Personal statement for college addimissions Essay

Personal statement for college addimissions - Essay Example aking decisions on such important issues as course selection and efficient use of time has been done with assistance from college advisers, at a distance from cues and support systems from my family. While being at Temple University has developed in me a greater sense of my abilities and myself socially and academically, I feel that a change is needed to bring me closer to home. I believe that this distance from home may have contributed to failing my classes at Temple University, despite having good high school grades with a GPA of 3.6 and a SAT score of 1930. My first semester was not satisfactory and, during spring break, I took time to re-evaluate what went wrong during the semester. Family and peers play a critical role in the learning and development of the individual. The friends I grew up with in high school were creative, bright, and competitive, which made for interesting and spontaneous opinions and discussions on almost every topic. At Temple University, the seminar formats and small class size have presented me with a wonderful setting in which to learn. The professors, who are highly motivated, have encouraged participation, and this has been one of my highlights at the university. However, I have found the student interaction level to be unsatisfactory, especially with regard to limited classroom topics, which has left me feeling insufficiently challenged by my peers. Indeed, at this moment, I feel that I chose to enter Temple University for the wrong reason because I followed my best friend who also joined the university. H owever, after he left to move back home after only one month, I felt that I had made a mistake in enrolling at Temple University. In my first semester at the university, I have come to the realization that family and community play a pivotal role in growth, learning, and development. It is for this reason that I would like to move to a university that is closer to home and my family. Based on the conversations that I have had

Development of Heath Information Systems in Crete Case Study

Development of Heath Information Systems in Crete - Case Study Example Unfortunately, the system has received support from a few individuals as well as from a small number of both private and public health care providers. They few adopters of the NHS have installed some laboratory, administration and financial information system in their workstations. The private sector is the leading adopter of the new systems and networking in their various departments. The development of regional health information network in Crete has been commendable as compared to other regions in Greece. Crete has moved faster to enhance primary healthcare and embrace ICT in the integration of health care information in Greece. Therefore, it has been earmarked as a role model for other regions in the field of health care information integration as well as the adoption of ICT. Consequently, Crete has received support from various quarters to implement the regional health information network. The development in Crete has been attributed to Crete Tech.   Crete Tech is an ICT company established in 1984. The Crete Tech had a full-fledged research and development department that is fully equipped with personnel and equipment. Its vision is to integrate all healthcare service in Crete. Crete Tech has developed a strategy to roll out its services to the health providers. In 1997, it developed an objective of creating an integrated electronic health record whose purpose was to store and retrieve patients’ records in the seventeen primary health care centers in Crete. The system included the needs and interest of the general health practitioners who wanted to network in order to promote primary health care. Throughout the strategy, Crete Tech amassed enviable support from the general practitioners and moral support from government officials. However, it had no support from the Regional Health Authority (RHA).  

An Electronic Medical Record

An Electronic Medical Record An Electronic Medical Record (EMR) is a digital record of a patients medical history and test results. A record which is kept digitally allows for ease of transfer between physicians and readability, not relying on the old system of papers which need to be physically transferred, or at best, faxed between offices. EMR systems have existed for a number of years already, yet many hospitals and physicians still rely on paper records. However, a complete EMR system is complex, facilitating transfer of information between connected systems whether or not they are part of the same organization rather than being simply a flat file on a desktop with data entered. Many employees and physicians resist change and privacy issues are often at the forefront of concerns dealing with electronic media. This paper discusses the impacts of implementing and operating an EMR and some of the difficulties which may arise that health care providers cite as reasons not to go digital. Introduction The world of medical technology today abounds with news of breakthroughs and innovation using the latest science and techniques. Technology allows us to perform operations and treat patients in ways not thought possible just 20 years ago. The field of medical information systems however is lagging far behind the rest, with many medical records and communications between physicians still accomplished via paper. Why is there such a disparity between the procedures of performing medicine on patients and the way the records of the procedures on those same patients are kept? In this world of international travel where one can travel halfway around the globe in less than a day, should the medical records of the traveler not be able to arrive digitally if he or she needs it while out of the country? Implementation of Electronic Medical Records (EMRs) across the country and interconnecting them with the rest of the world, unfortunately, is a long and intensive process. Converting over to an EMR may adversely affect daily operations and increase risk if the proper steps are not taken. The cost may be prohibitive, costing up to $7 million for a 200 bed hospital. However, long term benefits outweigh the investment. Estimates show that implementation of an EMR system could save hospitals from $142 to $371 billion a year, increase the efficiency and reduce errors (Venkatraman, Bala, Venkatesh Bates, 2008, p.141). The planning and execution of the plan requires the support of both the management and the doctors and nurses who will be using the system on a daily basis. Accessibility For a system to be considered useful, the various components and interfaces must be accessible. In a study by Ilie, Slyke, Parikh and Courtney (2009), individuals often select the method of information entry and retrieval which is most accessible. The basis for these actions can be described using the least-effort model (p.218). Essentially whichever method is easier or more familiar is the method preferred. Hospitals and doctors offices have, for years, used a paper records system. The advantages of paper charts are that the charts are placed near each patient and allow for free form notation. Converting over to an EMR system requires training and convenient placement of terminals for physician and nurses. The most convenient may be placing a terminal in each office and station, in or just outside each patient location, or allowing portable units for information entry and retrieval; but implementation of this may not be within the budget or timetable. In instances where accessibilit y of terminals were not convenient, it was found that physicians and nurses fell back to documenting on paper charts and then later on reentering the data online (Spetz Keane, 2009, p.342). To reduce the tendency of users falling back on paper, strategic planning is required in choosing a system which is user-friendly and in placement of units for retrieval and entry of data. Accessibility also means the ability to retrieve needed information about a patient from locations where he or she does not have a previous record. In a world where EMR systems (which can interface with each other) are the norm, travelers would not have to worry that something may be overlooked simply because previous medical records were not available. In addition, cases where medical records were wiped out due to disasters and backups were not available, treatment of patients can become very difficult. After Hurricane Katrina, many physicians did not have medical records for patients needing emergency treatment; often the patients were themselves in no condition to answer questions or simply did not know enough to give meaningful answers (Brooks Grotz, 2010, p.73). Even when a hospital or doctors office installs an EMR system, thought should be given to how portable the data is. Due to the many different vendors available, EMR systems may or may not be able to transfer data effect ively. If a patient moves and requires treatment in another location, an incompatible EMR interface may require that the records be printed out and manually transferred to the new location, effectively negating one of the primary benefits of storing the information electronically. Benefits There are many benefits to implementing an EMR system, both tangible and intangible. One benefit, as mentioned above, could be the ability to share the information between different locations easily. Another benefit which is important to management but often takes time to realize is monetary, in the form of savings from increased efficiency and reduced errors. Increased efficiency also may translate to increased patient satisfaction, leading to increased business and reputation. Most people think of reducing the amount of paper used when a system migrates to going digital, but paper is a comparatively cheap medium though it takes up a large amount of space. On the other hand, take the case of the radiology department. The film used has to be specially prepared prior to use and it requires special equipment both to take the image and to process for viewing. Moving from hardcopy radiological images to one produced and stored digitally reduces both costs and facilitates transfer of images (Ayal Seidmann, 2009, p.45, 47). In the case study of the rural hospital, a number of systems were implemented to try and improve efficiency. The vision was to create an integrated IT system with an electronic medical record (EMR) and computerized physician order entry (CPOE). (Spetz Keane, 2009, p.338). Combining these two would make it possible for the patient to receive tests and treatments by the hospital, then the prescription would be relayed to the pharmacy electronically. The nurse would be able to scan the wristband of the patient and the labels on the prescriptions to verify the correct medicine goes to the correct person. A part of the system which had been implemented in the first month was a bar-coding system for supplies resulting in a decrease of patient care units running out of supplies due to improved inventory control (Spetz Keane, 2009, pp.338-340). The reduction of errors is also a key concern and the use of electronic records and a central database reduces the chances of duplication and mid-identification. As cited by Venkatraman, Bala, Venkatesh and Bates (2008) in their introduction to their paper, The Institute of Medicine (IOM) in 1999 shocked the nation by reporting that as much as 98000 people die in hospitals every year due to medical errors. These errors are also said to cost hospitals as much as $29 billion every year. Many costly mistakes might have been prevented if physicians had better information available or were not mislead by incorrect information, for example getting the wrong charts for the wrong person. In the process of proposing an EMR solution, the most common way is show benefits using monetary values and time/productivity savings. However, there are intangible benefits which are not so easily identified or measured. A desirable factor sometimes overlooked is increase in satisfaction, both for the customers and for the physicians (Ayal Seidmann, 2009, p.49). The ability to process results quickly affects the views the public has of the hospital or office and faster processing allows physicians to accomplish more. One of the most frustrating parts of health care is the wait necessary: patients waiting to be seen or waiting for doctors to diagnose the tests, doctors and nurses waiting for tests to be run or film to be developed. A byproduct of increasing the efficiency of processes is reduced frustration and improved satisfaction. After all, a patient at a hospital with an unknown problem should not have to wonder what is taking so long in addition to whats wrong with me? Implementation Once the decision has been made to acquire an EMR system, the next step is to decide which to use. Many medical technology and software companies are offering EMRs with many different specifications. Would a complete integrated system be better than a modular system? Are there partners requiring the ability to interface with the system? What is the degree of technological sophistication of the users? These questions and many other need to be addressed in deciding what type of EMR system would be the best fit. One key note in the implementation of a EMR system is that there is always a learning curve involved. Expect productivity to fall upon initial deployment with an increase in productivity once users are familiar with the system. A temporary decline of as much as 50% could be expected initially with productivity ramping back up to pre-implementation levels by six weeks, although some organizations required at least a year (Brooks Grotz, 2010, p.81). Often this period of decreased efficiency is what many users complain about: they cannot document as fast as they used to, they have to stop often to respond to system alerts, equipment is not working (possibly due to incorrect settings or improper use). Training for users of the system is thus an important part of the implementation plan. Enough time must be set aside for learning the system and support must be available if needed. Privacy Where terminals were placed is often important to the privacy of patients. In a case where an EMR system was implemented in a rural hospital, nurses and their managers had given input on locations for installation of computers and scanning cabinets. Once the nurses started using the system, however, issues of privacy came up. Some of the rooms were multi-bed and with only one computer, the nurse sometimes had to talk across one patient to get information from another (Spetz Keane, 2009, p.341). Obviously another method needed to be implemented to prevent violation of patient confidentiality; however such changes are not easily accomplished, especially if the system is already in place. Developing a policy for accessing the system is also paramount to protection of patient privacy in addition to business and financial records. There are several types of access levels available to a system as potentially complex as an EMR. The most obvious are access to medical and financial information. Also included are access to configure the hardware and software, especially the granting of permissions for other users to access various parts of the system. Imagine for example, the nurse who may need to collect financial or insurance information and enter it such that the billing department can access it. What if this same privilege inadvertently gave access to hospital financial records also? Also if an extranet is setup to interface with insurance companies for billing, how much access should they have? If policies are not set up correctly, insurance companies may be able to access records on patients under other insurance companys policies (Wilcox Brown, 2005, p.47). Past employees also need to have access to the system terminated and a policy should be in effect as to what a reasonable timeframe for access termination. Wilcox and Brown (2005) suggested that normal terminations, such as retirement, resignation and employee transfer, should be within one day and urgent terminations, such as a status change of an employee under hostile circumstances such as a firing, suspension, or other disciplinary action or any time there is reasonable cause to suspect that a user may try to harm or misuse data or system resources, should happen within an hour. Medical identity theft is now becoming more of a concern due to the abilities of hackers to access electronic systems. Just as someone could park outside a store and wirelessly tap into the credit card authorization process, someone could attempt to intercept communications between hospitals or even between departments within a hospital. Kieke cites a study by the Federal Trade Commission that states that medical identity theft accounts for 3 percent of identity theft crimes (Kieke, 2009). The theft may be used to fraudulently obtain health care services, file false claims, or attempt to secure drugs (Kieke, 2009, pp51-52). Once the identity has been compromised, it may be sold and resold multiple times, costing the patient time and money to clear the claims and establish their own identity again. Conclusion In many ways, implementation of an EMR system will be beneficial to hospitals and doctors offices. The degree of implementation is dependent on the requirements of the particular establishment. Specialized hospitals and many doctors offices do not require the whole gamut of software to run, often a subset or certain key modules would suffice. However, the ability to organize and display medical data in a meaningful way which follows some type of standardization and the ability to transfer records to other locations in times of need should be a requirement of any EMR implementation. Along with the technology needed comes a need to look at the human requirements behind using the system. The users, doctors and nurses in particular, are important to the overall success of any implantation. Not addressing issues which arise from this set of users may render the whole implementation moot.

