Wednesday, October 30, 2019

E-mail protocol Research Paper Example | Topics and Well Written Essays - 2500 words

E-mail protocol - Research Paper Example Anonymity of all the parties together with message security and integrity can be ensured by use of digital signature protocols that make it possible for delivery of electronic mail to be certified. i. Several reasons make it necessary to certify delivery of electronic mail. These include: a. To eliminate the danger of hacking, reverse engineering and eavesdropping. b. To ensure that the parties to an electronic message remain anonymous to each other for security reasons. c. To make it possible to safely transfer information from one party to another or from one sender to multiple recipients while at the same time addressing the issue of repudiation. ii. Certifying delivery of electronic mail has several advantages over conventional mail because: a. It improves efficiency of mail delivery while at the same time taking care of security concerns. b. Either of the parties to the message is barred by the protocol from ever denying having received or sent the message. iii. The protocol ens ures that only the intended message is sent. E-mail Protocol Abstract The issue of security can never be overlooked in this digital age when it comes to corporate emails. A simple leakage of confidential information can create a huge social, economical and political scene that can be costly in terms of money. Therefore, the need to add value to delivery of important data over the internet to safeguard individual and corporate interests cannot be overemphasized. To guarantee delivery of email messages, it would be paramount to consider using certified mail and lay down stringent rules to govern employee conduct towards the use of conventional email. However, there are controversies that surround the use of certified mail in that it deals only with a single sender and a single recipient. So, what happens when there is the need to send an email message to more than one recipient? The answer lies in the use of a multi party certified e-mail protocol with multiple recipient capabilities. It enables the sender to realize his intention of sending similar message to multiple recipients. Any recipient who acknowledges receipt of the sender’s message is guaranteed to have received the email. To appreciate the role of email protocols best, it would suffice to not only consider how security loopholes can be sealed in the current internet infrastructure but also look at possible ways of curtailing weaknesses and optimizing on strengths of email protocol. Introduction Without email protocols, it would not be possible to maintain a consistent and orderly system for transporting, routing, handling, retrieval and storage of email messages. Email protocols provide the rules for governing such activities. There are several protocols that enable a mail server and a mail client to exchange information but this will be dealt with later on in this document. Though these protocols differ in some ways, yet they all follow similar pattern. First, one computer will normally start a conversation with another. Second, as the conversation is taking place, the server acknowledges the command using a certain code. The code informs about the success of the command or if an error occurred and finally the conversation is ended. The email protocol helps eliminate communication barriers in email systems thereby making it unnecessary to rely on proprietary protocols. This has the overall effects of making communication to be efficient by eliminating the need of

Monday, October 28, 2019

Black Fly Beverage Company Essay Example for Free

Black Fly Beverage Company Essay Black Fly Beverage Company is a small beverage company based in London Ontario. The company has achieved recent success in the selling and promoting of their first alcoholic beverage, the cranberry/blueberry vodka cooler. The immediate success of this product presents two critical issues that the company must address. These critical issues are: †¢Black fly must expand its product mix in order to capture a larger market share in order to compete with larger established brands within the market place †¢Black Fly must also address capacity issues that will arise with an increase in demand or introduction of a new flavor Analysis. Current Situation Black Fly’s cranberry-blueberry vodka cooler has been well received by consumers due to its natural tasting ingredients and no chemical sweeteners producing a premium product different than existing similar beverages. The company now must take this opportunity to give their consumers another product to further explore the brand. Attempting to penetrate deeper within their current product will not allow its customers to further explore their favorite brand of vodka cooler. This will cause Black Fly to begin to lose their customers to other competing companies that offer multiple products and flavors (see exhibit 9). Black Fly also must also address the company’s capacity issues in order to allow them to meet the LCBO’s average order lead-time of seven days. At full capacity Black Fly is meeting the required lead time with minimal margin of error to account for delays, however, during the holiday season, which will occur as early as next month, the company will not be able to keep up with the increase in demand and will fail fulfill the LCBO’s order in time (see exhibit 7). Options The first option available to Black Fly would be to expand its product mix with the addition of a new flavor to compliment their existing cooler. The company will be able to take advantage of economies of scale through the current production; therefore a minimal cost of $30,000 will only be needed to cover development and merchandising fees. To cover this initial cost Black Fly will have to sell an additional 127 cases a month to break even, an increase of 10. 58% (see exhibit 2). It has been projected that adding another flavor to the product line could increase sales by 50 to 75 percent. This projected increase in sales would produce an annual expected ROI of 373% and 609% respectively (see exhibit 5). If however sales increased by only 10% due to the risk of cannibalization of their original recipe then the expected ROI would be -5% (see exhibit 5). This increase in sales however will put additional strain on the company’s current capacity (see exhibit 8). A second option to Black Fly would be the addition of a new specialty spirit-based product called â€Å"Spiked Ice†. This packaged ready to freeze cooler would be a non-competing product to the already successful cranberry-blueberry vodka. An advantage to this product is that there is no other product similar to it out in the marketplace. The LCBO has also committed to sell 8,000 cases of the product over the four summer months, which would produce revenues of $277,200 (see exhibit 3). Over this four month period this option will produce an ROI of 15% (see exhibit 6). To produce â€Å"Spiked Ice† the company however will have to purchase expensive machinery costing $500,000 and spend an additional $40,000 on merchandising and product development. To cover these costs Black Fly would have to sell an additional 7,585 cases of â€Å"Spiked Ice† (see exhibit 4). This may prove difficult as this new product is very seasonal producing higher sales in the summer months and potentially smaller sales in the fall and winter months, a time in which the LCBO has not committed to sell this product at this time. Another disadvantage to this option is the space that this new machinery would occupy in the already small warehouse. Black Fly’s current facilities cannot produce â€Å"Spiked Ice† and the original vodka simultaneously which would result in Black Fly loosing monthly revenues of $23,641 (see exhibit 1). Recommendation It is apparent that Black Fly must attempt to offer a variety of products to enhance its product mix and to keep current customers from trying other flavors offered by other competitors. At this time the best way to proceed with this will be to launch a new flavored vodka to compliment the already successful cranberry-blueberry vodka. The low initial costs and economies of scale gained through this option will allow Black Fly to introduce this new flavor quickly and efficiently to capitalize sales during the upcoming holiday season. To help address the concern of future capacity issues it would be recommended that Black Fly hire two more part-time workers and to run the production process seven days a week. This will be possible due to the expected high ROI associated with this option. This increase in production will allow the company to complete six full runs amounting to 3000 cases within the seven day lead time required by the LCBO ( see exhibit 10). In the future it will become necessary to upgrade to a larger facility and at that time it would be beneficial to begin producing â€Å"Spiked Ice†, however at this current time, given the company’s limited time in the market, it is suggested that Black Fly only pursue the launching of a new flavor. After the company has received sales from the holiday season the company will then be able to better address the possibility of relocating to a new warehouse and address their plans for â€Å"Spiked Ice† for the upcoming summer months.

Saturday, October 26, 2019

Comparing Journey of the Magi by Eliot and Pygmalion by Shaw Essays

T. S. Eliot’s poem ‘Journey of the Magi’ is rich in content, imagery, symbolism and above all Biblical References. The poem throws some powerful questions to all the readers and seeks answers from them. This poem is very deep and hard to understand at the very first reading. Its charm lies in its complexity and ambiguity. Here the poet talks about journey of three wise men from East and their struggle. Their journey starts at a very tough time of the atmosphere – â€Å"the worst time of the year† and that makes the task altogether more difficult. The very first step proved hard and unbearable for them. They know from the beginning that the journey is too long and will be tough to accomplish. The very weather was sharp and it was bone chilling, â€Å"very dead of winter†. On the other hand, in ‘Pygmalion’ G. B. Shaw speaks something very similar. In the preface itself he makes his purpose very clear and tells that as a phonetician one can change the life of a layman. The reformation of the inner soul is possible if proper and systematic training could be provided to the countrymen. A planned rigorous linguistic training can bring a sea-change in the character of the person. He tells that English language can uplift the status of the person in the society. In the first act he introduces a Notetaker who is interested in noting down the speech of different class of people in the throng. The Notetaker feels that these people are not correct users of English language and in a way they are insulting the whole country. He is aware of all the hurdles in making them fluent speakers but as a humanitarian he never looses his hope. Hoping against hope he lives in the expectation that one day the change will come. The Flower Girl is also someone wh o ... ...ns or Pickering. She realizes her own strengths and power and decides to opt for Freddy. In a way like a powerful woman she makes her mind to support Freddy life long. Finally the poem takes so many references from Bible and it revolves around the events in Bible. On the other hand the play is based on a Greek Myth of Pygmalion and Galatea. But unlike the Myth here the heroine of the play rejects her trainer – creator – sculptor , Prof. Henry Higgins and leads her own destiny. In the poem – ‘Journey of the Magi’ the transformation is well decided and not induced but in the play – ‘Pygmalion’ the transformation comes from someone else. Eliza wants to end up as a Lady in a Flower Shop and that is why she takes lessons from Higgins. In poem the magi are not satisfied with the change and same way in the play also Eliza is not satisfied with the transformation.

Thursday, October 24, 2019

Does man survive better under natural law or civilized law

When asked this question, the first thing that pops into mind is what both of these mean. Civilized law is our current position in society, and natural law exists among people who are not a part of mainstream society. If taking the side of civilized law, one could argue how advanced and fortunate people have become. We are starting to witness the beginning of a new era. It is full of information and technology, and it will decide how the future is going to be. But despite all our new inventions and ideas that show us how we’re better than the generations before us, have we grown in any other ways? Does being under civilized law only mean becoming more advanced technologically, or does it also apply to our morals as well? Obviously, society has developed a lot in learning and technology. Today we have inventions such as the computer and nuclear power plants. Things that were never imagined long ago can be easily found today. Machines alleviate us of a lot of hard work that had to be done by hand, so in this sense; we have become more fortunate under civilized law. On the other hand though, not all the technology we have is used for good. Society has produced many weapons specialized to kill large quantities of people. Many people have to live in constant fear of these weapons, while others use them for protection. We still have as many wars as we did in the past, but now the new technology used in them helps bring about more casualties. Could this be, by far, crueler than what our ancestors could ever possibly do to one another under the time of natural law? Besides the wars, society has not grown in understanding other people. There is still prejudice today. Many hate groups like the KKK are still around, and many new ones have come into being. In the past when our country was just starting to be formed, there were prejudices just because people were different. Over 100 years later, people haven’t changed much, and there is still prejudice, making one wonder if we have become a more knowledgeable society under the concept of civilized law. Technically we have become civilized under this concept. Society, though, cannot determine if this sort of ? civilized nature? is for the better or for the worse. Under civilized law we have created new inventions and ideas, however our morals have converted to a more barbaric state. The growing amounts of war, hatred, and acts of violence are demeaning to our current society. The concept of civilized law, whether intentional or not, has destroyed man. Maybe not technologically, but morally.

