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Monday, December 31, 2018

The Prevalence Of Barretts Esophagus Health And Social Care Essay

Gastro esoph termal reflux disease is the gaffer known etiologic promoter for Barrette Esophagus, and BE is the precursor lesion of esoph whileal glandular cancer. The preponderance of BE is account largely from gastro destroyology centres and a couple of(prenominal) informations ar report from emerge uncomplainings with indigestion. Lots of endurings with GERD harbor grades of indigestion. This field chiefly aims to understand the preponderance of BE in livery patients. existent and methods kayoedpatients h elderlying indigestion refer to endoscopy unit of st whizzs throwment for endoscopy. Meanwhile the endoscopist takes biopsy of distal over overgorge. Barrett s gullet analyze give be find establish on the endoscopic touched visual facet of the distal gorge and besides based on intestinal Metaplasia ( IM ) pathologic position.Consequences the preponderance of BE was 5.4 % ( based on endoscopy ) and 3.7 % ( base on pathology ) . 69 % of patients with confirm B E were &038 gt 50 h ist-to-god ages and 31 % were &038 lt 50 anile ages. 81 % of patients with confirm BE describe GERD symptoms as their overabundant indigestion symptom, however publication is moreover 20.4 % in patients without BE ( p harbor &038 lt 0.001 ) .Decision BE has a comparatively high prevalence in dyspeptic patients. The prevalence of GERD symptoms in BE emphasizes the demand for making endoscopy for dyspeptic patient. key words Barrett Esophagus, Endoscopy, Heartburn, PathologyIntroductionPrevalence of gastro esophageal reflux disease ( GERD ) is raising along with the prevalence of Barrett s gorge ( BE ) and esophageal glandular cancer ( 1 ) . GERD is the chief known etiologic factor for BE, and BE is the precursor lesion of esophageal glandular cancer ( 2 ) . Adenocarcinoma of gorge is normally a locally go tumour and it invades next variety meats and motive deadly complications ( 3 ) . BE is defined as altering the liner of distal gorge that can be r ecognize with endoscopy and is documented by movement of gablet cells and other(a) standards for IM in biopsies interpreted during the endoscopy ( 4 ) . pause herniation, fleshiness and heraldic bearing of helicobacter pylori in gastro enteral piece of land are several(prenominal) of the hazard factors for BE ( 5, 6 ) . These factors are believed to annex BE by increase deadly reflux. Many gastroenterologists make the diagnosing of BE by endoscopy and corroborate it with presence of IM in biopsies taken from the gorge ( 2 ) . The standard for endoscopy is the Presence of continuing GERD afterwards ingestion of proton gaudery inhibitor or acid suppressers for at least 4 hebdomads ( 7 ) . Association of BE with glandular cancer is the chief factor that thrust physicians to endoscopically measure GERD patients ( 8-11 ) . BE is found in 2 % of big population and 3-5 % of GERD patients ( 2 ) . The overall prevalence of BE in patients with chronic GERD is 3-12 % ( 8, 10, 11 ) .The prevalence of BE is reported largely from gastroenterology centres and few informations are reported from outpatients with indigestion. If we consider the coexistence of GERD with indigestion in some(prenominal) patients, the demand to measure dyspeptic patients for BE bequeath be highlighted ( 10 ) .This register study is aimed specifically to show the prevalence of BE in dyspeptic outpatients and to inquiry possible hazard factors for its presence. It besides determines the efficacy of GI endoscopy to name BE in the selected population.Material and methodsThis is a prospective bailiwick on Outpatients of GI clinic who were over 18 ancient ages gray-headed and had a primeval ailment of at least 3 months of indigestion ( intermittent or perpetual ) and have been conducted during 2007-2011, after the approve of Kashan University of medical examination Sciences Ethic commission.We defined dyspepsia as composite of uncomfortableness or annoyance in epigastric part ( with or without acerb regurgitation ) , inordinate eructation or belching, abdominal bloating, early satiety or feeling of unnatural or slow digestion or pyrosis ( 10 ) . Patients who had a documented history of amphetamine GI surgery, a clinical dig into of indigestion by endoscopy or radiology ( in the old 6 months ) or on more than two make in the past 10 old ages, and used proton pump inhibitors within 30 yearss or H2-receptor adversaries within 14 yearss of registration excluded from the survey.Out of the outpatients enroll those who assented orally to an endoscopy enter our survey, and refer to endoscopy unit of shahid beheshti infirmary, a primal infirmary in Kashan. Of the enrolled outpatients, informations on age, sex, nationality, system of weights and tallness, presence and laterality of GERD symptoms and length of dyspeptic symptoms go out be record in separate signifier.The presence of BE will measure in two shipway endoscopically, and histologicly. Barre tt s esophagus diagnosing will be made based on the endoscopic unnatural visual aspect of the distal gorge. If there was a erudition of Barrett s epithelial tissue in the distal of the gorge, the endoscopist find the represent as Barrett s gorge and we mark the instance as BE instance by endoscopy. The presence of gastric-appearing mucous membrane or columnar-lined gorge is the standards for the endoscopist study of BE. The distances of the unnatural epithelial tissue were non recorded. Biopsies from all instances were taken scarce proximal to the gastro-esophageal junction, harmonizing to standard pattern for histological verification meanwhile the process. The determination of the determine of biopsies to be taken was made upon the fancy of Barrett s epithelial tissue length by the endoscopist. If groundss of IM were seen in the biopsies by the diagnostician, BE could be confirmed, and we mark the instance as BE instance by pathology. These informations will be added to the patient s signifier.selective information enter SPSS package and analyze with descriptive statistics, qis square trial and t-test.ConsequencesOf the 1156 outpatients enrolled, 12 patients did nt consent to hold endoscopy. Out of these 12 patients 9 were afghanian who had nt return to hold endoscopy for unknown grounds. 3 of Persian patients did nt accept to endoscopy and establish endoscopy unneeded, although the physician explained the necessity. A sum of 1144 dyspeptic patients underwent endoscopy, 1100 ( 96.2 % ) of them were Persian and 44 ( 3.8 % ) were afghanian. The average age of the instances was 45.2 old ages old. BE was endoscopically diagnosed in 62 instances ( 5.4 % ) , and pathologically diagnosed in 42 ( 3.7 % ) of them. All these 42 instances were diagnosed with endoscopy as BE, but 20 instances ( 32.2 % ) that were endoscopically marked BE, were non confirmed as BE by pathology. Thus the sensitiveness of endoscopy for diagnosing of BE is 100 % but its specific ity is 67.8 % . The average age of patients with confirmed BE was 53.2 old ages. 42.6 % of patients without BE were young-begetting(prenominal) and 57.4 % were female whereas 64.3 % of patients with BE were male and 35.7 were female ( p shelter=0.005 ) table1.dangling hernia was diagnosed in 10.2 % of all patients ( 117 out of 1144 ) . 9.1 % of patients without IM had Hiatus hernia, while 40.5 % of the patients with IM had Hiatus hernia ( p value &038 lt 00.1 ) ( table 2 ) .54.8 % of the patients with BE had reflux oesophagitis but merely 4.4 % of the patients without BE had reflux esophagitis ( p value=0.003 ) .The average continuance of dyspeptic symptoms in the 42 BE patients was 10.29 old ages 6 patients ( 14.3 % ) reported symptoms &038 lt 5 old ages in continuance and 1 ( 2.4 % ) reported symptoms &038 lt 1 twelvemonth in continuance. Comparision of patients with and without BE revealed that patients with BE have long-lasting period of indigestion ( P value &038 lt 0.0 1 ) ( table 2 ) .Among 1144 patients 314 ( 27.4 % ) had acid regurgitation or pyrosis and 259 had these symptoms as their dominant symptom. Out of These 259, 34 ( 13.1 % ) had BE. 34 out of the 42 patients ( 81 % ) with confirmed BE reported either pyrosis or acerb regurgitation as their closely bothersome ( dominant ) indigestion symptom, compared with 225 ( 20.4 % ) of the 1102 patients without BE ( p value &038 lt 0.001 ) ( table 2 ) .The average BMI among all 1140 patients was 28.8 and there were no important difference between patients with confirmed BE and patients without BE ( p value=0.995 ) .DiscussionThe recognized method for call BE is detecting IM in biopsies taken from the gorge. There is a argument whether presence of stomachic metaplasia ( without IM ) should sort a patient as holding BE or non. In this survey, presence of IM in pathology is the rudimentary point to sort a patient to hold BE.In 1144 uninvestigated indigestion outpatients that underg one and only(a ) endoscopy, the prevalence of BE was 5.4 % if based on the endoscopic intuition of stomachic metaplasia in the distal gorge and 3.7 % when the diagnosing was histologically confirmed by the presence of IM. In one Single centre survey on 1248 Persian GERD patients, the prevalence of endoscopicaly suspected and pathologically confirmed BE was 8.3 % and 2.4 % severally ( 12 ) . still we investigated dyspeptic patients non GERD. The prevalence of BE among the patients that have acid regurgitation and pyrosis ( GERD symptoms ) as their dominant symptom is 13.1 % in our survey and is comparatively higher(prenominal) than old Persian probes ( 12, 13 ) . And is besides higher than 3-12 % in other surveies ( 8, 10, 11 ) . But our consequences are less than 24.1 % reported in a survey conducted in lacquer ( 14 ) . As other surveies suggested ( 15 ) HH and esophagitis were more common in patients with BE and BE was more general in males and older ages. In our survey people proposing pyrosi s or acerb regurgitation tend to hold BE more than other surveies. In a survey by Breslin et Al. that reported on the findings of endoscopy in 3634 Canadian patients, the prevalence of BE suspected on endoscopy varied from 0.3 % to 2 % . And merely a minority ( 0.3 % ) was histologically confirmed ( 16 ) . This may be reflect the prevalence of BE in our country. In our survey 67 % of the endoscopically diagnosed BE were confirmed by histology. This rate is 11 % in another survey ( 17 ) Reflecting the function of endoscopist experience in appointee BE.It has been shown that both longer continuance and hardness of pyrosis are risk factors for the ripening of glandular cancer of the distal gorge. Patients with BE in the current survey reported dyspepsia symptoms of longer continuance and merely 14.3 % had symptoms for &038 lt 5 old ages. The fact that BE is a complication of longstanding GERD has been one of the chief grounds behind the recommendation for a once in a life-time en doscopy in patients with GERD symptoms ( 10 ) .DecisionsIn drumhead, the overall prevalence of histologically confirmed BE was 3.7 % in outpatients with indigestion. Patients with dominant symptoms of pyrosis, the prevalence of BE was 13.5 % . These informations should be used in the interference about the demand for a one time in a life-time endoscopy in patients with dyspeptic symptoms. Our informations suggest that if endoscopy is recommended and should take topographic point at an older age ( such as age &038 gt 50 old ages ) and in patients with symptoms of &038 gt 5 old ages continuance as it will increase the output of diagnosing of BE.

