How do states and others change customary international law as well as Essay

How do states and others change customary international law as well as treaties and treaty interpretation. How do law and politics affect these attempts at law - Essay Example In order to do this, it begins with an explanation of what customary international law and treaties are before proceeding to examine the role states and others play in the process of making international law. Customary international law is an unwritten body of rules that are derived from a combination of â€Å"state practice† and opinio juris (Byers 3–4). As the term implies, â€Å"state practice† refers to what governments actually do when conducting their relationship with other governments. Opinio juris, on the other hand, is a psychological belief that a particular practice carries within it the perception by states that it is obligated by international law (Joyner 12). When a new custom is first being formed, some countries may actively adhere to it while others may oppose it. This new custom will not become a customary rule of international law until it receives widespread support and there is an opinio juris that it is required under law (Nicaragua v United States of America). Nonetheless, support does not have be actively expressed; acquiescence by countries is sufficient. Hence, a country may be bound by a customary practice that becomes law by doing nothing during the formative stage of the rule. Accordingly, most countries monitor international practices carefully to avoid becoming unwittingly bound by new customary rules (Byers 4). Treaties are black letter agreements entered into bilaterally or multilaterally with the intent of creating binding rights and obligations as amongst the parties and registered with a third party (Byers 4; Joyner 11). They may be referred to as â€Å"charter†, â€Å"convention†, covenant†, etc. (Byers 4). The rules for interpreting treaties are set out in the 1969 Vienna Convention on the Law of Treaties (VCLT) (Byers 5). The actions of states and other international legal persons often cause custom and treaties to interact with each

Medical Tourism in Goa Essay Example for Free

Medical Tourism in Goa Essay Medical Tourism in Goa Tina D’costa TYBBA MES college of Arts, Commerce Management studies Medical Tourism The seven wonders of the world are all too well known. However one can’t help but marvel at other developments, that have developed magnificently over the years. These unsung heroes are the ones that carry Indias legacy forward. India in a developing country, but we do not wish to limit ourselves to the meaning of the word that entails ‘developing’. If one takes a look at the Medical facilities offered here in India, they would be amazed at the state of the art facilities and quality of service one receives, that complies to international standards. Particularly if you are an NRI, tourist or foreigner, you can be sure of receiving unprecedented attention. The common man too can now find solutions of world-class healthcare with very affordable price tags. Health care and tourism seems quite an odd couple, but with the growing needs in the health-care industry coupled with the idea of a holiday after, is irresistible and people are looking towards India both for allopathic and ayurvedic treatments. The idea of medical tourism never crossed the Goan mind until the seting up of the Apollo Victor Hospital at Margao which is the first super specialty, multi-specialty, tertiary care hospital in the state. With the advent of this hospital, Goa suddenly woke up to this new concept, which caters to people coming in either for planned treatments or for unplanned treatments. Medical tourism is a recent phenomenon in Goa. Many world class medical hospitals like Apollo and Vivus have been started in Goa, which provide world class facilities at a fraction of the corresponding cost abroad. Foreigners from many developed countries prefer to come to Goa for a variety of treatment ranging from dental surgery, hearing problems, knee replacements to even heart surgery. This is a market where Goa has potential for further development and the government should take steps to see that this market can be sustained and increased medical tourism can be promoted in the future. India’s smallest state, Goa, has earned a negative reputation for its drug culture, rave parties, and nude beaches. However, the Ministry of Tourism  is trying to reverse this image through its active promotion of medical tourism. The Ministry is making laudable efforts to showcase the state’s potential, especially in offering  medical vacations  for  tourists who continue to find  affordable  health  care  insurance  a rarity back in their respective  countries. Considering the thousands of  tourists  who flock to Goa annually for its beautiful scenery and its rich architectural heritage, the  medical  tourism industry  here is projected to record impressive growth. Tourism is Goas primary industry. It handles 13% of all foreign tourist arrivals in India. Goa has two main tourist seasons: winter and summer. In the winter time, tourists from abroad (mainly Europe) come to Goa to enjoy the splendid climate. In the summertime (which, in Goa, is the rainy season), tourists from across India come to spend the holidays. Tourism is generally focused on the coastal areas of Goa, with decreased tourist activity inland. Goas tourism contributes to 16% of Indias total foreign exchange earnings. In 2009-10 there were more than 2. 5 million tourists reported to have visited Goa, both domestic and foreign and total revenue earned for the fiscal year 2009-10 from tourism is Rs. 5000 crore as against Rs. 4000 crore in the previous year. A major upcoming concept attracting a lot of tourists to Goa is the rise of Medical Tourism in Goa. Dentists in Goa claim that tourists save over 70% on their dental treatment if done here in Goa. Hence they are now offering holiday packages which include expensive dental treatments too. The Booming Medical Tourism. The concept of medical tourism is not a new one. The first recorded instance of medial tourism dates back thousands of years to when Greek pilgrims traveled from all over the Mediterranean to the small territory in the Saronic Gulf called Epidauria. This territory was the sanctuary of the healing god Asklepios. Epidauria became the original travel destination for medical tourism. Spa towns may be considered an early form of medical tourism. Factors that have led to the recent increase in popularity of medical travel include the high cost of health care or wait times for procedures in industrialized nations, the ease and affordability of international travel, and improvements in technology and standards of care in many countries of the world. Medical tourists can come from anywhere in the world, including Europe, the UK, West Asia, Asia, US and Canada. This is because of their large populations, comparatively high wealth, the high expense of health care or lack of health care options locally, and increasingly high expectations of their populations with respect to health care. Health tourism provides have developed as intermediaries to unite potential medical tourists with provider hospitals and other organizations. It has been started that â€Å"medical tourism is promoted much more heavily in the United Kingdom than in the United States†. A large draw to medical travel is convenience and speed. Countries that operate public health-care systems are often so taxed that it can take considerable time to get non urgent medical care. The time spent waiting for a procedure such as a hip replacement can be a year or more in Britain and Canada; however, in Singapore, Hong Kong, Thailand, Cuba, Colombia, Philippines or India, a patient could feasible have an operation the day after their arrival. Additionally, patients are finding that insurance either does not cover orthopedic surgery (such as knee/hip replacement) or imposes unreasonable restriction on the choice of the facility, surgeon, or prosthetics to be used. Medical tourism for knee/hip replacements has emerged as one of the more widely accepted procedures because of the lower cost and minimal difficulties associated with the traveling to/from the surgery. Medical tourists may seek essential health care services such as cancer treatment and brain and transplant surgery as well as complementary or ‘elective’ services such as aesthetic treatments (cosmetic surgery). Ayurveda Treatment Ayurveda which is form of medical treatment originated from India has gained a lot of prominence in European world for health benefits. Ayurveda means life and Veda signifies knowledge. Therefore by its definition Ayurveda lifts itself beyond the realms of diseases and treatments. It treats life as a single composite phenomenon. After Kerala now Goa is one of Indias best destination for combining Tourism with Ayurveda Treatment. A Goan  Medical  Vacation India is known worldwide for the quality of cardiac procedures and joint replacement surgeries. Tourists from all over the world come down to Goa to take in the sights as well as to benefit from Medical amenities available. Goa is uniquely positioned to develop its health tourism sector. Affordable  Health  Care  Insurance is  a Problem for Goan Locals. While  tourists  rave about the  medical  tourism  facilities  that Goa offers, Goan locals are feeling the pinch due to the escalating  prices  of  medical  treatments. There is now a clamor for an improved  health care  system in the state. The average Joe on the street can afford neither the exorbitant rates of the specialty  hospitals  nor basic  health care insurance. Adding to this dilemma is the lack of  available clinical  services  in remote areas plus the high  prices  of  medication  for  senior  citizens Medical tourism has come to be a new branch of tourism so formed in recent times. The following are some reasons why one visits Goa for Medical tourism: 1. Variety and abundance of available medical skills Goa is very well prepared to service foreigners when it comes to health care. Most Goan doctors speak perfect English, a majority of them are also schooled or trained abroad. While India in general has an universal healthcare system ( meaning that most drugs or procedures are free for the local population) there is also a healthy competition between governmental and privately run hospitals and healthcare institutions for servicing the more wealthy locals with lifestyle procedures (like cosmetic surgery) or visiting foreign tourists (who want to save a dime or two compared to their home countries). If you look around in the tourist belt , you can find plenty of private healthcare providers. Especially the north-western coastal region (Candolim, Calangute and Baga) one can find dental clinics spread all along the coastal belt. In this mentioned area alone I can easily count 30-40 dentists, while larger hospitals mainly only have outlets here, with their main operations to be found in the larger cities like Mapusa, Panaji or even Margao in the south. Major hospitals to consider are for instance the Vrundavan Hospital in Mapusa, Manipal Hospital in Dona Paula, Vintage Hospital in Panaji, Apollo Victor Hospital (very new and a bit more expensive) and NUSI Hospital in/near Margao. Some of the medical services ffered here are: General Medicine and Cardiology, Orthopedic Surgery, Pediatrics, Trauma and Critical care, Cardiovascular and Thoracic Surgery, Endoscopic and Laproscopic Surgery, Gastroenterology and Oncosurgery, Neuro surgery, Cosmetic Surgery, ENT, Urology, Nephrology, Dermatology, Ophthalmology, Dental, Medical Genetics and Counseling, Respiratory Medicine, Physiot herapy, Dietetics, Alternative and Ayurvedic Medicine. Vaccinations too, can be had in almost every hospital. 2. Quality of Surgery, medical personnel and other amenities This one is a bit hard to describe and has to be seen to be believed. Hospitals here in Goa for sure don’t look very special from the outside. Once inside, and you are in a complete different world. The hygiene in every hospital is generally good. Sometimes you really have to wonder, how they can maintain a hospital so clean in an area that looks like a rubbish dump from the outside. Welcome to India! Here especially, looks can be deceiving. Operational devices, x-ray machines, dental equipment and other instruments are of high standard, although not quite on par with Singapore or European ,machines (except the dentists maybe). But you can expect modern facilities and up to date staff and nurses in spotless uniforms. So for general healthcare services and minor surgeries I wouldn’t be afraid to go under the knife here, as most established procedures didn’t change much over the last couple of years. 3. Short Queues or waiting Times Generally, most dentists and hospitals in Goa have very short waiting times, completely different to healthcare providers in Europe or other developed countries, where you sometimes have to make appointments weeks in advance. As a foreigner you can enjoy a very individual and prompt reception. Dentists usually will arrange appointments only 2-3 days away, convenient enough to get a procedure done during a 2-week holiday. The same applies for consultations without appointments with specialists. As a paying customer you usually don’t have to wait long in crowded waiting areas. The few times we had to visit a doctor it was all between 10-15 minutes of waiting times. You also don’t have the feeling that the doctors are very pushy and want to have you out within 5 minutes of their time. A checkup is done very thorough and in an individual manner. The stuff is generally friendly and genuinely interested in your well-being. 4. Low Costs of Generic and Branded Medicine Most medicines can be bought here without prescriptions either right in your local pharmacy or ordered by them if not in stock. Goa is dotted with thousands of pharmacies at every corner. Again the tourist areas from Candolim to Baga have the highest density of pharmacies, while I found Mapusa further to the north-east the best stocked. The best thing: prices for medicines are fixed! So you don’t have to haggle like with everything else in India. Prices are printed on the boxes of medicines and that’s exactly what you pay Another specialty: some branded items are sold here already as generics, even though in most other countries you still can only buy the branded (more expensive) product. One example, a modern tacrolimus-based skin ointment is anywhere else in Asia only available as the branded version (Protopic) and will cost you anything from 300. 000 Rupiah in Indonesia, around 1. 200 Baht in Phuket, 2. 150 Peso in the Philippines to 80-100 SGD in Singapore. No genericsavailable. Buy the real thing or forget it. Not here in India: A generic version (Tacroz Forte) costs a mere Rs 320 for 10g. That is only 20% of the price in Indonesia or Thailand, 15% of the price in the Philippines or 10% of a similar product in Singapore. Isn’t that amazing? Talk about globalization and how you can exploit it for yourself! I found that true for other specific medicines as well. Here are just a few examples for other more common products: Band Aid wash proof: Rs 20 for 10 pieces Immodium: Rs 20 for 10 capsules Paracetamol 500: Rs 14 for 10 capsules Vitamin B complex: Rs 15 for 10 capsules Topical Antibiotic Spray: Rs 195 (40g) Antibiotic Skin Cream: Rs 50 (10g) Broad Spectrum Antibiotic: Rs 50 for 10 capsules Now I just wish, they would be able to send all those cheap medicines abroad to my next travel destinations! 5. Low Consultation and Doctor fees As with everything else in India, one can compare prices and get an impression of the doctor for their surgery first, before committing to a procedure. Luckily the initial costs are very low (for dental procedures, the first checkup is generally free of charge, while for other consultations the fees are quite low, see below). Costs for surgery is generally only a small percentage to health care costs if done in Europe, Australia or the US. I was in Singapore once and was in awe over their low health care costs compared to India. There, major plastic surgeries were nearly dirt cheap. For minor surgeries however, you could save even more, considering getting it done here in India. One example: a friend from Singapore visited us here in Goa, to get a cyst removed on her wrist. While the same surgery would have cost between SGD 1. 200-1. 600, the same procedure was only around SGD 300-400 here in Goa. All with similar quality, aftercare and all costs included. That is only 25% of the cost compared with Singapore I had some dental work done here in Goa, fillings and tooth cleaning, all done very professionally and on short notice. As mentioned above, to consult a specialist, you don’t have to pay a fortune here. From my own and my friend’s experience and what other friends and relatives abroad told me, here are some examples of consultation fees: Dentist: First Consultation – free of charge General Practitioner: Rs 100-250 per Visit Dermatology: Rs 100-200 per Visit Orthopedist: Rs 250 per Visit For minor surgery, like the above mentioned cyst removal, here are some example prices: Orthopedic Surgeon Charges: Rs 5,000 per surgery Anesthetic Charges : Rs 1,500 per surgery Operation Theater Charges: Rs 2,300 per surgery Hospital bed per day: Rs 1,000-2,000 for common ward, depending on hospital Hospital bed per day: Rs 4,000-7,000 for private room, depending on hospital Here are some dental examples: Glass Ionomer Filling: Rs 960 Composite Resin Filling: Rs 1,600 Porcelain to Metal Crown: Rs 7,200- 10,500 Stellon/Fibre Glass/Travelon Dentures: Rs 12,000-24,000 Metal/Invisible Braces: Rs 24,000-44,000 Conclusion: Goa is an interesting location for getting your health propped up and getting those long postponed surgeries done. You have modern facilities, short waiting times and very affordable prices for procedures, hospital services and medicines. Over that you will probably recover much faster, with a holiday in an exotic location added as a bonus. These days with the global financial crisis upon us, prices for flights and package deals to Goa are as low as they can get. So many people are flocking to Goa now, to benefit from the low costs the most. Some people even try to strike a deal with their health insurance provider, either to cover parts of their costs or acknowledging an otherwise not possible surgery. As with everything in India , one has to be aware of some pitfalls too : while medicine prices are generally fixed, this can’t be said about the services and hospital procedures. But there is a good competition, so one can comfortably look around, ask and compare prices before committing to anything. In short, there is a broad variety of options to choose from here. One can talk to different doctors and if in doubt, stick with a larger and well-known hospital instead of a small private clinic. With the facilities Goa can offer, it could be easily converted into a centre of excellence for Medical Tourism. Add to it, the flavour of Goan hospitality, medical tourism could be made very attractive. We therefore have an excellent opportunity to market health care in Goa, especially to the Britishers who consist of 60 per cent of the total tourists arriving in Goa.