The Great Gatsby: Gatsbys Illusion Of Himself Essay -- essays research

The Great Gatsby: Gatsby's Illusion of Himself F. Scott Fitzgerald's The Great Gatsby is considered a novel that embodies America in the 1920s. In it, the narrator, Nick Carroway, helps his neighbor Jay Gatsby reunite with Daisy Buchanan, with whom he has been in love with since 5 years before, during World War I. The affair between the two fails, however, and ends in Gatsby being shot and killed. The reason that this was inevitable is that Gatsby created a fantasy so thoroughly that he became part of it, and he fell with it when reality came crashing down. The basis of all of this is Gatsby's obsession with Daisy and with meeting her. He did not want to deal with the reality that confronted him upon returning from the war. Fortunately, he had "an extraordinary gift, a romantic readiness," and he found in Daisy someone to focus this on. She is perfection to him, something for which he can strive, so he puts all of his energy into finding her again. He uses his inherited money to travel around the country, searching; when he runs out, he goes into the drug business, then oil, then liquor. He clips out articles about Daisy from every newspaper he can find; he buys a huge, romantic house that he hopes will merit her approval. The parties that he throws every night in hopes that she will come become almost famous for their extravagance and the variety of people that come. A resu...

Hotel and Theme Park

Earlier this year, my mum and dad decided that we would be going to Benidorm for a week at the beginning of the summer holidays. My sister, Tara and I were so excited for the holiday that we immediately started counting down the days even though it was April and we wouldn't be going until the end of June/start of July. The months leading up to the holiday was a whirlwind of planning what we were taking and what we were going to do while we were there. Finally the day came and we were getting up at 3 am so we could get ready and catch the 6 o’clock plane from Edinburgh airport to Alicante airport.I remember bouncing in my seat in excitement while we were landing and letting out a squeal of happiness when we were safely on the ground and free to leave exit the plane. The first thing I felt when I departed the plane was the complete relaxation that the searing sun on my face brought to me. All too soon we were sitting in an overcrowded bus that would take us all to our different hotels. Our hotel was one of the first few stops as we were relatively close to the beach.On first look, the hotel (which I cannot for the life of me remember the name of) looked pretty standard. It wasn’t horrible looking however it didn't look like the Ritz. However, once I got inside I was taken aback by how classy the reception area was. I couldn't help but wonder if our room would be just as classy and lovely as the reception area. My answer to that particular question was no. The room was nice enough considering we wouldn't be spending much time in there but I couldn’t help but be disappointed by the size of our room.The thing I enjoyed the most about our room was surprisingly the bathroom, the lighting in there was absolute perfection for getting ready in the morning and evening and the shower was to die for! I could just feel all the tension in my shoulders wash away while in that shower. Our first day in Benidorm wasn’t all that eventful, Tara and I spe nt most of our day out by the pool swimming (Tara) and soaking up some vitamin D (me).Eventually we had to leave the pool at about 8 o’clock for dinner which  would be starting soon. The dinner the hotel served was extraordinary! It was as if they had taken a dish from every country in the world and put it into a buffet where we could just take whatever tickled our fancy! Day two of our holiday of found us spending the day sunbathing at the beach and swimming in the sea. The water was a beautiful clear blue colour and the sand was golden. The highlight of day two for me though were the peaches that my dad bought at a fruit stall while we were walking down to the beach.They were the largest and juiciest peaches I had ever had and kept my stomach content until dinner time. On the third and fourth days of our time in Benidorm were spent in the theme park â€Å"Terra Mitica† which translates to ‘mythical land’. The theme park was split into 5 different parts : Egypt, Greece, Iberia, the Islands and Rome. Each area had their own rides and shows. Personally my favourite part was of the theme park was the boat ride around the park as it was decorated magically. Day five found us exploring the old and new town and the shops that they offered.We found a boat ride that would take us to Benidorm Island and while there we walked all the way to the top of the hill and down again which in the blistering heat was a very difficult feat to accomplish. The next day was spent at a secluded beach that we found while exploring the town. This beach was a little bit different to the main beach though, as there were fish swimming in the water with us. Our last day in Benidorm was spent at a marine animal park, â€Å"Mundomar† where we watched a bird, sea lion and dolphin show, looked at turtles/tortoises, lemurs, monkeys and seals and had our pictures taken with dolphins.It was the perfect ending to the holiday that had undoubtedly been the best hol iday of my life. With our glowing tans, souvenirs and pictures that needed to be uploaded onto Facebook, we boarded the plane that would take us back to Edinburgh, I couldn't help but feel disheartened by the fact that we were leaving this incredible, stunning and warm place and going back home to dreary Scotland! But as they say, all good things must come to an end.