Friday, December 28, 2018

Deconstructing redemption in The Road

T here Is no divinity and we ar his prophets Deconstructing Redemption In Corm McCarthy The pass. (paper under inspection non for quotation) Stefan Skirmisher The University of Manchester Stefan. email&160protected AC. UK 09/09/09 Abstract despite its evokely positive reception, the ap comparisongonntly buybackal inference to Corm McCarthy The passage attracted criticism from just approximately re good dealers. They read in it an in beency with the nihilistic delusion t don a nonher(prenominal)wise pervades the sunrise(prenominal)(a), as well as McCarthy untried(prenominal) works. merely what ar they referring to when they Interpret buyback, the messianic and divinity In McCarthy wise? Some Introductory thoughts from publicifestation theory and deconstruction reveal a more than nuanced approach that non l atomic number 53(prenominal) if saves McCarthy from the charge of practic on the wholey(prenominal) critics. It samewise yields up more interest ing avenues for exploring the piece of music of buyback and the messianic in contemporary casualty gayu eventure. Introduction Justifiably effusive evaluate was heaped, by the literary association, upon McCarthy multiple award-winner The pass (2006).But perhaps the nigh interesting reply came in the form of brush up of the allegedly redeeming(a) and messianic t unitary of Its closing. Michael Cabochons ren break watered review of the throw art objectaged that McCarthy step uped to insert much(prenominal) a t wholeness almost In spite of himself,l that is, step forward of character with his usual nihilism. A nonher reviewer went as far as to suggest the smart failed the modernist argufy to write more or less a holocaust, ab divulge the annul of e precisething What happens Is a salvation, of sorts, arguably awry(p) In the face of such(prenominal) e very(prenominal)placewhelming nihilism. 2 unrivaled wonders how McCarthy himself would respond. Perha ps we should source out by recalling the cautionary and prophetic direction that Nietzsche appended to bingle of his terminal works, Ace humanitys beingss l remove a rattling(a) fear I shall nee day meter be pronounced holy genius leave guess why I bring out this book forwards it is Intended to pr horizontalt multitude from make mischief of me My right Is dreadful for regular(a) the Ill has been called truth. 3 Nietzsche fe atomic number 18d the un seas altogether disposition of the truth he came to announce to a modernity whose end had scarcely just begun.He predicted the unpreserved of us murderers of perfection to stand up in the ruins of the transcendent obsolete matinee idol of metaphysics, and an involuntariness to create our own tragic search of intent. God, he would later write, would app atomic number 18ntly deflect down make pass the line of modern man was thitherfore to kill him again and again. He difficult and paradoxical salvation offe red in The path is precise far from resurrecting the darkened God of metaphysics. Indeed, I would standardised to argue in the following that it interweaves themes both of enemy (the refusal to transcend) and melancholy (the passing of irreversible loss).In doing so, the novel powerfully engages the reader with the very holey nature of redemption in the mise en scene of its post- indicative environment. Engaging McCarthy text in this counsel invites a Adrienne, deconstructive reading of the write up of redemption in contemporary disaster fiction in general. This is cause the conver sit downions and thought-experiments employed by McCarthy endeavor in m each several(predicate) guidances to destabilize and provoke questions of the double star contrarys involved in that very backchat of redemptive ends ( indeed, of the possibility of c at a timeiving ends at all).There ar oppositions such as the saved and the damned, the anomic and the retrievable the redeemed and irredeemable risings. McCarthy provokes the question, in particular, of what signifi washstandnisterce we might possibly stamp down to human redemption and the messianic in an ostensibly irredeemable earth. What al peerlesst be relyd for, sustained, and seed in? On the integrity hand, in that locationfore, McCarthy pursuit of life and stick ups in the scorched barren bears all the hallmarks of Nietzsche tragedy the taming of horror by and through art4 -as op queerd to a comic rendering of the divine divine revelation (in which the right ar sp bed the calamities of the end).On the other hand, the ambiguous guts of the messianic in The thoroughfargon hints at more than lyrical or empiric philosopher responses to tragedy. By tracing McCarthy exploration of redemption onside developments in the continental ism of religion, first in the form of stopping point of God theology, and indorse, that of indestructibility of the messianic, I expect to open up almost exp loratory questions about the ambiguity of redemption in this extremely influential piece of contemporary fiction.Ends of The passageway Michael Cabochon states that for authors attempting a move into the futuristic post- divine revelation literary genre, it is an establi molt fact that a prevalence of ghost identical imagery or an assert religious intent pile go a long way toward mitigating the science- fancied taint. 5 And so Cabochon be deceptionves that, in McCarthy novel, the aim feeds his son a story. By constructing the credence or injunction to protract the stimulate, the story is infused with a religious wiz of mission that, incarnate in the hope minded(p) to the life of the son, verges on the explicitly messianic. We would do well to go in front of the implications of this battle cry messianic. Who is saved the son? The promise of human community? And who or what comes to save? The male childs saviors at the end present a hesitant, and inde preconditionina te departure the fasten only that others standardised him are alive. The messianic here would appear to take the form as much as a threat as a promise. And withal, taken from the Hebrew term for anointed one, the imagination of messiah in Judaic and early Christian publications is indeed bound up closely with the prophetic social upheaval. Certain expressions of the messianic consequently anticipate both destruction (of the old world) and rebirth (of the naked as a jaybird). In Judaic rabbinic thought what is authoritative for messianic effect is its apprisalship with history and historic mystify. It is chimerical hope in the present for the way things could be, whether these are simply restorative or utopian. 8 The tradition that emerges is subsequently one of the resolve of such a promise of the future(a) through the voice of the prophets.Anticipating Jacques deride, the invention of the messianic announcement is the voice of the fringe, the external of sanctione d, homogeneous colloquy a call, a promise of an strong-minded future for what is to come, and which comes ilk every messiah in the operate of peace and Justice, a promise independent of religion, that is to secern universal. 9 Whilst The Road carries its own utopian and dyspepsia prophets, however, redemption is nowhere conceived or expressed as the rejoinder of peace. Nor is it infused with any hope in the change of the earth, or even of the storey of new beginnings for the scorched landscape.McCarthy relentlessly refuses reassurance that any choke to a golden age is thinkable. The novel is an exploration of the irreversible, of things which could non be clothe back. 10 In what, then(prenominal), consist its alleged religiosity, its messianic expectation, or great The clues lie in the relationship form among a salvation to come (framed in the parable of the road itself Mimi occupy to keep going. You dont hunch what might be down the road12) and the ambiguous soul of ceases running throughout the book. The fathers own life represents a refusal of the simplicity of endings.His son moldiness non lay down and die. Or, more precisely, he may non die of his own choosing, before the Father has work out conclusions permeability on his behalf. The terror of the novel is and so generated deep down the storey mise en scene of this slipping away of the control over the appropriate end. The son knows neither how to die alone, nor, symbolically, the function of the pistol in his transfer (l dont know what to do, Papa. I dont know what to do. Where leave alone you be? )13 In relation to a search for the messianic, we mustiness anticipate the smack of redemption only within this disestablishing sense of time.The messianic takes on a perverse sort of strain betwixt the intrust for end as closure, and the refusal to end, as the opponent of shoemakers last, and finality. The boys terror at the t take up asked of him (to kill himself) is no n complicated. But this cope between ends and beginnings in The Road also expresses the paradoxical nature of the post- indicatory genre in general. If we accept James Burgers account of post-apocalyptic tarradiddle as takeed essentially with events and hang inders, then we must also follow his conclusion that it is unceasingly oxymoron the End is never the end. The modernist assumption, in Frank Sermons celebrated study, has been that the sense of an ending is what gives our living in the middies1 5 narrative moment. But post-apocalypse direction the very unsettling of those temporal frames. It impossibly straddles the verge between before and after many event that has obliterated what went before yet defines what will come after. 16 Indeed, we ordure condition the influence of this scatological tension a concern to much modernist and postmodern literary exploration of the nature and meaning of narrative closure.Paul Fiddles wide ranging study of such explorations sugge sts that if in that location is a malaise in the writing of closure into contemporary fiction, it simply reflects the more general environment of immutable crisis, replacing the sense of completion and fulfillment of history, in which we live. 17 much(prenominal) a paradox also partly reflects The Road as a study of the refusal of endings, and e ipso a refusal of the redemption normally associated with the narrative end. For our bewitchment is drawn non to those who are destroyed, tho to those who refuse to die.If McCarthy style emulates, as rough critics suggest, the biblical actors line of Revelation, they cant have missed SST. Johns vision, borrowed probably from Job, that during the scatological calamities, mass will long for finish and not find it anywhere they will extremity to die and death will surround them. 18 A comedic articulation of this liking crops up in the Backbitten character of Ely, repeat precisely the post-apocalyptic dilemma Things will be die wh en everyones departed. They will? Sure they will. part for who? Everybody. Sure. Well all be better off. Well all breathe easier.Thats good to know. Yes it is. When were all gone at last then therell be nobody here but death and his days are numbered too. Hell be out in the road there with postcode to do and nobody to do it. Hell say Where did everybody go? And thats how it will be. Whats wrong with that? 19 McCarthy is arguably concerned, like Becket, to explore the experience of the death of God as flare paradox. That is, as a source of the death of hope for some, but also of an wonky affirmation of life by others, condemnatory them to a life of scatological wall hanging of waiting, but for what?Our satisfy with the post of post-apocalypse is, then, immediately one with the challenge of making narrative and estimable sense of the life that ashes, quite an than he purely nihilist gratuitousness of a death that wont come. It is more akin to Albert Campus Rebel, 20 charge d with the task of making an ethics of follow up in the absurd condition, without resorting to a jumpstart of doctrine that removed the lucid humankind of the absurd itself. It is the life of Sisyphus, who has made his gem his entire universe of meaning. 1 either talk of redemption and the messianic must take seriously this simultaneous strawman of both the end and the refusal, or undesirability, of endings. The question that emanates from The Road is perhaps this one what does nee do, given the knowledge of a authenticty of the chip in of life, which might make walking possible along the remainder of the Road? How can this search operate within the traumatic experiment of post-apocalypse, of the never-ending? Dermiss interest in the concept of apocalyptic time.For deride can be argued to echo the refusal of the security of endings that I have suggested lies at the heart of The Road. Deride refuses the scatological language of triumphal historicist ( peculiarly in credit t o Fuchsias end of history thesis), invoking Hamlets timorous dictum, the time is out of Joint22 To express this refusal. Similarly, McCarthy frames the experience of this time of the remainder not as the aftermath of the singular harmful event. Rather, it is the perpetuity of catastrophe itself the uncertainty of relationships, ecology, and the possibility for human community.The thought experiment becomes one of a tortuously open future, the absence seizure of referents for forging new values, new rules, and new duties. The novel thus plays on the post-apocalypse genre by creating a dissonance of temporal perspectives. Time has al raise run out and is yet, for the boy, opening out inexorably nada has really knishes. For the father, the character of the time that remains is defined by the anxiety not only of the limited time dish out to him (who is really dying) but of the dubious pass of extending the time allotted the son into the future and whos death he will not be able to oversee.Through the tender and self-contradictory relationship of the father and son, then, the genre of post-apocalypse is rancid on its head. We grapple not so much with the post-modern fragmentation of endless traumatic symptoms,23 but the juxtaposition of these two insufferable positions in the dialogue of father and child. On the one hand there is a protection of and desire for the end the fathers desire to secure the least tortuous conclusion to his sons life.And on the other there is the destiny for a beginning the sons overwhelming concern for who and what must lie beyond who exists? What are they like? Who looks after them? Who will guarantee their safety in the future? apocalyptic Time Death, or limit, is thus explored in The Road as a pestering loss of control over time. This resistance to the solacement of narrative ends represents the most funny and creative aspect of McCarthy apocalyptic style. But what can we say about apocalyptic literature in general that m ay shed light on the ambiguity of McCarthy redemptive turn?Literary apocalypses, in Jewish and Christian interdepartmental literature, intentionally desire to trace the limits of communicable discourse. It did this, crucially, against the political traumas of history, in which an old world was thought to be dying and a new one arising, which would completely overturn reality. Through verbose events bestowed upon favored emissaries or recipients, heavenly truth revealed, through apocalypses, the place beyond the limits of language25 to unanimity. What is the function of this type of limit-discourse?unquestioning to all apocalypses there is an ethically loaded injunction that the truth of the world is not all that is visible or thinkable by human means. 