Advanced decisions in end of life planning

Advanced decisions in end of life planning The advanced care planning (ACP)process is concerned with ensuring the patient has expressed their wishes should their condition deteriorate, leaving them without mental capacity or unable to communicate their decision.(REF LCP)Part of this process is allowing the patient to create advanced decisions with regards to refusing treatment (Joseph, 2010). As end of life planning is such a vast topic this essay will critically evaluate the key principles of advanced decisions with regards to Cardiopulmonary Resuscitation (CPR). CPR is an issue in many health care settings including hospitals, primary care, day hospitals and nursing homes. The ethical debate and the associated problems with advanced decisions are becoming ever more apparent due to the ever increasing number of elderly people in nursing and residential homes. (DH, 2000, 2010). Previous evidence based research has looked at helping elderly people and their families with decision making in end of life planning (references) as well as Patients requesting Do Not Resuscitate (DNR) orders against the advice of others (REF). There appears to be a gap in the literature concerning the complexity of the tensions associated between the nurse, the rights of the patient and family (or independent advocate) when the patient has specifically requested resuscitation in the event of a cardiac arrest against the advice of the multidisciplinary team. This reflection is based on an issue experienced within my practice and can cause many ethical and moral debates for the nursing staff. The knowledge gained from this reflection will inform my future practice on how patients rights are supported or challenged and the subsequent roles of the nurse. Gibbs (1988) developed his model of reflection in order to reflect on events, critically evaluate fundamental concepts and influence future practice. The first element of this model is based on experience and a description of events. Mr Smith is an elderly gentleman in his late 80s currently living in a nursing home. He has one daughter and a son in law who he is close to and his wife and son passed away a few years ago. Mr Smiths health has been deteriorating over a period of time and the staff nurses and his daughter want to begin the advanced care planning process. For the purpose of this reflection, names and personal data has been changed in line with the NMCs (2008) policy on confidentiality. It is often difficult to establish when a person is reaching the final stages of life (Ellershaw Wilkinson, 2003), however factors have been identified in the Liverpool Care Pathway in order to allow patients to be assessed, including reduced performance status (Karnovsky, 1949); increased dependence in activities of daily living (Barthel, 1965); weight loss and overall physical decline (McNicholl, 2006). Mr Smith had lost a significant amount of weight over the previous 6 months, was requiring more help with various tasks, including personal hygiene and often required the use of a wheelchair as he was becoming more unstable on his feet. It was due to this that it was felt the ACP process was necessary. Effective nursing practice relies upon the ability to develop therapeutic relationships with the patient and family (Peplau, 1952). The qualities of the relationship include good listening skills, a build up of trust and empathy ( Watt-Watson, Garfinkel, Gallop, Stevens, 2002). It is important for relatives to be included in discussions concerning end of life planning as it allows everyone involved to understand and come to terms with the decision (McDermott 2002). A meeting was arranged with Mr smith and his daughter (after consent was gained) to disuss his care wishes in the event of his condition deteriorating. Mr Smith understood that his condition was getting worse but was adamant that he wanted every effort to keep him alive. Therefore, if he went under cardiac arrest Mr Smith would wish the nurse to commence CPR. Cardiopulmonary Resuscitiation (CPR) is a complicated ethical decision comprising of many legal, ethical and emotional decisions for that of the nurse, patient and family (Jeven, 1999). The principle role of the nurse is to assist the patient in restoring or maintaining the best level of health possible (NMC, 2004). Cardiopulmonary resuscitation (CPR) is a procedure that aims to prolong the life of an individual who goes under a cardiac arrest by attempting to restore breathing and increase oxygenated blood flow to the brain and heart. The decision to carry out this procedure should be based on any potential risks or benefits to the patient and should not be carried out with no regard to the quality or life expectancy of the patient (BMA, Royal College of Nursing the Resuscitation Council, 2007). These discussions led to a divide in attitudes as it was felt by the majority that a do not resuscitate (DNR) order would be the most sensible and realistic option. A DNR order is often implemented when a person is extremely ill and death is imminent (British Medical Association, 2007). Furthermore, if the patient has other chronic illnesses, which will reduce the quality or length of life, CPR has the potential to prolong suffering and do more harm than good and so would not be deemed beneficial (BMA, Royal College of Nursing the Resuscitation Council, 2007). However, Mr Smith did not agree with this and felt angry and confused as to why his family would suggest that a DNR would be appropriate. He was willing to accept the associated risks of CPR and maintained that his age should not prevent him being entitled to treatment. This statement is supported by equal rights for the elderly, in which people cannot be denied CPR just because of age (DH, 2001). This decision appeared somewhat irrational as he had stated for some time that it was his time to go and he was fed up of suffering and his mental capacity was called into question. The Mental Capacity Act (2005) states that an advanced decision (formerly known as an advanced directive) gives a person over the age of 18, who is deemed to have mental capacity, the ability to consent to or refuse a specific treatment if they become in a position where they lack capacity or are unable to state their decision. A person is considered to have capacity if they are able to understand and retain information in order to make an informed decision; be able to understand the consequences of any interventions and be able to communicate their decision (GMC, 2008). Current English law states that individuals are presumed to have mental capacity unless it can be proven otherwise and this does not take away the allowance for seemingly irrational and risky decisions to be made (NMC, 2004, BMA 2009, DOH, 2001, MCA, 2005) Mr Smith was deemed to have full mental capacity as he fulfilled the criteria outlined by the MCA (2005) and a second opinion doctor was also called to ensure that this was the case. If the patient lacked capacity to make their own decisions, nursing staff must act in line with the patients best wishes (Dimond, 2006). In such circumstances members of the multidisciplinary team must be able to provide clear justification (Hutchinson, 2005). Had it been the case that Mr Smith lacked capacity it would have been reasonable for the nurse to justify not performing CPR, however, failure to comply with his wishes could potentially lead to legal and professional consequences as the NMC (2004) states that patients autonomy must be respected even where this may result in harm. However, the ACP is not legally binding as clinical judgement takes priority (REF LCP). This can put the nurse into a moral dilemma because following professional and legal responsibilities would deny the patient their rights. Beauchamp and Childress (1994) devised an ethical framework based on 4 moral principles to provide guidance on the conflict between the role of the nurse and the rights of the patient. Beneficence, suggests that any decision to be made must be in the best interests of the specific patient as well as weighing up potential benefit and risks (Beauchamp Childress, 2008). In this case it could be suggested that the risks far outweigh any potential benefits and to do CPR would not be the greater good but this would affect the principle of autonomy. Autonomy is the patients right to accept or refuse any medical treatment. It follows deontological theories (Mill, 1982) which deem an action to be right, if it accords with a moral duty or code, regardless of the outcome (Noble-Adams 1999). This approach would justify the nurse performing CPR because they would be following their legal and professional code of conduct in that a patients wishes must be respected and carried out (NMC, 2008). How ever going against the patients wishes could also be deemed as morally right as part of the nurses role is to allow the patient to die with dignity (King,1996). Howver, this could be suggested as following the traditional notion of paternalism, which is not compatible with modern day ethics (Rumbold, 1999). All of these issues cause a moral dilemma for the nurse and impact upon the patients rights as it has been suggested that CPR can deny a patients right to die with dignity by prolonging the dying process (McDermott 2002) and so could be suggested that the greatest good in the situation would be achieved by not performing CPR. The principle of non-maleficence is based on doing no harm (Edwards, 1996). Many people have unrealistic expectations of the success rates of CPR due to media representations (Dean 2001). Patients who survive cardiac arrests following resuscitation is as low as 20% and not all of these inidivudals get to the position of being well enough to be discharged from hospital (Cardozo, 2005). These rates of success are reduced even further when patients have underlying problems and poor health (Schultz 1997). However, it could be argued that the ultimate harm would be to do nothing resulting in death which would also be against Mr smiths wishes. The fact that Mr smith was already considered emaciated and having deteriorating health increases the risk of physical damage during chest compressions but as Mr Smith had already written an advanced directive stating he wished to receive CPR then this should be carried out (Pennels, 2001). This puts the nurse in a serious dilemma as patients and the ir families taking legal action is becoming increasingly common (Oxtoby, 2005) and the nurse is bound by the legalities of their professional code, which would claim that failing to carry out CPR would be considered negligent (Jevon, 1999) and as nurses are professionally accountable for their actions this could put their career in jepoardy(NMC, 2004). The final ethical principle of Justice is concerned with fairness and equality maintaining that every individual has the right to life (Human Rights Act, 1998) and therefore, the patient has a right for the nurse to carry out CPR (even if they have not previously stated this) especially if they have an advanced descision stating that they wish to be resuscitated in the event of cardiac arrest. (Costello, 2002). After all this has been taken into consideration, the rights of the patient, including those who have an advanced decision can still be overruled as before the decision can be applied there must be reasonable evidence to suggest that the decision is still valid and applicable (BMA, 2007). Mr Smith appeared not to be acting in line with his advanced decisions as he was refusing to eat or drink and appeared withdrawn in his personality, not wanting to participate in his activities of living (Roper, Logan and Tierney, 2000). It has been suggested that many health care professionals do not discuss goals of care as they have inadequate communication skills or that there is often conflicting ideas between the patient and professional about what is in their best interests (Haidet et al, 1998) As this has often found to be the case, one of the registered nurses decided to have a further chat with Mr Smith as