Improving Labor Standards In Developing Countries Economics Essay

â€Å" The modern transnational corporation ( MNC ) is an economic, political, environmental, and cultural force that is ineluctable in today ‘s globalised universe † ( Chandler and Mazlish, 2005: 19 ) . Todays planetary economic system and political relations are greatly influenced by the forces of globalisation[ 1 ]. In this context, Multinational Corporations ( MNCs ) phenomenal growing since 1980s has witnessed an impact on every domain of modern life ; such as cars, commercial aircraft, Information Technology, consumer merchandises, nutrient and drinks which makes its function important in this ‘global era ‘ ( Chandler and Mazlish, 2005: 2 ) . With the liberalization of international trade and free flow of capital, big Numberss of developing states have espoused into international trade agreements ; which have significantly shaped the planetary forms of trade and international division of labor ( Zammit, Forthcoming ) . In this context, MNCs are planetar y houses that manage production, grosss, and investing beyond its boundary lines along with a pool of international human resource. With the coming of globalisation epoch, the inquiry of set uping minimal labor criterions for developing states has raised multifaceted issues, such as economic, political and moral which to day of the month remains combative[ 2 ]. For past two decennaries efforts have been made by the United States, along with other beforehand state authoritiess, and the International Confederation of Free trade Unions ( ICFTU ) , to set up many-sided regulations in the World Trade Organisation ( WTO ) to implement higher labor criterions globally. These criterions were being placed to take rigorous trade steps against states deemed unable to keep core labour criterions. ( Singh and Zammit: 2004 ) . However, this enterprise did non happen as developing states opposed this thought and marred this talk by veiled protectionist schemes. In this context, this paper focuses on the outgrowth of ‘global concern revolution ‘ since 1980s and the mode in which it affects labour criterions in developing states. The paper has two cardinal purposes, foremost to measure the cardinal issues in this on-going argument on labor criterions in the literature, and 2nd to analyze the ability of large concerns to better labor criterions in the labour intensive export-oriented work force in the context of planetary value ironss based in developing states. In making so this paper will analyze work conditions of workers employed at the underside of value ironss in developing states. This paper structures ‘ around five elements: I ) an overview of the international labor criterions, this subdivision will research the contention around core labor criterions and it significance from the position of large concern ‘ ability to better them ; two ) Economic development and labor criterions, this subdivision will discourse nature and form of international trade and investing and the its effects on rewards, employment ; three ) the paper so examine the development of planetary production webs and value ironss, in making so the paper will look at the impact of planetary production on working status in the informal sector concentrating on dress and footwear industry in Pakistan, as these industries are labour intensive ; four ) the consequence of developing state trade on labour market conditions in the North ; V ) a brief expression at the possible function of International Labour Organisation ( ILO ) , host authoritiess, Non-government administrations NGOs, W orld Trade Organisation ( WTO ) and Trade Unions to better labor criterions by partnering with planetary large concern. This paper argues that aˆÂ ¦ .International Labour Standards: The On Traveling ArgumentThis subdivision focuses on divergent positions of developed and developing states on planetary trade and labour criterions. The conflict between advocators of a planetary labor criterions and oppositions of the criterions is based on economic and political struggles between developed and developing states. In order to asses the ability of MNCs to better labor criterions in developing states, it is indispensable to be clear about what is meant by labour criterions and understand why they are extremely combative. The contested labor criterions are embodied in ILO 1998 Declaration of Fundamental Principles and Rights at Work, as the benchmark to mensurate labour criterions. Of these criterions, I ) freedom of association and right to collective bargaining ; two ) freedom from forced labor ; three ) the abolishment of child labor and four ) the riddance of favoritism in the workplace are considered to be core labour criterions ( CLS ) . These criterions were jointly accepted by the member state provinces to continue them ( Singh and Zammit, 2004 ) . However, this has non been the instance. These core labor criterions are viewed by many NGOs as basic human rights. The nucleus criterions are besides known as â€Å" societal clauses † on the footing of human-centered evidences. However, Singh and Zammit argue, by categorising nucleus labor criterions as human rights will forestall any farther argument to take topographic point on happening a favourable manner to implement them in developing states ( Singh and Zammit, 2003: 10 ) . The Declaration clearly states that â€Å" We reject the usage of labor criterions for protectionist intents, and agree that the comparative advantage of states, peculiarly low-wage developing states, must in no manner be put into inquiry † ( WTO, 1996 ) . However, there is differentiation between nucleus labor criterions and other labor criterions, which besides factors into ‘social clause ‘ and normally embodies labour criterions such as minimal rewards, restriction of work hours, and occupational wellness and safety. The function of other labour criterions can non be underestimated in the visible radiation of nucleus criterions as they play a important function to analyze the influence of MNCs on criterions. Therefore, â€Å" labour criterions can be understood as societal ordinances † that are â€Å" designed to turn to fairness, wellness and safety † , and at the same time economic in nature to modulate r ewards and control motions in the market ( Mehmet 1999: 90 ) . Although, liberalization of free trade has offered both challenges and chances to states based in South ; Elliott and Freeman note, that many developing states are committed and inclined to better nucleus and other labor criterions. Many of the developing states have Torahs to keep ‘decent labour conditions ‘ ( Elliott and Freeman, 2003: 11 ) . However, due to weak economic constructions and deficiency of resources and inability to implement labour codifications, shackles the betterment of criterions in developing states. Hence, argument over labour criterions is on-going, the inquiry is what are the ideal criterions and what is the best manner to integrate them ( Singh and Zammit, 2004: 3 ) . It is proposed, that as labor criterions aid equilibrate the involvements of workers and capital within states and within the planetary economic system ; workers through corporate brotherhoods should take upon themselves to implement these criterions. [ Connect ] Singh and Zammit argues that since nucleus labor convention do non include minimal pay, hence, execution of nucleus criterions will hold no impact on pay degrees and other labor costs and hence, developing states should follow this criterion.II Nature and Pattern of International Trade and Investment: Consequence of developing state trade on labour market conditions in the NorthThere is complex relationship between the labor criterions and economic development. The International trade enlargement has brought labour markets of developed states in close contact with those of developing states[ 3 ]. This economic relationship has reaped great benefits such as heightening the development in the development states through the transportation of cognition and foreign direct investing ( FDI ) from the North. On the other manus, developed states in the North has benefited from this trade relationship by seeing lifting criterions of life. However, Wood notes, that this relationship has affected the unskilled labor of North, by diminishing rewards and doing them excess ( Wood, 2004: 1 ) . The 1947 preamble of the original General Agreement on Tariffs and Trade ( GATT ) stated: â€Å" Relationss among states in the field of trade and economic enterprise should be conducted with the position of raising criterions of life and guaranting full employment † ( cited in Harvey et Al, 2000: 4 ; Chan, and Ross. 2003: 1012 ) . This facet of globalisation has an impact on workers from both South and the North. For illustration, developed states are concerned that trade with low-wage states which is non synonymous for low labor criterions states are responsible for increasing pay inequality and loss of employment chances in developed states. Nolan argues that the â€Å" planetary concern revolution † has â€Å" changed the nature of the capitalist house, the form of competition and the manner in which economic production is forming in much of the planetary economic system † ( Nolan, 2006: 1 ) . This development of planetary concern has generated competition at planetary degree, which compels houses in similar industries to unify their resources in order to accomplish economic systems of graduated table and derive competitory advantages of houses. Therefore, these amalgamations and acquisitions make MNCs powerful entity to play a dominant function in the planetary production and trade. ( Connect with following parity ) The ordinances of the new planetary production system and trade have been redefined under the counsel of transnational corporations and their subordinates, developing ‘system planimeters ‘ in planetary value ironss. The planetary retail merchants employ new engineerings and methods acquired through amalgamations to exercise force per unit area on houses in supply concatenation. These system planimeters posses unequal bargaining power in value ironss, as they put force per unit areas in the retail sector, for consolidation to their first grade providers for ‘right monetary value ‘ and ‘right clip ‘ , who further pass the force per unit areas to bottom of the supply concatenation which is normally labour intensive and outsourced to developing states to entree cheap labour. Therefore, making ‘cascade consequence ‘ to obtain economic systems of graduated table. Nolan argues this â€Å" ‘cascade consequence ‘ will hold profound deductions † for southern states houses â€Å" in catching up † at the planetary degree, that may make entry barriers into planetary concern ( 2006, 155 ) . From developing states ‘ positions, entry into value concatenation plays a important entry point for their local corporations to hold entree to â€Å" the planetary trade good ironss of nucleus houses † located in developed states ( Nolan, 2006: 3 ) . Therefore, less developed states ‘ houses admission is non entirely managed by the trade policies but besides by the tactful determinations of the parent houses in the value ironss. Although MNCs play a important function in developing states by puting in different industries and supplying employment chances with their economic and industrial power, the developed states ‘ authoritiess have exploited the ‘weak bargaining place ‘ of developing states to make more avenues for large concern ( Madeley, 2008: 17 ) . How Labour criterions and patterns Therefore, â€Å" MNCs are non merely economic entities but portion of complex interplay of factors † , that has both positive and negative effects on societal, cultural environment of the host states ( Chandler and Mazlish, 2005: 3-4 ) .

The Inuit People Essays - Indigenous Peoples Of North America

The Inuit People Essays - Indigenous Peoples Of North America The Inuit People Inuit: A People Preserved By Ice Thousands of years ago, during the last ice age, mile-thick glaciers covered a vast portion of North America, and the Asian continent was joined to North America by a land bridge. The Arctic areas of Alaska, Beringia, and Siberia were free of ice. Vast herds of caribou, muskoxen, and bison migrated to these plains. Following them were the nomadic Asian ancestors of today's Inuit and Indians. The doorway to Asia closed about three or four thousand years later as the glaciers receded and melted. These people: the Inuit (meaning the people), adapted to their harsh tundra environment and developed a culture that remained untainted for a long time. The Inuit people relied solely on hunting for their existence. With summers barely lasting two months, agriculture was non-existent. Animals such as caribou and seal were vital. Groups of hunters would stalk and kill many caribou with fragile bows made of driftwood, and their bounty was split evenly amongst the tribe. Bone spears were fashioned to hunt seals which provided food, oil, clothes, and tents. The seal skins were also used to construct kayaks and other boats that the Inuit would use to travel and to hunt whales. One advantage of the sterile cold of the arctic was that it kept these people free of disease (until they met the white man.) Inuit tribes consisted of two to ten loosely joined families. There was no one central leader in the group: all decisions were made by the community as a whole. Nor was there any definite set of laws; the Inuit, though usually cheery and optimistic, were prone to uncontrolled bursts of rage. Murder was common amongst them and it went unpunished unless an individual's murders occured too often. At that point, that person was deemed unstable, and the community appointed a man to terminate him/her. In their society, the duties of men and women were strictly separated. The males would hunt, fish and construct the tools used by the family. Women, however, were responsible for cleaning the animal skins, cooking, sewing the clothes ( a woman's sewing ability was equally as attractive to a man as her beauty was), and raising the children. Male children were preferred because they could care for their parents in their old age; female children when often strangled soon after birth. Although today Christianity has breached some of the southernmost tribes, the vast majority practice a form of animism. Their rituals are based mainly on the hunt and the handling of slain animals. Magic talismans and charms are believed to control spirits, and shamans are consulted in the case of injury or illness. There are traces of beliefs in an afterlife or reincarnation, but they are very minor. The Inuit people, like many other tribal minorities, are greatly stereotyped and misunderstood by the common man. For example: the Inuit word igloo means house and can refer to the cabins made of sod that most Inuit occupy. Also, the word Eskimo is a misnomer meaning "eaters of raw flesh" given to the Inuit by the Algonquin Indians. This is a simple culture that remained undisturbed until whales became a precious commodity. Their isolation is slowly coming to an end as western civilization puts them into government housing and snowmobiles are increasing as a means of transportation. They are beautifully eccentric, and we must work to preserve their culture. References: "Seasons of the Eskimo: A Vanishing Way of Life" by Fred Bruemmer; Microsoft Encarta96 Encyclopedia; Microsoft Bookshelf.