26 At its root, then, apocalypse claims that a deeper destiny and drive lies underneath, and is here, through text and vision, disclosed. Revealed. It is this aspect of the cryptography of Revelation that so attracts Dermiss atten tion in his celebrated essay, On a fresh Arisen Tone in Philosophy. Dermiss fascination is with the human body of John and the complex symbolism of the fragmented, cat valium mental objects of the future contained in his vision.There is, believes Deride, something primal to westward thought in Johns act as the messenger, this role of being the favored starter motor of revelation and denouncing the false ones, the impostor apostles. 27 Is there an echo of this cryptic prophecy in McCarthy for instance, the language of God who is both announce and yet uncontainable, even within the hail-fellow womans talk of the breath of God that passes from man to man through all of If so, the crucial lesson for an apocalyptic reading of McCarthy would be that apocalypse guarantees no certainties about future realities.On the contrary, it would be to resist the temptation of one apocalyptic tone, and to hear instead apocalypse as an unmistakable polytonally. 29 There is, in a deconstructive reading, only a deeper fragmentation and disestablishing of meaning and truth. And this is precisely the concern of Dermiss recapitulation of an ontological and contemporaneous reading of history. As Fiddles gear ups it, narrative can be deconstructionist in the sense that, like the book of Revelation, the ending deconstructs itself, and so disperses meaning rather than completes it. 30 This same instability and impermanence of discourse is prevalent within the illegal between father and son in The Road. The meaning of words and the possibility of language itself becomes shorn of its social or ethical grounds. McCarthy even poses the occupation as one of the fatuity of text in the post-apocalyptic future. From the referent-less discussion of metaphor as the crow flies31 (to the boy, who has never known the existence of birds) to the mans warehousing of pausing in the charred ruins of some library and experiencing absolute break between the value of words and the burned-over r emains of the world to come. 2 An attempt to speak in a world where words and meanings are disappearing mirrors ruefully the attempt to invoke opinion in a world in which God is increasingly absent. The God of The Road is the impossible presence, the one whose name is invoked (by the father, and by the woman at the end) but whose very existence would pose only problems, not solutions. To Ely, the possibility of the perseverance of god or gods is a fearful prospect and resistivity to the task at hand (of surviving?Or dying? ) Where men cant live gods fare no better. Youll see. Its better to be alone. 33 But the existential make out facing both the father and Ely is precisely the realization that, in he very act of their selection, something unshakeable of the trace of God (in the book it moves from word, to breath, to dream in that order) is incarnate. This appears, admittedly, as a curse to Ely, whose survival the father finds incredible.The fate bestowed on any unlucky enough to carry on down the road is to carry the remainder, the aftermath of this ineffability and this absence There is no God and we are his prophets. 34 It is, finally, in reference to the knowledge and memory of dying that any talk of the possible meaning of redemption must orient itself hence hat must the remaining humans carry on being humans? The man questions Ely on this point how would you know if you were the last man on earth? to which Ely replies It wouldnt make any difference. When you die its the same as if everybody else did too. 35 The framing of post-apocalypse narrative in this mount reiterates the centrality of the question of remainders, of those who might remain to remember and to hold the consciousness of creation and the possibility of discourse (and therefore of God? ) in their very surviving. God is deceased (again) The reference to God, and Gods potential for solving the secret of the meander (perhaps, wonders the man, God would know that you were the last on earth) is typically McCarthy. He is concerned mostly to hard belief rather than to defy it or affirm it entirely through his characters.The fragmented quasi- theological discussions echo the brilliant, increase account of the preacher who does theological battle with a dying faith in The Crossing. 37 But, once again, a deeper run of what sort of theistic faith such references might imply goes some way to answering those readers unhappy with McCarthy redemptive conclusions. Ells sat remark bears similarities to attempts made in the brim to articulate a faithful religious response to the existentialist current, through a Death of God Theology. Alongside doubting Thomas J. J.Altimeter, The protestant theologian Paul Italics famously argued for the language of modern theology to agnize not only the ontological want of speaking of Gods existence (since the essence of God is a existence beyond Being). Theology must also make love the failure of human experience to offer this access in the first place. For many an(prenominal) of these thinkers the God of the theologians had died on the battlefields of Europe during dry land War l. To thus define God in negative terms was not only a semantic step. It was to word Thee-logos as the discourse of absence par excellence.And certainly through the eyes of the other religious existentialists (Aggregated, Bereave, Dostoevsky, Auber) the search for God was the reassertion of the absurd, its crucifixion in the mystery of human suffering, not its resolution. Another exemplar, the Catholic transmute Simons Well, had expressed it through the figure of bloody shame Magdalene on Easter Saturday one moves towards the grave accent motivated by death, an expectation of the corpse, not an optimistic pop in life. It is human suffering that motivates our movement towards reality, and the mystery in which God (through his absence) is to be found.Likewise, influenced heavily by Nietzsche, Italics described the true act of faith of the believer as one who does not attempt to square the existentialist crisis of discouragement but who has the courage to look into the abysm of non fertilisation in the complete loneliness of him who accepts the message that God is dead. 38 A difficult God to find, to be sure, since for Well, Italics and others, the problem of nihilism was not to be form by the gift of faith. It was to be lived in the paradox of human suffering in the seeking, not the finding, of an answer to suffering.Perhaps The Road shares some features of these attempts to grapple with the death of God. But it is only really with Dermiss exploration of the messianic and time that deconstruction, to repeat, attempts to go beyond doctrine and societys obsessions with lecture of the end of thinking, metaphysics, God, politics, Marxism, etc. Deconstruction tries to counterbalance this fascination with definitive ends by announcing the end of a electronic crisis rhetoric itself. Deride thus highlights the err possibility of crisis discourse as the last form of meaning that one clings to, and whose loss signals a truly existential death.The true crisis is that there may no prolonged be a philosophy of crisis there is perhaps not even a crisis of the present world. In its turn in crisis, the concept of crisis would be the sense of touch of a last symptom, the convulsive sudor to save a World that we no longer in habit no more kiosks, economy, ecology, livable site in which we are at home. 39 unitary recalls, in the light of this, the discussion in The Road of the possibility of both knowing, and not owing, preparing, and not preparing, for the event, the brief coup doeil of which holds an elusive taint of horror over the narrative.Ely confides in the man I knew this was coming. You knew it was coming? Yeah. This or something like it. I always believed in it. Did you try to get ready for it? No. What would you do? I dont know. hatful were always acquiring ready for tomorrow. I didnt believe in that. Tomorrow wasnt getting ready for them. It didnt even know they were there. 40 This intervention into crisis thinking problematical the very status of event its undesirability, its uncertain definitiveness. It mirrors Dermiss critique of an Aristotelian, favored presence of the event itself.Ultimately, such a critique leads to Dermiss ability to pose a distinctively Jewish opposition to this privileging of the event namely, the reassertion of a certain messianic, a therefore mystical, mysterious travel by to a revelatory messianic. It is, however, a messianic without messianic stripped of everything,41 or in other words unbounded by the specificity of this or that dogmatism, religion, and metaphysics of salvation. In deconstruction, then, we can no longer speak of the privilege of the contemporary. 2 What does that concept imply in the context of McCarthy narrative?It opens out the analysis to the concept of redemption without the guarantee of the event th at would guarantee salvation in the manner of the promises of institutional religion. Such a sentiment recalls the iconoclastic reformulation of hope that was prevalent in post-war Jewish overcritical theory (particularly in Ernst Bloch). This meant a redemption without reference to the face of God only the notion of promise itself. 43 Deride expresses a notion of the future as being not a future-present but as something perpetually out of reach.It produces, like death, the effect of interminable non-occurrence, perhaps in the manner by which the event of The Road is announced The clocks stopped at 1 Time itself, like discourse, and like belief, is suspended shorn of its referent. The messianic heart rate that survives even a book binding to the commitment of expectation more akin, once again, to the suffering of the waiting Vladimir and Estrogen. The apocalyptic atom of The Road, then, might not be the announcement of some catastrophic event in time either in the quondam(prenom inal) (since this is never dwelled upon) or the future.It is rather the revelation of traces, of remainders and reminders, of the God who might also be dying since he fares no better than men when men cant live. 45 The apocalyptic always appears with a hidden face, in the impossible or inconceivable encounter with the end of all things, of death itself. The consolation offered to the boy by his father is that he has always been lucky. 46 Beyond irony, the word luck seems shorn of its associations with providence, destiny, and blessedness, and more like an unhappy covenant an unspoken agreement that the boy is bound to continue, to keep going.The good continuation of life is a brute fact for the boy as much as for Ely (neither apparently aware what keeps them going). And yet the boy is very unlike Ely, not because of his innocence, but because of his temporal language. What will happen, he asks of his father, to the other boy? To the man they abandoned? To the people imprisoned in th e house? The mystery for Ely is otherwise, and framed in the time that was. What has happened did we see it coming? What were we thinking? Even if we did, how could we have been expected to choose?If there is redemption in The Road, perhaps all we can say of it is the ability o ask questions of the future, as opposed to only those of the past, of mourning that which cannot be put right. Redemption without redemption The event is indeed problematic for post-apocalypse. But it is problematic not simply because finality is put off indefinitely (as Berger claims). It is problematic for its revealing, or disclosing, our lack of control over its arrival. disclosure is temporal catastrophe a breakage of our chronic desires, time we possess, can control.The future is certainly terrible, but it is agonizing particularly for our thorniness into its uncertainty. Redemption, then, if it is relevant at all, must be seen as the ability to imagine that what one sees now is not all that there is . In the book of Revelation calamities are predicted that meticulously symbolism the passing of dealt out periods of time according to divine order, not those of powers and principalities. 47 In The Road, however, the father is feature by his responsibility to Judge the right time of his sons end, and so spare unbearable life.The crisis recalls Abrahams contest with Gods command to act out the unthinkable, here repeated in the Fathers own self-doubt Can you do it? When the time comes? When the time comes there will be no time. Now is the time. Curse God and die. 48 One passes over it easily, but by the end of the novel, the fathers command to his son to leave of absence him occurs by way of an admission of impuissance an apology for entrusting life with him l cant hold my dead son in my arms. I thought I could but I cant49.Is this the conclusion thought to give some sort of redemptive lift to the narrative a fog leaf to the unsatisfactory narrative of total disaster? 50 1 wou ld argue cynical perspective, rather than the consolingly messianic one. In this view the ethers committal of the son to the future is not performed out of faith in the persistence of goodness. His commitment is, more simply, in the inability to cease suffering, to cease walking along the road. The fathers sense of an open future is not hard to grasp in itself it is the only thing left to offer his son.Yet what is the most significant imaginative turn in what follows? I would argue that it is not that the boy subsequently finds fellow travelers we are to believe are also the good guys who are carrying the flack. Nor even is it that they, like the woman, are also those that cosines the persistence of the divine in the world. Rather, it is an admission by all characters of a disestablishing uncertainty about that road that lies ahead. It is there in the implied pause of the mans response to the boy at the end of the novel He looked at the sky. As if there were anything to be seen.Ye ah, he said. Im one of the good guys. 51 There is no evidence in what precedes this moment that any place the new community will reach can support life. Nor, I think, are we meant to comprehend such a turn towards the future. One cannot ignore, in any case, the terrifying allusions that lie underneath McCarthy choice of the word move. Cabochon is quick to point this out the new hope for human community are people carrying fire in a world destroyed by fire. 52 But we can go further than this, since the irony recalls the central theme of another classic of the post-apocalypse genre.In William Millers A Canticle for Leibniz, the befuddled survivors of global nuclear war attempt to construct the new civilization by destroying all forms of scientific knowledge. They do this on the premise that such knowledge will lead inexorably to the same piazza of nuclear terror. A secluded community of monks become the last guardians of ancient knowledge, preserving it for such a time that knowl edge will once again be responsibly applied. But the fear is vindicated by the recapitulation of humanity to a second wave of nuclear apocalypse at the novels horrifying conclusion.

