one consequence of Oliver not being under the control of Fagin is that he could snitch on Fagins criminal activities. But this is only a possibility, so why his Dickens illustrating this character with such determination? The reader begins to understand that Fagin is under the influence of Monks for which is why he shows such determination to retrieve Oliver. Dickens has portrayed Fagin as a self-obsessed character as he his only concerned about the consequences that would occur to him or benefit him with the retrieval of Oliver. Again, Dickens has depicted Fagin of his malicious human nature. The reader has clear understanding of how Fagins mind works; he is a character who has a strong attachment to materialism and he his self-absorbed. The reader begins to develop an understanding of Fagins character; he has much dexterity within the criminal world and is a sly, cunning, and resourceful man.  This is also portrayed through Alan Bleasdales interpretation; however this character has been expressed as more intelligent.  When Bumble is introduced back into the novel in chapter 17, he discovers an advertisement about Oliver and he immediately sets out to find more information. When Bumble meets Mr. Brownlow he attempts to destroy Olivers character. Dickens depicts the evil aspects of this character through the way he treats other people and this is mainly portrayed through how Oliver is treated: that Oliver was a foundling, born of low and vicious parents. That he had from his birth no better qualities than treachery, ingratitude, and Malice. Not only is this not true but Bumble has created a false background of Olivers history, which he tries to deceive Mr Brownlow with. Dickens has portrayed the evil characteristics of Bumble and he has depicted the evil aspects of human nature through this character. He is desperate to get his reward. In his greed he blackens the character of Oliver and describes him as a foul child. Mr. Bumble does not mind spoiling the reputation of Oliver as long as it would earn him five guineas. Once again Dickens reveals the corrupt parochial world through the character of Mr. Bumble.  The most amusing scene in the novel is the one in which Mr. Bumble is shown assessing the property of Mrs. Corney before proposing marriage to her. His exclamations of greed, his flirtatious manner, and his display of affection make Mr. Bumble into a rather comic character. Mr. Bumble is married for two months but he looks unhappy in his relationship. Mrs. Corney dominates and insults him, which causes unpleasantness between them. She does so in the same room in which both of them had expressed their love for each other. The woman, who had acted coy before, now behaves like a demon, hitting her husband and tearing his hair, which is Dickenss humor. Within the relationship Mr Bumble finds himself in a difficult position, he believes that he his in command of the relationship and the wife has to obey: The prerogative of man is too command. By Mr. Bumble saying this it caused Mrs. Bumble great unpleasantness and there is a rather comic moment where Mrs. Bumble attacks Mr. Bumble with success: clasping him tightly round the throat with one hand, inflicted a shower of blows. What Charles Dickens is trying to illustrate is that Mr. Bumble was so full of his own importance that he didnt care about others. Now, that Mrs. Bumble is present she can control Mr. Bumble to an extent and put things into perspective for Mr. Bumble. Charles Dickens is depicting Mr. Bumble and the reader feels that that is what he deserves. Dickens has depicted both Bumble and Fagin in the development of both characters. He has clearly expressed his concerns for the corruption of social conditions; how children are treated, the way law his administered and the consequences it leads to: crime. All of these factors are illustrated through how dickens has depicted the evil aspects of human nature through Bumble and Fagin.  The reader is expecting the evil characters of Bumble and Fagin to obviously have the ending that they deserve and this is what Dickens gives to the reader. Dickens builds up a great deal of tension to Fagins death and when Oliver and Mr. Brownlow go to meet Fagin, before his death, Dickens portrays him as a helpless animal: The condemned criminal was seating on his bed, rocking himself from side to side, with a countenance more like that of a snarled beast than a face of a man. Dickens has transformed this character, from the ruler of the criminal world to a powerless animal and he has gained the readers sympathy by doing this. But, because of his evil ways, death is his punishment, and that is what I personally think he deserves. When Fagin his approaching his death he his not even willing to share a prayer with Oliver and he his portrayed as a crazy criminal. He starts discussing an escape route with Oliver to help him and Dickens is still depicting this character; even in his last moments of life, he cannot even say a prayer, instead he plans an escape. Charles Dickens from start to finish has depicted this character of his evil human nature.  In Bumbles ending, Dickens clearly portrays that Mr. and Mrs. Bumbles relationship isnt going well and eventually they have split up. Not only did they split up but they became paupers in the very workhouse that they once ruled. Dickens has given the ending to these two characters for what they deserve. Overall, Bumble is portrayed as a character that is so full of his own importance and his marriage with Mrs. Corney becomes rather comic and we feel he has suffered at his own hands. Fagin is portrayed as a sinister character, who is attached to his materialism and who only cares about himself.  Charles Dickens has depicted the evil aspects of human nature through Bumble and Fagin. Dickens has criticized both these characters to express his concerns for the social conditions of his time such as law, authority, power and crime, and I believe he has clearly expressed these factors through depicting the characters of Bumble and Fagin.