ADHD Diagnosis Relief and Fear for Others Essays

ADHD Diagnosis Relief and Fear for Others Essays ADHD Diagnosis Relief and Fear for Others Essay ADHD Diagnosis Relief and Fear for Others Essay Today, in the United States there are 5 million kids, adolescence and grownups that are diagnosed with larning disablements ( NCLD ) . There are no known factors that cause larning disablements ; therefore these disablements are non the consequence of economic disadvantages, environmental factors or cultural differences. To be labeled as holding a learning disablement is potentially stigmatising for both the person and household members MacMaster, Donovan A ; MacIntyre ( 2002 ) . Factors associating to being labeled can ensue in hapless socialisation accomplishments, academic failure, and cognitive shortages that might interfere with the development of the kid s self- regard. The National Center for Learning Disabilities ( NCLD ) classifies Attention Deficit Hyperactivity Disorder ( ADHD ) as a acquisition disablement where the person has a trouble remaining attentive, commanding his or her behaviour and is overactive. About one tierce of persons with larning disablements besides ha ve ADHD. There is a contention among pedagogues sing the injury a kid goes through when they foremost find out that there is something incorrect with them ; Timimi A ; Leo ( 2009 ) believe that a individual diagnosing relieves emphasis, defeat and frights from the parent when they are faced with the complex undertaking of their kid s instruction. For whatever ground, some parents push for their kid to be labeled merely in order to have single services. However, there has been a recent realisation of the upset and hence an addition in the figure of persons that are diagnosed for intervention of ADHD. The quality of services the ADHD kid receives can change harmonizing to each school territory. Unlike specific subject-based larning disablements such as linguistic communication, reading or math, the option of stimulating medicine could be used to assist handle ADHD. The intervention of ADHD remains controversial while the diagnosing and prescriptions of stimulating medicine has gone t hrough a steep addition in the past few decennaries in most Western Societies Timimi ( 2009 ) . The addition in the figure of ADHD diagnosing is due to the better apprehension of ADHD, and the alteration in the manner society classifies and trades with kids s behaviours. This alteration is a move from believing about a kid s behaviour as normal to believing that these behaviours are symptoms of a medical status. This paper argues that the usage of stimulating medicine should non be an option for the intervention of ADHD in preschool-aged kids because they are still developing and demand to larn to command their urges. For kids in simple school, behavioural intervention should be the primary class of action and stimulating medicine should be considered as the last class of action. It is necessary for both age groups to develop womb-to-tomb accomplishments that train the encephalon how to concentrate instead than merely ordering medicine that could potentially lose its authority over clip. What is ADHD? Rowland, Lesesne A ; Abromowitz ( 2002 ) , province that presently, ADHD is one of the most common neurodevelopment upsets of childhood. Daley, Jones, Hutchings and Thompson ( 2008 ) , describe ADHD as a continual form of inattention, impulsivity and hyperactivity that correlates with the kid s developmental province. These symptoms of inattention, impulsivity and hyperactivity typically arise in early childhood and can do cross-situational damage from place to school. Troubles include hapless ordinance of emotions, jobs with motor co-ordination and low defeat tolerance. Children with ADHD are at hazard of non developing appropriate socialisation accomplishments, may hold hapless academic accomplishment and hapless life-skills and this deficiency of basic accomplishments can transport into maturity. Those with ADHD tend to dawdle about two old ages behind their equals in societal development which explains why ADHD has co-morbidities with other psychiatric and developmental upsets i n about 30-70 % of kids with ADHD Rowland et Al. ( 2002 ) . These kids are more likely to see more societal rejection by their equals. Having ADHD is serious non merely to one s instruction, but to one s overall wellness. Those with ADHD are at an increased hazard for prosecuting in life endangering behaviours such as smoke, unprotected sex, intoxicant and drug maltreatment. It is reported that ADHD drivers have 50 % more moving misdemeanors and three times more accidents than the normal population Rowland et Al. ( 2002 ) . Woodard ( 2006 ) raises the concern that some parents and primary attention suppliers are discerning that stimulating medicine may ensue in a future maltreatment of illegal stimulation drugs. Children with ADHD usage more medical and mental wellness services than other kids because they are 10 times every bit likely to prosecute in ego inflicted hurt and twice every bit likely to run the hazard of serious hurt DiScala EL al.,1998. On a fiscal position, those wi th ADHD had twice the sum of medical costs and ten times the sum of outpatient mental wellness services compared to the normal population. Therefore, those with ADHD disproportionately use the mental wellness system. Monitoring and long term surveies on the effects of stimulating medicine are necessary in explicating a public wellness response and cut downing hazardous wellness behaviours. Rise in Diagnosis and Prescriptive Treatment of ADHD Timimi ( 2009 ) , states that in Western civilizations rates of diagnosing and prescriptions of psychiatric medicine for ADHD has dramatically increased in the last few decennaries. Rowland et Al. ( 2002 ) , indicates the progressively big figure of kids being treated for ADHD is a concern for the overall general populace and wellness functionaries. The rapid addition in the figure of kids being prescribed medicine connects back to the concern over whether the diagnosing is being made decently Rowland et Al. ( 2002 ) . Harmonizing to the National Institute of Mental Health, approximately 2 million kids have ADHD. Three quarters of these 2 million kids are identified as taking Ritaline, one of the more popular stimulation medicines used in the intervention of ADHD. In some of the more richness vicinities in the United States, it is noted that over 15 % of Caucasic male childs go toing simple school in are being treated with some signifier of stimulating medicine for ADHD. In 2005 ther e was a reported addition in baby doctors ordering an extra stimulation to the cocktail if the first medicine did non hold any important consequence on the kid s behavior Wolraich EL Al ( 2010 ) . The job is since there are no long term surveies on the effects of these medicines ; the long term hazard of medicating a kid throughout his or her school old ages is unknown. Another wellness concern is medication intervention is normally less effectual in existent universe scenes than in clinical tests even when conformity and side effects are apparent. Medication entirely does non normalise one s behaviour. Therefore, understanding those who respond ill to medicines is necessary so that other signifiers of intervention attacks can be developed ( Rowland, 2002 ) . Who is Performing the Diagnosis of ADHD Pediatric and household pattern doctors play an of import function in naming ADHD. Parents bring their kids into the doctor s office and merely a little part of kids will exhibit the overt symptoms of ADHD during the office visit Posey, Bassin A ; Lewis ( twelvemonth? ) ( 59 ) . Williams et al. , 2004 besides note that 45 out of 47A baby doctors surveyed reported ADHD as their most common diagnosing. It seems a speedy diagnosing in the baby doctor s office might be rushed and needs farther ratings since the kid might merely be holding a bad twenty-four hours. This is interesting since the diagnosing of ADHD is through proving done by multiple different beginnings including medical professionals and clinical ratings and trials. Rowland et al. , ( 2002 ) account for this is that the wellness attention system does non adequately counterbalance primary attention suppliers for mental wellness ratings. The links between primary attention suppliers and mental wellness specializers are ten uous and supply few inducements for supplying systematic follow ups after appraisal. Even when the DSM-IV standard is used in doing a diagnosing, it does non stipulate how studies from different information should be combined. The job lies in the deficiency of standardisation and continuity in this procedure that dramatically displacements who is considered a instance. Since there are about 2 million kids diagnosed with ADHD, means that on norm there will be at least one kid with ADHD in every schoolroom. ADHD affects kids across all environments, therefore alterations in the schoolroom are necessary as portion of a holistic attack to intervention. A A Sherman, Rasmussen A ; Baydala 2008, makes the correlativity that instructors and other school professionals are frequently the first to propose the diagnosing of ADHD.A Switching the profession who determines the diagnosing from doctors and wellness attention suppliers to instructors function can assist advance a positive collaborative attack to turn toing and handling ADHD.A Physicians now are sing teacher ratings when naming and handling their patients.A This coaction between wellness professionals, instructors and parents are of import factors while implementing intercessions. The job arises when wellness professionals create a intervention or intercession for their patient, without sing how in structors will accept the intervention. The chief job with instructors take parting in the intercession is the sum of clip required.A The degree of accomplishment and clip committedness necessary to put to death the intercession creates unneeded hazards for the other kids in the classroom.A Integrate this subdivision with above While school professionals harmonizing to Rowland et Al, ( 2002 ) are frequently the first group to detect marks of ADHD, kids are frequently non diagnosed by psychologists or head-shrinkers but instead, baby doctors or other primary attention providers.A In these instances, most primary attention doctors do non utilize the Diagnostic and Statistical Manual of Mental Disorders ( DSM-IV ) as a criterion when measuring ADHD.A Pediatric Research in Office Settings ( PROS ) has estimated that 62 % of clinicians based their diagnosing on clinical intuition or other non standardized signifiers of appraisals instead than the DSM standards for an ADHD diagnosing. Preschool Children Since more kids [ any manner to quantify this? ] are now traveling to some kind of school before kindergarten, it is natural for kids s alone behaviour to be picked up and characterized by professionals. In preschools, 2-5 % of kids are diagnosed with ADHD. Features of ADHD in this age group include heedlessness, hyperactivity and unprompted behaviours. Socially the kids do non listen to instructions, they have trouble sitting still, and they interrupt conversations and blunder out out inappropriate remarks. These features are riotous to the overall instruction of the pupils in the preschool category and these ADHD pupils are more likely to be suspended from preschools due to riotous behaviours Young A ; Amarasingh ( 2010 ) . xxxxxxxxxxxxxxxxx Covering With ADHD In the Classroom [ see prof s notes talk more by and large about ADHD in the schoolroom before the complications of multidisciplinary intervention programs ] Kyangha Lee s 2008, survey ADHD in American Early- Schooling: From a Cultural Psychological Perspective indicates that the debatable behaviour of the ADHD pupil interrupts the acquisition of the other kids in the schoolroom who deserve to learn.A The attending spent on the kid with ADHD creates such a distraction in the schoolroom that the instructor is so unable to learn the other kids particularly fixing the kids for required province accomplishment tests.A Therefore, it is necessary for everything to flux swimmingly so that all the pupils to larn the academic topics and fix for their tests.A In Kyungwa Lee survey ADHD in American Early Schooling, Jennifer, a 2nd class instructor explains how medication makes her twenty-four hours easier when those pupils have taken their medicine ( 429 ) . However, Jennifer states from a female parent s position the concern that her boy was non demoing his true personality with his medicine even though he was able to concentrate and learn.A Wh ile most instructors do non oppose medicine in serious instances, they do non like the thought of medicating pre-Kindergarten and Kindergarten children.A Deb, a pre- Kindergarten instructor, expresses her concern by stating kids are developing so much at this [ age ] so many things are traveling onaˆÂ ¦ and I think giving medicine to set an terminal to the job is non to the kid s benefit ( Lee, 2008, p. 428 ) .A Deb continues by explicating in some terrible instances medicine is necessary similar to the demand of insulin for a diabetic but merely if the diagnosing of ADHD is certain and interfering to a great extent with the kid s education.A While many instructors are concerned about noticeable riotous behaviours, there are some instructors who are more concerned about less seeable and inattentive behaviours. These inattentive kids are overlooked because they are frequently quiet and good but in world their heedlessness interrupt their ain personal acquisition. Carol, a Kindergarten instructor, describes these kids as off in [ their ] ain universe, playing with [ their ] shoe laces, or playing with the rug, or aˆÂ ¦looking at the wallaˆÂ ¦ and non listening or paying attending to what s traveling on ( Lee, 2008, p. 421 ) . With this immature age group, instructors frequently try to avoid hyperactive-impulsive behaviours as a major symptom of ADHD since they are cognizant that these behaviours can be normal for immature kids three and four old ages of age. Preschool instructors have a difficult clip finding if the kid has trouble compared to a kid in simple school ; preschool aged kids are still larning how to command themselves and understand acceptable school behaviour such as how to sit and listen to a narrative. While it is characteristic for preschool pupils to miss self control, the manner the instruction environment is set up the deficiency of place work and prep in these age groups creates trouble for a instructor to distinguish a kid with ADHD from his normal equals ( Lee, 2008 ) . Expected gender features can take to misdiagnosing ADHD.A Boys tend to be over diagnosed due to their hyperactivity, while misss are under diagnosed because they do non move out as much.A Girls have societal outlooks of being quiet, dainty and proper.A They tend to sit down and be quiet while male childs are expected to be for unsmooth and boisterous. The bulk of instructors are more opposed to medicine for misss than male childs Lee 2008. In add-on, instructors are more likely to try behavioural techniques for misss compared to boys. Researchers argue that pharmaceutical intervention is used for advancing the outlooks of a boy codification for what are appropriate masculine behaviours which result in success and accomplishment in competitory acquisition and featuring environments. Ritalin is a manner of bring forthing better male childs by enabling them with the chance to gain A s and non B s in order to concentrate on the earnestness of constructing their hereafter Kindlon and Thompson ( 1999 ) . Lee 2008, shows that kids with ADHD are found across all economic degrees, civilizations and cultural backgrounds at the same rates. It is besides celebrated that those with ADHD tend to hold late birthdays in the school twelvemonth rhythm doing them the youngest in their