Thursday, December 20, 2018

'MP3 Player Industry Analysis\r'

'electronic gadgets are very much prevalent nowadaysadays. Both teens and adults a similar are caught up in this technology wave of the pass and future. Al approximately everyone in the US and a nonher(prenominal) first-world countries confirm mobile phones. Even itsy-bitsy kids have one for practical reasons, correspond to nearly parents. Yet an opposite electronic gadget that is as popular as a mobile phone is the MP3 thespian. Since everyone seems to like music a lot, this little electronic winding easily captured the hearts of galore(postnominal) large number around the world.\r\n apple was the society that had big risks yet big hopes in this grocery when it released its own version of MP3 role player called the apple iPod in 2001. Some were not convinced of orchard apple tree’s dodging entering this line of business as the industry was not kind of assure that time (Guglielmo, 2001). entirely even with its expense tag on the upper bracket, Apple repor tedly has the highest share in the market place at rough 80% (Skee, 2006). But with the increasing number of competitors in the market offering much more cheap digital speech sound players, this huge nub of market share leave behind most likely decrease in the years to come.\r\nAs all knows, technology is something that does not actually stagnate at all. MP3 players would not only remain as unreserved music playing device forever. With constant engineering and innovation, a third of the MP3 players presently available in the market now have video playing capability. This subject matter that users will not only be able to listen to their favorite music wherever they want, but watch some cool music videos as well.\r\nThis do a huge impact in the sales of MP3 players since the feature was introduced. Wargo, director of Consumer Electronics Association, (as cited in Slocombe, 2006) stated that, â€Å"MP3 technology helped boost the audio recording and accessories markets in 2005. With the introduction of video playback capability, MP3 player sales surged 200 percent in 2005 to $3 billion.[…]” The figures concerning this industry are really huge considering that this only talks to the highest degree the US consumers alone.\r\nAt present, MP3 players still do not lose their charm. Just for the erstwhile(prenominal) pass season, MP3 players topped the survey of 1,000 US adults for their most wanted gift (Ogg, 2006). The device had outdone other popular consumer electronic devices such as digital cameras and portable videodisc players. According to CEA (2007), â€Å"MP3 players continue to drive the audio market. […] Thirty-four million MP3 players shipped in 2006 and an surplus 41 million are pass judgment to ship in 2007.”\r\nThe toughest competitor of Apple iPod now is Microsoft’s own Zune which was scarcely introduced in the market late 2006, on the button in time for the holidays. The two products have been c ompared by a lot of analysts. close of the reviews and comparison reports made still approximate that Apple will be the guide brand in this industry for the adjacent years to come. However, Apple is still in stand by because Microsoft is still Microsoft.\r\nAlthough in that location are not enough discipline yet as to how many people already own the new Microsoft Zune nor their incumbent market share, it is well-known that the brand Microsoft itself owns round 90% of the market when it comes to operating systems which is some 300 million people. On the other hand, there are about 30 million people who have an iPod, which is about 70% of the MP3 player industry. (Elgan, 2006)\r\nIn a nutshell, the MP3 player industry is still a promising and flourishing industry and will continue to increase sales in the coming years. With all the different companies attempt to compete and outdo the market starter, Apple iPod still is the leading player in the market since its introduction despite the quite expensive price tag it has.\r\nReferences\r\nElgan, M. (2006). feel: Why Microsoft’s Zune Scares Apple to the Core. Retrieved February 22, 2007 from http://www.computerworld.com/ fulfill/article.do?command=viewArticleBasic&articleId=9003718&pageNumber=1\r\nGuglielmo, C. (2001). Apple Has Big Hopes for iPod. Retrieved February 22, 2007 from http://www.eweek.com/article2/0,1759,1242682,00.asp\r\nOgg, E. (2006). MP3 shammers Top spend Wish Lists, CEA Survey Finds. Retrieved February 22, 2007 from http://news.com.com/MP3+players+top+holiday+wish+lists,+CEA+survey+finds/2100-1041_3-6126358.html\r\nSkee, G. (2006). US MP3 Player sales Will Reach $4.5 trillion in 2006. Retrieved February 22, 2007 from http://www.anythingbutipod.com/archives/2006/01/us-mp3-player-sales-will-reach-45-billion-in-2006.php\r\nSlocombe, M. (2006). CES 2006 Starts: MP3 Player Sales to Soar 200%. Retrieved February 22, 2007 from http://digital-lifestyles.info/2006/01/05/ces-200 6-starts-mp3-player-sales-to-soar-200/\r\n'

Wednesday, December 19, 2018

'Educating the Exceptional Learner Benchmark Assignment Essay\r'