Marketing Research Proposal Essay Example | Topics and Well Written Essays - 1000 words

Marketing Research Proposal - Essay Example 14). With regard to the Hummer, the marketing decision problem is the changing of the market perceptions of the Hummer in order to enhance its performance through increased sales. Notably, the Hummer has been associated with some aspects of personality that do not augur well with its market objectives (Case 1.1, 2012). The core problem should be the devising of the most appropriate marketing strategies that would reverse these perceptions. Market Research Objectives The market research objectives usually relate to the precise reasons that behind the conducting of a particular market research. Basically, these objectives are the fundamental reasons that underpin all marketing research processes of any organization. The market research objectives of the Hummer brand are anchored on the need of finding the most effective strategy that could improve the performance of the Hummer on the market. Specifically, these objectives include the establishing of varieties of the brand to suit the d iverse needs of the market, the seeking of opportunities to increase the volume of sales of the brand, and increasing the market reach and segmentations of the product. Appropriate Research Design This study will adopt an explorative research design. The value of an explorative research design lies in the development of insights into specific aspects that underpin the research problem. It seeks explanations of occurrences, trends, realities, and the nature of things in order to expand the understanding of the research problem. Explorative research designs are comprehensive in nature in the sense that they seek to harness sufficient amounts of information that appertain to the research problem. Generally, explorative research designs are suitable in situations that demand answers for a specified marketing challenge or problem. In the particular case of the Hummer, the explorative research design will be resourceful in providing the most relevant information that might assists the man agement in formulating the most appropriate responses. The explorative research design will also be imperative in finding strategies of expanding their market reach, changing of the prevailing negative perceptions about the brand, and engaging other strategies that are generally necessary for the improving the market performance and brand image of the Hummer. Research methods The most applicable research method for this research is a mixture of both qualitative and quantitative. Qualitative methods will guide the research in clarifying concepts and providing the general framework that would guide the research activity. These methods will be useful in expanding the understanding of the research problems in order to align the process with the authentic needs. Particularly, the research may require the application of the case study approach in order to furnish the study with sufficient insights. Moreover, the study could rely on extended literature about some of the specific aspects of the problem that relate to the objectives of the study. The incorporation of quantitative methods will enrich the study with specific facts that attend to the problem. For instance, the study will benefit from statistics on the various aspects of the research problem, which would help in the provision of solutions based on specifics. Generally, the

International marketing plan- how to increase sales rate for HTC in UK Dissertation

International marketing plan- how to increase sales rate for HTC in UK - Dissertation Example The chapter also highlights the rationale and scope of the research along with proposing the methodology. The literature review chapter discussed the model proposed by Zeithaml (1985) where the relationship between price, value, and quality has been associated with consumer perception. The model explained that in order to enhance the consumer perceptions, it is important to decrease the perception of sacrifice, add intrinsic attributes, evoke perceptions, and use extrinsic cues to signal value for all possible strategies. The chapter concluded that price, value, and quality of products affect the perceived benefits and beliefs of consumers in a good manner. The research methodology chapter presented an overview of the different elements of the methodology along with highlighting the preference for each element in an illustrative manner. The finding and analysis chapter found that Samsung success factors are in the form of a robust and varied product portfolio attracting consumers of all age groups. On the other hand, Apple believes in product differentiation embedded with brand equity and recognition to attract consumers. The last chapter concluded that that the success factors of Apple are mainly in the form of product differentiation, brand appeal, brand value, and consumer perception over the value and quality. ... Communication plays an important role in connecting people and in this regard, mobile phones have played a major and crucial role (Adkins, 2008). The advent of mobile phones offered much needed liberty to people to enhance the communication at any point of time making life easy and simple along with facilitating the flow of information and communication (Anttila and Jung, 2006). Motorola was