it was felt that his needs were not being appropriately addressed. It transpired that Mr Smith did wish to die a peaceful death but was scared of what might happen and if he said he did not wish to be resuscitated then he could be left suffering alone in great pain in his last few minutes. The Liverpool Care Pathway suggests that the role of the nurse in the last few days of life shifts to a holistic approach of care to promote comfort and moves away from the idea of active care which includes any invasive or unnecessary procedures that could be avoided (REFERENCE). The Gold Standards Framework provides an holistic assessment plan to aid communication between the nurse and the patient, including how physical, emotional, social, spiritual and communicational needs came be met (Thomas, 2009) The nurse stated that medications can be arranged for end of life care to alleviate any pain and suffering. Discuss syringe drivers, end of life medication and controversy During the final stages of life a natural physiological process causes the swallowing reflex not to work and so the use of oral medication is limited (Thorns Gerrard, 2003). A common palliative care practice is to use a syringe driver to administer drugs (ODoherty et al, 2001), which allows comfortable parenteral treatment of pain, nausea and breathlessness (GrassbyHutchings, 1997). In most circumstances this form of medication administration comes without controversy (Woods, 2004), however, the double effect of sedatives and opiates will reduce anxiety and pain but have also been claimed to supress respiratory function, which has the potential to speed up the dying process (BNF, 2007). The most important aspect of this double effect is that it is permissible so long as death is not intended and is occurs as a byproduct of an intention carried out for the patients best interests (Fohr, 1998). Furthermore, it has been stated that there is a lack of empirical evidence to support this claim (Kaldjian et al, 2004) and research has suggested that repiratory depression does not occur with patients receiving opiods for pain in end of life treatment (Walsh, 1982). The role of the nurse is, therefore to allow the patient to die peacefully. However, health professionals are accountable for their actions and must be able to provide justifications if any problems arise (Dimond, 2004) An assessment using the Abbey pain scale(INCLUDE MORE DETAILS) was carried out to analyse levels of pain experienced by Mr Smith and the appropriate drugs were administered via the syringe driver. Mr Smith continued to deteriorate and died peacefully with his favourite classical music on, his daughter holding his hand and a picture of his wife by his bed. She also clarified that the advanced decision he would have made was only concerned with CPR and did not have to decline all treatment just because he declined one. The nurse asked him if it was clear the end was near what the staff and his family could do to help his transition into death. Mr Smith stated he did not want to be alone and wished to have his family with him to reassure him and comfort him in his last moments. The point of this discussion was not to overrule Mr Smiths advanced decision but to confirm its applicability and validity to his current circumstances. Details of these discussions were recorded in his care plan records in line with relevant policies (REFERENCE) WHAT WAS GOOD/ BAD ABOUT EXPERIENCE? GOOD THAT IT WAS REALISED BEFORE IT WAS TOO LATE BAD COMMUNICATION Analysis what sense can you make of the situation On reflection of the situation the complexities of the tensions between the rights of the patient and the role of the nurse become alarmingly apparent. Nurses are expected to use evidence based knowledge to inform their practice centred on the NMC professional code of conduct. This practice can often involve moral dilemmas on life and death matters for which the nurse can be held professionally accountable. The nurses role is ever more challenging when the patient is entitled to make their own decisions, often deemed unwise or not in their best interests. This reflection informs my practice as it highlights the importance of not only allowing the patient to make an informed decision based on knowledge and evidence but also to explore their feelings behind the decision to be made. In this case it wasnt that Mr Smith wanted CPR in the event of a cardiac arrest because he felt like it was the best option and would extend his life or the quality of it but because he was scared of dying a nd unsure of what would happen. As the nurse discussed his fears and anxieties and suggested ways in which these could be dealt with Mr Smith agreed that a DNR order would be the most effective way to ensure a peaceful and dignified death without prolonging any pain or suffering for him or his family. This experience has taught me that each situation is unique and there can never be any absolute right or wrong in nursing. Patients well-being depends on many factors including anxiety or unmet physical or emotional needs (Dewing, 2002). Communication with patients, their relatives or an advocate is of utmost importance when identifying individual needs as well as understanding the rationale behind decision making. Furthermore, communication between the multidisplinary team is imperative in order to promote best practice (Bridges and Wilkinson, 2011). The insight I have gained from this experience will inform my future practice to understand the feelings and attitudes behind the patients actions and behaviours. Conclusion what else could you have done Action plan, if it rose again what would you do Discussion General Medical Council. (2008). patient and doctor making decisions together. Available: http://www.gmc-uk.org/static/documents/content/Consent_0510.pdf. Last accessed 23 April 2011. Abbey Pain Scale Abbey, J; De Bellis, A; Piller, N; Esterman, A; Giles, L; Parker, D and Lowcay, B. Funded by the JH JD Gunn Medical Research Foundation 1998-2002. 10. Bedell SE, Pelle D, Maher PL, et al. Do-not-resuscitate orders for critically ill patients in the hospital. How are they used and what is their impact? JAMA 1986; 256: 233-237. 13. Haidet P, Hamel MB, Davis RB, et al. Outcomes, preferences for resuscitation and physicianpatient communication among patients with metastatic colon cancer. SUPPORT Investigators. Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatments. Am J Med 1998; 105: 222-229. 19. Deep KS, Grif?th CH, Wilson JF. Discussing preferences for cardiopulmonary resuscitation: what do resident physicians and their hospitalized patients think was decided? Patient Educ Couns 2008; 72: 20-25. Gallagher A, Wainwright P (2007) Terminal sedation: promoting ethical nursing practice. Nursing Standard. 21, 34, 42-46. Date of acceptance: January 4 2007. Fohr SA (1998) The double effect of pain medication: separating myth from reality. Journal of Palliative Medicine. 1, 4, 315-328 British National Formulary (2007) British National Formulary No. 53. British Medical Association and the Royal Pharmaceutical Society of Great Britain, London. Dimond B (2004) Legal Aspects of Nursing. Fourth edition. Longman, Harlow. Woods S (2004) Terminal sedation: a nursing perspective. In Tà ¤nnsjà µ T (Ed) Terminal Sedation: Euthanasia in Disguise? Kluwer Academic Publishers, Dordrecht, 43-56. Kaldjian LC, Jekel JF, Bernene JL, Rosenthal GE, Vaughan-Sarrazin M, Duffy TP (2004) Internists attitudes towards terminal sedation in end of life care. Journal of Medical Ethics. 30, 5, 499-503. Bridges j, Wilkinson C (2011) achieving dignity for older people with dementia in hospital. Nursing Standard. 25, 29, 42-47. January 11 2011. Tschudin, Verena (2003). Ethics in Nursing: the caring relationship (3rd ed.). Edinburgh: Butterworth-Heinemann Rumbold, G (1999). Ethics in Nursing Practice. Balliere Tindall. ISBN  0-7020-2312-4. Baskett P, Steen P, Bossaert L (2006) The ethics of resuscitation and end of life decisions. In Baskett P, Nolan J (Eds) A Pocket Book of the European Resuscitation Council Guidelines for Resuscitation 2005. Mosby Elsevier, Edinburgh, 194-210. Beauchamp T, Childress J (2001) Principles of Biomedical Ethics. Fifth edition. Oxford University Press, Oxford. Biegler P (2003) Should patient consent be required to write a do not resuscitate order? Journal of Medical Ethics. 29, 6, 359-363. Cardozo M (2005) What is a good death? Issues to examine in critical care. British Journal of Nursing. 14, 20, 1056-1060. Costello J (2002) Do not resuscitate orders and older people: findings from an ethnographic study of hospital wards for older people. Journal of Advanced Nursing. 39, 5, 491-499. Dean J (2001) The resuscitation status of a patient: a constant dilemma. British Journal of Nursing. 10, 8, 537-543. Department of Health (2001a) Consent: What you have a Right to Expect. A Guide for Adults. The Stationery Office, London. Department of Health (2001b) Seeking Consent: Working with Older People. The Stationery Office, London. Department of Health (2001c) The Expert Patient: A New Approach to Chronic Disease Management for the 21st Century. The Stationery Office, London. Dimond B (2006) Mental capacity and professional advice in a patient with dysphagia. British Journal of Nursing. 15, 10, 574-575. Driscoll J, Teh B (2001) The potential of reflective practice to develop individual orthopaedic nurse practitioners and their practice. Journal of Orthopaedic Nursing. 5, 2, 95-103. Edwards S (1996) Nursing Ethics: A Principle-Based Approach. Macmillan, Basingstoke. Gibbs G (1988) Learning by Doing: A Guide to Teaching and Learning Methods. Further Education Unit, London. Hek G, Judd M, Moule P (2002) Making Sense of Research: An Introduction for Health and Social Care Practitioners. Second edition. Sage, London. Hendrick J (2000) Law and Ethics in Nursing and Health Care. Stanley Thornes, Cheltenham. Hutchinson C (2005) Addressing issues related to adult patients who lack the capacity to give consent. Nursing Standard. 19, 23, 47-53. Jevon P (1999) Do not resuscitate orders: the issues. Nursing Standard. 13, 40, 45-46. Jevon P, Raby M (2002) Resuscitation in primary care. Nursing Standard. 17, 7, 33-35. McDermott A (2002) Involving patients in discussions of do-not-resuscitate orders. Professional Nurse. 17, 8, 465-468. Noble-Adams R (1999) Ethics and nursing research 1: development, theories and principles. British Journal of Nursing. 8, 13, 888-892. Nursing and Midwifery Council (2004) The NMC Code of Professional Conduct: Standards for Conduct, Performance and Ethics. NMC, London. Oxtoby K (2005) Consent: obtaining permission to care. Nursing Times. 101, 1, 23. Payne S, Hardey M, Coleman P (2000) Interactions between nurses during handovers in elderly care. Journal of Advanced Nursing. 32, 2, 277-285. Pennels C (2001) Resuscitation: the legal and ethical implications. Professional Nurse. 16, 11, 1476-1477. Polit D, Beck C (2006) Essentials of Nursing Research: Methods, Appraisal and Utilization. Sixth edition. Lippincott, Williams and Wilkins, Philadelphia PA. Resuscitation Council (UK) (2001) Decisions Relating to Cardiopulmonary Resuscitation: A Joint Statement from the British Medical Association, the Resuscitation Council (UK) and the Royal College of Nursing. RC (UK), London. Royal College of Nursing (1997) Ethical Dilemmas: Issues in Nursing and Health 43. RCN, London. Rundell S, Rundell L (1992) The nursing contribution to the resuscitation debate. Journal of Clinical Nursing. 1, 2, 195-198. Schultz L (1997) Not for resuscitation: two decades of challenge for nursing ethics and practice. Nursing Ethics. 4, 3, 227-238. Sletteboe A (1997) Dilemma: a concept analysis. Journal of Advanced Nursing. 26, 4, 449-454. Thompson I, Melia K, Boyd K, Horsburgh D (2006) Nursing Ethics. Fifth edition. Churchill Livingstone, Edinburgh. Tschudin V (1992) Ethics in Nursing: The Caring Relationship. Second edition. Butterworth- Heinemann, Oxford. UK Clinical Ethics Network (2006) The Four Principles. www.ethics-network.org.uk/ framework/framework.htm (Last accessed: June 25 2007.)