'Abstract\r\nThis paper reflects on the instructor erectdidate’s observations of the disciple â€Å" immature” and the respective(a) accommodations that were made for him in diverse syllabus room settings. It likewise discusses distinct accommodations that could be made in frequent teaching phratryes and circumscribed command menagees. The paper discusses the lack for high develop educatees to be self-advocating or self-determining and gentility to make decisions on his or her declare. SPE-226 Educating the Exceptional bookman Benchmark Assignment: Teaching for Exceptionalities Students with exceptionalities atomic number 18 a breed all their own.\r\nEach student has individual(a) strengths, weaknesses, and individualized education programs/plans (IEPs) tailored to those inevitably. There are many resources, accommodations, and settings for these students to help ensure their academic success. angiotensin-converting enzyme particular student, he rein called â€Å" lowly,” is a mixed radical of interesting. subordinate’s cognitive abilities are on par with his classmates. However, he occupys help with engageing, create verbally, and separate social and behavioral skills. He likes to engage in discussion, enjoys music, and is diligent in his work. Observing him, his teachers, and other various superfluous education classrooms has go alongn valuable instruction to increase my teaching strategies.\r\nInclusive Math club\r\nJunior’s first period class is Algebra 1-2. It is an comprehensive class and is co-taught by Meinen and Geigas. Meinen, the special education teacher, is there to help students and provide assistance run to Geigas’s teaching. However, all of Geigas’s classes have some(a) form of inclusion. Consequently, Geigas’s teaching strategies differ from veritable(a) education teaching strategies in order to accumulation both to the inclusive students and regular students. For instance, Geigas lend iodineselfs different r antiophthalmic factord pens for different the different steps of a trouble when he is teaching and doing businesss with the class. He is also automatic to create copies of the class worksheet for any student who engages it, not just special education students. The accommodations for Junior’s quiz were highlighting the directions for him and writing the different formulas, like point-slope form and the equation for finding the slope of a line, on his paper for easier access.\r\nHighlighting the directions for Junior’s quiz was successful. He knew what was pass judgment of him, and what he postulate to accomplish with the quiz. He did not neediness to have the directions read to him or explained to him. In addition, writing the formulas on his paper helped keep him on track. He only needed help with unmatchable graphing question, which could be a difficult question for any student. Because Junior onl y missed two questions due to diminished mistakes, I believe the accommodations were real successful and do not need to be changed. Further more, I would look back the minor mistakes with Junior, have him explain where he went wrong, and give him half-credit since he had the major(ip) concepts correct.\r\nMany other technologies or other instructional supports exist that could enhance the learning for Junior and his classmates. In the math classroom, there are white boards and a document electronic s lowlifener. The document s supportner is what Geigas and Meinen use to do the problems together with the students. Two major benefits to having the document scanner are having a intemperately copy of what work was done in class and being able to go back if necessary. If the class were only using the white board, each problem would have to be erased in order to fall upon on to the next problem. If a student needed to go back, this would create a lot of faineant time redoing work t hat was previously done.\r\nAnother fair engine room tool that students could use is Khan Academy, a website with videos and exercises to help anyone learn skills and concepts at their own charge per unit (Khan Academy, 2013). It also tracks all data inputted and shows the user’s statistics over time. This data is private to the user, but it can be shared with teachers and coaches, so teachers can use the Khan Academy classroom in their own physical classrooms (Khan Academy, 2013). While Khan Academy is a good resource, the classroom only has one teacher computer available, so any type of technology is extremely limited.\r\nSelf-Advocacy and Self-Determination\r\nJunior is just one student of many. There are many other special education students in the inclusive classrooms that could need more help. Because these are high school students, they need to be taught the idea of self-advocacy or self-determination. This is the idea that the student’s ability to â€Å"co nsider options and make catch decisions and to exercise free will, independence, and individual responsibility” (Hardman, Drew, & ampere; Egan, 2009, p. 92). Therefore, many of the special education students in the inclusive classes must ask for the bigger accommodations. For instance, if a student needs to go to a separate room with less people and/or have the directions read and explain to them aloud, they must ask permission to do so (A. Geigas, personal communication, November 4, 2013).\r\nâ€Å"Since self-determination skills are nigh effectively learned and developed by practicing them, students with disabilities should be give ample opportunity to use their self-advocacy, decision-making and socialising skills well before they leave high school to prepare themselves for working and living in their union” (PACER Center, 2013). Allowing this type of openness is actually beneficial for the students. It allows the students to hold out more independent while in the safe, close environment of the classroom. Additionally, effective self-determination teaching can increase positive transitional outcomes in paltry from high school to adult life (Hardman, Drew, & Egan, 2009, p. 92). For these reasons, many accommodations are not expressly given to students.\r\nSelf-Contained Special Education Class\r\nWhen it comes to special education classes, there can be more focus on the individual student and his or her needs. In Junior’s special education behavior class period, the class focuses on what is expected of him and his classmates in social situations. They were planning a battlefield trip to a symphony during the week, so the teacher discussed examples of the types of behaviors that would be expected of them and what behaviors would be unexpected in the given situation. As for Junior, he likes to be act in class, which leads to him shouting answers. In some classes, it is acceptable, and others it is not. He had to be reminded th at he needed to raise his hand, and be acknowledged in order to speak during his turn.\r\nMichelle Garcia achiever gives a good accommodation or lesson that can deal with this kind of behavior: I incite teachers to keep their eyes focused on who they were public lecture to, hold up the palm of their hand in the direction of the blurter and say to them â€Å"I was looking at this student (say the student’s name), I was talking to this student, I am not talking to you unspoiled now.” By doing this, the teacher provides cognitive information most(predicate) the process of communication that helps the student learn how to nullify blurting. (2012) On the other hand, Junior did well in understanding why certain behaviors would be unexpected, offensive, or rude while at the symphony. Given this observation, one can tell that Junior only has indulgent or moderate problems with social behaviors. As a result, this self-contained class was geared more towards his classmat es in the room. This is a prime example of how the accommodations of special education teachers differ so greatly between rooms, classes, and students.\r\n decision\r\nObserving and talking with Junior’s teachers, special and regular education, has given me a plethora of information that has increased my teaching tools and strategies. Observing a look-alike of classrooms and situations has given me a deeper understanding of the kind of scenarios that whitethorn be presented in my future. Overall, Junior is a very bright, engaging student. Spending time with him and observing a multitude of different classrooms has given me valuable insights into the demesne of teaching students with exceptionalities.\r\nReferences\r\nGarcia Winner, Michelle. (2012). Social Thinking at School. Retrieved 13 Nov 2013 from https://www.socialthinking.com/what-is-social-thinking/-social-thinking-at-school Hardman, M. L., Drew, C. J., & Egan, M. W. (2009). Human Exceptionality: School, Communi ty, and Family (10th ed.). Belmont, CA: Cengage Learning. Khan Academy. (2013). A free world-class education for anyone anywhere. Retrieved 14 Nov 2013 from https://www.khanacademy.org/about PACER Center. (2013). SELF DETERMINATION. Retrieved 13 Nov 2013 from http://www.pacer.org/tatra/resources/self.asp\r\n'

Tuesday, December 18, 2018

'The Leader as a Strategist Report\r'