the first company to introduce mobile phones in the market and later a number of organisations introduced mobile phones in their domestic markets. Prior to 2010, Nokia was the market leader in the mobile phone communication having great reach in different parts of the world. Later, organisations like Samsung, HTC, Micromax, Apple, and Sony forayed into different markets increasing the overall rate of competition along with offering wide arrays of options to the consumers. One of the most innovative mobile manufacturers has been Apple and Samsung offering attractive mobile phones with distinctive designs and appeal. Samsung is a South Korean multinational conglomerate having a number of products including mobile phones. On the other hand, Apple is an American multinational company having wide arrays of products related to computers, software, and mobile phones (Attewell, 2005). Initially, the success of both these organisations was limited to few countries but later these companies embraced an international outlook by exploring international markets and thus gaining impressive market share (Ballard, 2007). The research aimed to explore factors affecting the productivity of foreign mobile phone brands like Samsung and Apple in the United Kingdom. The United Kingdom has been a developed market for

Mount Etna: History and overview

Mount Etna: History and overview Mount Etna is also known as Mongibello in Italian. To ancient Greeks Mount Etna is known as the god of fire. They also believe that Cyclops, who is a one eyed monster, lives there. People can go skiing on Mount Etna in winter and you can go hill walking in the summer, but you have to be careful in case it erupts when youre there. Mount Etna also has some famous caves on it which people like to go and see. There is also a lot of wildlife on Mount Etna like Frogs, Toads and even some turtles are found in some of the ponds and lakes, there are also a lot of birds and even some rare golden eagles. Mount Etna has a lot of trees so in autumn when the tree leafs change colour lots of people come to see them. Mount Etna is strato volcano so its lava isnt as hot as other types of volcanoes. It is on the east coast of Sicily quite near Messina and Catania. Mount Etna has the most amount of eruptions in the world. It is the biggest active volcano in Europe, it is about 3326m high and it has an area of about 1190km ². The volcanoes height changes every eruption and some of the eruptions have reached the cities near the coast. The mountain is about 21m smaller now than 1865 because of the weather eroding it away. Mount Etna is by far the biggest active volcano in Italy, being almost 3 times as big as Mount Vesuvius which is the next biggest volcano in Italy. Geologists think it has been active for over two and a half million years. Mount Etna is one of the most active Volcanoes in the world. Its usually a quiet Volcano not a violent one because it erupts so often. Mount Etna erupts most impressive when the vents and the top erupt. Ash storms only happen if the vents erupt. The lava from Mount Etna can sometimes get up to 1000 degrees Celsius. Thousands of people live near and on the slopes of Mount Etna, their houses and property get ruined quite a lot. The surrounded areas of Mount Etna are good for Farms because crops and vegetables grow well on the volcanic soil. One of the eruptions in 122BC caused so much damage to a nearby city called Catania that its residents were relieved from paying taxes to Rome for 10 years. Mount Etna has 3 vent creators on its slopes, which have lava, rocks, and gasses coming out of them. Mount Etna erupted most violently in 1669 when the lava demolished nearby villages on the bottom of the slope. Some other violent eruptions have happened in 1971, 1983, 2001-02 making the Italian government to declare a state of an emergency. All these eruptions have been dangerous but the one in 1669 when it hit the outskirts of Catania was by far the most violent. Mount Etnas Eruption 1669 Mount Etnas eruption in 1669 is the worst eruption so far in its history. During Mount Etnas history it has erupted quite often, so people dont usually bother when it erupts because its not that violent, but the eruption on the 8th of March 1669 was by far the most violent. On the afternoon of the 11th of March a lot of vents from the volcano opened between two nearby cities, these vents caused a couple of very dangerous explosions and a huge amount of lava came out of them and flowed downhill. It produced about 830,000,000m ³ of lava. The eruption was caused by two months of earthquakes under and on the surrounding areas of Mount Etna. This was caused by the African crust pushing under the Eurasian crust. This made Mount Etna erupt. On the 11th of March a 9km gap cracked open from Monte Frumento Supino to Monte San Leo on the south side of the mountain. The biggest vent cracked open near Nicolosi and oozed with lava and it ended up shaped like a cylinder cone and it is now a popul ar tourist point and is called Mount Rossi. On the first day of the eruption a town called Nicolosi and two other villages nearby were destroyed by the dangerous pyroclastic flow which can get up to about a speed of 500mph. The next three days the lava was flowing south and another four villages were destroyed. At the end of March another two bigger towns were destroyed