class.A This might bespeak that portion of ADHD could be a adulthood issue because some kids can be up to a twelvemonth behind some of their schoolmates. If the big age spread is so, so no medicine could do a kid behave older than their age.A If a kid is biologically immature for their age group or even Acts of the Apostless younger, instructors so perceive these pupils as problematic, which in bend can take to labeling kids as pathological or sick.A Rogoff, 2003 describes how age is non tracked in many cultural communities in footings of age norms.A The job with Western schools is that they are connected in industrialisation that places value one s efficiency and productivity.A Develop these farther. Harmonizing to Mooney ( 2000 ) 60 % of those with ADHD and or Learning Disabilities end up in gaol, while 80 % terminal up in the mental infirmaries. [ Is this right? ] This dismaying statistic demonstrates that this job is more than an issue in the schoolroom. The fact that so many kids with larning troubles end up in gaol and or the mental establishment shows that this is a public issue because some former pupils could be menaces to society. It is of import to stress that non every kid with ADHD is traveling to turn up as a menace to society, and if they do, it that does non intend that they are in gaol for slaying. It could merely be the fact that since some did non graduate high school, they might hold trouble set downing a occupation to back up them and as a consequence have to back up themselves by other agencies. Pharmacological Treatment of ADHD However, the intervention of ADHD during pre school old ages is widely controversial because of recent medicine tests. The Preschools with Attention-Deficit/Hyperactivity Disorder Treatment Study ( PATS ) [ in what twelvemonth? ] was the first controlled test to measure the safety and efficaciousness of Ritalin ( one of the active ingredients in stimulating medicine ) in kids between 3 and 5 old ages old. This test was configured to measure the short-run efficaciousness and long term safety in preschool kids with ADHD. Thirty per centum of the participant s parents reported moderate to terrible inauspicious side effects such as emotional jobs sleep issues, decreased appetency and crossness. These side effects were doing excessively much injury for some so that 11 % of the participants dropped out of the test due to the unbearable side effects ( Daley, Jones, Hutchings A ; Thompson ( 2008 ) . This shows that one of import concern for medicine is the study of unwanted side effects. S ome of these side effects include clinginess, melancholy, and crossness, backdown in drama, decreased appetency and difficultly kiping. Another survey done by the Preschools with Attention-Deficit/Hyperactivity Disorder Treatment Study ( PATS ) sponsored by the National Institutes of Mental Health showed the correlativity between stimulating medicine and growing deceleration with important diminutions in tallness and increase in rate of weight addition in kindergartners. Posey, Bassin A ; Lewis ( twelvemonth? ) Preschoolers who remained on stimulations experienced a 20 per centum lessening in expected tallness addition and a 50 five per centum lessening in expected weight addition ( Timimi, 2009 ) . Harmonizing to the NIMH, these pupils are more susceptible to inauspicious drug side effects such as reduced socialisation, appetite suppression, weariness, sleep jobs and temper deregulating, with troubles such as dysphasia and crossness to a point where parents end up taking to stop t he medicine and describe some concentration betterment. As many as150, 000 kids ( 1.5 % of all preschool kids ) are taking stimulations, tranquillizers, antidepressants or antipsychotic drugs. This tendency non merely indicates the addition of kindergartners taking medicine, but besides shows they are likely to take medicine for longer periods of clip [ than who or what? ] ( Posey et al. ) . When taking a medicine attack for a preschool aged kid it is necessary to see a figure of factors such as rapid cardinal nervous system development, higher rates of inauspicious effects, affected emotional and cognitive developments, linguistic communication and developmental degree and the fact that about all medicines for ADHD are non FDA approved for kids less than five old ages of age ( Posey et al. ) [ day of the month, page ] . It was one time believed that the critical periods of neurodevelopment were limited to gestation and babyhood. Now, nevertheless, it is considered a procedure that remains throughout a individual s lifetime. Therefore, with this information, exposures to environmental toxins, including pharmaceuticals, can ensue in a diminution in cognitive or behavioural maps. Presently, in the field of neuroscience and developmental psychological science, the importance of protecting the normal development of young persons and teens has increased for two grounds. First , the importance of maximising the encephalon growing in childhood straight correlates with the addition of intelligence and decreases the badness of dementedness in the ulterior phases of life. [ beginning of old statement ] This rational and emotional adulthood depends on the white affair called medulla in the encephalon. Finally, if medicine is present, it may forestall the catch-up growing in the encephalon from the normal development, which has been linked to long term shortages in grownup knowledge ( Timimi, 2009 ) . While all these side effects are true, instructors tend to concentrate more on the positive than negative effects of medicine. These positive effects centre on being successful and working in school. The instructor s position of positive effects fit into the cultural beliefs about the independent ego as stable and in control. Because of the manner that the school system is set up, there are limited ways for a kid to prosecute in originative look in school. [ is this Anna s sentiment or a fact? ] The instructors perceptual experience of medicine is that it helps the pupil to be in control of their emotions is short sighted. The accent on accomplishment in standardised trials deprives kids of the chance and clip to foremost develop ego control and ego subject. The manner the school system is presently set up, instructors start in the incorrect topographic point by stressing on what pupils can non make or make non cognize. There must be a better system that builds a kid s self-respect on strengths, accomplishments and abilities to prosecute the whole individual to their greatest potency. There needs to be less of a push to label kids with everything they struggle with and turn disablements into something everyone can easy work with, on occasion work about, and sometimes turn into a strength? [ cheque quote does it truly hold a inquiry grade? ] ( Lee, 2008 ) . Summarize up this subdivision and passage to following subdivision. Non-pharmacological interventions This needs an debut Since there is much concern and uncertainness about the long term effects of stimulating medicine in immature kids, parent preparation for preschool kids must be the first measure in the intervention program. Parent preparation is the healthiest intervention since there are no chemical changes and the most lasting signifier of intervention since it develops one s accomplishments to modify their behaviour. Parental preparation purposes to learn parents to larn how to place and pull strings the ancestors and effects of a kid s behaviour. Harmonizing to Logian, Elbert, A ; Johnson ( 1998 ) , parent preparation besides includes how to treat, mark and to supervise debatable behaviours by honoring positive societal behaviours through congratulations, and positive attending while diminishing unwanted behaviours through planned clip out and other non physical disciplinary techniques. These are extremely structured plans that can run up to several hebdomads long. An illustration of a parent preparation plan is the Incredible Years Program which has been found to be effectual for preschool kids with early oncoming symptoms of ADHD every bit good as other behavior upsets. Parents that enrolled in this plan reported that they noticed lower degrees of inattentive and hyperactivity impulsive symptoms in comparing to parents who were in the control group. Harmonizing to Jones, 57 % of these kids had such an betterment with their intervention that they were no longer had symptoms to stay classified as ADHS and remained so at their 18 month follow up rating. This manner the ADHD symptoms are addressed by working with the parents to enable them to modify and heighten their parenting accomplishments in hopes of bettering the parent- kid relationship. Therefore, parent preparation purposes to learn parents how to place and pull strings a kid s behaviour, mark and proctor debatable behaviours, and how to honor with appropriate positive attending. The end of parent preparation is t he same as behavioural therapy but differs in the fact that the parent is the 1 to increase one on one contact and learn their kids schemes sing how to get by with job behaviours. Parent preparation plans are good in the intervention of ADHD because it helps parents go more competent in covering with their kid s behaviour. The ADHD NICE Clinical Guideline recommends that a similar parent preparation plan mentioned above demands to be the first line of intervention in preschool kids. Harmonizing to some parents, this topographic points emphasis that they are at mistake because it places incrimination that they lack rearing accomplishments or are bad parents. Alternatively, parents should see parent preparation as a manner to optimise their accomplishments to run into demands of their kids with ADHD ( Young A ; Amaraskinghe, 2009 ) . Once the kid matures and reaches school-age, peer relationships and emotional jobs may besides be present doing isolation, unpopularity, unhappiness, anxiousness and a lower sense of ego worth. These jobs lead to the kid holding jobs at school, societal scenes and with the household. Harmonizing to Daly, in this age group similar to preschool kids, the intervention should concentrate on the nucleus jobs of attending, impulsivity and hyperactivity control. In respects to this specific age group, parent preparation is besides the best non-pharmacological attack. In these kids the effectivity in handling ADHD has been evaluated in a big figure of surveies that demonstrate a decrease in symptoms including reduced degrees of household hurt. Using parent preparation in school age kids is supported by the NICE Clinical Guidelines which recommends the usage of parent preparation for kids up to thirteen old ages of age. The parent developing signifier of intervention is most effectual dependi ng on how you the kid is. The lone negative factor of parent preparation, is that it is found to be less good for kids whose parents besides demonstrate ADHD symptoms ( Young, 2009 ) . [ What about school-based intervention and therapy and/or reding? ] On a fiscal facet, the NICE Clinical Guidelines indicate the value of parent preparation as cost and resource effectual. Harmonizing to the MTA Cooperative Group, there is no compelling literature to back up that stimulating medicine is capable of bettering the long term effects of ADHD. Research findings have raised the possibility that stimulating medicines may hold a shelf-life which means that these medicines are merely good on a comparatively short term footing. Medication as a standalone intervention is non able to turn to the multiple mental wellness demands and damages associated with ADHD ( Tamimi,2009 ) . [ this subdivision is uncomplete ] Decision With any diagnosing amongst the wellness spectrum from HIV to larning disablements there are stigmas attached to the disease. In this instance, ADHD is no different. There needs to be an accent on parent preparation accomplishment groups to assist develop life long behavior accommodation and schemes instead than jumping sound over to medicine as the speedy hole. While some parents rush to acquire their kid diagnosed as an alibi to explicate their kid s behaviour, the quality of the kid s new life with this diagnosing must be taken into history every bit good. Children deserve more than merely a checklist and medicine. Each kid s symptoms must be to the full evaluated so that he or she can have the best and most appropriate class of intervention for their single demands. An rating should include a household appraisal and both educational and psychological testing. Parents can be supportive of their kids and advocator for their kids s demands to understand that non all the troubles req uires a pill or changing bad parenting. The convergence of both fiscal and social force per unit areas has created an ADHD industry [ explain this industry ] that does non ever function the best involvements of the kid ( Tamimi, 2009 ) . Mooney 2000, provinces if we think about the particular instruction industry, there are the pharmaceutical companies ready to do money off ADHD kid and physicians composing books on ADHD, but the job are that those kids are the 1s that have no voice. Children with ADHD should be engaged in intervention that supports personal command which will take them to better their self-pride instead than have a life-time label and day-to-day medicine. What is the benefit of labeling a kid with ADHD, a diagnosing that they do non needfully to the full understand at a immature age? The diagnosing makes kids experience stupid or messed up by honoring them by giving them their ain particular schoolroom or topographic point outside the schoolroom door on the linol eum floor for all the other pupils to walk and look at them like insects. The job is that we see kids as the job but the existent job lies with the manner we treat them. Daley, D, Jones, K, Hutchings, J, A ; Thompson, M. ( 2008 ) . Attention shortage hyperactivity upset in pre-school kids: current findings. recommended intercessions and future waies. Care, wellness, and development, 35 ( 6 ) , 754-766. DiScala C, Lescohier, Barthel M, et Al. 1998. Injuries to kids with attending shortage hyperactivity upset. Pediatricss 102:1415-1421. Lee, K. ( 2008 ) . Adhd in American early schooling: from a cultural psychological position. Early Child Development and Care, 178 ( 4 ) , Lonigan, G. , Elbert, JC. , A ; Johnson, S.B ( 1998 ) . Empirically supported psychosocial intercessions for kids: An overview. Journal of Clinical Child Psychology, 27, 138. Mooney, J, A ; Cole, D, ( 2000 ) Learning Outside the Lines New York, NY: Hearth Posey, W, Bassin, A ; Lewis. Preschool attention deficit disorder and medication..more survey needed. Journal Childhood A ; Infant Psychology, 57-77. Rogoff, B ( 2003 ) The Cultural Nature of Human Development. Oxford: Oxford Press Rowland, A, Lessesne, C, A ; Abramowitz, A. ( 2002 ) . The epidemiology of attending deficit/hyperactivity upset: a public wellness position. Mental Retardation and Developmental Disabilities, 8: 162-170. Sherman, J, Rasmussen, C, A ; Baydala, L. ( 2008 ) . The Impact of instructor factors on accomplishment and behavioural results of kids with Attention Deficit/Hyperactivity Disorder ( ADHD ) : a reappraisal of the literature. Educational Research, 50 ( 4 ) , 347-360. Tamimi, S. , A ; Leo, J. ( 2009 ) Rethinking ADHD from Brain to Culture. New York, NY: Palgrave Macmillan Wolraich, M, Stein, D, Rushton, J, OConner, K ( 2010 ) Pediatricians Attitudes and Practices on ADHD Before and After the Development of ADHD Pediatric Practice Guidelines. Journal of Attention Disorders, 13 ( 6 ) , 563-572. Woodard, R. ( 2006 ) . The Diagnosis and Medical Treatment of ADHD in Children and Adolescents in Primary Care: A Practical Guide. Primary Care Approaches, 32 ( 4 ) , 363-370 Young, S, A ; Amarasinghe, M. ( 2010 ) . Practitioner Review: Non-Pharmacological Treatments for ADHD: a Lifespan Approach. Child Psychology and Psychiatry, 51 ( 2 ) ,116-133.