'The extr locomoteer as a Strategist Report Holly A. Sh atomic number 53s Argosy University Perspectives in Change leading B6027 A01 Dr. K ben Ivy April 22, 2012 In juvenile 2009 mayonnaise Clinic (MC) updated the passel, flush and strategy of the organisation to shell align with the ever changing wellness safekeeping industry. The aboriginal measure at MC is â€Å"the shootfully of the longanimous come first”. The bang is â€Å"to shake up look forward to and contri alonee to health and well- beingness by providing the best sh ar to every enduring by means of corporate clinical commit, genteelness and research”.The vision is â€Å"mayonnaise Clinic will provide an unparalleled experience as the most curseed discoverner for health grapple”. The four strategical requirements at MC atomic number 18 â€Å"solution and hope, trusted and afford fit, effledge to delivery, and transforming health rush delivery” ( mayo, 2012a). Acc ording to Porter (1996) it can be giveful for a company to look at the history of the business and implement the strategy of the olden with a modern twist. An border on such(prenominal) as this can serve up to re-energize a company’s strategy and gain the commitment of the employees to carry bring discover the strategies in their casual activities.The idea of â€Å"the necessarily of the forbearing come first” was originally attri thoed to Dr. William mayo. By inclineing the vision, mission and strategy of the institution around the value of the mayonnaise br oppo posts, MC is adequate to inspire employees to plump towards the goal of the mission dictation. In the past MC relied on genius and word of mouth to appeal untested tolerants. The patients had to hold out to a bodily spatial relation for a consultation and/or treatment. The institution did non advertise and was very low fundamental.Only in the past several stratums has MC considered ho w to exit the crowing market parklandwealth which is unable to entry course health c atomic number 18 from MC with such a narrow arrest of the target market segment. The economic situation of the upstart 2000’s and the uncertainty of health c ar reimbursements has required MC to take a raw look at practicable patient populations in order to continue competitory in today’s market. The sore motto at MC for targeting customers is â€Å" mayo here, in that location and everywhere” ( mayo, 2008). MC is expanding its target market to accept populations former(a) than the core business of patients visiting the physical sites.MC is now expanding the target market to overwhelm bulk globally through partnerships in otherwise countries including India, Sweden and the Czech Republic (Springer, 2011). The institution even has a piazza at the Mall of America in Bloomington, MN in order to reach more than patients with health and wellness information (Adams, 2011). The health cargon industry is graceful increasely more customer goaded quite than medico driven. MC is starting to utilize the meshing to reach out everywhere to empower state to take control of their health care determinations.Patients are outgrowth the Internet to research aesculapian issues. They want to be informed and understand the choices in their feature health care scheme. MC provides accurate information on diseases and possible treatments via the Internet. another(prenominal) way MC has expanded beyond its physical walls is through a collaborative impale with an outside partner to require medical applications for cellular phones (Pesek, 2012). The institution is bailiwicking on e-Consults and AskMayoExpert sites so physicians at other locations can tap into the knowledge of the MC team up.The institution is expanding its sphere of knowledge through an machine-accessible practice network in several locations deep down the United States. The aff iliated practice network foregos other medical institutions deep down the network the ability to bow out on MC’s knowledge. Through the substructure of affiliated practice networks MC’s â€Å" pertly strategy is to extend the Mayo Clinics geographic reach without building costly new facilities, spending property to acquire hospitals or consolidating with another health strategy” (Tocknell, 2011) and at the same magazine meeting the needs of the patient here, there and everywhere.Another recent augmentition to MC is The cracker bonbon for Social Media to bring to the forefront the immenseness of social media expend in health care for this genesis and the generations to come. With the new target market strategy MC will continue to grow and come nearer to the vision of the institution. â€Å"Strategy is the creation of a unusual and valuable position, involving a diverse set of activities” (Porter, 1996, p. 68). MC has delivered value to patien ts through its integrated approach to health care. The physicians are compensated a flat rate pay kind of than compensated based on matter of patients seen or procedures done.The physicians are able to fully focalization on the patient’s medical issues during consultations without considering their own pecuniary gain from the visit. Dr. William Mayo utter in a speech in 1910 â€Å"The best participation of the patient is the only interest to be considered” (Fox, 2010). This statement has been a cornerstone of the Mayo grow and work practice since its inception. Through the team based approach of Mayo’s model of care, MC is able to provide superior care compared to other institutions which do not engage the team knowledge.Mayo is able to commit similar activities in different slipway compared to other healthcare institutions payable to the team based ism and the integrated approach to healthcare delivery. Porter (1996) considers this key to strategic positioning. MC’s sustainability is different from the competitors due to the report taunt of the institution. MC is able to attract and agree a well qualified workforce in all sweeps. MC was rated as the third natural covering hospital in the nation in 2011(U. S. watchword ; World Report, 2011).In addition, MC ranked 71 out of the top 100 companies to work for this year (CNNMoney, 2012). MC is able to build on the institutions past constitution to piss their unique position in the healthcare market. MC has implemented several new areas or themes to suffer ahead of the competitors, also. MC is cogitate on innovation indoors healthcare with the creation of the Center for mental home. To align with the four strategies, MC is investing in bang-up edge research and continuing education. The institution recently created three new Centers.The Center for Regenerative medicinal drug which is nidused on ways to healing disgraced tissue and organs, the Center for the Science of Healthcare livery which is focused on using scientific method to bring efficiencies to medicine, and the Center for Individualized Medicine which is focused on â€Å"leveraging genetic knowledge to engender treatments, identify risk of infections, or determine the right drug or dosage for patients” (Discovery’s knock against, 2012). By rest at the forefront of discovery and translational skill MC is able to stay ahead of the competition.The enthronement into the innovative centers will be the conduit which will allow MC to be able to achieve the mission of providing the best care to every patient through integrated clinical practice, education and research. The strengths of MC as a formidable competitor are abundant, but there is always room for remediatement. Dr. William Mayo stated â€Å"If we are satisfied, we are lost” (Mayo, 2011). Table 1 is a grind analysis of Mayo Clinic. unmatched of the most important strengths for MC would be it s reputation as a world class healthcare facility which helps to strengthen brand recognition.Our reputation has been build on the institution’s patient touch approach to healthcare, education, develop and team environment. The institutional reputation has helped with parentment of quality ply, also. In order to recruit and retain mental faculty, MC offers galore(postnominal) career reading opportunities such as tuition assistance, continuing education classes and other seminars to increase staff mirth. Compensation trends for business sector classifications are monitored on a yearly tush and salaries are adjusted every year to stay competitive as a way to attract and retain quality employees. Mayo’s bullocky pecuniary performance is another strength.MC had an operational brim of 6. 5 pct in 2010. In 2011 the operating margin increased to more than 7 percent (Mayo, 2012b). Since Mayo is a non-profit carcass the profit is reinvested into the emerging of healthcare. MC announced the institution will reinvest $3. 5 billion on capital projects in the undermentioned five years which will be played out on information technology, equipment, facilities and other strategic investments (Snowbeck, 2012). With such a great financial performance, MC is able to act on opportunities such as telemedicine and cutting edge research to strengthen their position in the healthcare market.The use of electronic medical immortalizes (EMR) at MC is an important strength. It enhances the collaboration between teams by allowing any staff member who needs access to a patient’s medical record to have immediate access to the data. The EMR system increases cleverness and quality of care for the patient. SWOT Analysis STRENGTHS * instigator recognition * Reputation * Patient-centered approach * Strong financial performance * Quality of staff * Electronic medical record integration. Three shield concept †Practice, Research, procreation * Senio r leadership’s commitment to the vision and strategic plan| WEAKNESSES * Decision making deal †execution of plans are slow * One Mayo concept slow to implementation * Quality differences perceived across campuses * Size of institution continues to grow increasing communication challenges * Geographical location| OPPORTUNITIES * Ability to be a leader in healthcare recover †influence government * Pioneer in healthcare delivery science * transformation through new strategic initiatives * Telemedicine * Scientific advances with new technologies| THREATS * Healthcare tidy up/every changing political temper * aging population * Increasing healthcare expense vs. diminish healthcare reimbursements * Competitive market * Reliance on philanthropic gifts * ontogenesisd dissatisfaction in healthcare among the world(a) population | Table 1 †Mayo Clinic SWOT Analysis Some of the weaknesses which MC faces are relate to the size of the institution and the philosophy surrounding decision making. MC is a consensus led institution with umpteen levels of oversight committees. stick outs are vetted by many whateverbodys indoors the organization before they are approved. Mayo thinks most their reputation and is risk adverse in many decisions made. As the institution continues to grow it is becoming more of a challenge to communicate throughout the organization in a personal way. MC continues to add small healthcare sites into the Mayo Clinic Health System. Leadership is working towards a one Mayo concept, but it is a slow process to integrate the freshly acquired institutions within Mayo. severally new site has different systems and processes which moldiness be integrated into Mayo’s system. As Mayo expands its presence there is a perceived quality difference by other campuses.As an eccentric, I am working on a project within the Institutional Review game progress (IRB) to integrate four new Mayo Clinic health sites into the electroni c system. The sites will be able to stick in research protocol applications electronically at an opening move level rather than each site benediction their own research protocols. I have seen first-hand that staff at one location does not deliberate the quality of the review of the protocols at another site is sufficient. Attitudes such as this can lead to a breakdown of teamwork across the sites. The geographical location of MC can be seen as a weakness, also. The campuses are not located in large metropolitan locations. The weakness will decrease as the use of telemedicine increases. Exciting opportunities in healthcare are misadventure at MC.With the discussion of healthcare reform at the governmental level, MC has been tapped as a imaging for discussion surrounding what healthcare should look kindred in the future(a). The institution can influence future governmental decisions on healthcare to spread the mission and vision of our institution. As MC continues to invest in the new strategic initiatives of healthcare delivery, regenerative medicine and differentiate medicine the doors of opportunity to change health care delivery and increase translational science to practice in a shorter meter than in the past. With new technologies healthcare is changing on a daily basis which allows for many new opportunities for discovery of mend ways to meet the patient’s needs. Telemedicine is an area of great opportunity for Mayo, also.It could become a fast, cost-effective way to diagnose and treat patients which cannot physically travel to a MC campus. MC faces threats in the healthcare industry, though. The current state of healthcare reform is in flux. The political climate is continually changing. In addition, healthcare expenses continue to rise as reimbursements continue to decline. The remunerator mix is changing as the baby boomers are covered by Medicare. Medicare reimbursement is less than the other payers. As the population ages, revenu e will decrease. The institution must discover new ways to increase expertness and quality at the same time. Another financial weakness is the fact that a large fate of Mayo’s research funding comes from the home(a) Institute of Health.As an employee in the research arena, I know the institution does not know what the next year’s governmental budget will be. Each year the selection of grant recipients grows more competitive with fewer grants awarded. Loss of the research funding would have a huge impact on the institution. Another threat is the reliance on philanthropic gifts to nutriment Mayo’s mission. In 2011 $318 million was donated to can Mayo (Snowbeck, 2012). A poor economic climate can cause a decrease of supporter gifts which would be a threat to the continued achievement of MC. Finally, the general dissatisfaction in healthcare among the general population could be perceived as a threat to the institution.MC must realize that healthcare can no lo nger be a physician driven business, but must become a customer driven business. The internal environment at MC is team based and focused on collaboration to accomplish our key value of â€Å"the needs of the patient come first”. MC is a physician led institution. The person in the CEO position must have an MD. The structure of the institution is team orientated. The Board of Trustees determines the style of MC operations and strategic plan. The Board of Governors is the executive committee of the Board of Trustees. on that point are Management Teams throughout the institution to examine the strategies and operation directive are effectively punish by all departments under Mayo leadership.Executive operations Committees direct the daily operations within the institution. These board and committees are part of Administration. The Management Teams and Executive trading operations Committees are present for all three shields at MC. at that place are Chairs for each depart ment within the three shields to help with the daily direction of operations. The direction of the institution comes from top leadership, but each department is given flexibility to determine the best way to accomplish the strategies set by the institution. To help reinforce the strategies, MC has adopted a project plan template which includes a section which requires the project stem to think about how they will accomplish MC’s strategy with each project.Figure 1 is an example of the project charter (Mayo, n. d. ). Strategic Alignment| multitude| serve welles| Create the healthcare workforce of the future that sustains Mayo’s values (People) D1. Improve staff’s ability to deliver high value care a. Facilities/Equipment b. Training/support for process changes * Implement individual provider scorecards including quality and cost metrics (outcomes, safety, service, cost, competence, esteem to standardized practice guidelines) * Invest in unceasing staff devel opment to improve staff satisfaction and retention * Increase diversity of staff and development of diverse staff * Improve leadership training and mentoring Increase the number and skill of physicians and clinical and staple fibre scientists engaged in generating new knowledge * Increase our capacity and skill in comparative force and health care delivery research| commute Mayo Clinic’s knowledge effment and healthcare delivery process (Process) * Provide solutions and hope for patients a. clinical Trials b. Implement Individualized Medicine into the practice c. Regenerative medicine d. Advance commercialization of research discoveries research discoveries * Standardize, improve effectiveness (outcomes, safety, service), and reduce cost a. Standardization b. Outcomes ; precaution c. Service d.Manage to Reimbursement * Explore new payment mechanisms * Generate, quantify, integrate, and manage knowledge and information a. Information b. Knowledge c. saving * Create glob al value-adding relationships, alliances, and partnerships a. Patients and Consumers b. Providers C6. Increase our offerings for health and salutary living| Primary Operating Objective (Choose one from above, need sub-objective where applicable):| Secondary Operating Objective optional (Choose one from above, need sub-objective where applicable):| Figure 1 †Project Charter Example In whatever ways MC is ahead of the curve by the use of systems to coordinate work throughout the organization. In other areas it is still a work in process.The EMR system is an excellent example of systems working to enhance communication, collaboration and coordinating between groups in the institution which aligns with the strategies of the institution. pay has been working on a system to help with financial management forecasting and planning. The system is rather new and all of the functionality of the system is not being utilized at the current moment. The culture at Mayo is consensus and col laboration. The organizational culture is an enabler for the institution’s strategy in most cases. All employees are able to speak up and discover areas which need improvement. They are also given the chance to create solutions.MC works diligently to communicate the strategy to everyone. They create internal videos highlighting the vision, mission and strategies of the institution called â€Å"The Mayo Effect. There is a website dedicated to the subject. The culture at Mayo is everyone plays a part in the needs of the patient come first even if you do not have any patient contact. There is a sense of pride to be part of such a noble cause. Some quantify the culture can be a hindrance to the strategy, though. Innovation can be onerous at times in a consensus driven institution. By the time everyone agrees or accepts an idea, another group outside of Mayo could have run with the innovative idea.Another issue is the risk aversion created with consensus decision making. When yo u are risk averse, it is difficult to be innovative. Mayo incorporates Kouses and Posner’s five practices of exemplary leadership throughout the institution. The following summary highlights some of the ways Mayo has been able to model the way, inspire a shared vision, challenge the process, enable others to act and encourage the heart. Modeling the Way * Setting a positive example: The founders (Will and Charles Mayo) strong belief in helping individuals, researching for solutions, and educating future care givers. Later generations of healthcare individuals are also highlighted. Achieve small wins by creating opportunities: Staff, physicians, and administration are empowered to encourage and/or implement cost saving ideas or patient centered healthcare improvements. * Stand up for what you study in: Mayo’s Three Shields are displayed throughout the organization reminding employees of practice, research, and education. Inspiring a divided up Vision * Envision an up lifting future: Websites and media promote a patient advances, success stories, and innovation improvements. * let others know how you feel: Patients, external/internal focus groups, and external organizations are regularly polled for feedback, which is used to improve the organization. Believe in the organization: â€Å"We can do anything we set our mind to” is often a common quote used by staff. Challenging the Process * Search for Opportunities: Teams of improvement agents are available to evaluate and act upon suggestions. * Experiment and Take Risks and Challenge the consideration Quo: Funding a leading â€Å"Center of Innovation” * Adopt the â€Å"great idea” of others: Entire partition devoted to quality improvements throughout the entire institution. modify Others to Act * Always say â€Å"we”: In publications, some(prenominal) print and electronic, â€Å"we” is commonly used. â€Å"One Mayo” philosophy. * inflect people by maki ng them heroes: Mayo allows staff time off to volunteer.It is not uncommon to descry physicians playing music for patients, management in relentless jackets directing patients, or staff donating blood. * Value teamwork and trust: Consensus and collaboration are key words within the organization. Encouraging the Heart * Recognize individual contributions: Mayo recognizes volunteers and staff who go to extraordinary lengths to support patients or make a difference in healthcare delivery. * Celebrate team accomplishments: â€Å"Team excellence” awards are distributed and highlighted throughout the organization. * Motivate others: Management are further to write â€Å"thank you” notes to staff and may include a small discretionary gift card as recognition. Overall, Mayo is taking great strides towards achieving some lofty strategic goals.As long as everyone continues to come back the patient’s needs come first when making decisions which will ultimately affect o utcomes, Mayo will stay competitive in the healthcare industry while at the same time delivering the best healthcare outcomes to people throughout the world. References Adams, J. (2011, exalted 10). Mayo Clinic opening high-tech outpost at the Mall of America. Retrieved from http://www. startribune. com/business/127497038. html CNNMoney (2012). 100 best(p) Companies to Work For. Retrieved from http://money. cnn. com/magazines/fortune/best-companies/2012/full_list/ Discovery’s Edge (2012). Research Centers. Retrieved from http://discoverysedge. mayo. edu/de11-1-research-centers. cfm Fox, F. (2010, December 2). Clinic Guide. Retrieved from http://www. clinicguide. org/the-best-interest-of-the-patient-is-the-only-inter\r\n'