Wednesday, October 23, 2019

The nineteenth century in the US

The nineteenth century in the US had an unmistakable theme, immigration. Over 20 million immigrants, mostly European, came to the United States between 1820 and 1900. They came for a variety of reasons. Most came because the economies of many European countries were in crisis and workers had a very hard time finding work. As well, some fled religious and cultural persecution. Most of them decided to come to the US because of the opportunities they had heard abounded in the US. One immigrant put it well when he said, â€Å"We are in such bad shape and in need of so much that there is nothing left for us here, we must go. † Once they arrived in the US, the immigrants were seen as second class citizens by the vast majority of US citizens. As one American put it, â€Å"I can't understand those scum, those immigrants, for they talk differently and do things differently than I do. † The flood tide of Europeans also overwhelmed the limited charitable services available at the time. One historian referred to the settlement house movement as, â€Å"effective as bailing out the ocean with a teaspoon. Immigrants emigrated to America for the opportunity to improve themselves and found horrible working and living conditions that were a large price, although it was one they were willing to pay. Immigrants came to the US because of political persecution and economic hardships at home. Some European countries persecuted certain ethnic groups for no apparent reason. For example, both Yugoslavia and France blamed Jews for their economic problems. As the French Secretary of the Treasury put it, â€Å"Those Evil Jews who befoul our towns shall not work here, for they are second. Christians shall get the right. † Jews would get beaten by the police and as a result sought political asylum in the â€Å"land of the free†, the United States. It was also extremely difficult for many to get jobs in Europe where 50% of the workers were unemployed in some countries. The main exception was England which thrived on industry as the US did. Workers were encouraged to go to the US because of pamphlets that gave such promises as â€Å"Good work, a free life, a good life for all. † The demand of factory workers was constantly growing, and immigrants decided to take their chance. As one immigrant said, â€Å"We have nothing to lose, for we have nothing. The US is our greatest and only chance. † Immigrants came to the US expecting a higher standard of living but were forced into poor living and working conditions. The vast majority of immigrants, who lived in cities, lived in tenements. These were apartment buildings that were shabbily constructed and contained extremely small apartments. Twenty four to thirty two families were packed inside these six to eight storey structures, often referred to as dumbbell buildings due to the air shaft between the buildings that made them look like dumbbells from above. The residents were highly susceptible to disease, and life expectancy was significantly lower, by about 10 years, in these areas. Up to 4,000 people lived on some city blocks. Families had one, maybe two, small rooms. They had no privacy as the walls were thin as well. As one immigrant put it, â€Å"I can't even talk without my entire building knowing what I said, the walls are so thin. † Bathrooms were also usually outside, although around the turn of the century, some began to appear inside. Tenements were also susceptible to fires. Due to the required air shaft between buildings, the air got trapped which caused more fires. As the material that tenements were made of was very susceptible to fire, widespread fires were common. As one immigrant described it, â€Å"I watched it and as the flames struck it, the entire block seemed to go up in a flash. It was horrible. † Working conditions for the immigrants were also horrific. The immigrants generally did two kinds of work. The first were the jobs Americans wouldn†t do and the second were the unskilled jobs that almost any person, American or immigrant, could do. Immigrants were also willing to be paid less money for the same work. Immigrants were often used as strike breakers because many of them didn†t understand the concept of strikes since it wasn†t part of their culture. The immigrants saw these jobs as ones that had been abandoned and so they took them, provoking anger in Americans for â€Å"job stealing†. As Guillaume Fouchon said,†We do not strike because it challenges our honor. As well, in the old country, there were so few jobs and so many workers. † Also, immigrants misunderstood the process of striking because it was hard to organize people who spoke different languages. Immigrants also had very little in the way of political power. This was not much of a problem, however, for as one immigrant said, â€Å"I just want to succeed, and then I'll worry about how much political power I have. † With the exception of some groups like the Irish, the immigrants had no political power at first. However, near the turn of the century, immigrant votes became a factor as they represented 15% of the voting public in New York alone. This caused the immigrants to gain increased political power through the vote. The Chinese were often called the devils of the immigrants. They were different than all the other immigrant groups because they had a different complexion. As a result, they were subject to more prejudice. The Chinese, who mainly lived and worked in California, took many railroad jobs away from the preexisting Americans. This resulted in their being stoned and having their houses burned to the ground. Such actions were supported by both major parties. As a Democratic National Committee spokesman said, â€Å"We must fight to rid the earth of the evil Chinese. † This was significant because even the â€Å"party of the immigrants†, the Democrats, were against the Chinese. Also, most Chinese, unlike most Europeans, wanted to go to the US, earn money and then go back to China. The American public resented the Chinese and labeled them as a second-class race. As a result of all this prejudice, the Chinese were largely banned from immigrating. As Robert Ingersoll said, the Chinese were not allowed to follow the national progression that benefitted earlier immigrants. Immigrants hoped that by coming to America, they could still retain their culture which they were unable to do in large part due to the education system. Immigrants hoped that they could both move up socially to the same level as the Americans as well as keep their identity intact. When they first arrived, immigrants kept their cultural identity intact by creating ethnic neighborhoods such as Little Frances or Little Italies. These were places for people of one ethnic group, or even one town or one province, to retain their cultural values. These were very prominent, with 17 little Italies in Chicago alone. It was essential for these immigrants to have these places to attempt to avoid assimilation. As Italian immigrant Verduccio Marsongeri put it, â€Å"I need my little Italy because the old country is still so important to me. † In this way, the free education given in the US to most children, American or immigrant, was a mixed blessing. While it certainly prepared immigrant children for better jobs due to better education than their parents had had, education also resulted in a loss of cultural identity. Those children who were educated in the US were instilled with American and not old country values as well as English as the primary language. This was in fact an intended consequence of the education expansion, that the immigrant children be assimilated into American culture so as to eliminate the foreign influence on the US. While immigrants certainly didn†t want their children to be assimilated into American culture, they were willing to pay the price if it meant better education. This accounted largely for the 3 fold increase in students from 7 million in 1870 to 22 million in 1920, as well as a rise in participation from 57 to 78 percent. While the doors of primary education were open, the doors of higher education remained largely closed to the immigrant. Immigrants could go to some lower tier private colleges and state universities, but not in general to the big names such as Yale, Harvard or Stanford. Yet, still it was a major improvement for now the immigrants could be educated the same as Americans. In conclusion, the immigrants came to the US in search of opportunity but found harsh conditions. The opportunity and advances the immigrants made in the US came at a large price. Factory workers were not able to move up and were forced to work in horrid conditions for low pay. Many despaired and wanted to move back, but they couldn†t due to lack of money. Many more, however, willingly stayed. The real benefits of American opportunity and culture would be passed down to the succeeding generations. Overall, the immigration from the Europe and Asia to the US was the largest in world history. As Christa Jackstone, historian, said about the affect immigrants had on the US, â€Å"Immigration in the late 19th and early 20th century really made this country because they literally built this country. As the blacks had done in the years before the Civil War, the immigrants were doing the hard work behind the scenes while other people took credit for it. † Although the immigrants themselves paid a large price, they willingly took the first steps that would benefit future generations.

Tuesday, October 22, 2019

How Far have We gone essays

How Far have We gone essays Moses Virella How Far Have We Gone? Audience: Government Agencies English I Birth is one of Gods greatest and oldest gifts. Being created by the fluids that run deep within our parents body, has been topic of research and studies for decades. The thought of human reproduction has always fascinated scientist, and brought many questions and doubts into play. How are we made?, and What makes us the smartest animals on the face of the Earth? Strike interest and pose serious curiosity to many researchers and scientist around the world. With technology advancing at a rate surpassing our previous time periods, it is still unclear how far can we go, and how far have we gotten. Scientist have found that as humans we are made up of a substance called DNA. (DNA is any off a various substance of nucleic acid that are used as the basis of the molecular basis of heredity and are localized especially in the cell nuclei.) This substance entrained from a humans spinal cord can be used in creating identical clones. Research has been under way for many years now, and in November a group of scientist plan to clone humans life for the first time ever. You can view your thoughts towards either advancement in technology or a race towards world annihilation. Reasonably speaking, I believe that human cloning is unnecessary and should be reconsidered. As people living in a immense cultural population, clones will likely pose threat to our social structure and cause severe damage. If we start letting doctors clone humans, we are just going ...