A Comparison of The death of a hired man and Out, Out- by Robert Frost

A Comparison of The death of a hired man and Out, Out- by Robert Frost Robert frost was born in Vermont in 1874 and died in 1963. Robert Frost was a farmer and lived in Vermont, USA. Both poems 'The death of a hired man' and 'Out, Out-' are set on a farm in Vermont which is probably because of where Robert Frost lived and worked. I will know begin to discuss the similarities. As I said previously both poems are set in a farm enviroment. The poem 'The death of a hired man' is probably set in winter so there would not be a lot of work to be done therefore Warren; the owner of the farm would not need to hire any workers because he would be able to do the work himself. The poem ?Out, Out is set in summer therefore there would be a lot of work to do and this is the reason why the boy, at his age, is working. My next similarity is that both poems flow through chronologically from beginning to end and this can be said to be the first level of understanding, the next level of understanding is that the poem portrays the last part of time that Silas and the young boy have alive; the poem starts off and they?re alive and as soon as the poems end so does their lives, thus giving the poem an abrupt ending, just like actual death. So time plays a major role in these poems. Another example of time is that both of the poems have a passage of time in them. In ?The death of a hired man? the passage is when, ?I?ll sit and see if that small sailing cloud Will hit or miss the moon.? After this there is a passage of time, which portrays Warren spending time with Silas. ?It hit the moon.? This is like Mary telling us that Silas has died. My next similarity is that in both poems the poet shows a wider pic... ...ing that each has of each other and it seems to me that both knows how the others mind works. In ?Out, Out-? there is no sense of relationship between any of the characters, I sense that the boy is very alone in his workplace and that he is probably out of the way from everybody else. Out of the two poems I liked the second poem better. The reason why I liked this poem better was because I felt that ?Out, Out-? was a more conventional poem and I liked the use of personification to make the saw seem to be alive. I could also relate more with the young boy, as I understand him to be around the same age as me and personally I would not be happy to be in his situation and to be working and I feel quite privileged to be at school when compared to his life. The thing I like about ?The death of a hired man? is the loving relationship between Mary and Warren.

Porter’s Five Forces Analysis Essay

Porter’s Five Forces Analysis Michael Porter provided a framework that analyses an industry as being influenced by five forces. It has been suggested that management, attempting to establish a competitive marketing advantage over rivals, can use this model to understand the industry context in which the business operates and take appropriate strategic decisions. Threat of entry This means the ease with which other firms can join the industry and compete with existing businesses. The threat of entry is greatest when: economies of scale are low in the industry technology needed to enter the industry is relatively cheap istribution channels are easy to access, e. g. retail shops are not owned by existing manufacturers in the industry there are no legal or patent restrictions on entry The importance of product differentiation is low, so extensive advertising may not be required to get established. The power of buyers This refers to the power that customers have on the producing in dustry. For example, if there are four major supermarket groups that dominate this sector of retailing, their buyer power over food and other producers will be great. Buyer power will also be increased when: here are many undifferentiated small supplying firms, e. g. many small farmers supplying milk or chicken to large supermarket businesses the cost of switching suppliers is low Buyers can realistically and easily buy from other suppliers. The power of suppliers Suppliers will be relatively powerful compared with buyers when: the cost of switching is high, e. g. from PC computers to AppleMacs When the brand being sold is very powerful and well known, e. g. Cadbury’s chocolate or Nike shoes. Suppliers could realistically threaten to open their own forward-integration operations, e. g. offee suppliers open their own cafes. Customers have little bargaining power as they are small firms and fragmented, e. g. dispersed around the country as with independent petrol stations. The threat of substitutes In Porter’s model, ‘substitute products’ does not mean alternatives in the same industry such as Toyota for Honda cars. It refers to substitute products in other industries. For instance, the demand for aluminum for cans is partly affected by the price of glass for bottling and plastic for containers. These are substitutes for aluminum, but they are not rivals in the same industry. Competitive rivalry This is the key part of this analysis – it sums up the most important factors that determine the level of competition or rivalry in an industry. It is based on the other four forces which are why it is often illustrated in the center of the Five Forces diagram. Competitive rivalry is most likely to be high where: it is cheap and easy for new firms to enter an industry there is a threat from substitute products suppliers have much power Buyers have much power. Reference: http://classof1. com/homework-help/earth-science-homework-help/