and the lava reached the outskirts of Catania at the end of April. At the beginning of the lava reaching Catania, the lava flow hit against the wall which was meant to stop the lava flow destroying Catinia. The wall was strong enough for a while but on the 30th of April the lava reached the top of the wall and poured into the city which made the wall fall down. After a while of the lava getting into the city it reached the harbour and filled it up. Some of the people that live in Catinia built walls next to all the main roads to stop the lava going onto the roads which would cause some accidents and deaths. Other people that live nearby tried to direct the lava flow away from the city but they did not do that good of job. Effects of Mount Etnas Eruption 1669 The effects left behind from the eruption in 1669 were talked about worldwide. More than 10 villages were destroyed and a lot more were badly damaged by the lava flow. The west side of Catania was also badly damaged. The west and southwest of the city which was the richer side of the city, with lots of fruit gardens, expensive villas and a few monuments from Greek and Roman time were turned into a wasteland from the vicious lava. Catania was now surrounded by lava in all directions apart from the sea side. The pyroclastic flow damaged the south and south west of the city, unlike the eruption in 1381 when it destroyed parts of the north side. The pyroclastic flow doesnt always do the most damage but it kills the most people because it can travel so fast, and people cant get away from it. About 200 000 people died and about 27 000 people were also left homeless from the devastating eruption. Plate Tectonics Most volcanoes in the world are on a constructive or destructive plate boundary. Mount Etna is on a destructive plate boundary. A destructive plate boundary is when one plate is getting pushed under another plate. Mount Etna was made by the African plate pushing under the Eurasian plate which makes a volcano form. Mount Vesuvius and Campi Flegrei are two other volcanoes which are also made by the African Plate pushing under the Eurasian plate. Most active Volcanoes are positioned near or along the edge of plate boundaries. Scientists are trying lots of different ways to find a better way of seeing under the earths crust below a volcano. Bibliography http://www.solcomhouse.com/etna.htm http://www.bestofsicily.com/etna.htm http://www.volcanolive.com/etna.html http://www.geography.learnontheinternet.co.uk/topics/etna.html http://www.destination360.com/europe/italy/mount-etna http://www.worldtravelguide.net/attraction/285/attraction_guide/Europe/Mount-Etna.html http://www.history.com/this-day-in-history.do?action=Articleid=366 http://www.experiencefestival.com/a/Mount_Etna_-_1669_eruption/id/1371107 Myocardial Infarction (MI): Nursing Assessment and Care Myocardial Infarction (MI): Nursing Assessment and Care The purpose of this reflective essay is to critically analyse the clinical assessment and nursing care of a patient suffering from an Myocardial Infarction (MI). This essay also reflect my personal experience and knowledge I gained in a coronary care unit (CCU) which will be useful in my future development. I used Gibbs model to reflect on my experience of caring for a patient with a Non ST elevation MI or NSTEMI (Gibbs 1988).The National Service Framework (NSF) for coronary heart disease (CHD) set standards for the prevention, diagnosis and treatment of CHD (DH 2000).Myocardial Infarction (MI) is one of the major causes of morbidity and mortality in the United Kingdom (NICE 2002). Reflective practice is one of the key processes of learning within the health professions. It enables you to reflect on actions taken and analyse what you may have done differently and how you will handle similar situations in the future. Learning comes from how you handle different incidences and experiences and reflection is a key part of this. There are a number of models to choose from such as John’s model of reflection (1994), Kolb’s learning cycle (1984) or Atkins and Murphy’s model of reflection (1994). However, this essay will use Gibbs’ model of reflection (1988) to critically analyse the clinical assessment and nursing care of a patient suffering from a Myocardial Infarction (MI). This essay will use the model as devised by Gibbs as a framework. Gibbs’ model of reflection (1988) is based on six separate elements. It would be worth looking very briefly at each stage before continuing. Stage 1 of this model is the description. It requires you to set out the context of the event such as who was there and what was happening? Stage 2 is feelings. This is how you felt about the event and how you felt about the outcome. Stage 3 of Gibbs’ model is the evaluation. This requires you to consider the experience as a whole. What went well and what do you feel wasn’t so successful. Stage 4 is an analysis of the event as a whole. It requires you to break down the event into it’s separate parts and look at each part in more detail. What sense can you make of the situation? Stage 5 is the conclusion. This stage invites you to question what you might have done differently or what more could you have done given all the facts. The final stage of Gibbs’ model of reflection is an action plan. What would you do i f you encountered the situation again? What about your actions