Monday, October 21, 2019

Great Expectations Essay Essay Example

Great Expectations Essay Essay Example Great Expectations Essay Paper Great Expectations Essay Paper Essay Topic: Great Expectations Essay on Great Expectations by Charles Dickens The well admired novelist Charles Dickens was born in 1812 to a clerk in the navy and wife Elizabeth. Charles was the oldest of eight children two of which died in childhood. The writer reflects his own upsetting family life onto the pages of his book. However he does exaggerate himself and what he went through, but under the name of Pip, this really adds to the atmosphere of the book. More great tributes to Great Expectations are the brilliant page turning, cliff hangers. The reason there are so many of them is due to the way the book was published. Dickens wanted his story to be b read and understood but he knew that his target audience would not be able to afford a book. So he printed his book chapter by chapter In a broadly read newspaper. During chapter one the reader Is Introduced to the mall character, orphan boy Pip, and they get an insight Into his family history and his present life. After reading the first page alone you can tell that the story is being told by Pip, but he is telling his tale years after it has first began. This allows the writer to express the characters feelings more vividly. : The writing is mature but things which happen are sometimes childish as PIP was young when It happened. For example when PIP Is imagining what his parents looked like l drew a childish conclusion that my mother was freckled and sickly. This shows that the boy still had a Juvenile mind and also without realizing it Dickens has also told you that Pip has never met either of his parents which make the reader feel sorry and protective over the neglected character. Whilst PIP Is in the graveyard standing by his deceased relatives he Is met unexpectedly by a terrifying roll a mans voice threatening to cut his throat. Pip recalls the whole event thoroughly which leads me to believe that this must be an important feature in the main characters life. The reaction of the child to the fearful man is typical of a young boy. He acted frightened, and by the description Charles Dickens wrote, he had plenty of reasons for being in such a state e. G. : keep still you little devil. Also Pip agreed to get the man what he asked for because he had been told what dreadful things would happen to him if he did not succeed. By this time in the story the writer as already hooked the reader. This Is done by creating a story line which Involves a young vulnerable boy and a scary older convict. These two complete opposites meet and instantly make the person reading fear for the boy and therefore keep turning the pages to find out what happens next. For the duration of this particular section in the novel the scenery Is very spooky as Is the convict. Its almost the perfect setting for an intimidating confrontation. Its a cold, dark, damp graveyard in the middle of a Wilderness, this is certainly not a nice place to be so its almost a given that nothing ice is going to happen whilst being there. A lot of skill is shown in the way Dickens manages to describe the whole surroundings In one sentence. It Is as If he is looking around him and describing each thing as he sees It: dykes and mounds and gates,. Finally he ends the huge sentence with the short sharp word-Pip. This quite simply 1 OFF reader feels sorry for him). Personally, I believe that the scene has been purposely set to mirror the characteristics or the characters. This works both with small, innocent Pip and the evil prison escapee. If Dickens had written the scene in a sunny field then the eaters feeling towards the characters would be very, very different and certainly not as spooky. Moreover, the horrible setting of the story raises the question Why are those two people there in the first place? On one hand, what kind of life must Pip have if he chooses to spend time alone in a dark wilderness? On the other hand what must the convict have done to have no-where to go but a wet marshland? The language is very advanced as it was written as if from an older Pip in later life who is more mature than the child he once was. Therefore the descriptions are very detailed which can make the reader feel as if they themselves are witnessing the unfolding events. Certain sentences create a dark spooky atmosphere e. G. bleak place overgrown with nettles and distance savage lair. During this chapter 8 Pip is sent to Miss Hafniums grand house to play. This is as strange as it sounds but Miss Having is well known for being wealthy so Mrs. Joe Gagger, not being as well off as she would like, wastes no time in sending up young naive Pip. Nobody really knows much about this old lady who requests Pips company and this is exactly what intrigues the reader so much. At this point in his life Pip is still young therefore under the circumstances (being left alone in a strange place) he is quiet and afraid, worrying about doing thing wrong and displeasing Miss Having. This I can tell from several different incidents such as the way he speaks-I should think I could, miss, said l, in a shy way. I think this shows how Pip is scared of saying something he shouldnt in case he gets punished. He really doesnt want to get into trouble whilst living with the fierce Mrs. Eagerly. In addition Pip also repeats Miss after everything e says to Estella even though she isnt much older than him but it shows his deference to her. Throughout this first encounter with the lonely Miss Having I dont think Pip knew quite what to think about it all. He is confused at why she looks the disturbing way she does the bride within the bride within the bridal dress has withered like the flowers, and had no brightness left. Nonetheless he knows not to ask questions which conveys yet again how apprehensive. The descriptions of this grand old house and the people in it are so vivid; they paint a very clear image in the eaters mind. I think the paragraph describing Pips view if Miss Having is one of the best descriptions in the whole novel. The writer uses lots of skill in the sentence structure whilst giving a description of the outside of the large house. For example It was paved and clean, but grass was growing in every crevice. Dickens states a good point followed abruptly by a bad point. This technique makes the reader believe that all the good parts that were one there have been destroyed by the unattractive things. Overall the house seams dilapidated and this is clear to whoever lays eyes upon it. For a second time, it seems very likely that Charles Dickens wanted this scene to reflect the characters Miss Having and Estella. The cold, inventiveness of the house is very like Estella in the sense that she wants nothing to do with Pip and why he is there Dont be ridiculous, boy; I am not going in. This statement suggests that away from her if she can manage it. I think that the strange alone of the house and particularly the dressing room matches perfectly with the old ladies character. In chapter eight there is tension between Pip and Miss Having and Estella. The specially the room the boy is sent to are quite far away from any people Pip is acquainted with so this reinforces an idea of isolation. Also the language used to describe the scene where Pip meets the old lady for the first time creates a definite atmosphere of uneasiness and uncertainness. For instance language like- This was very uncomfortable, and I was half afraid. However the only thing to be done being to knock at the door. This extract from early on in the chapter, lets the reader know Just how much Pip would rather not be there. Dickens applies his skill of creating long in PPTP sentences during this scene to create atmosphere. For example; long sentences create the effect of a long, never ending, and dreary list. Moreover, the author is very repetitive. In the paragraph where Pip is taking in all that he sees for the first time the word she occurs lots; She had a long white veil She had not quite finished dressing She was dressed in rich materials This makes the reader aware of how significant she is and it creates an awkward environment, as if Pip is staring at the frail woman. In my opinion the meeting between Pip and the convict and the one between Pip and Miss Having for the first time, are very similar in the way the writer conveys the characters. For example the way in which Dickens makes each of the individuals unique but slightly alike. The scene where the young boy comes across the convict is frightening but all the same out of terror Pip wants to please his threatening convict in fear of what he will do to him; Or Ill heart and liver out. Even when the man is violent Pip still comes out with Go-good night, sir, Similarly, when Pip encounters Miss Having, to begin with he looks for a long time around the big room drinking it al in, but then the uneasy conversation begins. Like being asked to fetch whittles Pip is yet again asked to do something strange- l want to see some play. However Pip gets on with it in order not to disappoint, he says If you complain of me I shall get into trouble with my sister, so. When Pip is offered Great expectations he assumes it is Miss Having who is his benefactor because while he spent time at her house he was often scrutinized for being a common labouringly boy. Consequently he thinks she wants him to turn into the opposite. As soon as he realizes who his benefactor really is he is shocked and how matters eave turned around. I suppose that the famous author wanted to make a point that whatever your background you can always make something of yourself. Additionally I think Charles Dickens novels are a social commentary on some of the hardships at life at the time, such as upper class snobbery, but the main element of the story is the twist in the tail that Pip has lived under the huge misapprehension that the wealthy Miss Having is his benefactor when all along it was the convict Machine.

Sunday, October 20, 2019

Adjectives That Look Like Adverbs

Adjectives That Look Like Adverbs Adjectives That Look Like Adverbs Adjectives That Look Like Adverbs By Mark Nichol What’s the visual difference between an adjective and an adverb? Well, all adverbs end in -ly, and no adjectives do, right? Wrong on both counts. Some adverbs, called flat adverbs, lack the -ly suffix. The words in this category, like straight, can be used both as adverbs (â€Å"Drive straight through the intersection†) and adjectives (â€Å"He drew a straight line†). Some adverbs, like slow, are interchangeable with their -ly forms (see this post). Others, like hard, are distinct in usage from the adverbial -ly form (â€Å"I worked hard† is opposite in meaning from â€Å"I hardly worked†) and have no adjectival -ly form. At the same time, dozens of adjectives end in -ly, and many have no adverbial equivalent. (Some adjectives that pertain to periods of time, such as daily, weekly, and monthly, can be both adjectives and adverbs: â€Å"They followed a daily regimen†; â€Å"They followed the regimen daily.†) For example, friendly can modify a noun (â€Å"She wore a friendly smile†), but although one can write, â€Å"She looked friendly,† it means she had a friendly look, not that she looked at someone in a friendly manner. (Friendly is not an adverb; friendlily is, though I’ve never seen it used, and one must otherwise use the adverbial phrase in the previous sentence, or a similar one, in place of friendly.) Other adjectives ending in -ly that are not also adverbs include costly (â€Å"It was a costly event†), miserly (â€Å"That’s a miserly attitude†), and unruly (â€Å"He’s an unruly boy†). One cannot, for example, act costly, miserly, or unruly; one is said, for example, to spend in a costly manner, to behave in a miserly fashion, or to engage in unruly behavior. Adjectives ending in -y can be converted to adverbs with the insertion of -il- before the final letter, as in frosty (â€Å"She gave him a frosty look†) becoming frostily (â€Å"She looked at him frostily†), but, friendlily notwithstanding, few adjectives can be converted to adverbs in this manner. For example, â€Å"She gave him a deadly look† is correct, but â€Å"She looked at him deadlily is not.† Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the Grammar category, check our popular posts, or choose a related post below:20 Words with More Than One Spelling8 Types of Parenthetical Phrases45 Idioms with "Roll"

Saturday, October 19, 2019

Chinese Women and Culture Essay Example | Topics and Well Written Essays - 1750 words

Chinese Women and Culture - Essay Example The recent developments on China portray a comparatively liberal image of the women than was possible some decades ago. Not too far off in history, in fact if a critical analysis is made for the 1980`s and the 1990`s both the authorities in China as well as the traditional Chinese society were resistant to the growth of feminist attitudes.The traditional ancient Chinese rituals and belief systems though still prevalent to some extent in China adds to the limitations that women have to face to contribute significantly to the Chinese cultures and traditions. 1990`s however opened doors towards acceptance to the fact that women can also significantly contribute to the cultural development in China.To understand China in the modern context, it is crucial to analyze the role of women in the ancient century as well so that patterns in evolution can be drawn.China is always perceived as a culturally isolated and a backward society, and the image of the state is that of an authoritarian tyra nnical one. Modern elements of change like modern art, modern music, internet evolution and social networking seems to be absent and highly controlled. The beginning of the new century saw an immense increase in modernization. With the opening of market in the late 1990`s, China`s economy started to boom as markets expanded and modernized. Cultural values, however, didn’t saw as immense of a change but some level of change was inevitable and 12 Girls Band is the product of this change. Thus, 12 Girls Band is symbolic for women empowerment, the ability for Chinese to preserve their traditional legacies, portraying a liberal yet sophisticated image of Chinese woman throughout the world. All members of the 12 Girls Band are thus Ambassadors to China who have positively affected the cultural variables in China at home and abroad. To understand China in the modern context, it is crucial to analyze the role of women in the ancient century as well so that patterns in evolution can b e drawn. In the ancient China women were considered to be inferior to men, and all their lives they were expected to obey the male members of the family, thus they had no freedom of their own and their role towards cultural community development was absent. The practice of binding women`s feet is symbolic for the control over women during that century. However, with time when the People`s Republic of China was found the role of women started to change, at least rhetorically and a significant level of independence was gained by the women. It wasn’t until 1979 that the government enacted reforms which enabled women to seek jobs in the market. This was the beginning of the initiation of the contribution of women to art; however the role was still very limited. However, with the cultural revolutions more and more opportunities were produced for the women and the process of evolution began to speed up (Wales 1967). Until the 1990`s the women were significantly contributing economi cally as well as culturally to the Chinese legacy. During this period, women poetry groups and arts clubs began to emerge and their activities began to enhance rapidly (Descoteaux 2008). The beginning of the new century saw an immense increase in modernization, and thus 12 Girls Band is a product of the modernization and cultural fusion. The band was selected in an audition in 2001, and twelve members later constituting of thirteen members, this band was a unique blend of girls who knew to play diverse range of instruments both modern and traditional in nature. All band members have gone through rigorous trainings in the field, and all of them belong to the conservatories groups which include the China`s Academy of Music, Central Conservatory of Music and the Chinese National Orchestra. The idea behind the concept belongs to Wang Xio-Jing who wanted twelve members for a band and his aim was to promote folk music however make it appealing by adding a modern touch to it. Thus, the wom en were inspired by the work of Yue