Adolf Hitler and Japanese Canadians War

WWII ESSAY TOPICS Please Note: You need to form an historical research question for your topic. The answer to your question is your thesis statement 1. How and why was Germany allowed to annex Austria and the Sudetenland? Was there any justification for Britain and France’s policy of appeasement? 2. Discuss the role that Italy played in World War II. How did the nation become involved in the conflict? How did its participation affect the direction of the war and Germany’s fortunes? 3. Discuss the issues surrounding the United States’ decision to use atomic bombs against Japan.What motives were behind this action, and what arguments have been made against it? 4. Explain how the situation in Europe immediately following the fall of Germany led directly to the Cold War. In your opinion, should the Western Allies have acted to oppose Soviet domination of Eastern Europe? 5. Consider the role of technology during World War II. Did it fundamentally affect the outcome of the war? If so, how? If not, why not? 6. Compare the roles of Germany and Japan during World War II. Generally speaking, were their aggressions fundamentally similar or fundamentally different? . Explain Germany’s mistakes in Russia and the ways in which they affected the outcome of the war. 8. Why did the British government give in to German demands regarding Czechoslovakia in 1938, but took a relatively firmer stand over Poland in 1939? 9. Compare Soviet and British policies toward Poland between 1943 and 1945, focusing on both aims and outcomes. 10. Did the nature of German rearmament between 1935 and 1939 support the view that Hitler was planning for a Blitzkrieg war? 11. Asses and explain whether the internment of Japanese Canadians justified during World War Two? 2. Discuss the major differences between how the allies treated Germany after World War Two with World War One and how it may have been better. 13. Compare the strategic significance of the Battle of Stalingra d and the Battle of Britain. 14. Discuss Blittzkrieg and the importance of this tactic during World War Two. 15. Assess and explain the role of women during WWII and compare them to WWI. 16. The Second World War had consequences for European society and the world at large that were every bit as profound as the changes wrought by World War I.Assess these consequences as they became evident in 1945 as the war ended as well as for the years following from the standpoint of physical losses (casualties, refugees, infrastructure, etc. ) as well as the political and territorial settlements in Europe and the world at large. 17. To what extent were the German’s people responsible for Hitler/ Holocaust. 18. Compare WWI to WWII, identifying similarities in the causes, development, and outcomes of the wars. Other topics to consider Appeasement (WLM King) IsolationismThe Treaty of Versailles The League of Nations (failure of) Dieppe D-Day (Juno Beach) Liberation of Holland Dunkirk (evacua tion of) Battle of Britain Battle of the Atlantic Role of Technology / Canadian war production Anti-Semitism in Canada Internment of Japanese Canadians War on the homefront – War production / Changing role of women TOPIC LIST Blitzkreig The Battle of the Atlantic Women's Royal Canadian Naval Service (Wrens) Lebensraum The Brtsh Commonwealth Air Training Plan Canadian Women’s Auxiliary AirforceOccupation of the Rhineland Camp X The Munich Pact Cdn Women’s Army Corps D-Day The Nazi-Soviet Non Aggression Pact The Battle for Normandy Canadian War Brides Dunkirk Treaty of Versailles The Royal Cdn Air Force Wm. L. Mackenzie King War on the Homefront War Propaganda The Home Front General Guy Simonds Canada and the Italian Campaign Conscription The Scheldt Estuary The Internment of Japanese Canadians Liberation of the Netherlands Canada and Hong Kong Juno Beach The Battle of the Atlantic VE Day Dieppe Verrieres Ridge

The Events of Septrmber 11, 2001

The Events of Septrmber 11, 2001 On the morning of September 11, 2001, Islamic extremists organized and trained by the Saudi-based jihadist group al-Qaeda hijacked four American commercial jet airliners and used them as flying bombs to carry out suicide terrorist attacks against the United States. American Airlines Flight 11 crashed into Tower One of the World Trade Center at 8:50 AM. United Airlines Flight 175 crashed into Tower Two of the World Trade Center at 9:04 AM. As the world watched, Tower Two collapsed to the ground at about 10:00 AM. This unimaginable scene was duplicated at 10:30 AM when Tower One fell.   At 9:37 AM, a third plane, American Airlines Flight 77, was flown into the west side of the Pentagon in Arlington County, Virginia. The fourth plane, United Airlines Flight 93, initially being flown toward an unknown target in Washington, D.C., crashed into a field near Shanksville, Pennsylvania at 10:03 AM, as passengers fought with the hijackers. Later confirmed as acting under the leadership of Saudi fugitive Osama bin Laden, the terrorists were believed to be attempting to retaliate for America’s defense of Israel and continued military operations in the Middle East since the 1990 Persian Gulf War.   The 9/11 terrorist attacks resulted in the deaths of nearly 3,000 men, women, and children and the injuries of more than 6,000 others. The attacks triggered major ongoing U.S. combat initiatives against terrorist groups in Iraq and Afghanistan and largely defined the presidency of George W. Bush. America’s Military Response to the 9/11 Terror Attacks No event since the Japanese attack on Pearl Harbor propelled the nation into World War II had the American people been brought together by a shared resolved to defeat a common enemy. At 9 PM on the evening of the attacks, President George W. Bush spoke to the American people from the Oval Office of the White House, declaring, â€Å"Terrorist attacks can shake the foundations of our biggest buildings, but they cannot touch the foundation of America. These acts shatter steel, but they cannot dent the steel of American resolve.† Foreshadowing America’s impending military response, he declared, â€Å"We will make no distinction between the terrorists who committed these acts and those who harbor them.† On October 7, 2001, less than a month after the 9/11 attacks, the United States, supported by a multinational coalition, launched Operation Enduring Freedom in an effort to overthrow the oppressive Taliban regime in Afghanistan and destroy Osama bin Laden and his al-Qaeda terrorist network. By the end of December 2001, U.S and coalition forces had virtually eradicated the Taliban in Afghanistan. However, a new Taliban insurgency in neighboring Pakistan resulted in the continuation of the war. On March 19, 2003, President Bush ordered U.S. troops into Iraq on a mission to overthrow Iraqi dictator Saddam Hussein, believed by the White House to be developing and stockpiling weapons of mass destruction while harboring Al Qaeda terrorists in his county. Following the overthrow and imprisonment of Hussein, President Bush would face criticism after a search by United Nations inspectors found no evidence of weapons of mass destruction in Iraq. Some argued that the Iraq War had unnecessarily diverted resources from the war in Afghanistan. Though Osama bin Laden remained at large for over a decade, the mastermind of the 9/11 terror attack was finally killed while hiding out in an Abbottabad, Pakistan building by an elite team of U.S. Navy Seals on May 2, 2011. With the demise of bin Laden, President Barack Obama announced the beginning of large-scale troop withdrawals from Afghanistan in June 2011. As Trump Takes Over, War Goes On Today, 16 years and three presidential administrations after the 9/11 terror attacks, the war continues. While its official combat role in Afghanistan ended in December 2014, the United States still had nearly 8,500 troops stationed there when President Donald Trump took over as Commander in Chief in January 2017. In August 2017, President Trump authorized the Pentagon to increase the troop levels in Afghanistan by several thousand and announced a change in policy regarding the release of future troop level numbers in the region. â€Å"We will not talk about numbers of troops or our plans for further military activities, Trump said. Conditions on the ground, not arbitrary timetables, will guide our strategy from now on,† he said. â€Å"Americas enemies must never know our plans or believe they can wait us out.† Reports at the time indicated that top US military generals had advised Trump that a â€Å"few thousand† additional troops would help the U.S. make progress in eliminating the insurgent Taliban and other ISIS fighters in Afghanistan. The Pentagon stated at the time that the additional troops would be conducting counterterrorism missions and training Afghanistan’s own military forces.   Updated by Robert Longley

The Sound And The Fury

The Sound And The Fury In the book the Sound and the Fury, the author, William faulkner uses his lack of femine presence in his earlier life. For example, he grew up with three older brothers and no sisters, and when he got married, his first child, whom he named Alabama, was born premature and died very soon after birth. Heartbroken, Faulkner turned to his writing and poured all of his anguish into his novel the Sound and the Fury, which was later hailed as the greatest novel he had ever written. All of his love was poured into one Character. That character was named Caddy Compson. And although Caddy she turned out to be a bad person, had an illigitimate child, and was married and divorced several times, Faulkner would not allow the reader to hate her. Always, Faulkner would place in the reader's heart, a tenderness and love that no other character would give to you.The sound and the fury

Online Customer Engagement Essay Example | Topics and Well Written Essays - 1000 words

Online Customer Engagement - Essay Example This can also be referred to the social phenomenon facilitated by the extensive implementation of the internet in the late 1990s and captivating off by means of the procedural improvements in link speed (broadband) in the decade that trailed. Online Customer commitment is qualitatively dissimilar commencing the engagement of consumers' offline. This particular project will be of help as it will allow the organizations to counter react to the elementary changes in the clients' behaviors that the internet has brought forth. It will also avail the solution to the high level of the incompetence of the custom break off and replicate, broadcast model of promoting (George 1990, pg20). With this report, it will also provide the readers with the knowledge about the consumers' behaviors so as to enable them to know how to deal with their clients in order to be able to provide them with the appropriate products and services that they do need. From the other researchers, it has been proven that, the relationship of an organization with their clients during marketing affects their way of behavior. This can also be said that, customer engagement is directly proportional to the customer behaviors as well as the relationship marketing. This is so because, with consumer engagement, it commits the clients and thus able to evaluate their behaviors. 2.0 RESEARCH QUESTIONS For this project to be termed to be successful, it has to fulfil some of the requirements. Thus it will be required to answer some questions such as; 1. What are some of the consumer behaviour that is related to the online consumer engagement 2. How do the online consumer engagement relate to the marketing strategy used by an organisation 3. Why do the managers of the organisations have a preference on the online consumer engagement as compared to the offline one 4. Which relationship does consumer behaviour have with the marketing strategy of the organisation 5. What are the significance of the consumer engagement 3.0 OBJECTIVES: The project will be focused on some of the aspects so as to be able to attain its objectives. These objectives will be attained through the questions that have to be answered at the end of the project. These will include: 1. To know some of the consumer behaviours that are related to the online consumer engagement 2. To institute the association connecting the marketing strategies and the online consumer engagement. 3. To establish the advantages of the online consumer engagement compared to the offline consumer engagement. 4. To establish the relationship between consumer behaviour and marketing strategy in any given organisation. 5. The importance of the consumer engagement. 4.0 METHOD: This will entail the way and the techniques that will be used in the research and the way in which the data will be collected so as to get the accurate report for the research project. This will comprise of 4.1 RESEARCH DESIGN This is a qualitative research. This is because it entails the use of the purposive selection of the sample size and it is also based on the targeted population in the community which will comprise of the digital marketing community. To be able to get the information from the organisation, they will have to answer a number of questionnaires. The questionnaire will be as follows; Questionnaire Instruction To be filled