would you change? This is the structure that this essay will follow. Stage 1: Description I was working as a nurse in a Coronary Care Unit (CCU) in London. NMC guidelines (2004) requires healthcare providers to protect all patient’s confidential information. From this point I will be referring to the patient as Henry. Henry is a 45 year old male who was admitted into the Accident and emergency Unit of the hospital where I was working with crushing chest pains radiating to his left arm and his back. Henry had had no previous or family history of coronary disease. The initial observations showed that he had stage 2 high blood pressure (138/78), a heart rate of 85, respiration of 15 and a temperature of 36.5 degrees centigrade. Saturation was 100% at 28% oxygen via face mask. An ECG done in AE showed ST depression in leads 11,111 and AVF less than 1mm. TroponinI was>32ng/ml. In AE an initial dose of aspirin and 300mgs of clopidogrel was given to Henry. 80mgs of Clexane was also given, along with 5mg of morphinesulphate. 2 puffs of GTN spray was also administered. He was then transferred to CCU for further management. I first came into contact with Henry that morning when he was handed over to me. He had been in a stable condition when he was admitted to the CCU and had said that he had had a pain free night but later complained to one of the senior sisters that he had in fact been suffering but didn’t want to disturb anyone since the pain occurred from 4am onwards. When I first encountered Henry he was pale, cold and clammy. GTN spray was administered and I also started oxygen at 28% as his saturation was at 98%. Henry had said his pain was in his central chest and back regions. His ECG results showed ST depression 2mm in leads 11,111,aVF. At this point his BP was 126/80,his heart rate was 100, his respiration rate was 19 and he had a temperature of 36 degrees centigrade. Once I had informed the registrar of this I started a GTN infusion and his blood pressure dropped to 110/76. I then wanted to assess the level of pain that Henry had said he was in. I used a numerical rating scale to determine the level of his pain. This numerical scale provides a valuable measure of the understanding of the intensity of pain (Thompson et al, 1994). He had initially scored an 8 out of 10 but after the GTN infusion was administered this dropped down to 5. He was then started on 50mgs of Tirofiban in 200mls of normal saline and 20,000units of heparin infusion. During this time the registrar arranged for an emergency angiogram at a nearby hospital in London. I arranged for the transfer to be made in the hour. Upon his return, angiogram on his return I checked his angio site for bleeding. I did an ECG and placed him on a cardiac monitor. I checked pedal pulse and did circulatory check in his right leg every hour. I advised him to stay in bed for few hours to avoid bleeding. When it was discovered that Henry had an Inferior NSTEMI he was scheduled to have an emergency percutaneous transluminal coronary angioplasty (PTCA) which is performed by passing a balloon tipped catheter from an artery in the groin or arm and guided to the blocked artery of the heart (American Heart Association, 2008).The balloon is then inflated and removed, leaving in metalstent which squashes the fatty deposit that has been blocking the artery and therefore allowing blood to flow more easily. Jowett and Thompson (2003) argue that this method is very useful in alleviating symptoms and improving the prognosis of the patient. I was able to explain the procedure to Henry and then prepared him for the operation by shaving his groin and checking his bloods (including a coagulation screen). I also inserted venflon for intravenous access administered medications such as aspirin, informed the next of kin. The angiography had shown that Henry had 70-90% stenosis in proximal and midsegment section of vessel. The left coronary artery was free of obstruction therefore patient had PCI with drugeluting stents in the right coronary artery. The procedure was successful and I was able to start Henry on the first phase of his cardiac rehabilitation before his discharge. This involves a risk factor assessment and giving advice on how to lead a healthier life through reducing stress, having a healthier diet and taking regular exercise. I also gave him advice on his new drug regiment which would be an important part of his rehabilitation. Of course, longer term rehabilitation is required for patients who have gone through what Henry has gone through. He agreed to attend a exercise program once a week to be conducted in the hospital. A Myocardial Infarction (MI) can have a huge psychological effect on a patient. The changes that a patient is required to make to their lifestyle after suffering an MI can also have a damaging psychological consequences. Before Henry was discharged I had him fill out a questionnaire that would help determine his depression and anxiety levels based on the Hospital Anxiety and Depression (HAD) scale. Stage 2: Feelings As a nurse I know that it is impossible to give round the clock, exclusive care to just one patient. I had other patients to attend to on that day who needed my care just as much as Henry. However, I still felt frustrated that Henry was in so much discomfort and I was also annoyed with myself for not having picked up on this