Identify the main barriers that constrain the development of renewable Essay

Identify the main barriers that constrain the development of renewable energy in a specific location, and suggest ways to overcome these. (We recommend that you only consider one type of renewable energy) - Essay Example The utter dependence of man on this form of energy is not very encouraging, for the simple reason that this source of energy, as its name suggests, is not a permanent supply of energy and will eventually run out. On the other hand, the renewable energy sources provide hope as they are in plentiful supply, and need just to be harnessed to solve the energy crisis faced today. Ever since the fossil fuel energy availability explosion in the 19th century, the demand rate for energy has been on an exponential increase. The increased demand is depleting the energy reserves at a much faster rate than what had been previously anticipated, and this has led us today to a very crucial point in time where we have to find and tap other sources of energy if we desire to keep our lives tuned in to the same style as we're used to. The one most relevant factor and the biggest contributor to this energy problem is the phenomenal increase in the world population, which is expected to rise even more and at an increased rate, if not at the present rate, in the future. Another reason is that we have accustomed our lifestyles according to the notion that we would always have unlimited access to freely available energy, and our current practices and economies run on the immediate and unstoppable supply of huge quantities of energy. Educational, economical, social and technological sectors all rely on this supply of energy and are designed accordingly. However, we are about to face a very serious challenge, one that will have to be fought on an international scale and would need our combined effort to overcome. The energy demands in the world are expected to rise by 1-2% every year for many decades (Physics Today 2004), and the fact that many of our energy supplies will, at this rate, deplete within an average lifespan of a human being is not helping at all. The energy supplies that we have either depend upon the amount stored as fossil fuels and other stores like nuclear fuel in the earth, or the amount of energy supplied by the sun that we can harness economically through different methods (Physics Today 2004). Both the factors have their own sets of problems, but the problems and constraints on the development of renewable energy provided by the sun directly are to be considered in this paper. Case in point is the development of renewable forms of energy in the US. Energy demands can be measured in quads (Q), where 1Q = 1015 BTU, which can be approximated to 1.06 x 1018 joules (Physics Today 2004). The energy consumption of the US forms about a quarter of the total energy consumption of the world, roughly a 100Q per year, and this consumption is expected to ri

Friday, October 18, 2019

What were the main changes brought about by the Constitutional Reform Essay

What were the main changes brought about by the Constitutional Reform Act 2005 and why were these considered necessary - Essay Example A good example is the 2010 case law on HJ and HT vs. the secretary of state in charge of home department2. Under this case, the Supreme Court was required to rule on the status of the asylum application of two gay people, that is HJ, and HT3. This was a human rights issue, where the court granted asylum to these people, on the grounds that they would persecuted, if deported back to their country. By closely looking at this ruling, it is important to denote that the courts were taking on new roles determining the human rights issues that the state had to adhere to. This therefore means that the courts are playing an important role in determining the kind of policies that the country should adopt, and the policies that it should not adopt4. This is an example of a judicial review. Furthermore, it is important to explain that the Supreme Court was enacted after the passage of the Constitutional Reform Act of 2005. This court was created under part three of the constitutional reform act. The constitutional reform act played a great role in reforming the judiciary, and specifically the three roles of the Lord Chancellor. These roles include his position as the speaker of the House of Lords, the head of the British Judiciary, and as a member of the cabinet5. These implied that the Lord Chancellor was a very powerful person, and there was no separation of powers, between the judiciary, the legislature, and the government. This situation made the Lord Chancellor to be vulnerable to an abuse of the executive authority of the government. Another point of concern was the capability of the Lord Chancellor, in appointing judges of the high court and that of appeal. This is because of the roles that the senior judges played in scrutinizing the various policies of the government, hence appointment by a government minister, would compromise their ability to efficiently undertake

Financial Managment Coursework Example | Topics and Well Written Essays - 3000 words

Financial Managment - Coursework Example igh stock of debentures is usually considered unattractive to invest in for the reason that it has a higher risk especially in the times of financial volatility since only holders of debenture have priority over the company assets in such circumstances. Prudent financial management stipulates that, a business should not depend much on loan capital and debentures compared to equity capital unless it is only being employed for a very short period of time. However, these kinds of ascertaions are highly challenged by Modigliani and Miller (MM). In fact their basic hypotheses states that, in an efficient market, the nonexistence of bankruptcy costs, asymmetric information, taxes and agency costs, the business’s value is not affected by the manner in which that business is financed. According to MM, it doesn’t matter whether the capital of the firm is raised through selling debt or issuing stock. They further state that, the dividend policy of the firm also does not affect it s value. Actually, the argument of MM is straightforward; the cash flows that a corporation can make for all investors are all the same despite the capital gearing. According to them, changing the capital gearing does not in any way alter the firm’s general cash flows (Modigliani & Miller, 1958). b) Factors to consider when raising capital through preference and Debentures i. The Board Operation Although preference shares do not have much effect on the company’s management, debentures do have. This is based on the fact that, a business with external investors needs to be run in a manner that goes in line with the aspirations of debenture holders. With this in mind, it may be quite impossible to manage a company where the lifestyle of directors is the only central part behind the business... This paper approves that the company’s declared objective is to maximize shareholder wealth. In principle, a variety of dividend policies is consistent with this aim depending on factors such as the tax position of the clientele and whether dividend policy has been used to convey information to the market. Pavlon has followed a remarkably consistent dividend policy, adhering to a constant payout ratio. At the time of listing, it would presumably have stated its dividend policy in its prospectus and unless specified otherwise, shareholders would have been justified in expecting continuation of this policy. A switch in dividend policy so soon after listing is certain to offend at least some portion of its clientele. This essay makes a conclusion that The stand point of Director C is based on the argument that all shareholder amounts and returns on investments should always be ploughed back to create more wealth. Besides, his argument to maintain dividend is aimed at boosting more capital for the company and evade on paying taxes on some taxable dividends. For instance, the Director seem to have considered the rate of taxes on both capital gains which at times is not taxed and dividends which are usually taxed at the incomes marginal rate. However, with this process shareholders stand too loose more than if they were given the dividends. First, continuously retaining shares in the company without a close follow up on the performance of the company may create a scenario where the company managers will be having easy cash at their disposal to squander.

Thursday, October 17, 2019

Growing Staff Presentation as Human Resource Management Consultan PowerPoint

Growing Staff as Human Resource Management Consultan - PowerPoint Presentation Example has undertaken for the purpose of making sure that its top management have the right requisite skills that will translate in the production of the required results. This in essence will lead to the achievement of the goals and objectives that have been put in place by the firm. The first among this is the building of skills in the leaders. The dynamic nature of business operations calls for individuals who are in a position to adapt to the various situations that present themselves in the business world. This is not forgetting the Human Resource Issue. For this reason, the individuals should be more adaptive for the purpose of boosting their performance and overall score in the work environment. It is of the essence to note that the organization has various individuals working therein. For this reason, the propositions may not be taken in well by all the parties involved. To some, this may be taken as a way of locking out some individuals, especially those who are not well qualified for certain positions. However, it is of the essence to note that the training, which is undertaken, is for the benefit of all the individuals in the organization when it comes to their general performance. Fashion design is purely artistic and as such, it is the designer and the assistants who determine how far a brand goes. Nonetheless, technology has changed all fronts of our daily lives dramatically; adding innovativeness to what we have always done hence easing our daily loads. The current workforce of Michael Kors Fashion House is large. With 372 workers for a company of its size, it is a record. The large workforce’s output is limited in comparison with what they should be producing. The gap between the workers and the target output is in their inconsistency due to poor work ethics and lack of adaptation of technology. If the company can invest in its workers, it sure will invest in its future. The possibility of the company producing double the much it does today in the

To What Extent Has the USA Been Successful In Creating a Durable Essay

To What Extent Has the USA Been Successful In Creating a Durable Liberal World Order - Essay Example This essay stresses that America had been a nation which the whole world idolized in earlier times. However, recently the country has accumulated large amount of hatred and despise due its overpowering nature. The political strategy of America had proved to be selfish and rebellious. America has earned an image of hegemony with interests those conflicts with its counterparts. America has had war all over Middle East and has changed their ruler and also intimidated people to fight for their lives. In the search of terrorist they have killed many innocents in Iraq, Afghanistan and Pakistan. They have had the enmity of Muslims all over the world and had been tagged as the most threatening nation. America even became the target of radicals due to their imperialistic nature This paper makes a conclusion that the imperialism of America lies in their act of monopolizing the world business market. They decide the trade of oil and have technological power over other nations. America had been involving in the political affairs of all nations and interferes in worldly matters to find their benefit. America has the interest of being the super power of the world and they had done many atrocities and tactics to remain on top. The country has had many enemies and will continue to increase their enemies due to their foreign policy and hidden political agendas. America have been advantageous to world in many ways, however their political strategy is seriously selfish and unacceptable. To remain in power, the country has used many principles which make them an immoral country on many accounts.

Wednesday, October 16, 2019

Growing Staff Presentation as Human Resource Management Consultan PowerPoint

Growing Staff as Human Resource Management Consultan - PowerPoint Presentation Example has undertaken for the purpose of making sure that its top management have the right requisite skills that will translate in the production of the required results. This in essence will lead to the achievement of the goals and objectives that have been put in place by the firm. The first among this is the building of skills in the leaders. The dynamic nature of business operations calls for individuals who are in a position to adapt to the various situations that present themselves in the business world. This is not forgetting the Human Resource Issue. For this reason, the individuals should be more adaptive for the purpose of boosting their performance and overall score in the work environment. It is of the essence to note that the organization has various individuals working therein. For this reason, the propositions may not be taken in well by all the parties involved. To some, this may be taken as a way of locking out some individuals, especially those who are not well qualified for certain positions. However, it is of the essence to note that the training, which is undertaken, is for the benefit of all the individuals in the organization when it comes to their general performance. Fashion design is purely artistic and as such, it is the designer and the assistants who determine how far a brand goes. Nonetheless, technology has changed all fronts of our daily lives dramatically; adding innovativeness to what we have always done hence easing our daily loads. The current workforce of Michael Kors Fashion House is large. With 372 workers for a company of its size, it is a record. The large workforce’s output is limited in comparison with what they should be producing. The gap between the workers and the target output is in their inconsistency due to poor work ethics and lack of adaptation of technology. If the company can invest in its workers, it sure will invest in its future. The possibility of the company producing double the much it does today in the

Tuesday, October 15, 2019

Paper for logistic glass Research Example | Topics and Well Written Essays - 750 words