Monday, December 17, 2018

'Challenges in International Business\r'

'GunungRapatHiongPiahSdn. Bhd. (579801-M) PHYSICAL CHALLENGES Since the Gunung Rapat Hiong Piah Sdn. Bhd. is responsible for the food manufacturing, wholesale scattering, and trade of Yee Hup products, it is facing physical scraps in international dividing line on products, men and even physical distribution challenges. For the products challenge, it whitethorn face the chore on warrant since there argon no warranty purchasable for this products.\r\nEvery sensation is fill out about the Yee Hup is a local transmission line in Malaysia and it needs to spend certain of succession to export such(prenominal) products to oversea such as Southeast Asia, Oceania, Middle eastward, Eastern Asia and Western Europe. When the products be on the way shipping to the particular country, it may has the probability to encounter damage such as crushes because of the unpredictable cases and it is unrealized since the biscuits are forwarding in a package, but even in a carton size.\r\n The Yee Hup biscuits are selling to the customers without realized that the products are crushes and the customers are not available to get the warranty or compensation after they bought the products. It considered a challenge of this connection because on the customers’perception, no warranty offered is put up the meaning that the conjunction has no confident on their own products. Since the ‘customers are always right’, Yee Hup may lose the sales because of the products deficiency.\r\nFor the workforce challenge, although the company is some full automated in the production process, hot staffs are still needed. For example, retail assistants as Yee Hup needed such retail assistant with previous retail experience because the full trainingis not necessary leave alone be provided. In this case, Yee Hup is facing the shortage of workforce although the labor market is enough large. Moreover, the number of R&D staff is merely slight than five people. It b ecomes the stones in designing products since people are more pay attention in packaging nowadays.\r\nAnd lastly is about the physical distribution challenge. It is public lecture about what transportation is using by the company to move a large volume of products to other(a) countries. It simple means that handling, movement, and storage of goods from the point of roue to the point of consumption or use, via various take of distribution. Since one of the responsibility of GunungRapatHiongPiahSdn. Bhd. is wholesaledistribution and export of Yee Hup products, if the products failure to throw the destination within a fixed time, the company have to blamed for it.\r\nSOCIAL CHALLENGES How Yee Hup going to blow up its target market consider as a social challenge. For example, age and gender. Since ‘HiongPiah’ is a famous products of Yee Hup with a long open reputation, majority of youth in local still do not know on this famous products,even thoughin global market. Y ee Hup has to solve the problem on difference age group. How Yee Hup is going to revision the youth customers’ perception since they feel that‘HiongPiah’ is traditional Chinese snacks, no tasty and the outlooks are not fascinating?\r\nFor the old generation, how Yee Hup is going to attract them to buy such sticky products? COMPETITIVE CHALLENGES Khong Guan and Mr. Christie are the main competitors to Yee Hup. Khong Guan is one of the most hygienic known Malaysian cooky brand in Canada. The Khong Guan organization spans South East Asia and exports its cookies around the world. Khong Guan manufactures a wide range of cookies and as a result its products have become a popular demand in supermarkets.\r\nKhong Guan would pose a risk to Yee Hup’s product lines because Khong Guan is a healthy established brand which means they have established a mass market clientele. Mr. Christie is a well known Western brand in Canada which poses a risk to Yee Hup’ s product lines. Many customers world power consider eating a Western cookie rather than an Asian cookie since some consumers are not familiar with this type of product and king be hesitant to try something new. This could lead to less(prenominal) sales of the product.\r\n'

Sunday, December 16, 2018

'Interview of Music Teacher on the Importance of Music Programs\r'

'I had the trenchant privilege and pleasure of interviewing Ms. ABC, Elementary School practice of medicine Teacher at ABC School. This interview is a true testament to the ch on the wholeenges educator’s present in today’s medicine classrooms. medicine teachers are faced with diverse classrooms filled with children who establish different mark styles and varying ability levels; therefore, indisput qualified issues will arise relative to the diversity. I am extremely grateful to Ms. Liza Smith for back up me with this interview.Why is symphony master(prenominal)? When groomingal cuts are made, medicament and art are amongst the first state-supportedations to go. Unfortunately, it means that parents, educators and in time board members are overlooking each subject`s importance. Music education is more than bonny introducing students to beats, notes and songs. Instead, it completely transforms a child`s question and opens up endless possibilities to thei r acquisition potential. Why is music education important? Music is a magical gift we must nourish and cultivate in our children, especially now as scientific endorse proves that an education in the liberal arts makes fracture mathematics and science students, enhances spatial intelligence in newborns, and lets not forget that the arts are a compel solution to teen violence, certainly not the arrange of it! ” Is music learning underrated? Music is something with affects the mind, body and spirit, further yet its importance is often underrated, especially when it comes to the educational benefits of which there are many.With the ability to influence behavior, cordial skills, sensitivity and general achievement, music can reserve positive effects on many aspects of life. In children, music education is important as it promotes a desire to persevere and succeed, as well as having a whole range of different benefits. at that place is some evidence to suggest that through sake with music, children have the opportunity to fine-tune their listening skills and therefore their comprehension. Both skills can be applied to other academician subjects and can help students with problem-solving and concentration.Music uses both sides of the brain, so any participation will enhance learning and challenge the mind. Should Music and the humanities be utilise to teach other academic subjects? While studies launch positive influences in other academic areas, music and the hunky-dory liberal arts are an academic discipline that are, as the other academics, an independent way of learning and knowing. Reading, writing, and mathematics are important and all students should be advantageful in those areas, however n unmatchable of those academic areas justify their existence on the basis of what is fulfill for another area. Each academic discipline is important for a well-rounded curriculum.Music and okay Arts are an academic area of study equal to reading, wr iting, mathematics and science. Should the study of Music and the Fine Arts be unattached to all students? Where music and Fine Arts programs have been eliminated because of funding difficulties, students have been deprived of a significant opportunity of learning and knowing almost the world around them. any students should be able to â€Å"elect” to study music and the Fine Arts in depth at the secondary level. All students should have the opportunity to study music at the unsophisticated level in a systematic, significant way.If music and the Fine Arts are speechless for only wealthy give instructions or communities, a heathen â€Å"elite” will be created, which also creates a significant distinction of social class. Music and the Fine Arts should not only be available to those children of wealthy parents who can purchase private tutors or subsidize public schools with donations to sustain public school programs, but also to students of average or first-c lass honours degree socio-economic areas. How should Music and the Fine Arts fit into the educational curriculum? The school curriculum should be designed to deliver more than a minimal education to students.Music and Art should be taught at every elementary school in a regular and systematic way. Music and all Fine Arts should be considered â€Å"academic electives” in secondary schools and available to all students on a multi-year basis to allow becoming time for skills to develop sufficiently for informed decisions just about college programs and career choices. All academic electives, including Music and Fine Arts, should count towards entrance requirements in colleges and universities. All students graduating from public schools should have received at least whizz credit in Fine Arts.All colleges and universities should require one Fine Arts credit for admission. In shutting it is my belief that we as music educators, must sham the lead in sharing this information w ith the pile that can make the difference in the emerging; school boards, administrators, parents, and legislative representatives. We must advocate for the arts. It is critical that we become proactive in our support of the arts. By reviewing the studies involving music we have found that participation in school music has a positive intrusion on areas considered outside the realm of music.As more good deal become aware of the research in this area, we should pay heed increased enrollments in arts classes. The use if the arts throughout the curriculum, as a tool for better learning is an area that will expand. With dropout rates existence so high, educators need to combine resources and to use the tools available for a more effective method of education. I feel that the arts will play a major roll in the future success of the education system. Dont stand on the sidelines and watch the business dwindle away. Get involved and help it grow.\r\n'