when he had been initially handed over to me. It was left up to the senior sister to tell me that he had been pain during the night. I also felt frustrated that he didn’t feel like he could tell anyone about the pain that he had been experiencing. I felt that on the whole my communication skills had been lacking on this occasion. Had my communication skills been better, I could have picked up on the pain Henry was in much sooner. This is perhaps the strongest feeling I have about this experience. Overall I felt relieved that I was able to discharge Henry. CHD is a massive killer in the UK and working on the CCU one experiences many outcomes that aren’t as positive as Henry’s. Of course, I know his life is going to have to dramatically change as a result of his MI but I felt like I had done my best to prepare him for these changes. Stage 3: Evaluation This stage requires a reflection of the experience as a whole and to look at the aspects that were successful and also to look at aspects that weren’t so successful. Overall I was pleased at the outcome of this experience. However, there are always areas that could be improved on. Perhaps the greatest failure came from not knowing soon enough of the chest pain that Henry had suffered through the night. Had his pain been reported or picked up on sooner then I could have possibly prevented some of the myocardial damage. The GTN infusion could have been administered sooner. The purpose of this infusion is partly because it is useful for analgesia but also because it is useful for the control of ischaemia as it relaxes the smooth muscles, arteries and veins leading to vasodilatation (Hatchett and Thompson, 2007). Had I known of Henry’s chest pain right from the start it would have been possible for me to administer this as soon as he was handed over to me. The CCU I work in follows the ESC guidelines for management of NSTEMI. In accordance with this, I started Tirofiban and Heparin infusion. Tirofiban is a nonpeptide mimetic antagonist of glycoprotein 11b/111a receptor. Because Henry was limited by unstable signs and symptoms, protocol states that Tirofiban in combination with Heparin and Aspirin will have lower incidence of ischemia. I thought that the care that Henry received before his PTCA and the speed in which he was able to have this surgery was a great success. The PTCA was also a particularly successful. In the BHF Randomised Intervention Treatment of Angina (RITA3) trial of patients with NSTEMI, invasive strategies (PTCA or CABG) were found to be better when compared with more conservative strategies (Collnolly et al, 2002). I also felt that the care Henry received after his PTCA was very successful. The long term effects of this are yet to be realised but in the short term I felt that Henry responded very well to the lifestyle changes he was being asked to make. The long term care of patients who have suffered from CHD requires coordination across many different health care professions. It is often for patients to slip through the cracks and skip the parts of the rehabilitation that they find too hard. However, I felt that Henry was determined to get back to a normal life as soon as possible. Stage 4: Analysis The purpose of Gibbs’ model of reflection (1988) is to learn from your experiences. I feel that this stage has been adequately covered by the description given in Stage 1. In this previous section I have given a step by step breakdown of the events as they unfolded. Each part from Henry’s admission, to his treatment to the initial stages of his rehabilitation have been covered in sufficient detail above. Stage 5: Conclusion As already mentioned, one of the areas which I felt was most inadequate throughout this whole experience was communication. Jowett and Thompson (2003) argue that in the highly technical and invasive atmosphere of a CCU, good communication can sometimes be lacking. Ashworth (1984) argues that a patient needs to feel like healthcare professionals such as nurses need to be helpful, competent and approachable. Nurses in turn have to recognise the individual needs of the patients in their care. This is an area where there were obvious failures. Henry didn’t feel able to express the fact that he was in pain because he didn’t want to be a nuisance. In an CCU where it is a highly charged atmosphere, it is possible that the patient may feel quite a lot of discomfort but won’t speak up because they may feel that they are inconveniencing someone or also they may feel that everyone in the CCU is probably feeling worse than them so they should just deal with the pain and not speak up. This failure to communicate is both the fault of the patient and the healthcare professional but the healthcare professional should be able to recognise when a patient is in pain. Stage 6: Action Plan Clinically I feel all the proper guidelines and protocols were applied in the case of Henry. As has already been stated, what was lacking is the communication. I am likely to encounter similar situations again as a nurse in a CCU. CHU is a leading health concern in the UK so it is important that one is able to learn from experiences and use them when encountering similar situations. The role of nurse in a CCU is one that is rapidly evolving and changing so it is important to learn from experiences and apply this learning to everyday practice. What my