For logistic glass - Research Paper Example To be a successful exporter, one needs to seek a good forwarder. These third party companies dealing in transportation coordinate the movement of products across the globe. They also act as information sources that can be used as a guide by new exporters. Some of these exporters include BDP Logistics, Panalpina, Kintetsu, Expeditors, and Schenker (Kafiris, 2010). Export documents are integral in international shipments. Sans proper documentation, coffee beans cannot be exported. Proforma invoices are used to confirm that coffee beans were ordered in the United States, incoterms before they are shipped, payment terms, and pricing. Clients to obtain import licenses and financing that make accuracy essential will use the Proforma invoice. On shipment, the coffee beans require a commercial invoice, a shipper’s export declaration, and a packing list. Additional required documents are material-safety data sheets, ocean bill of lading, and certificate of origin. Good customer service involves; enquiring import requirements for coffee beans from consumers and sending the customer accurate documents before arrival of the coffee beans at the port (Kafiris, 2010). To become an exporter, we will need knowledge and skills to be successful. These are harmonization code knowledge for classification of the coffee beans for SED, fundamental understanding on the working of ocean freight, know dialing codes for faxes and phone calls, know global geography like major ports, and selection of appropriate incoterms (Kafiris, 2010). For export payments, there are four methods of payment with different risk levels. The highest risk method is open terms where the coffee beans will be shipped in good faith that payment will be made. Pre-payment has the lowest risk for the exporter, but high risks for importers as the customer pays before shipping. Time and sight drafts are similar to cash on delivery with moderate protection to the exporter. Goods are shipped without pre-payment b ut are released only after payment. Letters of credit refer to financial contracts that involve mediation by a bank in the transfer and payment of the coffee beans. It is the safest mode of payment for exporters, although one should seek training in this method to avoid fee discrepancy and fraud (Kafiris, 2010). Imports of coffee beans from Vietnam to the United States have gone up by 70% in the last decade with coffee consumption in Vietnam going up by a similar percentage (International Trade Program 2008). The demand for coffee beans has gone above market clearing level with crop yield and market price being at an all time high. The additional use of independent specialty roasters has acted as an indicator of coffee’s increased demand. Our company will target the specialty roaster market. Discerning customers insist on coffee beans of the highest quality and furnish the gourmet coffee market that is growing and represented by large US companies including Starbucks, as well as other thousands of small scale specialty roasters. Specialty roasters are also willing to pay more for Arabica beans that our company will deal in. They attempt to distinguish their companies through the characteristics of the coffee beans that they utilize, such as growing location, methods of farming, and bean size (International T

Monday, October 14, 2019

Corporate Governance and Ethical Responsibility Essay Example for Free

Corporate Governance and Ethical Responsibility Essay 1. Determine at least three different internal and external stakeholders that Dr. DoRight might have to deal with on a daily basis at the hospital. Stakeholders are individuals who are involved in, have a vested interest in, or a â€Å"stake† in the success of an organization (Merriam-Webster, 2011), such as a hospital. Dr. DoRight is an influential decision maker as the President of the Universal Human Care Hospital and it is important for him to consider how his decisions and actions affect the stakeholders of the hospital. In the course of his daily activities Dr. Do Right will interact and impact many of the hospital’s internal and external stakeholders. Internal stakeholders are be committed to an organization’s success. Often internal stakeholders will participate in the strategic development of coordinating resources to fund and sustain an operation. Examples of internal stakeholders which Dr. DoRight might engage daily would be: Director of Public Health, Head of Health Intelligence and Information, Director of Nursing, Public Health Strategists, Vice President of Human Relations or Members of the Board of Trustees (Markwell, 2010). External stakeholders are not directly connected to the organization; however, they are vested in the hospital’s success as clients, business or community partners. These stakeholders have influence over organizational activities by contributing their views and experiences related to issues which are important to them. Medical providers or suppliers, Patient Advocacy Groups, Quality Assessors, the Media, and Heads of Local Community and Special Interest Groups are examples of external stakeholders Dr. DoRight may deal with on a daily basis (Markwell, 2010). 2. Compare and contrast potential conflicts of interest that may exist between the internal and external stakeholders. Conflicts of interest exist between the hospital’s internal and external stakeholders. Medical providers such as, staffed research doctors or pharmaceutical manufactures want to provide the ‘best’ wellness plan by providing cutting-edge tests, treatments and medications which are likely to be more expensive to the payer or patients. Payers, such as insurance providers and private paying patients, would prefer a more cost effective approach to wellness with accurate diagnosis and treatments with fewer visits and tests (Wiseman, 2005). Although internal and external stakeholders may have different priorities, they will share common objectives. All stakeholders will share common ambitions for Universal Human Care Hospital to provide quality medical services to its patients. Additionally, all stakeholders will appreciate the hospitals efforts to improve the quality of life for the community it directly serves. (Markwell, 2010). 3. Discuss whether Dr. DoRight has fulfilled his ethical duty by reporting the illegal procedures. Dr. DoRight has reported the illegal procedures and patents dying due to negligent supervision and oversight to his Regional Director, Compliance Manager, as well as an Executive Committee in January 2009, but he has not fulfilled his ethical duty. As a doctor it is his responsibility to protect all patients from criminal acts including the illegal procedures and negligent supervision which has been reported at Universal Human Care Hospital. As there has been no result from the investigation after two years he has a responsibility to take further action to preserve the lives of patients. His ethical duty should include reporting the illegal procedures, as well as, the negligent supervision and oversight to higher ranking internal authorities. If the appropriate investigation and corrective actions do not occur he has a further ethical obligation to report the incidents to external authorities. As a doctor he is legally bound to take reasonable action. The law recognizes several exceptions the â€Å"no duty to rescue† rule and several apply to Dr. Do Right’s ethical dilemma (Halbert Ingulli, 2012). Continued deaths due to negligence and illegal procedures should be reported beyond the Regional Director, Compliance Manager and the Executive Committee as the failure to do so may result in his dismissal or even criminal prosecution. As a doctor he assumes contractual responsibilities to medically help others, and prevent them from being harmed. Patients in the hospital in which he is President may be lulled into a false sense of security, believing they will be helped, only to be neglected when lifesaving assistance is needed. Doctors and nurses employed in the medial facility which he oversees are endangering their patients and he is currently participating in creating a dangerous situation for several patients. Finally, there is a â€Å"special relationship† between Dr. DoRight’s medical facility and their patients. This relationship has a degree of dependency from the patient to the hospital and those whom govern the medical facility. As the President of Universal Human Care Hospital he is required to reasonably protect all patients from harm including the protection from the illegal procedures performed by the medical staff, and neglect or oversight of the supervising staff (Halbert Ingulli, 2 012). 4. Describe the deontology principle and apply it to the ethical dilemma that Dr. DoRight faces in this case. The deontology principle â€Å"is marked by steadfastness to universal principles †¦[of] respect for life, fairness, telling the truth, keeping promises – no matter what the consequences† (Halbert Ingulli, 2012). Immanuel Kant, the most famous deontological thinker, believed humans could rationally develop an absolute set of rules to govern behavior, and these rules should be applied in all situations without consideration of the consequences. For example, Immanuel Kant believed there is a never good time to lie, even if it could produce a favorable outcome, such as lying saving someone’s life (Halbert Ingulli, 2012). Under the deontology principle, moral and ethical behavior â€Å"is a matter of holding, without exception, to certain principles† or categorical imperatives (Halbert Ingulli, 2012). The first of these principles is that people should act under the assumption that the same action they chose should be repeated if roles were reversed and they ended up on the receiving end of those actions. In Dr. DoRight’s ethical dilemma a deontological approach would require him to make his decisions in the frame of reference of being a patient whose death resulted from the hospital’s negligence or oversight. If Dr. DoRight made decisions in this frame of reference it is doubtful two years would pass without any definitive findings from the internal investigation into patient deaths (Halbert Ingulli, 2012). Another categorical imperative of the deontology principle is that it is unethical for people to use others for their own gain. A mutually beneficial relationship should exist where all stakeholders gain something they want. In Dr. DoRight’s ethical dilemma, the relationship could be mutually beneficial if the patient receives suitable medial services and attention in exchange for monetary compensation. Dr. DoRight’s decisions can be considered unethical as the relationship is not mutually beneficial. Patients within his hospital to continue to die as a result of a variety of illegal procedures, while Dr. DoRight continues to win awards for his leadership and meeting his business goals (Halbert Ingulli, 2012). Patients have a right to make a fully informed decision when selecting their medical providers. Making fully informed decision for oneself is â€Å"of great ethical value in deontology† (Halbert Ingulli, 2012). In the last two years, Dr. DoRight has told his Regional Director, Compliance Manager and the Executive Committee about the patient deaths due; however, disclosures are not provided to patients. With the insight of increased mortality rates due to the illegal procedures coupled with negligence and oversight it less likely patients will chose his medical facility for their health care needs. It is unethical according to the deontology principles to keep this information from patients. An infringement is being placed on some of the patients most basic rights; the right to life and health. Within the deontology principle this is never acceptable. Dr. DoRight falls short of several deontological principles, and is unethically infringing on the rights of his patients who are dying as a result of his decisions (Halbert Ingulli, 2012). 5. Describe the utilitarianism principle and apply it to the ethical dilemma that Dr. DoRight faces in this case The utilitarianism principle guides individuals, like Dr, DoRight, to ethically â€Å"behave in a given situation †¦ to choose an alternative that is likely to produce the greatest overall outcome.† This principle evaluates the advantages and costs of an individual’s actions not only for the decision maker, but for all stakeholders who will be impacted by the decision. Within the utilitarianism principle the long and short term consequences to the stakeholders are analyzed when evaluating a dilemma, while weighing the size of the group and the effects of the decision upon the stakeholders (Halbert Ingulli, 2012). In Dr. DoRight’s dilemma some consequences may be shared by numerous stakeholders, both internal and external. For example, the media could tarnish the reputation of the hospital and several of its staff by publicizing the deaths as prev entable. This consequence could result in an increase of livelihood for external stakeholders such as the media, medical malpractice attorneys, or the extended family member of deceased patients. At the same time, it could result in the loss of livelihood amongst internal stakeholders such as; doctors, nurses and other members of as the hospital’s 5,000 employed staff (Halbert Ingulli, 2012). Smaller external stakeholders carry the burden of the greatest negative consequences. Most costly would be the loss of life to patients who died as a result of illegal procedures and negligent supervision. Although this group of stakeholders may be small in comparison to the 20,000 patients treated at the hospital, â€Å"losses of life and health weigh heavily on the scale† when assessing the consequences of a decision within the utilitarianism principle (Halbert Ingulli, 2012). The causes of deaths have not been revealed after two years of internal investigation. If an outside organization investigated the details of the illegal practices and neglect it could negatively impact some internal stakeholders. An external investigation could have a negative impact on hospital finances, the Executive committee, and the livelihood of the Regional Director, Compliance Manager or their direct staff. On the other hand, patients, doctors and other stakeholders could benefit from this same decision in the form of additional staffing, proper training and technology to provide accurate diagnosis. Ultimately, the short-term costs a few internal stakeholders of the hospital would be outweighed by the long-term benefits to several stakeholders if Dr. DoRight made this decision (Halbert Ingulli, 2012). References Halbert, T. Ingulli, E. (2012). Law, Ethics, Business. In Law Ethics in the Business Environment (7th ed.). Mason, OH: South-Western Cengage Learning. Markwell, S. (2010). Health knowledge. Retrieved from http://www.healthknowledge.org.uk/public-health-textbook/organisation-management/5b-understanding-ofs/managing-internal-external-stakeholders Merriam-Webster. (2011). Stakeholder. In Merriam-Webster Dictionary. Retrieved from http://www.merriam-webster.com/dictionary/stakeholder Wiseman, B. (2005). Who are the stakeholders in healthcare?. Retrieved from http://patientsafetyed.duhs.duke.edu/module_a/introduction/stakeholders.html