Overview of the U.S. Quasi-War With France

Overview of the U.S. Quasi-War With France An undeclared war between the United States and France, the Quasi-War was the result of disagreements over treaties and Americas status as a neutral in the Wars of the French Revolution. Fought entirely at sea, the Quasi-War was largely a success for the fledgling US Navy as its vessels captured numerous French privateers and warships, while only losing one of its vessels. By late 1800, attitudes in France shifted and hostilities were concluded by the Treaty of Mortefontaine. Dates The Quasi-War was officially fought from July 7, 1798, until the signing of the Treaty of Mortefontaine on September 30, 1800. French privateers had been preying on American shipping for several years prior to the beginning of the conflict. Causes Principle among the causes of the Quasi-War was the signing of the Jay Treaty between the United States and Great Britain in 1794. Largely designed by Secretary of the Treasury Alexander Hamilton, the treaty sought to resolve outstanding issues between the United States and Great Britain some of which had roots in the 1783 Treaty of Paris that had ended the American Revolution. Among the treatys provisions was a call for British troops to depart from frontier forts in the Northwest Territory which had remained occupied when state courts in the United States interfered the repayment of debts to Great Britain. Additionally, the treaty called for the two nations to seek arbitration regarding arguments over other outstanding debts as well as the American-Canadian border. The Jay Treaty also provided the United States limited trading rights with British colonies in the Caribbean in exchange for restrictions on the American export of cotton.  Ã‚   While largely a commercial agreement, the French viewed the treaty as a violation of the 1778 Treaty of Alliance with the American colonists. This feeling was enhanced by the perception that the United States was favoring Britain, despite having declared neutrality in the ongoing conflict between the two nations. Shortly after the Jay Treaty took effect, the French began seizing American ships trading with Britain and, in 1796, refused to accept the new US minister in Paris. Another contributing factor was the United States refusing to continue repaying debts accrued during the American Revolution. This action was defended with the argument that the loans had been taken from the French monarchy and not the new French First Republic. As Louis XVI had been deposed and then executed in 1793, the United States argued that the loans were effectively null and void. The XYZ Affair Tensions heightened in April 1798, when President John Adams reported to Congress on the XYZ Affair. The previous year, in an attempt to prevent war, Adams sent a delegation consisting of Charles Cotesworth Pinckney, Elbridge Gerry, and John Marshall to Paris to negotiate peace between the two nations. Upon arriving in France, the delegation was told by three French agents, referred to in reports as X (Baron Jean-Conrad Hottinguer), Y (Pierre Bellamy), and Z (Lucien Hauteval), that in order to speak to Foreign Minister Charles Maurice de Talleyrand, they would have to pay a large bribe, provide a loan for the French war effort, and Adams would have to apologize for anti-French statements. Though such demands were common in European diplomacy, the Americans found them offensive and refused to comply.  Informal communications continued but failed to alter the situation as the Americans refused to pay with Pinckney exclaiming  No, no, not a sixpence! Unable to further advance their cause, Pinckney and Marshall departed France in April 1798 while Gerry followed a short time later. Active Operations Begin Announcement of the XYZ Affair unleashed a wave of anti-French sentiment across the country. Though Adams had hoped to contain the response, he was soon faced with loud calls from the Federalists for a declaration of war. Across the aisle, the  Democratic-Republicans, led by Vice President Thomas Jefferson, who had generally favored closer relations with France, were left without an effective counter-argument. Though Adams resisted calls for war, he was authorized by Congress to expand the Navy as French privateers continued to capture American merchant ships. On July 7, 1798, Congress rescinded all treaties with France and the US Navy was ordered to seek out and destroy French warships and privateers operating against American commerce. Consisting of approximately thirty ships, the US Navy began patrols along the southern coast and throughout the Caribbean. Success came quickly, with USS Delaware (20 guns) capturing the privateer La Croyable (14) off New Jersey on July 7. The War at Sea As over 300 American merchantmen had been captured by the French in the previous two years, the US Navy protected convoys and searched for the French. Over the next two years, American vessels posted an incredible record against enemy privateers and warships. During the conflict, USS Enterprise (12) captured eight privateers and liberated eleven American merchant ships, while USS Experiment (12) had similar success. On May 11, 1800, Commodore Silas Talbot, aboard USS Constitution (44), ordered his men to cut out a privateer from Puerto Plata. Led by Lt. Isaac Hull, the sailors took the ship and spiked the guns in the fort.  That October, USS Boston (32) defeated and captured the corvette Berceau (22) off Guadeloupe.  Unknown to the ships commanders, the conflict had already ended.  Due to this fact, Berceau was later returned to the French. Truxtun the Frigate USS Constellation The two most noteworthy battles of the conflict involved the 38-gun frigate USS Constellation (38). Commanded by Thomas Truxtun, Constellation sighted the 36-gun French frigate LInsurgente (40) on February 9, 1799. The French ship closed to board, but Truxtun used Constellations superior speed to maneuver away, raking LInsurgente with fire. After a brief fight, Captain M. Barreaut surrendered his ship to Truxtun. Almost a year later, on February 2, 1800, Constellation encountered the 52-gun frigate, La Vengeance. Fighting a five-hour battle at night, the French ship was pummeled but was able to escape in the darkness. The One American Loss During the entire conflict, the US Navy only lost one warship to enemy action. This was the captured privateer schooner La Croyable which had been purchased into the service and renamed USS Retaliation. Sailing with USS Montezuma (20) and USS Norfolk (18), Retaliation was ordered to patrol the West Indies. On November 20, 1798, while its consorts were away on a chase, Retaliation was overtaken by the French frigates LInsurgente and Volontaire (40). Badly outgunned, the schooners commander, Lieutenant William Bainbridge, had no choice but to surrender. After being captured, Bainbridge aided in Montezuma and Norfolks escape by convincing  the enemy that the two American ships were too powerful for the French frigates. The ship was recaptured the following June by USS Merrimack (28). Peace In late 1800, the independent operations of the US Navy and the British Royal Navy were able to force a reduction in the activities of French privateers and warships. This coupled with changing attitudes in the French revolutionary government, opened the door for renewed negotiations. This soon saw Adams dispatch William Vans Murray, Oliver Ellsworth, and William Richardson Davie to France with orders to commence talks. Signed on September 30, 1800, the resulting Treaty of Mortefontaine ended hostilities between the US and France, as well as terminated all previous agreements and established trade ties between the nations. During the course of the fighting, the new US Navy captured 85 French privateers, while losing approximately 2,000 merchant vessels.