Proofreading services Essay Example | Topics and Well Written Essays - 5000 words

Proofreading services - Essay Example o  The writer first reads through the order instructions to ensure they are understood and all necessary research materials are availableï‚ §Ã‚  If anything is unclear or materials are not available, the writer will contact you to request clarification or to arrange for alternate materials, writers or whatever it takes to ensure the order is completed satisfactorily.o  The writer then begins the research process, seeking out up-to-date information from quality sources and required texts. o  With the necessary research in hand, the writer then engages in the writing process, making sure to format the paper according to specifications and, as much as possible, within your individual experience and educational level.o  Upon completion of the writing process, the writer will proofread the finished paper for ‘flow’, adherence to your provided instructions and common grammar or typographical errors. o  The completed paper is then uploaded to the Research Paper Wri ter website†¢Ã‚  When completed papers are uploaded to the website, they are automatically processed through various engines that check for plagiarismo  Engines used are carefully screened to establish the exact process usedo  Some of the engines available to schools and universities retain a copy of papers submitted. Using these engines would instantly cause research papers provided by our writers to be invalid for your purposes.†¢Ã‚  Successful returns are then immediately forwarded to your email box for use.

Social Networking Essay Example | Topics and Well Written Essays - 1250 words

Social Networking - Essay Example Social network comes in various forms and sizes and serve many purposes. Social networking is necessary for the survival and advancement of the society. The invention of telegraph, radio and internet have created and maintained social networking despite of the vast distance between the people. The ability of people to communicate across the planet has give way to different forms of social networking mediums. Friends can now easily connect with each other being thousands of miles apart. As per TechTarget,(2008)â€Å"The social networks we speak of today, such as Face book or MySpace, provide incredibly rich communications. Pictures, audio recordings, video recordings can be freely shared by anyone with an internet connection†. These facilities have given rise to a new category of social networking. Websites and internet now provide many opportunities that were not possible before. Social networking are application available on internet which has log – in page, user accou nt and a bunch of games and tools to have fun with friends while we are logged in. The social networking sites has a great influence on today’s youth and give them different identity and interacting platform. The Social networking is not new concept The concept of social networking is not new even though people are only familiarized with it recently. Individuals can connect within a social network where they work together, study together, lived together or share certain interests. Individuals are usually drawn to people with whom they can relate to. According to Ronca(2009)â€Å"Social networking is not a new concept. In fact, it's been around as long as we have. A social network is simply the structure of relationships among individuals†. Everyone on the earth is a part of one social network and we knowingly or unknowingly engage in social networking. We are engaging in small sub networks which consist of our families, friends, colleagues, school and community. Our so cial networking multiplies consistently as we are all time in contact with people. Social networking is not at all new and can be traced to 1800s. In the article Larrivee(2011)writes that â€Å"Social networking is not a new concept in fact it is really quite old with formal recognition surfacing in the 1800’s yet if you consider ancient Rome and Greece, one might say that it really began in those times†, People in olden times use to socially and politically interact .Social networking in past happened in the same ways as today but only the platform where it took place was different. In the past, people met in real world, whereas in the present people virtually meet and interact. Social networking started since the early men started living in communities. It started before the invention of internet in villages and olden cities People in villages gather around trees in free time and discussed everything and anything. Social networking existed in olden days In olden time s people gathered on festivals and social get together and interacted with each other freely. They met in churches and temples and shared their ideas and views about daily activities. People in olden days had their share of fun and relaxation whenever they met like the new generation. Human is a social being and he needs to be active in social life to make things pleasant. Today the internet has taken the place of other social gathering venues but social networking happened since ever.In ancient times, people where more of socializing nature as they were not much restricted to their homes. They always met people in outdoors and had more opportunity to interact with each other. In ancient times, festivals and fairs where the venues where people met each other and engaged in pleasurable acitivities.People used to meet and

The Fiscal Cliff and the United States Essay Example | Topics and Well Written Essays - 1250 words

The Fiscal Cliff and the United States - Essay Example The Fiscal Cliff and the United States: A Future Prospectus of What Actions will Precipitate what Reactions Although a firm understanding how these two relate would require a dissertation length piece on both social, governmental, and economic trends, this brief essay will attempt to summarize some of the key concerns related with these implications as well as seeking to understand and quantify the ways in which a given government can seek to maintain the optimal balance of freedom, equality and solidarity in order to proceed within such a difficult economic environment as the current nation is experiencing. With the situation regarding the United States’ â€Å"Fiscal Cliff† as it has been called, the situation is with regards to a host of tax cuts and new austerity measures that are due to go into affect the first of this coming year – if not legislative or executive actions are taken to ally them. The purpose of this piece is not to argue between either fiscally liberal or conservative policies as a panacea to the ills of our current financial travails. However, igno ring the present viewpoints that exist on the topic and attempting to analyze them to find a middle path is equally foolish. Accordingly, the author has chosen to devote some brief space to the political ideologies that the two party system of the United States has necessarily espoused. The primary obstacle towards a greater understanding between the two political parties with regards to austerity, spending, and the national debt is with regards to how the situation should be handled.... Such a sum for the time was an unimaginable one (Hinch, 2012). Aided by nearly a decade of conflict and two wars, the Republican Party lost any and all credence that they had formerly retained with reference to being the party of fiscal responsibility. However, with regards to the individual positions that the political spectrum retains, there can be said to be two. The Democratic Party believes that the best way to find a reasonable solution from such economic difficulties revolve around raising taxes (specifically on the upper middle class and wealthiest citizens). Such an approach has merits; however, speaking economically, it also serves to penalize those job-creators that most directly influence the level of growth and recovery that the nation would experience if such a deadweight loss were not experienced. Similarly, those that support the alternate view to the one listed above claim that any and all budget shortfalls must be remedied by relying on austerity and/or budget cuts to achieve the desired result. Naturally, neither one of these offerings is reasonable due to the fact that it is impossible for our current society to realize the correct levels of freedom, solidarity, and equality that would be necessary to achieve either of these positions. Therefore, it is the recommendation of this author that the ultimate approach would necessarily penalize (tax) all citizens equally; regardless of their economic stature within the economy (Etzioni, 1993). In this way, the government would be able to highly equitable distribute the tax burden among all of its citizens. Additionally, there would no longer be a disincentive for those that made less to attempt to make even more as all citizens would be equitably dealt with in terms of their overall level of

Experience as the Part of a Team Personal Statement

Experience as the Part of a Team - Personal Statement Example In this regard, I was required to recognize and apply basic programming and modeling concepts that we have learned so far. There was a great deal of analysis, coding, testing, evaluation, involved, which has to be done in cycles in order to achieve our development goals. I found that my responsibilities were not that easy and concluded that if I have not paid enough attention and became engaged and involved with other steps and aspects of the project, especially those tasks and work allotted to my teammates, I would not have finished my own tasks successfully and correctly. The whole process is just one of the practice environments that allowed us, students, to learn not just about product or system being developed but the processes involved especially those that concern factors such as teamwork in designing, programming and modeling systems. In this regard, the help of our instructor has helped me a lot. As previously mentioned, there was a need to document and reflect on what we have done. I thought that this was easy but actually it was not. It required additional effort on our part. Particularly the assistance offered in areas of difficulty such as in examining diagrams or developing coding solutions were very valuable. The instructor was also very helpful in the way we are able to divide responsibilities in a systematic way. The group is quite pleased that we were able to work seamlessly. I think this was made possible because of the fact that we are able to divide tasks according to our competencies. I believe that the objective of the entire activity and project development is to enhance our knowledge especially in the face of the constantly changing state of our minds in terms of knowledge acquisition as we labor on with this particular course.  

Private School Education Essay Example | Topics and Well Written Essays - 1500 words

Private School Education - Essay Example That would enable the government to support education without necessarily maintaining public institutions. The champions of this voucher system also say that the one-size-fits-all public school system is inappropriate as the model does not cater to the different needs of the students. Opponents of the voucher system, on the other hand, say that it is unfair to take public money meant for public schools and channel the same into the private school where the public has no oversight over how the funds would be used. There is also fear that the private school system may only help to further segment the population alongside religious, social class and other lines. It is entirely possible that the introduction of the voucher system in private schools would provide a magnet for students in public schools. Faced with a larger applicant's pool, private schools would then find it easier to reject applicants deemed undesirable. Unlike public schools, private schools are not obliged to take in one and all. Why the private school vouchers system issue so polarizing Part of the answer lies in the way it has been promoted. California was among the first states to flirt with private schools voucher way back in 1993. A proposal was brought into the legislature of the state that would have taken away as much as 10 per cent of public school funding, with a possibility of further increases on the card if more students moved from public to private schools (Rushefsky, 2002, p. 396). The issue is a political hot potato so much that George W. Bush stopped talking about it in the 2000 election primaries. Two powerful arguments already advanced are essential for a balanced view on the issue. And this article will chronicle the vouchers debate and will attempt to close the difference between the two sides through critically analyzing the pros and cons of the voucher system in private schools. Recurring discussions on the topics are decidedly one-sided. And once a path has been identified, for many an author on the topic, there is no turning back. Two critically acclaimed works on the topic include Rhetoric Versus Reality done by four RAND researchers; Gill, Tiampane, Brewer, Ross and Booker (2007). This book does a fairly good job examining the theoretical underpinnings of vouchers and charter schools and tables the empirical data on their efficacy. The book also looks at how several policy formulations such as the funding, eligibility criteria, academic standards and accountability, may affect the success of the program. Some issues which have yet to be addressed are raised, and although the book is not conclusive on those issues, it leaves room for a more robust consideration of the issues in the future. The other important work on the topic is The Education Gap by Howell and Peterson (2002). Compelling evidence is tabled that African Americans have greatly benefited from the voucher system. Overall, The Education Gap is illustrative on the practicability of the voucher program in private schools and emphatically so in poor urban environments. The point of convergence for both books is that the authors favour random field trials. The sheer volume of applications that are usually received reduces the voucher program into some form of the wager so that those who received the vouchers were merely lucky than needful. There are other studies/articles on the subject. Breaking These Chains is a book by Daniel McGrory, a former Whitehouse speechwriter that in an evangelical fashion roundly criticizes the public school system (1996).        