Sunday, October 13, 2019

French Essays La colonisation en Algerie

French Essays La colonisation en Algerie La colonisation en Algà ©rie. Mission civilisatriceou mission exploitative? I. Introduction- Les deux cotà ©s de largument La Franceà ©taient-elle en Algà ©rie pour apporter la chrà ©tientà © et la prospà ©rità © a cetteparcelle du continent africain, ou bien simplement pour exploiter desressources dun pays sans dà ©fense? Ceci est en effet la question. Nous sommeschargà ©s danalyser si cette colonisation, bien quelle fut forcà ©e, avait un butcivilisateur ou destructeur. Cest une question dà ©licate que nous allons tenterde rà ©soudre laide de faits historiques, opinions dhistoriens et dephilosophes, ainsi qua laide du point de vu de recul que nous avons obtenu auvingt et unià ¨me sià ¨cle. II.  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Bref historique Il est important,tout dabord, de se remà ©morer certains faits historiques. La conquà ªte delAlgà ©rie dà ©buta en 1830 par le roi Charles X pour raisons de piraterie. Cenà ©tait pas une invasion objective et sans provocation comme celle, parexemple, des Amà ©riques par les Espagnols et de lInde par les Anglais. Apres lapremià ¨re expà ©dition punitive qui ne fut chargà © que de se saisir les zonescà ´tià ¨res, la France se rendit vite conte des ressources prà ©cieuses quoffraitce nouveau territoire et la situation fut irrà ©mà ©diablement changà ©e. Apres prà ¨sde quarante ans de batailles, les diffà ©rents gouvernements locaux du territoirealgà ©rien se montrà ¨rent favorables a une assimilation partielle. Cest alors quecommena la colonisation de lAlgà ©rie par la France, un expansionnisme qui nesacheva quen juillet 1962. Ce fut une occupation mouvementà ©e, secouà ©e pardeux guerres mondiales et une guerre civile entre les colonisateurs et leurscolonisà ©s. Un pays maintenant autonome et modern, lAlgà ©rie fut nà ©anmoins unpays contrà ´là © par de nombreux mouvements terroristes, surtout dans les annà ©escinquante, qui se dissolurent rà ©cemment aprà ¨s de longs pourparlers. Nous avonsdonc un pays moderne mais avec une histoire complexe, un exempleparticulià ¨rement intà ©ressant de colonisation ambiguÃÆ' « par un pouvoir europà ©en. III.  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Une mission civilisatrice Tous pays colonisateurs a travers les sià ¨cles occupà ¨rentdes pays à ©trangers en professant un but trà ¨s clair; apporter la civilisation aubarbares. Mà ªme si de, nos jours, nous pouvons analyser les intentions derrià ¨reces excuses, les progrà ¨s en mesure dà ©ducation, dorganisation gouvernementaleet de dà ©veloppements à ©conomiques et culturels sont indà ©niables. Quelques lignesdans les carnets personnels de Victor Hugo lui-mà ªme, sous la monarchie dejuillet, le font apparaà ®tre comme ferme partisan de la colonisation  ; ,Lacolonisation militaire doit couvrir et envelopper la colonisation civile commela muraille couvre et enveloppe la cità ©. La colonisation militaire, cest unemuraille vivante. Quel meilleur obstacle continu quun camp franais? Mettez lesoldat en avant du colon comme vous mettez un fer au bout dune lance . Considà ©rons donc tout dabord les effets positifs de lacolonisation franaise en Algà ©rie, les aspects civilisateurs de cette missionqui permirent un pays aussi grand de se dà ©velopper et de devenir un pouvoirà ©mancipà © et moderne dans le contexte politique actuel. Premià ¨rement, la Francedivisa lAlgà ©rie en provinces et en communes, instaurant la structure à ©laborà ©epour la France par Napolà ©on, organisant le pays pour une meilleure rà ©gence.Ceci unifia en un à ©norme territoire un pays qui, jusqualors, ne fut quuneagglomà ©ration confuse de tribus qui ne communiquaient pas entre elles, quinavaient pas didentità © nationale. Un dà ©veloppement à ©conomique accà ©là ©rà © fut à ©galement unaspect de la colonisation qui profite lAlgà ©rie moderne. Loccupation franaisepermis de fortifier le pays à ©conomiquement en à ©duquant, comme le systà ¨medà ©ducation franais  lavait fait en Tunisie et au Maroc, une partie de lapopulation pour des formations dà ©ducateurs et dingà ©nieurs. Cette classeà ©duquà ©e pu, aprà ¨s lindà ©pendance, continuer lextension à ©conomique de leurpays. Le pays pris connaissance de ses ressources naturelles et desdispositions furent prises pour les exploiter. La langue officielle à ©tait lArabe mais la languediplomatique vite devint le Franais. La loi du 26 avril 1968 aprà ¨slindà ©pendance rendue la connaissance de lArabe obligatoire pour lesfonctionnaires. Daprà ¨s le Cite du Continent Africain, aujourdhui, la majorità ©des Algà ©riens sont arabophones dans une proportion de 72%, mais cette pà ©riodedoccupation permis bel et bien au peuple algà ©rien de devenir bilingue. De pairavec linsertion de la langue franaise, la colonisation de LAfrique du Nordpar la France permis le dà ©veloppement dune culture franco-algà ©rienne unique.Là ©ducation francophone eue un autre aspect positif dans le dà ©veloppement de laconscience algà ©rienne vis a vis du reste du monde les notions de peuple,didentità © et de nationalisme qui, ultimement, servirent la libà ©ration delAlgà ©rie, furent inculquà ©es aux enfants algà ©riens qui devirent la gà ©nà ©rationindà ©pendantiste. IV. Une mission exploitative Nous allons maintenant examiner les aspects exploitatifs dela colonisation algà ©rienne par la France, car mà ªme aprà ¨s lexposition desaspects civilisateurs de cet impà ©rialisme, il est impossible dignorer lesprofonds changements nà ©gatifs quapportà ¨rent la conquà ªte franaise nonseulement à ©conomiquement, mais à ©galement concernant le mode de vie algà ©rien. Comme lexplique tout dabord Mohammed Harbi danslinterview   LAlgà ©rie malade de son passà ©?  , non seulement lespetites tribus rurales algà ©riennes on perdu leur richesse culturelle pour causede la colonisation franaise, mais la reconstruction du pays fut rà ©servà ©e a uneà ©lite culturelle blanche  ;   Les relations tribales ont à ©tà © brisà ©es,les ruraux ont perdu leur identità © et leur richesse. Par ailleurs, a ladiffà ©rence de ce qui sest passà © en Tunisie et au Maroc, la France limitalà ©mergence de cadres pouvant reprà ©senter là ©gitimement  la socià ©tà ©.   Nous voyons ainsile dà ©veloppement inexorable dà ¨s 1830 de la pauvretà © des indigà ¨nescomparà ©e la prospà ©rità © presque illimità ©e des colonisateurs. Mà ªme aprà ¨slindà ©pendance en 1962, cest une à ©lite algà ©rienne, exclusivement citadine,à ©duquà ©e le plus souvent a Paris qui, une fois de plus, dirigea le pays audà ©triment des minorità ©s ethniques du s ud du pays. Similairement, pendant queles franais et autres europà ©ens   occupaient les villes et les meilleuresterres, disposaient dà ©coles, de routes et de services publics efficaces,lAlgà ©rie musulmane habitait les bidonvilles   et devaient se satisfairedes moins bonnes terres ainsi que de pires emplois au service de leurscolonisateurs. Nous savons ceci daprà ¨s les faits historiques, mais il estaussi vrais que certains colons traità ¨rent leurs ouvriers algà ©riens dignementet avec respects. Ces franais qui virent dinstaller en Algà ©rie avec leurfamille et refusà ¨rent de quitter leurs terres avant et mà ªme aprà ¨s la guerrecivile furent souvent rituellement massacres. De plus, la situation politique est restà ©e trà ¨s tendue etviolente aprà ¨s lindà ©pendance. Les historiens et philosophes actuels, commeGeorges Hardy dans son livre Histoire Sociale de la colonisation franaise,ne cessent de se demander si lAlgà ©rie a tellement lhabitude de se battrecontre des forces doccupations quelle ne sait pas sarrà ªter. La colonisationa t-elle laissà © derrià ¨re elle un là ¨gue de violence? Les partis nationalistes duFLN (Front de Libà ©ration Nationale) et de lUDMA (Union Dà ©mocratique duManifeste Algà ©rien) furent trà ¨s actifs entre 1954 et 1999, dà ©chirant le paysavec de conflits politiques dans lesquelles les France ne pouvait là ©gitimementprendre parti ou se mà ªler. La France imposa en 1887 a LAlgà ©rie, ainsi qua toutes sescolonies, le Code de lIndigà ©nat. Daprà ¨s Fà ©licien Callaye dans Le livrenoir du colonialisme, le code dà ©pouillait les colonisà ©s franais de leurslibertà ©s, linterdiction de circuler la nuit par exemple. Ce code distinguaitaussi deux catà ©gories de citoyens; ceux de souche et les sujets. De mà ªme,nous avons en effet dà ©j commentà © sur le fait que la langue franaise devint lalangue officielle, poussant ainsi tout algà ©rien a devenir bilingue, mains nousnavons pas encore observà © que cette langue devint quasi-exclusive danslAdministration, lenseignement ainsi que laffichage. Une loi franaise en1938 dà ©clara mà ªme lArabe comme à ©tant une langue à ©trangà ¨re en Algà ©rie. Ceci estun exemple classique dimposition de culture. Le dernier cas dexploitation, et peu à ªtre le plus connucar il est le plus rà ©cent, fut le recrutement dindigà ¨nes en masse pendant lesPremià ¨re de Deuxià ¨me Guerres Mondiales.   Lors de la Premià ¨re Guerremondiale, le recrutement indigà ¨ne fournit 173 000 militaires Au mà ªme moment,quelque 119 000   travailleurs   Algà ©riens vinrent travailler enmà ©tropole  .Pour la seconde guerre mondiale, plus de douze mille soldats algà ©riens durenttuer pour la France. Ce pays fut appelà © soutenir un combat qui nà ©tait pasmoralement le sien. Il est incroyable que, aprà ¨s tout cela, le General deGaulle du se battre pour faire comprendre aux dirigeants et au peuple franaisque lAlgà ©rie mà ©ritait son indà ©pendance. Les bà ©nà ©fices de la colonisation pour la France jusqulindà ©pendance furent à ©normes. LAlgà ©rie disposait et dispose dailleurstoujours de ressources naturelles exceptionnelles: elle est au cinquià ¨me rangdes rà ©serves mondiales de gaz naturel et possà ¨de à ©galement des grandes rà ©servesde pà ©trole. Le dà ©veloppement industriel du pays facilita lextraction de cesressources, ainsi que la facilite dobtenir de la main d-uvre payà ©e dessalaires exploitants. Daprà ¨s Gille Manceron dans sont livre Marianne et lesColonies, mà ªme les intellectuels et politiciens franais se montrà ¨rentcomplices en gardant le silence  ;   Sous la monarchie de Juillet, lesdà ©nonciations de la conquà ªte de LAlgà ©rie apparaissent assez isolà ©es. On trouveparfois une certaine rà ©probation de la violence coloniale chez les responsablesde lopposition dà ©mocrate, mais la plupart dentre eux se rallient tacitementou explicitement au projet colonial.   V. Conclusion: une mission largement exploitative Nous savons maintenant toute là ©tendue des barbarismesopà ©rà ©s pendant la guerre dAlgà ©rie par les soldats franais qui, en grandepartie, avaient reu des ordres directs de leurs gà ©nà ©raux. Les documentssecrets retenus pas la Dà ©fense Nationale viennent rà ©cemment dà ªtre renduspubliques aprà ¨s leurs cinquante ans mandataires. La prolifà ©ration de la torturede 1954 a 1962 reprà ©sente pour beaucoup lultime recours de la France pourexploiter, une dernià ¨re fois, les ressources algà ©riennes. Ceci à ©choua. Maispour beaucoup cette exploitation nest pas finie. Le gouvernement actuel dirigà ©par Abdelaziz Bouteflika rà ©Ãƒ ©lu en avril 2004 avec le soutient de Jaques Chiracest considà ©rà ©, par une grande partie de la communautà © politique nationale etinternationale, davoir truquà © les à ©lections prà ©sidentielles. La dominancedune minorità © soutenue par la France est aussi considà ©rer comme à ªtre largementresponsable de la dà ©sastreuse à ©co nomie actuelle. Louis Agooun du Croquantdà ©crit a comme   laccaparement dun pays par une minorità ©parasite. Bibliographie Agooun, Louis, LeCroquant, n  44-45, dà ©cembre 2004   Algà ©rie, la colonisationrecommencà ©e   http://www.algerie-dz.com/article1480.html. (21 janvier2005) Algà ©rie   Rà ©publique algà ©rienne dà ©mocratique et populaire.http://www.tlfq.ulaval.ca/axl/afrique/algerie.htm (10 mars 2005) Bouche, Denise, Histoire de la Colonisation franaise Tome: Flux etreflux 1815-1962, Tome 2 (Paris: Fayard, 1991) Callaye, Fà ©licien, Le livre noir du colonialisme: Souvenirs sur lacolonisation (Paris: Nuits Rouges, 1998) Charles Andrà ©, Julien, Histoire contemporaine: La conquà ªte et lesdà ©buts de la colonisation 1827-1871, Tome 1 (Paris: P.U.F., 1964) Hardy, Georges, 1884- Histoire Sociale de la Colonisation Franaise(Paris: Larose, 1953) Histoire de LAlgà ©rie   Le site du continent africain.http://www.africa-onweb.com/pays/algerie/histoire.htm. (10 mars 2005) Hugo, Victor, Oeuvres Complà ¨tes, vol. Ocà ©an(Paris  : Robert Laffont, 1985) Liauzu, Claude, Liauzu, Josette, Quand on chantait les colonies:colonisation et culture populaire de 1830 a nos jours (Paris: Syllepse,2002) Manceron, Gilles, Marianne et les Colonies, une introduction aLHistorie coloniale de la France (Paris: Editions La Dà ©couverte, 2003) The Concise Oxford French Dictionary, ed.by Abel Chevally (Oxford: Clarendon Press, 1934) Tolotti, Sandrine,   LAlgà ©rie malade de son passà ©? Entretien avecMohammed Harbi et Ahmed Dahmani   La Tribune, 17 mars 2004