The impact of e-business on an organisation Dissertation

The impact of e-business on an organisation - Dissertation Example Organizations all over the world have taken the help of various methods to facilitate the operations and expansion of their business. With the development of Information and Communication Technology, firms have chosen to conduct a large part of their business activities through e-commerce. This has generated a new area of interest among financial researchers. Analysts have been curious to know the impact of the introduction of e-commerce on an organization. They have also been interested in comparing the firms’ business functioning in the earlier days with that in the new technological era. The introduction of e-commerce in corporations has brought about significant changes in their operations. The new technologies have enabled firms to undertake a larger volume of business with the help of the same resources.Service organizations are now able to reach out to a wider range of customers. The new ICT methods have facilitated a more efficient functioning of the overall activities of firms. For this reason, it is important to evaluate the impact of e-commerce on an organization. Therefore, this paper has chosen to undertake a research on this subject. The Indian banking sector has been currently been witnessing an ICT revolution. Most of the banks have adopted new technological methods to improve the efficiency of their existing operations and also to expand their business among a larger spectrum of the population. Recently the HDFC Bank has implemented a multichannel integration program across its business operations.... or choosing the project topic area Organizations all over the world have taken the help of various methods to facilitate the operations and expansion of their business. With the development of Information and Communication Technology, firms have chosen to conduct a large part of their business activities through e-commerce. This has generated a new area of interest among financial researchers. Analysts have been curious to know the impact of the introduction of e-commerce on an organization. They have also been interested in comparing the firms’ business functioning in the earlier days with that in the new technological era. These issues have urged analysts to undertake relevant research in this domain. The introduction of e-commerce in corporations has brought about significant changes in their operations. The new technologies have enabled firms to undertake a larger volume of business with the help of the same resources. Service organizations are now able to reach out to a w ider range of customers. The new ICT methods have facilitated a more efficient functioning of the overall activities of firms. For this reason, it is important to evaluate the impact of e-commerce on an organization. Therefore, this paper has chosen to undertake a research on this subject. Reasons for choosing the particular organization-HDFC INDIA The Indian banking sector has been currently been witnessing an ICT revolution. Most of the banks have adopted new technological methods to improve the efficiency of their existing operations and also to expand their business among a larger spectrum of the population. Recently the HDFC Bank has implemented a multichannel integration program across its business operations. Under this project, the bank has integrated its branches, the ATMs, the POS, the

Professionalism and Time Management Essay Example | Topics and Well Written Essays - 250 words

Professionalism and Time Management - Essay Example Professionalism is the practice of engaging an activity, business or an occupation with utmost competency required in the practice. Professionalism ensures that an individual provides quality and efficiency in the outcome of his or her job (Clark & Kasar, 2009). It exhibits the qualities or characteristics of a professional person. Without professionalism, one can never attend to his or her tasks with the required integrity and ethics. (Clark & Kasar, 2009). Various factors contribute to improper time management. Some could be genuinely inevitable while outright laziness and improper planning define other reasons. Because I am regularly late for my lab sessions, it is vital to come up with effective time management skills to curb this problem (Clark & Kasar, 2009). Having a personal or self-reflection about the problem, and seeking necessary knowledge of the nature of the problem and prospective solutions is a major step to undertake toward establishing a solution.My problem is often caused by work and long distance to the laboratories. In this case scenario, I will have to come up with a timetable that would administer all my daily undertakings. It must be obeyed unless of an inevitable emergency that is more indispensable. Having mentioned that, I would rationalize my schedule and start my daily tasks earlier that normally in order to account for the long distance that for a long time has hindered me from punctuality. (Clark & Kasar, 2009).

The earthquake resistant concrete frame building with special focus on Dissertation

The earthquake resistant concrete frame building with special focus on beams and columns - Dissertation Example In this case the effective flange width should not exceed 1/4th the span of the beam The width of the web portion of the beam plus 16 times thickness of the slab The centre to centre distance between beams T beams should have a flange thickness with minimum one half the width of the web and flange width not more than four times the width of the web Coefficient K, k, j, p, for Rectangular Sections Beams with tensile and Compressive Reinforcing This kind of beams is generally used when the size of the beam is limited. The notations for detailing in both Iranian code and Euro code are same. The only difference is for the effective flange width which for Euro code is â€Å"beff† and for Iranian code b Beam Design According to Eurocode Design load 1.25*35 + 1.5*20 = 73.75 kN/m Bending Moment wl^2/8 = 73.75*6^2/8 = 331.9 kNm Shear Force wl/2 = 73.75*6/2 = 221.25 kN K 0.145 According to the research findings it can therefore be said that special condition should be followed when the beam elements are being designed such as the difference between rectangular beam and flanged beam should be known. Flanged beams are generally the rectangular beams which work with slabs and the part of slab element acts with the top part of the beam. If it is below the flange, then the section needs to be designed by taking into consideration the specific area of concrete section for compression part. The most crucial part in design is the design for flexure and shear. The flexure design has to be repeated twice, one for support condition and another for span condition. Shear force which acts to the beam can have a substantial deformation. This deformation occurs particularly to the both ends of the beam. The ultimate shear capacity Vn of a section of a beam equals the sum of the nominal shear strength of the concrete Vc and the nominal shear strength provided by the reinfo rcement Vs; that is, ÃŽ ¦Vn = Vc = Vs. The factored shear force Vu on a section should not exceed where ÃŽ ¦ = capacity reduction factor (0.85 for shear and torsion). Except for brackets and other short cantilevers, the section for maximum shear may be taken at a distance equal to d from the face of the support. The shear Vc carried by the concrete alone should not exceed 2√fc_ bwd is the width of the beam web and d, the depth of the centroid of reinforcement.

Black Stork Essay Example | Topics and Well Written Essays - 1000 words

Black Stork - Essay Example It was the belief of those that ascribed to this type of world view that such a human was possible and the only thing that was stopping the further evolution of mankind was societal constructs of mercy and value towards all life equally. The proponents of the eugenics movement, Dr. Harry J. Haiselden himself a member, advocated for a more direct approach towards achieving this particular interpretation of Darwin’s theories (Pernick, 1996). The rational for this particular worldview was not formed from a state of mind that espoused hatred, malice, or contempt for human life; instead, the proponents of eugenics sought to create an idealistic world in which society would no longer be plagued by disease, and genetic disorders – a world in which a superhuman would eventually emerge. As such, opponents to the eugenics movement quickly crystallized around the belief and notion that all human life was sacred and it was not for the doctor/attending physician or anyone else for t hat matter to deem what life was not worthy of being saved through his own inaction allow an infant to die (Voluntary Euthanasia, 1932). As such, in 1919 a silent movie entitled Black Stork began to be shown in the then rare theaters. The movie was concentric around the actions/inactions of Dr. Harry J. Haiselden which led to the deaths of many infants the doctor deemed unworthy of life. Although this name is not likely to ring any bells currently, this was a medical doctor whose exploits were the thing of tabloid newspapers at the time. Due to the fact that Dr. Haiselden was a strong proponent of eugenics he was known to withhold treatment from certain infants that when born required immediate surgical procedures to ensure their continued longevity. As such, Dr. Haiselden was known to withhold theses procedures deeming it as a mercy to the child and to society to prevent them from being a drain on their parents and the society at large. As such, the movie displayed in detail the pr ocess through which the doctor would make these determinations as well as the graphic display of the corpses of the dead and dying infant with its own mother. This practice alone caused the film to have to be edited on a number of occasions in order to tone down the graphic displays of death and dying that were presented to the audience (CITE). The idea of eugenics, coupled with the fact that many in society were willing to carry to an ultimate end the theory of natural selection (aided by human hands) and survival of the fittest, meant that a term was brought into the lexicon of the medical community and society at large in a new and revamped way. The term itself, â€Å"Euthanasia† had previously had a much different meaning; however, due to the exploits of individuals such as Doctor Haiselden, the meaning grew from â€Å"efforts to ease the sufferings of the dying without hastening their death" to â€Å"actively or inactively ending life in an effort to end suffering† (Capron, 1974). As such, the term greatly progressed from what was its original meaning. Furthermore, the movement was presented to society in ways that they could no longer ignore the implications that such practices brought along with them. It is interesting to theorize what would have happened with eugenics and euthanasia had Hitler not risen to power in Germany during the early 1930’s (Benzenho?fer, 2010). Due to the Third Reich’s belief that racial superiority was the best model

Stress and Time Management in Nursing Essay Example | Topics and Well Written Essays - 750 words

Stress and Time Management in Nursing - Essay Example The conflicts that nurses usually face involve the treatment of a patient and taking a realistic view on the patient’s condition, and at the same time the necessity for the nurse to be optimistic and supportive towards the patient. Addressing stress levels among nurses is essential as reports show that this stress also affects several other aspects of nurses’ lives. According to a survey that was carried out by the American Nurses Association, approximately seventy percent of all nurses experience either acute or chronic implications of stress (Purcell et al., 2011). There are several solutions that have been suggested in addressing the stress problem. As mentioned above, one of the main reasons of stress is work overload, and this can be improved by implementation of the appropriate time management techniques. This paper will assess the level of stress among nurse and how time management can be utilized to address this issue. Time management in the nursing profession should be taught from student level, which will enable the students to be prepared for their professional lives. A study was carried out on a group of Iranian nursing students on the different approaches they take in their time management (Mirzaei et al., 2012). The assessment was carried out by data collection which was done through partially structured interviews and indicated that nurses utilize unidirectional time management approaches. The study showed that even at student level nurses allocated the majority of their time to their academics and had very little time for other activities. The indications in the study show that the nursing students should also be given time to partake in extracurricular activities to reduce the levels of stress (Mirzaei et al., 2012). At a professional level time management is essential as nurses have more responsibilities in their lives apart from jobs. Stress arises when there is a misbalance in the professional and personal life of the nurse as the

HR Management, Training and Development Essay Example | Topics and Well Written Essays - 750 words