The Fiscal Cliff and the United States Essay Example | Topics and Well Written Essays - 1250 words

The Fiscal Cliff and the United States - Essay Example The Fiscal Cliff and the United States: A Future Prospectus of What Actions will Precipitate what Reactions Although a firm understanding how these two relate would require a dissertation length piece on both social, governmental, and economic trends, this brief essay will attempt to summarize some of the key concerns related with these implications as well as seeking to understand and quantify the ways in which a given government can seek to maintain the optimal balance of freedom, equality and solidarity in order to proceed within such a difficult economic environment as the current nation is experiencing. With the situation regarding the United States’ â€Å"Fiscal Cliff† as it has been called, the situation is with regards to a host of tax cuts and new austerity measures that are due to go into affect the first of this coming year – if not legislative or executive actions are taken to ally them. The purpose of this piece is not to argue between either fiscally liberal or conservative policies as a panacea to the ills of our current financial travails. However, igno ring the present viewpoints that exist on the topic and attempting to analyze them to find a middle path is equally foolish. Accordingly, the author has chosen to devote some brief space to the political ideologies that the two party system of the United States has necessarily espoused. The primary obstacle towards a greater understanding between the two political parties with regards to austerity, spending, and the national debt is with regards to how the situation should be handled.... Such a sum for the time was an unimaginable one (Hinch, 2012). Aided by nearly a decade of conflict and two wars, the Republican Party lost any and all credence that they had formerly retained with reference to being the party of fiscal responsibility. However, with regards to the individual positions that the political spectrum retains, there can be said to be two. The Democratic Party believes that the best way to find a reasonable solution from such economic difficulties revolve around raising taxes (specifically on the upper middle class and wealthiest citizens). Such an approach has merits; however, speaking economically, it also serves to penalize those job-creators that most directly influence the level of growth and recovery that the nation would experience if such a deadweight loss were not experienced. Similarly, those that support the alternate view to the one listed above claim that any and all budget shortfalls must be remedied by relying on austerity and/or budget cuts to achieve the desired result. Naturally, neither one of these offerings is reasonable due to the fact that it is impossible for our current society to realize the correct levels of freedom, solidarity, and equality that would be necessary to achieve either of these positions. Therefore, it is the recommendation of this author that the ultimate approach would necessarily penalize (tax) all citizens equally; regardless of their economic stature within the economy (Etzioni, 1993). In this way, the government would be able to highly equitable distribute the tax burden among all of its citizens. Additionally, there would no longer be a disincentive for those that made less to attempt to make even more as all citizens would be equitably dealt with in terms of their overall level of

Private School Education Essay Example | Topics and Well Written Essays - 1500 words

Private School Education - Essay Example That would enable the government to support education without necessarily maintaining public institutions. The champions of this voucher system also say that the one-size-fits-all public school system is inappropriate as the model does not cater to the different needs of the students. Opponents of the voucher system, on the other hand, say that it is unfair to take public money meant for public schools and channel the same into the private school where the public has no oversight over how the funds would be used. There is also fear that the private school system may only help to further segment the population alongside religious, social class and other lines. It is entirely possible that the introduction of the voucher system in private schools would provide a magnet for students in public schools. Faced with a larger applicant's pool, private schools would then find it easier to reject applicants deemed undesirable. Unlike public schools, private schools are not obliged to take in one and all. Why the private school vouchers system issue so polarizing Part of the answer lies in the way it has been promoted. California was among the first states to flirt with private schools voucher way back in 1993. A proposal was brought into the legislature of the state that would have taken away as much as 10 per cent of public school funding, with a possibility of further increases on the card if more students moved from public to private schools (Rushefsky, 2002, p. 396). The issue is a political hot potato so much that George W. Bush stopped talking about it in the 2000 election primaries. Two powerful arguments already advanced are essential for a balanced view on the issue. And this article will chronicle the vouchers debate and will attempt to close the difference between the two sides through critically analyzing the pros and cons of the voucher system in private schools. Recurring discussions on the topics are decidedly one-sided. And once a path has been identified, for many an author on the topic, there is no turning back. Two critically acclaimed works on the topic include Rhetoric Versus Reality done by four RAND researchers; Gill, Tiampane, Brewer, Ross and Booker (2007). This book does a fairly good job examining the theoretical underpinnings of vouchers and charter schools and tables the empirical data on their efficacy. The book also looks at how several policy formulations such as the funding, eligibility criteria, academic standards and accountability, may affect the success of the program. Some issues which have yet to be addressed are raised, and although the book is not conclusive on those issues, it leaves room for a more robust consideration of the issues in the future. The other important work on the topic is The Education Gap by Howell and Peterson (2002). Compelling evidence is tabled that African Americans have greatly benefited from the voucher system. Overall, The Education Gap is illustrative on the practicability of the voucher program in private schools and emphatically so in poor urban environments. The point of convergence for both books is that the authors favour random field trials. The sheer volume of applications that are usually received reduces the voucher program into some form of the wager so that those who received the vouchers were merely lucky than needful. There are other studies/articles on the subject. Breaking These Chains is a book by Daniel McGrory, a former Whitehouse speechwriter that in an evangelical fashion roundly criticizes the public school system (1996).        

Ensure a Safe Workplace Essay Example for Free

Ensure a Safe Workplace Essay Chemicals purchase large quantities of cleaning chemicals. These are delivered in 205 liter drums and include solvents, acids and other corrosives, and detergents. These products are decanted by ABC chemical’s staff into retail size containers (not exceeding 30 liters/kilograms) , re-labelled and shipped in company-badged delivery vehicles to retail outlets throughout the metropolitan area. There is, within 25 meters of ABC chemical, a local nursing home that cares for elderly residents with age-related conditions including dementia. Across the road from the nursing home is a child care center that provides day care for the under 5’s. ABC chemicals employs some 50 people whose duties include the day-to-day running of the business and decanting of the chemicals into smaller containers. Small spills during the decanting procedures are cleaned up with rags, which are disposed of at the end of the day into the general waste dumpster in the rear yard of the premises. The dumpster is collected by a waste contractor on a weekly basis. The ABC chemicals building was constructed in 2000 and has been fitted with limited emergency equipment. None of the staff has received any training in safe handling of chemicals or how to cope with emergencies and there is no emergency plan displayed in the workplace. ABC chemicals is situated on a busy intersection and there have been several significant vehicle accidents in front of the premises. All empty chemicals drums are stored in the rear yard against the back cyclone fence. These drums are collected on monthly basis and as many as 250 drums can be stored there awaiting collection. Behind the cyclone fence is a large open, overgrown paddock with dry grass, which is owned by the local council. The council has advised ABC chemicals that they wish to build a community center on this site at some time in the near future.