Saturday, October 12, 2019

Prozac (Selective Serotonin Reuptake Inhibitors) :: Health Medicine Research Essays

Prozac (Selective Serotonin Reuptake Inhibitors) Selective Serotonin Reuptake Inhibitors have been approved for use in the treatment of a wide area of psychological disorders, including major depression, obsessive-compulsive disorder, bulimia nervosa, panic disorder, social phobia, post traumatic stress disorder, and premenstrual dysphoric disorder. They are also said to be effective in treating dysthymia and chronic depression. (Tollefson and Rosenbaum, 2001) The manufacturer of Prozac, Eli Lilly advertises that this drug is particularly effective in treating clinical depression, obsessive compulsive disorder, bulimia and panic disorder. The manufacturer argues that, "While Prozac cannot be said to 'cure' depression, it does help control symptoms of depression, allowing many people with depression to feel better and return to normal functioning." (Eli Lilly, www.prozac.com) The diminished side effects of Prozac and its overall effectiveness in treating depression, OCD, bulimia and panic disorder has made it the drug of choice for over two decades. More than this, many psychiatrists have attributed to the drug some amazing transformative properties above and beyond that of just diminishing the negative symptoms associated with depression. As one physician put it, "Prozac seemed to give social confidence to the habitually timid, to make the sensitive brash, to lend the introvert the social skills of a salesman." (Kramer, Peter, D., p. xvii, 1993) Indeed, he argued that Prozac made patients 'better than well' and actually served to transform personality. "The transformative powers of the medicine went beyond treating illness to changing personality, it entered into our struggle to understand the self." (Kramer, Peter, D., p. xviii, 1993) Prozac's approval for use for patients under the age of 18 has also been a particular selling point for Eli Lilly. As recently as summer 2004, NPR reported that the Journal of the American Medical Association showed that "Prozac, in combination with cognitive behavioral therapy, is highly effective for treating depression in teens. But the study also showed a small increase in 'harm-related behaviors,' including suicide attempts, among teens on Prozac." (Baron, National Public Radio, 2004, www.npr.org) Other doctors have been more cautious about the behavioral change benefits of Prozac. They warn that Prozac has produced some very serious side effects leading to several lawsuits against Eli Lilly. "These side effects include akathisia (a condition in which a person feels compelled to move about), permanent neurological damage, and suicidal obsession and acts of violence." (Null