HR Management, Training and Development - Essay Example Where Mel tends to believe that the feedback generated daily, by Jennifer, should be enough to enhance the levels of productivity within the subordinate staff members, Jennifer believes that a more formal approach to identifying strengths and weaknesses would create a more positive outcome in terms of overall productivity. Using Abraham Maslows Hierarchy of Needs as an appropriate example to support Jennifers position, under this theory employees cannot reach the apex of their abilities (this being self-actualization) without the receipt of self-esteem (Morris & Maisto, 2005). In the business world, self-esteem has been known as a positive outcome of continuous reinforcement, both positive and critical (Green, 2004). Though the case study suggests that Jennifer is routinely aware of the activities of her subordinate employees and makes attempts to highlight their strengths and weaknesses, it is important to formalize these discussions so as to promise an offer of various rewards for performance. For instance, if the goal of this particular organization is to increase sales, then Jennifer (and Mel) should adopt the formal appraisal process not only to secure a more motivated and productive staff, but to ensure that the employees clearly understand their job-related expectations and receive the necessary self-confidence (esteem) to genuinely enjoy coming to the workplace. This creates a perception of fairness and balance in the management team where the employees can come to rely on truthful reporting of their competency levels and build camaraderie between the management staff and themselves. With this in mind, avoiding the formal appraisal process in exchange for other business-related issues that are considered priority, the organization is denying themselves the opportunity to create a more cohesive staff who works toward strategic objectives in exchange for a fair analysis of their function within the business. Though Mels arguments are somewhat

Stress and Time Management in Nursing Essay Example | Topics and Well Written Essays - 750 words

Stress and Time Management in Nursing - Essay Example The conflicts that nurses usually face involve the treatment of a patient and taking a realistic view on the patient’s condition, and at the same time the necessity for the nurse to be optimistic and supportive towards the patient. Addressing stress levels among nurses is essential as reports show that this stress also affects several other aspects of nurses’ lives. According to a survey that was carried out by the American Nurses Association, approximately seventy percent of all nurses experience either acute or chronic implications of stress (Purcell et al., 2011). There are several solutions that have been suggested in addressing the stress problem. As mentioned above, one of the main reasons of stress is work overload, and this can be improved by implementation of the appropriate time management techniques. This paper will assess the level of stress among nurse and how time management can be utilized to address this issue. Time management in the nursing profession should be taught from student level, which will enable the students to be prepared for their professional lives. A study was carried out on a group of Iranian nursing students on the different approaches they take in their time management (Mirzaei et al., 2012). The assessment was carried out by data collection which was done through partially structured interviews and indicated that nurses utilize unidirectional time management approaches. The study showed that even at student level nurses allocated the majority of their time to their academics and had very little time for other activities. The indications in the study show that the nursing students should also be given time to partake in extracurricular activities to reduce the levels of stress (Mirzaei et al., 2012). At a professional level time management is essential as nurses have more responsibilities in their lives apart from jobs. Stress arises when there is a misbalance in the professional and personal life of the nurse as the

Of Mice and Men Characters Essay Example for Free

Of Mice and Men Characters Essay In the novel, Candy and Curleys wife play a large part of the ideas that Steinbeck wants to convey through Of Mice and Men. Steinbeck shows this via the events and treatments that these two characters undergo. Their speech and actions also indicate major themes in the world they were in and how desperate the era was. Candy presents an element on the sadness in the novel; hes a unfortunate man whos passed his expiry date. Hes been involved in an accident and lost his arm and by this, he has been reduced to the swamper of the rank- a very low status job. Steinbeck may specifically choose this job for candy as a swamper (a cleaner) tends to be a job that woman generally work as and in this job, they often gossip a lot like Candy does. He does this as it is the only pleasure that he can experience in his sad rotting life. This paints the portrait of how sad Candys background may be and soon this is elaborated on even more in future events. In the middle section of the book, we see how Candy is bullied by Carlson into having his best friend- his dog put down. We know that Candy is very close to his dog as Steinbeck actually chooses to describe the dog very similarly to Candy. They are both old, physically impaired and get described generally as a liability. Steinbeck chooses to describe the dog as ancient which produces strong imagery of a dog being similar to an old antique. Although it may possess positive connotations, it is obvious due to Carlsons reaction that the dog is old, dirty and has no purpose anymore. Soon after as Carlson enforces the idea, Candy desperately tries to dismiss it. It states how he looked helplessly which shows how reluctant he is but knows there is no other possible outcome. Carlson even shows utter disrespect to his dog by pointing at it with his toe. By using his tower, he suggests that the dog is on par with the lowliest part of his body and doesnt require the effort to use his hands. Nevertheless, Candy shows no aggression to this outrageous act and concedes to Carlsons insensitive actions. Steinbeck may choose these chain of events to show how a cruel world the characters and people had to live in. It really puts forward survival of the fittest and shows how depressingly cheap life is since people can easily walk over you when youre unable to fight for yourself. Even after all the abuse he has received, Candy is still able to show kindness to others. At the point where Candy overhears Georges dream, he slowly asks whether he can join them. We know that he isnt greedy at this point since he repeatedly mentions how he would willingly try his best with jobs such as cook or hoe despite he aint much good. He also says how he is willing to give up all his money he received when he los' his hand and this just shows how he is desperately giving all he has to help them only for a little in return. Steinbeck emphasises how emotionally willing Candy is that he would trade in the compensation for something irreplaceable to him for the benefit of others. This makes the reader sympathize with Candy and understand how strong dreams are in life; how they give people hope, the strength to keep living and the strength to be a nice person again. Curleys wife on the other hand is the complete opposite. Her story plays a large part in the novel as it shows how dreams can crush peoples hope as easily and they give people hope. Throughout the novel, we have always seen Curleys wife as the problem. She is described as poison and jailbait by George which initially makes readers dislike her. We feel that she can cause the downfall of our newly made friends dreams so she is instantly given a hostility status by Steinbeck. However, he may deliberately do this to create a larger impact when we learn why she may possibly act the way she does. At earlier stages of the novel, we learn how Curleys wife loves and seeks attention. Steinbeck describes how she was standing at the doorway blocking off the sunshine in the doorway deliberately. This implies that she wants the men in the bunkhouse to look up due to the sudden change as she purposefully blocks the light off so that they would do so. It also describes how she was heavily made up that she was making a large effort to attract attention of the men. The word heavily also has connotations that she was trying to hard to an extent where it had negative effects on her. This may also symbolize her character through physical features- that her personality has been corrupted and turned ugly. In the final stages of the book, we learn what has driven Curleys wife to act in this aggressive way. Although she speaks to groups of men with hostility, when its one on one, it runs a lot more smoothly and she seems like she enjoys herself. This has a large contract since there is juxtaposition between section 4 and 5. We see her nasty side where she mock George, Lennie and Candys dream calling it baloney and scoffs at it yet even herself who has been crushed by her own dream may secretly believe. This shows that beneath this angry cover of hers, may be a vulnerable person who only feels the bitterness and jealousy of others happiness hinted by the phrase secretly believe. Steinbeck states this about the cowboy magazines to suggest what type of sad life people live in however, within dreams still lies hope but people are afraid to admit to the hope since they are scared of the criticism others show. This idea is developed implicitly mainly by the word secret. Through this attitude, people have become cynical and cold over the time which is what Steinbeck may want to show us. Curleys wife shares with Lennie her dream in section 5. The fact that she has never told anyone (which she states herself) shows how underneath all the bitterness she has experienced, the memory of the dream she once had (or partially may still have) changes her to be kind and share her deepest secrets with a stranger. On the other hand, Lennie may be an exception since he is nuts implying that he may be able to keep this secret. Furthermore, we learn how Curleys wife left home since she had a hunch that her mother stole her letters. The word stole in this context possesses quite negative connotations since Curleys wife directly accuses her own mother for betraying her. However, this was most likely an excuse and lie to herself since she couldnt bear the reality of having her dream crushed by the stranger who created it. This yet again emphasises how strong dreams were at this time which broke lives altogether. Compare how female speakers are presented in Havisham by Carol Ann Duffy and one poem from the Pre-1914 Poetry Bank. The two female speakers in Havisham and The laboratory both are presented as rather mentally unstable people. They both have experienced rejection from a man and feel belittled or embarrassed by this. However, their reactions and response to this rejection differ to a huge extent. The speaker in Havisham is shown to have rotted away being devoured by her bitterness whereas the speaker in Lab seemed to be slightly more insane driven by her jealous feelings of insecurity to try and kill someone. The bitterness from the character in Havisham is clear from the start. She describes the man who left her as a beloved sweetheart bastard. This use of oxymoron shows several possible connotations. By putting two very opposite words together- one stating strong affection and one stating utter most hate, the idea that beneath the hate she holds against him lies love for him. Elaborating on this may suggest how she may hate him as she cant have him or even because she actually still loves him deep inside. Above all, this suggests how she cant seem to let go of him and move on which presents her mental state to the readers. Likewise in Lab, we understand the feelings of the speaker through clever use of language. For instance, Robert Browning chooses to say devils smithy. Devil automatically conjures the sense of evil or corruptness whereas a smithy is somewhere where things are made such as weapons (blacksmith). These combined imply that a creation of evil with malicious intent is occurring in the poem. Soon after we discover that the protagonist has experienced similar rejection to that of Havisham. He is with her suggests that the man he wants is with another woman. By referring to them as he and her, it creates an enigmatic feeling or even that their names are insignificant and it is purely the concept that she has been left for a woman who is better than her which causes her rage. We know that she is also jealous when the speaker wishes for the other woman breast and her arms and her hands to drop dead. She specifically chooses these body parts implying that these are the parts which the other women best her at and this is why she hates them. In Havisham, the speakers reaction to this rejection was simply to rot with it burning them. She continues to feel this bitterness as suggested with the word Spinster. This word possesses a harsh consonance sound as if she spits it out with such disgust. It is also a one word sentence which emphasises it and also makes it out to be some what of an insult. The word stink and remember following afterwards reinforces this as if shes being driven crazy by the thought of people calling her a spinster. Thus all she does for the rest of her days is rot in her hate. We get the impression that shes been doing this for years since she describes how her dress yellowing- yellowing suggesting dirtying from the years its been on her. On the otherhand, the speaker is Lab is made out to be more malicious than having thoughts of hate. As she makes the poison, she describes the creation with very vivid verbal details. Grind away, moisten and mash up create strong imagery and each of the verbs hold strong care in creating something. By suggesting this care and importance that has gone into the poison, it seems that she really relishes the creation. And finally as she fantasises about how delicious the event would be, she thinks about how the dying face would be branded into the male characters mind. She wants to mentally scar him with the horrendous image possibly for punishment or to make him see how ugly the other woman is when she becomes shrivelled suggesting how her face would become contorted with agony. As she describes this with such detail and precision, the poet presents to us how malicious and bitter the speaker is. A thus through use of language and theme, the poets have successfully produces a very clear image of the bitter, hate filled speakers and how theyve become this way and even how they have dealt with this. The speaker in Havisham rotting and yellowing opposed to the minion in Lab who relishes in the thought of killing and branding someone with the scarring image of death.