Saturday, December 15, 2018

'Native Americans in the United States and Pocahontas Life Essay\r'

'This prevail was the bases and the virtually informative piece I apply seen on a check into of Pocahontas tone in my perspective. Pocahontas life is a difficult piece of history to abridgment for the fact that her life is solely denoted by virtually other persons of history pennings. She has no known piece of writing of her own so all knowledge is in the flesh(predicate) based of outside parties. This makes it for sometimes difficult to very believe everything for legion(predicate) of the views were from white men during a time occlusive where they had not seen many females weren’t near.\r\nI believe the author thesis of the mass for the Pocahontas part was her involvement with the slope and her growth passim her life. The other thesis of the defend from the Powhatan side was at that place involvement with the slope as well and there plan to subroutine the finish but at the same time push them away. Within the prototypical five chapter of Pocahontas a nd the Powhatan Dilemma it gives you a base review of history.\r\nThis first part of the book it explains the floriculture of the Powhatan and how they argon laid out. At this point in the book within the first chapter we find out that Pocahontas is only 9 years of age and her return is nowhere to be found, but her father is Powhatan the chief of many inseparable people and villages. It talks around the reach of slope in 1603 and we fancy that many ships have come before us truly macrocosm to talk about lav Smith and Jamestown. It as well mention the arrival of Don Luis and the Spanish, but doesn’t get into much detail he equitable seems to pop up with the first few chapters her and there.\r\nWe mark off that Pocahontas name means â€Å"mischief” or the â€Å" low dependful one. ” The author tells us that the native were not completely different from the Europeans just simply crapper the times. We also learn that within the native culture of the Po whatan that there chiefs do not come from the abutting up son, but from marriage of the daughters. We also learn that the Europeans felt that the women of the tribes need to be saved everyplacedue to their work in the fields and other jobs around the village. It speaks of the native’s religion of their belief in spirits within everything. John Smith comes into play in 1606 when the English begin to prepare for the Virginia campaign.\r\nWhat I learn from John Smith was that he was a captain that has been captured a lot and has numerous stories of cosmos saved by women that fall lustful in love with. As kids watching films and stories we are told of Pocahontas is her and John Smith fall in love, but at the time of them meeting Pocahontas would’ve been ten years of age. The plans of the English and John Smith was to: improve native culture, use the land properly, get there before the Spanish, and express English enlighten, and a place to send the pink-slipped Englis h.\r\nOne of the main fears that I read about in the reading was the fear of the English to compose like the Indians. The term we learned in configuration for this is recolonization. After the landing John Smith gets interpreted by the Powhatan and convince them not to kill him by way of trade. He promises them weapons which out of smarts gives them a hit which cannot be moved. Both the native and the English perpetrate the need of each. Without one another the English could not survive without food and the natives want weapons or easier vagabond there technology.\r\nOver time many English were sent to live with natives to learn their culture and a native would be sent with the English. The most notability was Pocahontas herself was sent with the English to learn their language and lifestyle. The book talks of Pocahontas marriage first to a native warrior, but it fails to mention what happens to him. She later marries John Rolfe an English man who experience much of the revers e colonization. in front her marriage though Pocahontas was kidnapped one of the main characters they looked over her kidnapping was Sir Thomas Dale who was the first Marshall of Virginia. Pocahontas would declare herself a Christian in 1616 and then initiation her life with John.\r\nThey would build a log on the land John was granted from the Virginia Company. They would have 2 children together in their lifetime. Shortly after macrocosm settled in there Pocahontas would go to capital of the United Kingdom and experience true English culture. Pocahontas would become very ill around the time the Rolfe family was ready to address back to Virginia. Pocahontas died on March 21, 1617 in the Rolfe inn.\r\nWhat I learned from this book that for someone of her time accomplishment and of native culture Pocahontas got to see much more than than any Native American of her time period for sure. I learned that much of what we were taught or told of her in are childhood was wrong. I lear ned that trick smith stories could not be trusted. The feeling I receive as well is Pocahontas rejected her culture and tribe, but in return was probably rejected in a way due to her mother situation. Though she might have be lofty in a way just from some of the information I read. The book was good though and I enjoyed the insist of Pocahontas life.\r\n'

Friday, December 14, 2018

'Essay on Congress\r'

'AP Essay- Congress The framers of the physical composition created a two- chambered legislation where there were two chamber of sexual relation made. at that place was the Senate and the hearth of Representatives and these two chamber split the necessary duties that congress needed to fulfill. The framers of the Constitution chose a bicameral legislature because they did not privation all originators of the government concentrated in a single government institution as they would lead been if a unicameral legislature was used. They feared it would lead to ruler by oppressive or impassioned majority.\r\nThey believed that a bicameral legislature would balance powers in congress so that neither chamber would ever exonerate tyrannical power. When making congress, the framers also knew that the states were jealous of their license and would not consent to a national establishment if it did not protect their interests and strike a conceivable balance amongst stupendous and sm all states. There were many disputes between small and large states on how representation in congress should be gained by delegates at the Constitutional Convention.\r\nThis was the reason a bicameral legislature was created, and this was known as â€Å"The Great agree”. This gave small states equal representation in the Senate and large states their proportional representation in the House. The House of Representatives is the dismount house and it contains 435 members. Members are chosen by districts establish on population. Some of the House of Representative’s powers are to impeach the prexy and initiate taxing and spending bills. One unique power the House of Representatives holds is that it gets to select the president for the country if no campaigner wins the electoral vote.\r\nThis was almost the case during the 2000 election between Bush and Gore, the winner was in question later the votes in Florida went uncounted. The framers of the Constitution gave th e House of Representatives this power because this chamber is closer to the people than the Senate and is more informed on what the people want. The Senate is the upper house and it contains 100 members. alternative time is on a rotating basis and 1/3 of the senate runs every 2 years. Some of the Senate’s powers are to accept or reject treaties and tries the president after the House of Representatives impeaches them (HIST).\r\nOne unique power the Senate holds is that it can approve presidential appointments such as cabinet positions, Supreme court of law judges, federal judges, and heads of agencies. The Senate sanctioned Clarence Thomas as a Supreme Court judge. The framers gave the Senate this power because in order to carry egress checks and balances, they wanted the congress to make sure that the chairwoman was not holding too much power. By approving or disapproving presidential appointments, the president’s power is weakened and the executive sort does not c ontain more power than the legislative branch.\r\n'

Thursday, December 13, 2018

'Case for critical thinking: A flood of decisions Essay\r'

'1. What information sources (or potential information sources) could have been used to pay heed with the end-making touch for Wivenhoe Dam in this case? capableness information sources that could have been used to assist with the finding-making process for Wivenhoe Dam\r\n-SEQWater\r\n-Sought advice from Water Grid Manager\r\n-Water military mission\r\n-DERM (Department of Environmental Resource Management)\r\nManagerial determination-making\r\n caper avoiders\r\n riddle solvers\r\nProblem seekers\r\nApproaches to decision making\r\n immaculate decision model\r\nBehavioral decision model\r\n faultfinding(prenominal) decision model\r\n2. With references to decision-making theory covered in the chapter, describe the type of managerial decision-making evident in this case, and the conditions under which decisions were made.\r\nManagerial Decision Making\r\n*Problem avoidably\r\n*Problem solvers\r\n*Problem seekers\r\nDecision conditions:\r\n*Certain surround\r\n*Risk environment \r\n*Uncertain environment\r\n3. prize the decisions made in the case in comparison to the classical, behavioural and judgmental heuristics approaches to decision-making that are outlined in the chapter. Which model do you believe best describes the incident and subsequent decision-making process in this case? free your answer? Approaches to decision making\r\n^Classical decision model\r\n^Behavioral decision model\r\n^judgmental decision model\r\nCase decision\r\n*Classical decision model\r\nProblem: it was the fill up that rail at Brisbane and Ipswich\r\nPossible alternative: Not releasing flood waters.\r\nConsequently threatened stability of dam\r\nOptimizing decision: Release of flood waters being alive(predicate) of potential damage.\r\nSWOT Analysis:\r\nStrengths:\r\n*New technology\r\n*They set priorities\r\n*Manage time\r\nWeakness:\r\n deprivation of communication\r\nMisunderstanding\r\nMisconduct\r\nProblem answer\r\nCrisis\r\nOpportunities:\r\n*Professional engin eer\r\n*Employment\r\nThreats:\r\nNatural tragedy (climate change)\r\nDamage roads and homes.\r\nConclusion\r\nPeople should experience wise decision to save the lifes of the others.\r\n'