Friday, October 11, 2019

Having Suffered A Heart Attack Health And Social Care Essay

This assignment ‘s purpose is, to give the reader a really precise apprehension of the medical journey, a male platinum aged 55 old ages of age named Matthew will travel through, after holding suffered a bosom onslaught ( acute myocardial infarction ) . That was diagnosed in infirmary five hours post patient ‘s initial symptoms while exigency intervention was being implemented. Information both via household and from medical professionals in respects to the platinum ‘s life style and the platinum ‘s consequences to allow medical appraisals, usher and find the way the platinum will medically venture down, towards recovery. Much of the information gathered about the platinum ‘s history will be subjective informations ; this significance information peculiar to our peculiar person that may or may non hold a bearing due to the exactitude, preciseness and proved current cogency ; the information is from the topic or topics household. Still the information mus t be considered. There will besides be information known as nonsubjective informations, intending information that is besides specific to the patient, but more precise, factual, mensurable, not opinionated and demonstrable from professionals in the medical field. The subject of pathophysiology will be explored in several facets associating to the platinum and giving ground to the platinum ‘s physical status and recent marks and symptoms. Management of the patient and his status, by single wellness attention professional ‘s and as collaborative squads and or squad in a holistic mode will be outlined and discussed. Finally of class the pharmacological sector of the platinum ‘s intervention will be delved into, to bespeak the rule characteristics and maps and possible side effects of medicines he was and may be prescribed. The subject of this assignment is highly of import and really relevant due to the current medical tendencies we have in Australia sing coronary art eria disease ( CAD ) , which is incorporated within cardio vascular disease ( CVD ) . â€Å" Cardiovascular disease ( CVD ) A is the taking cause of decease in Australia, accounting for 34 % of all deceases in Australia inA 2006. Cardiovascular disease kills one Australian about every 10 proceedingss. † . † ( Heart Foundation of Australia 30/05/09 ) . â€Å" It is estimated that about 4 % of the population over 45 old ages have chronic HF [ Heart Failure ] . Cardiovascular disease is one of the chief causes of decease in both Australia and New Zealand, the incidence dramatically increases with progressing age and, as the aged population additions, HF incidence and prevalence will increase. HF histories for about 2 % of all deceases and is the 3rd largest cause of cardiovascular-related decease. The life-time hazard of developing HF has been estimated at around 20 % for Western states. The addition in prevalence of HF in Australia and New Zealand has been attributed to the ripening of the population, improved endurance from bosom onslaught, and the increased prevalence of diabetes and fleshiness in the population and the wider usage of sensitive diagnostic engineering. † ( Brown & A ; Edwards 2ed. 2009 pg 883 )PATHOPHYSIOLOGYIn the bulk of bosom failure state of affairss, the left ventricle non working as it should, Cardio Vascular Disease ( CVD ) . â€Å" Three of the more common causes of reduced LV contractility include coronary arteria disease, aortal stricture and systemic high blood pressure † ( Phipps Sands & A ; Marek 6th ed.1999 pg 700 ) . â€Å" Systolic failure, the most common cause of HF, consequences from an inability of the bosom to pump blood. It is a defect in the ability of the ventricles to contract ( pump ) . The left ventricle ( LV ) loses it ‘s ability to bring forth adequate force per unit area to chuck out blood frontward through the hard-hitting aorta. † ( Brown & A ; Edwards 2ed. 2009 pg 884 ) Co ronary arteria disease lowers the Black Marias ability to contract through being the cause of less oxygenated blood being delivered to the chondriosome of the sarcostyles. In aortal stricture, where there is noticeable narrowing of the aortal lms the left ventricle demands to pump harder to acquire the needed volume of blood through the now limited valve. With systemic high blood pressure, where the overall blood force per unit area is already higher than norm, the left ventricle must supply more force per unit area than this overall blood force per unit area to win in pumping out its volume or at least a valid per centum. What finally happens when the left ventricle can non pump out the needed sum of blood ; is blood staying in the left ventricle causes extra blood to stay in the left atrium besides. The effect of excess blood is blood endorsing up into the pneumonic circulation. All this extra blood increases the force per unit area in the pneumonic capillaries coercing blood into the interstitium so the air sac compromising gaseous exchange. High pneumonic force per unit areas negatively effects the blood flow from the right ventricle to the lungs, ensuing in less blood being oxygenated aˆÂ ¦ a barbarous rhythm of deoxygenated blood easy hungering the organic structure of O and taking to an Acute Myocardial Infarction ( AMI ) . The authoritative marks and symptoms that was noticeable with the patient. Was being short of breath and being visible radiation headed after a really small sum of physical activity, which usually the platinum could accomplish without any emphasis. This represents a deficiency of O being circulated finally doing a rise in respiratory rate and visible radiation headedness due to low sums of O to the encephalon. â€Å" Dyspnea, an unnatural uncomfortable consciousness of external respiration, occurs when high pulmonary force per unit areas force fluid out of the pneumonic capillaries into the air sac. The fluid in the air sac interferes with effectual gas exchange. † ( Phipps Sands & A ; Marek 6th ed.1999 pg 702 ) â€Å" Dyspnoea ( shortness of breath ) is a common manifestation of chronic HF. It is caused by increased pneumonic force per unit areas secondary to interstitial and alveolar hydrops. Dyspnoea can happen with mild effort or at remainder † . ( Brown & A ; Edwar ds 2ed. 2009 pg 887 ) It makes sense that Matthew our patient was reported to holding felt nauseous and uncomfortable in his thorax after devouring his dinner. His digestive system would be necessitating oxygenated blood to map and his bosom evidently was non able to provide that. Hence feeling nauseated, due to the lessening in cardiac end product ( CO ) impairing perfusion to critical variety meats such as his tummy and bowels. Pain and or disfunction would be noticeable when the peculiar organ ‘s demands for more oxygenated blood additions. ( Brown & A ; Edwards 2ed. 2009. pg 887 ) An hr subsequently Mathew ‘s symptoms worsen, increasing in badness. His thorax strivings are much worse and are besides radiating down his left arm. â€Å" Heart Failure can precipitate chest hurting because of reduced coronary perfusion from decreased CO and increased myocardial work. Anginal-type hurting may attach to HF. † ( Brown & A ; Edwards 2ed. 2009. pg 888 ) During the execution of exigency interventions, Matthew was diagnosed as holding had an acute myocardial infarction AMI. Information was so gathered both via Matthew his household and via physical medical scrutiny.The information gathered by word of oral cavity through inquiries in interview from Matthew and his household are classified as subjective, of import but ca n't be proven without a shadow of a uncertainty. The information collected via the physical scrutiny is current and can be proven hence classified as aim. Either manner all the information can be categorised as modifiable ( M ) or non modifiable ( NM ) ; mutable or non mutable. The undermentioned appraisal findings are recorded and will now be identified as M or NM. These findings will play a function making the beginnings of a valid attention program. Data is as follows, ‘A history of coronary arteria disease, specifically high blood pressure ‘ This is really of import due to his past being now revisited may give us an thought as to what may hold happened and or a prevue of things yet to come. Data classified as NM because it ca n't be changed, you ca n't alter your yesteryear. ‘States he late stopped taking his antihypertensives as he ‘felt better † . This information decidedly has a bearing because non taking this medicine would raise Matthews blood force per unit area and increase his high blood pressure which in bend additions his Black Marias work load and perchance puting his bosom up to neglect ensuing in AMI. Data classified as M because it can be changed, Matthew could take his medicine. ‘Mother besides has high blood pressure ‘ . Proposing this status being inherited and the particulars of the high blood pressure may be similar, casting visible radiation on what is being dealt wi th by Matthew, perchance salvaging much valuable clip as to the way to be investigated. Data classified NM, because cistrons can non be altered. ‘States he is marginal diabetic ‘ Diabetes – Peoples with diabetes have a two to eight times greater hazard of bosom failure compared to those without diabetes. Womans with the status have a greater hazard of bosom failure than work forces with diabetes. Part of the hazard comes from the disease ‘s association with other bosom failure hazard factors, such as high blood force per unit area, fleshiness, and high cholesterin degrees. The disease procedure besides amendss the bosom musculus. ( Symptoms of bosom disease, n.d. ) Heart failure should, nevertheless, be suspected in anyone presenting with a history of new oncoming weariness, hydrops or shortness of breath. This is peculiarly the instance if the patient has a background of diabetes, chronicrenal damage, ischemic bosom disease, high blood pressure. ( Brady.S, n.d. ) This tells us, if true, that diet will be of paramount importance because diet is an of import direction therapy for both HF and Diabetes. Diet instruction and weight direction are critical to the patient ‘s control of chronic HF. The nurse or dietician should obtain a elaborate diet history, finding non merely what foods the patient chows and when but besides sociocultural value of nutrient. ( Brown & A ; Edwards 2ed. 2009. pg 894 ) Data classified as NM if Matthew is truly without uncertainty diabetic, that ca n't be changed but can be adapted to. ‘Overweight but late lost 5kg ‘ . Because it is, late lost 5 kilogram, it could be as a consequence of him being ailing, but from here onwards his diet will be an indispensable portion of his overall attention program. The diet will hold to be specifically tailored to decrease his fleshiness, and will besides hold to suit his diabetic demands it will likely hold to be low Na low fat and be alert of sugars, to ass ist him in respects to his HF position. Data classified as M, can and must alter. ‘Rarely exercises ‘ detrimental in respects to HF and how he got to where he now is, but his physical activity will hold to be minimised until he is in a healthier place, to so get down remodelling his life style with exercising, ( monitored of class ) , to better his wellness and understate the opportunities of HF re-occurring. Data M aˆÂ ¦very mutable, from inactive to active bit by bit. ‘Has smoked 15-20 cigarettes/day for the past 18 old ages ‘ . This would hold had an inauspicious affect on both Matthews ‘s pneumonic system and cardiovascular system ; smoking deprives the organic structure of O because blood will transport C monoxide in penchant to oxygen plus smoking destroys many of the air sac that absorbs the O for gaseous exchange therefore the lungs are absorbing less O overall for the organic structure, therefore holding damaging consequences on musculuss including the bosom. â€Å" Smoking surcease may non straight cut down BP, but markedly reduces overall cardiovascular hazard. The hazard of myocardial infarction is 2-6 times higher and the hazard of shot is 3 times higher in people who smoke than in non-smokers † ( HeartFoundation.2010 ) .Data M aˆÂ ¦Matthew can be helped to discontinue smoke this is modifiable behavior. ‘Has 3 teenage kids who are doing jobs ‘ This job is a stress direction job, there have been many surveies done, covering this affair and a Psychologist would be the best port of call to assist Mathew cover with this emphasis. â€Å" Family demands chiefly affect lovingness and supplying for kids of married employees. Number of dependent kids is an nonsubjective index of the degree of household demands ( Rothausen, 1999 ) . † ( International Journal of Stress Management 2008 ) Data M this subjective informations can be altered but more specifically can be adapted to by get bying mech anisms being applied aˆÂ ¦ ! ‘Recently experient loss of best friend and concern spouse who died from malignant neoplastic disease ‘ . Besides another emphasis get bying job needed, and would best be suited for a psychologist ‘s expertness. Even though the platinum ‘s nurse would likely hold more contact hours with the platinum aˆÂ ¦this is where wellness attention professionals can join forces, work together as a squad for the platinum ‘s ultimate end, of working better and perchance being discharged. Data M the heartache can be dealt with through a assortment of possible intercessions, so this state of affairs is non inalterable, it is decidedly modifiable. ‘ Oppressing substernal thorax hurting radiating down his left arm and giddiness. Pain mark: 9/10'.This is a text book description of what it feels like to be enduring from an Acute Myocardial Infarction as is described in many pathophysiology texts. â€Å" The hurting typically is terrible and suppression, frequently described as being compressing, smothering or like, â€Å" person sitting on my thorax. † The hurting normally is substernal, radiating to the left arm, cervix, or jaw, although it may be experienced in other countries. Unlike that of angina, the hurting associated with AMI is more drawn-out and non relieved by remainder or nitro-glycerine, and narcotics often are required. † ( Porth.C. 2007 pg 395 ) â€Å" Data M this hurting is a tell narrative that an Acute Myocardial Infarction is in procedure. This hurting is frequently mistaken for dyspepsia and is treated with hydrogen carbonate, alkalizers or even pain slayers which in bend could detain seeking professional medical attending. Siting the individual up with legs lower than the bosom, even swinging the legs may give some alleviation prior to medical attending geting. By understating the Black Marias work load via decreasing venous return. ‘Physical scrutiny ‘ Objec tive information is as follows. Diaphoresis, abruptly of breath and sickness. Diaphoresis [ sudating ] is sometimes due to wound or unnatural cells of the bosom motivating the production of pyrogen. This causes the hypothalamus to react to a higher set point, the hypothalamus initiates heat production behaviors ( shuddering and vasoconstriction ) hence the profuse perspiration, anxiousness the feeling of pending day of reckoning, I am certain plays a function in this excessively. â€Å" Many non-infectious upsets, such as myocardial infarction, pneumonic emboli, and tumor ‘s green goods febrility. † ( Porth.C.2007 pg 288 ) Short of breath or Dyspnea can be because of myocardial infarction oncoming because blood is endorsing up into the pneumonic system and holding an inauspicious consequence on the lungs [ alveoli ] being able to absorb O and interchanging it for C dioxide, which so makes one short of breath because O is low and even C dioxide is low so the trigger to d o one breath is besides non available Dyspnea in this instance is a respiratory manifestation † due to congestion of the pneumonic circulation and is one of the major indicants of left sided bosom failure. † ( Porth.C.2007 pg 426 Nausea is a feeling of unwellness aˆÂ ¦that is sometimes a precursor to purging. â€Å" Perform complete appraisal of sickness, including frequence, continuance, badness, and precipitating factors, to be after appropriate intercessions. † ( Brown & A ; Edwards. 2009. Pg1065 ) â€Å" Nausea often is accompanied by ANS manifestations such as watery salivation and vasoconstriction with pallour, sudating, [ perspiration ] and tachycardia. Nausea may work as an early warning signal of a diseased process. † ( Porth.C. 2007 pg 602 ) . Possibly even an acute myocardial infarction. Diaphoresis, Dyspnea and Nausea are all M, O therapy, cold compress, organic structure positioning i.e. sitting up – pillows support- take downing li mbs and giving antiemetic if ordered ; to modify these symptoms. The implicit in cause of the symptoms will depend on physician diagnosing perchance drug therapy or surgery.BP 165/100 mmHg – Pulse rate 120 beats/min – Respiratory rate 26 breaths/min.Bp is rather high this tells us that the force per unit area is high but the ground could be many, could be that the individual is by and large hypertensive, in the procedure of holding an episode of HF, or on drugs that are doing vasodialation of arterias or rushing up the bosom and many many more possible grounds, the most serious being HF. Pulse rate is besides really high this rate is such you would be anticipating the person to be running non at remainder ; the bosom would merely be working this difficult at rest if there was something incorrect, rather perchance oncoming of HF. Body non having adequate O ; musculuss, major variety meats, including encephalon being starved of O and finally the bosom being a musculus wo uld get down experiencing the effects. Respiratory rate is elevated besides, stand foring the organic structure seeking to do up an O debt. All these symptoms can be minimised and a certain sum of comfort can be achieved, so data classified as M. Through O therapy, stockings, take downing limbs and sitting up. O2 Impregnation: 94 % on room air. Is non improbably low but oxygen therapy via rhinal prongs would decidedly be good at no higher than 4 liters per minute to acquire O2 impregnation over 95 % . So this would be considered modifiable M. Electrocardiogram: A premature ventricular contraction with ST lift in anterior thorax leads V1-V3. Signifies a left front tooth wall myocardial infarction. This could mean that the left anterior falling coronary arteria is occluded