experience with Henry has taught me is that I need to treat each patient as individuals with individual problems and with differing levels of communication skills. Some patients are good at communicating what they feel while others aren’t. Spotting that Henry was in pain sooner may have led to less damage of his heart tissue. Of course the damage had already been done before he came into hospital but I may have missed signs that I should have picked up on when he was initially handed over to me. As nurses we should be striving to make the patients in our care as comfortable as possible. This especially important in a CCU where patients are having to deal with a variety of problems and a wide range of emotions. It is easy to get caught up in the highly charged atmosphere and not see the patients as individuals. This is something that I aim to work on in my future career as a nurse. Bibliography and References: Bassand, J., Hamm,C,Ardissino D et al (2007) Guidelines for the diagnosis and treatment of Non-ST-segment Elevation acute coronary syndrome:The task force for the diagnosis and treatment of Non ST-segment elevation acute coronary syndromes of the European society of cardiology. European Heart Journal 28:1598-1660. B .Scheller,U.speck,M.Bohm Prevention of restenosis; is angioplasty the answer. Heart 2007(93) 539-541. Derek L Connolly,Gregory YH lip and Bernard SP chin.Anti thrombotic strategies in acute coronary syndromes and percutaneous coronary intervention.ABC of antithrombotic therapy BMJ.2002 325(7377): 1404-14 E coady Managing patients with non-ST-segment elevation acute coronary syndrome Nursing standard 2006(20) 49-56. Fox KA (2004) Management of acute coronary syndromes: an update.Heart 2004(90-1) 99-106. Gibbs ,G.(1988) Learning by doing :A guide to teaching and learning methods.oxford. Hatchett,R. and Thompson,D. (2001) Cardiac Nursing:A comprehensive Guide,London,Churchill Livingstone. Harvey D white (2008) Implications of a new universal definition.Heart 2008(94-6) 679-683. Henriksson M Epstein,D.M and Palmer SJ (2008) costeffectiveness of an early interventional strategy in non-ST elevation acute coronary syndrome.Heart 2008(94) 717-723. Jowett,N and Thompson,D.(2003) Comprehensive coronary care.3rd edn.London:Bailliere Tindall. Libby P (2001) Current concepts of the pathogenesis of the acute coronary syndromes.Circulation. 2001(104-3), 365-372. Mathew B.earnest and Peter N. tadros march1,2007 consultant vol 47(3) National Service Framework for Coronary Heart Disease (2000) A report on the clinical and cost effectiveness of physiotherapy in cardiac rehabilitation London:NSF. Nursing and Midwifery council (2002) code of professional conduct.London.Nursing and Midwifery council O Connor, S (1995) The cardiac patient:nursing interventions.London:Mosby. Ornish,D.,Brown,S.E.,Scherwitz,L.w., et al.(1990)Can lifestyle changes reverse coronary heart diseaseLancet,336,129-133. Scottish Intercollegiate Guidelines Network (2002) Cardiac rehabilitation:National Clinical Guidelines. Edinburgh:SIGN Thompson, P (1996) The effectiveness of cardiac rehabilitation.Nursing in critical care 1(3);215-220. Thygesen, K .,Joseph S., et al.(2007)Universal Definition Of Myocardial Infarction:Task Force For The Redefinition Of Myocardial Infarction.European Heart Journal(28) 2525-2538. World Health Organisation (1993) Needs And Actions Priorities In Cardiac Rehablitation And Secondary Prevention In Patients With Coronary Heart Disease.WHO Technical Report Service 831,Geneva, WHO . Wood,D., Mcleod, A., Davis,Miles,A.(2002) Effective Secondary Prevention and Cardiac Rehablitation.London:Ausculapius Medical Press. Woods, S.L., Sivarajan Froelicher,E.S. and Underhill Motzer, S.(2004) Cardiac Nursing, 5th edition, Philadelphia, Lippincott.

Evaluate Two of the Cognitive Approaches Strengths and Weaknesses Essay

The cognitive approach has two main strengths. These two strengths are that the cognitive approach is scientific and that it has an application of therapies. The first strength that the cognitive approach has is that it is scientific this is because it is done within the laboratory. This is called lab studies. We can rely on the findings because it is done under a controlled environment. Which makes this a strength. The second strength that the cognitive approach has is the application of these therapies. We know that this is strength because it has a very high success rate and is very effective. This is why the NHS uses this approach. The cognitive approach helps people across the world. The Cognitive approach also has two weaknesses, these two weaknesses that I am going to evaluate are that it is difficult to prove and the mechanistic reductionism. The cognitive approach is difficult to prove that it works because thoughts are not observable and are not measurable. This is a weakness because physiologist have to rely on the truthfulness of patients because there is no solid evidence what the patient thoughts are. The second weakness I am going to evaluate is the fact that the cognitive approach has a mechanistic reductionism; this means that the mind is compared to a computer. This is a weakness because the mind is much more complex that a computer e.g. the mind can guess and understand someone’s feelings. So Mechanistic reductionism suggests that psychologist are downgrading the mind’s capability.