Starch Hydrolysis by Amylase | Experiment

Starch Hydrolysis by Amylase | Experiment Polysaccharides are polymers of carbohydrates. They are made up from monosaccharides which are linked together by glycosidic bonds. Polysaccharides are divided into two main groups: structural polysaccharides and polysaccharides which are used as energy sources. Cellulose and chitin are classified as structural polysaccharides. Cellulose is major component of plant cell walls. It yields glucose when completely hydrolyzed. On the other hand Glycogen and starch are the polysaccharides which used as energy source; glycogen is found in animal cells and starch is found in plant cells. Plants use starch to use it to store glucose units for energy. It consists of two types of molecules: the linear and helical amylose and the branched amylopectin. Starch generally contains 20 to 25% amylose and 75 to 80% amylopectin. Amylose forms a colloidal dispersion in hot water whereas amylopectin is completely insoluble. 2.2) Hydrolysis of starch/amylase enzyme: Proteins which catalyze the chemical reactions are called enzymes. Biological catalyzes, enzymes, need specific conditions to be active since they are working in the cells. Temperature must be between 37 and 40 and ph must be neutral. An important metabolic enzyme is amylase that its function is to catalyze the hydrolysis of starch into glucose. Alpha-amylases are found in plants and in animals. Human saliva is rich in amylase, and the pancreas also secretes the enzyme. SUBSTRATE  Ã‚  Ã‚  Ã‚  Ã‚  ENZYME  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   PRODUCTS starch  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Amylase   ->  Ã‚   maltose + maltose + maltose starchs presence can be identified by using the iodine test. Starch and iodine gives blu-black color together and that helps to identify the presence of starch or iodine. The iodine molecule slips inside of the amylose coil. Iodine is not very soluble in water so the iodine reagent is made by dissolving iodine in water in the presence of potassium iodide. This makes a linear triiodide ion complex and this linear complex can easily slip into the coil of the starch. This forms the color. [3] starch + I2 à ¯Ã†â€™Ã‚   blue-black color 2.3) Spectrophotometry: A spectrophotometer is used to find the amount of radiant energy absorbed or transmitted by molecules in a solution as a function of wavelength. The wavelength which a certain molecule can absorb energy is different and therefore it can be used to determine the concentration of a specific type of solution. By comparing the amount of light that is absorbed by the sample with known concentration a calibration curve can be plotted and by using it concentration of the unknown sample can be determined. [5] 3) EQUIPMENT AND CHEMICALS 3.1) equipments: Beaker Laboratory scale Weighing dish Spatulas Tubes Tube rack Heater Water bath Plastic cuvettes Pipettes Dropper pH meter 3.2) chemicals: Distilled Water HCl NaCl KH2PO4 Na2HPO4 Starch solution Human salivary Iodine reagent 4) PROCEDURE 4.1) preparation of starch solution and enzyme solution: 20 g of potato starch was mixed with approximately 50 ml cold water. This mixture was then added to 900 ml of boiling water. Mixture was mixed well and it was cooled to room temperature and the total volume was raised to 1 ml by adding sufficient amount of water. Presence of the starch in the solution was tested by putting one drop from the mixture to glass plate and adding one drop of iodine reagent to it. Blue color means starch is present. Saliva sample was taken into tube and diluted with 9 ml water then, 60 ml of 0.5% NaCl was added. 4.2) Effect of the pH: 0.1 M KH2PO4 with pH 5, 6, 7 and Na2HPO4 with pH 8, 9 solutions were prepared as buffers, each buffer was prepared 20 ml only the buffer with 7 pH was prepared 100 ml. 5 test tubes were labeled and to each of them 5ml of the starch solution was put and to each test tube solution with different pH was added. 1 ml of the salivary enzyme solution was added to the tubes and it was mixed by shaking. it was waited for 10 minutes so that the hydrolysis reaction can proceed. 5 ml of HCl solution was added to 5 different tubes and from each of the previous tubes with the starch solution 0.5 ml was taken and added to tubes with HCl. 5 tubes were prepared again for 5 ml of iodine solution this time. From the tubes with HCl 0.5 ml was taken and added to the tubes with iodine. Absorbance values were measured by using spectrophotometer. 4.3) Effect of temperature: Water baths with 30  °C, 50  °C, 70  °C and 90  °C were prepared in beakers. Buffer solution with pH 7 was added to 5 tubes and 5 ml of starch solution was added to these tubes. All of these tubes were put in different water bath with different temperatures and they were waited in the bath until the temperatures reached the equilibrium. 1 ml of salivary enzyme was added to each tube. After 10 minutes the steps 4-7 in the effect of pH procedure were repeated. 5) DISCUSSION In this experiment our purpose was to hydrolyze starch with amylase enzyme and observe the effect of pH and temperature on this reaction. Before observing the pH and temperature effect first we prepared the solutions that we were going to use in the experiment. First we prepared the starch solution by mixing it first with cold water and then adding it into boiling water. We aimed to get the starch suspension form immediately and without any lumps by this procedure. In the first part of the experiment we observed the pH effect. To do that first we needed to prepare the buffer solutions with different ph values ranging between 5 and 9. We used two different solutions because of the buffering capacity of these two solutions. We made the arrangement of the pH by using HCl and NaOH. To decrease the pH we added HCl and to increase we added NaOH, we detected the pH by using pH meter. Each buffer with different pH values were mixed with starch solution and then salivary solution was added. W hich is the amylase enzyme and since its from the saliva it hydrolyzes amylose. After waiting for 10 minutes to reaction proceed we needed to stop the reaction, we did it by adding HCl. Then we added iodine solution to detect whether reaction took place or not since if enzyme functions starch in the solution will be hydrolyzed and this will lead to have light color of the solution; absorbance will be low. Since our body is in neutral pH we expect to have light colored solution at pH 7 and dark color at pH 5, 8 and 9. The same logic is valid for the temperature effect. The enzyme wont work in higher temperature values that can denature it like 90, 70 and maybe 50. Proteins absorbance values are expected to increase as the protein denaturizes. This can be explained by the surface of reflection of the light is increased. Denaturized form of protein has higher possibility to be interacted with the light from the spectrophotometer and thus absorbance will increase. Theoretically we would expect to have both absorbance vs. pH and absorbance vs. temperature graphs to have a min. point where we can say that is the point absorbance is in the min. point at that pH or temperature thus enzyme functions best at that point. In our graphs from the experiment we can observe these min values at approximately expected values. When we look at the temperature graph we see that absorbance is min at around 50 C. normally we would expect that proteins denaturize at that temperature, since human body is 37 °C min absorbance at 40 °C would be the correct result. This error might be because of that we didnt measured our test tubes temperatures after we put them in water bath, So maybe what we refer to as 50 °C in the data table is actually less than that value.

Othello: The Destruction of Honor :: GCSE Coursework Shakespeare Othello

Othello:   The Destruction of Honor       In The Tragedy of Othello, William Shakespeare tells the tale of the â€Å"noble Moor† whose honor and innocence bring about his downfall. Shakespeare writes of the power of jealousy, and the art of masterful deception and trickery. The story primarily takes place in Cyprus, during a war between the people of Venice and the invading Turks. In this play Shakespeare shows the feelings of Othello’s embittered right-hand man of, Iago, who feels he is passed over for a promotion and swears his revenge. He proceeds to manipulate his friends, enemies, and family into doing his bidding without any of them ever realizing his ultimate goal. He makes Othello believe that his new wife, the innocent Desdemona, is committing adultery with his newly promoted officer Michael Cassio. After this seed of jealousy has been planted, Othello’s mind takes its course in determining the true outcome, with a little more nudging from Iago. The course of action he proceeds to follow is one that not only ends his own life, but also the life of his wife and others. In Shakespeare’s Tragedy of Othello, Othello is a man who is still truly honorable, despite the course of action he takes to resolve his perceived problem.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Throughout the novel, up until his insanity, Othello is described as a temperate man whose honor does not allow him to believe assumptions unless he has been shown proof. Firstly, when the men of Brabantio, Desdemona’s father, confront Othello’s men, Othello calmly says, â€Å"Keep up your bright swords, for the dew will rust them.† (10). Othello is confronted on the matter of his elopement with Desdemona with force and with words. Not only is he very cool about his dealings with violence, but also when he is asked to tell the story of how he had Desdemona fall in love with him he states the truth, and he doesn’t leave out any details of how he accomplished it. He openly admits that had any other man told his story, that man also would have won her heart. Only a truly honorable man can admit that it was a story, and not his personality that truly won the woman’s heart. Othello’s honor is shown by h is trust in the people he knows and loves. When Iago tells Othello that he believes Cassio and Desdemona are having an affair, Othello does not believe Iago initially.

Easier to Learn Programming Languages :: Essays Papers

Easier to Learn Programming Languages In the old days computers had to be fed instructions by hand written on a strip of tape. Now computers do most of the grunt work automatically allowing the program to focus on the problem to be solved as opposed to telling the computer how to solve the problem. This way work is done on a computer much faster and easier then before. The different programming languages used to give the computers instructions have come very far from the original tapes used, and they are still progressing. New languages are easier to use and can accomplish quickly what used to take a very long time in older languages. However these newer languages are not perfect because they are often forced to sacrifice flexibility and control to allow things to be done faster. This is because in order to do instructions faster and more simply things have to be assumed by the compiler that would need be included in the code for a lower level programming language. This can be a good thing because it lets programs be written more quickly and easily, but it also takes these things out of the control of the user. This can lead to more stable code since the programmer cannot make mistakes in these parts, but then the programmer cannot change these things if they need to be changed for some reason. Something important to remember with these new programming languages is that while they can make things easier they can only do so much. It will still take time to create a program no matter how easy the language used is. Also lower level more difficult programming languages will still be needed for creating programs that require more control then is usually allowed in a newer high level language. With the world moving into a new age of computing having programming languages that are easier to use become very important. It may very soon reach the point where anyone can become a bit of a programmer because the computer languages are so easy to use. This is why this can be such an important field. After all someone has to make these easy languages in the first place. There are a number of languages that have been made that are easy to use. A web page discussing them says "The "easy languages" (my own designation) Perl, Awk, Python, Tcl/Tk, and Visual Basic are free (not vb), easy to learn, but currently lack the source code and examples†¦" (par.

Agricultural Equipment Business Essay

Agricultural Equipment Business Manufacturing, export and distribution opportunities in post-harvest equipment beckon entrepreneurs even as other farm products also hold great promise In the last decade, Buhler, a global manufacturer of grain milling, sorting and handling products, has been witnessing a geographical shift in demand for its products. While the US and Europe remained the mainstay for long, it is China and India that are now the demand hubs for its products. The company, which launched its India operations in 1992, has since expanded its facility in India and ramped up the workforce. Another equipment firm, Satake, a Japanese major, has been witnessing similar trend. But the presence of big firms such as Satake and Buhler has not had much effect on local manufacturing. Many small and medium enterprises operate at full capacity across the country. Take for instance, S P Khandelwal of S S Milling and Engineering. He sells grain cleaning and sorting equipment to flour mills, energy foods producers and snacks companies. He boasts of clients such as Bikanerwala, Priya Gold and Modi Flour Mill. It is the price factor that helps entrepreneurs such as Khandelwal survive the onslaught of the global majors. â€Å"Products sold by organized players are expensive while my products are low-cost,† he says. Farm equipment companies, both big and small, are fighting tooth and nail to grab the larger share of the lucrative India market, despite the fact that the agriculture sector’s share in the GDP has fallen over the years. This notwithstanding, the farm equipment sector, that is a key support for agriculture, has been growing at a brisk pace and is projected to touch $7. 9 billion by 2012, according to The Freedonia Group, a US-based market research firm. [pic] Growth Drivers A couple of factors are driving the growth of this sector. These are mechanization of agriculture, increase in contract farming, easy availability of farm loans at low interest rates, and migration of laborers from villages to cities. Mechanization of Indian agricultural has been a major booster. The continuous increase in the consumption of power for farm sector and the corresponding reduction in the use of animal and human power is a clear indication that more and more machines are being deployed. A study by KPMG, done for India Brand Equity Foundation (IBEF) throws up some interesting observations. It says the share of animals as the source of power for the agriculture sector declined sharply from 45% in 1971-72 to less than 10% in 2005-06.