Floods and subsequent death Essay

Hurricane Katrina formed in the United States in the year 2005, causing floods and subsequent death many people. It is estimated that more than 1800 people lost their lives due to the hurricane. This data makes it the worst in the history of the United States since the year 1928. It is considered to have been the hurricane most costly and deadly in the history of the U. S and was considered a natural disaster. Among the affected places is St. Rita’s nursing home which has let to the trial of the owners Sal and Mabel Mangano. The nursing home was situated in New Orleans in St Bernard parish. It has been build 20 years before the hurricane struck. This home was situated in a depression in the ground. The approximate number of residents of the nursing home was 65 and out of these 35 of them died when the hurricane struck. This has led to the indictment of the owners the Manganos, after investigations were done on deaths at nursing homes and hospitals. Their trial was for negligent homicide where it was alleged that they willfully caused the deaths of 35 people by not evacuation them and also tying them to their beds. However I beg go differ with these allegations and they should not have been convicted for negligent homicide. Nursing Home Establishment Sal and Mabel Mangano were the owners so St. Rita’s nursing home having built it 20 years before the hurricane Katrina. The area where they built the nursing home had patches of terra firma. In marshlands this is a good area and the reason why they had considered it, was because in 1965 during the hurricane Betsy this is the only area that did not flood. In this consideration it means that with the establishment of the nursing home they had considered that incase there was a hurricane, there at St. Ritas it would not flood. This shows clearly that they would not have intentionally neglected their residents to suffer and drown in the floods and the subsequent death hence they should not have been convicted. For this consideration they had in mind that, just like in 1965 the hurricane was not going to affect them and for this reason they did not evacuate but instead they went up their one story building. A Show of Kindness During the time of imminent floods the Mangano’s has intended to safe other people by inviting them to St. Rita’s nursing home among these their staff and relatives as well as their won relatives. The reason they had done this was because they were kind enough and were ready to help other people. If they had a motive of willingly exposing their residents to flood and death they then could not have invited their resident. They had the best intention and they felt that they would not be affected by the floods and thus they did not neglect their residents or even wish for them to die. They had offered shelter to more than 25 people who had gladly accepted since they were exposed to the disaster of the hurricane. Safety Before the worst hurricane happened on 29th of august 2005, the mangano’s felt that everything was alright. They checked and inspected the area which showed that the ground were dry, the parking lot and the roof was also alright. However it is at this juncture that the hurricane struck. Sal mangano had herself gone outside with several other men to inspect the situation and ensure that everything was alright and that the people inside could not be in any danger whatsoever. Meaning they were concerned greatly about the safety of the people who were already inside at St. Rita’s nursing home, they could have done anything to ensure that these people were safe. The Hurricane Katrina Even when the hurricane struck the manago’s did not neglect heir resident in cat they went inside and tried to fortify the windows and the doors in desperation of trying to protect them. All the same a strong wind and a strong flow of water hit the nursing home’s walls and even penetrated inside, rising in the building. The mangano’s alongside their relatives some of them as well as their staff worked relentlessly during this time of the floods and also made frantic efforts to safe the people at the nursing home. This means all this time what they had intended was the good of the people at the nursing home and more than anything they used their judgment with the utmost good intentions of saving the people. Conclusion According to the law in the united sates of America the Louisiana requirement is that an evacuation plan should be in the nursing home but id does not state about being mandatory during an actual o evacuation. The law also recognizes a safe place and allows the nursing home to evacuate to such a place In this context the mangano’s did not willfully ignore these rules because they did everything that they could in fortifying their doors and windows in an effort to make their residents secure and to protect them from harm fro the Katrina hurricane and to protect them from drowning as well. St Rita’s nursing home was for the elderly people and others with special needs. One of the reason s why then mangano’s did not evacuate them is because they felt that by moving the people they would have been doing more harm than good, since most of the frail ones would have suffered or even died in transit. This again comes to show that the mangano’s made one judgment which was in consideration of their residents to protect them more than to harm them. The mangano’s did not at any one time leave or abandon their residents, they were there themselves and they had also invited their relatives and other people to offer them shelter, if they were willingly exposing them to danger they would not have invited their relatives and they also so would have rescued themselves leaving their residents to die. Therefore, the mangano’s used their judgment and safety measures. They felt that this area where the nursing home was situated probably could not be affected by the hurricane. They should not have been convicted of negligent homicide for the above reasons. References: Carrie Khan, Nursing home owners not guilty. 5th December, 2008. http//www. npr. org/templates/story/story. php? storyId=14261612 Dawn Fratangelo, what happened at St Rita’s Nursing Home? 3rd march, 2006. Http//www. msnbc. msn. com/id/11658446 Paul Rioux, St. Rita’s owners say no help was offered before Katrina hit, 15th September, 2005. http//seniorjournal. com/NEWS/Eldercare/5-09-15StRitaNoHelp. htm