Wednesday, December 25, 2019

Finding Online Paper Help on the Web

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Tuesday, December 17, 2019

Planning Of Implementation Of Proposed Work Essay

Planning of Implementation of proposed work This plan is the basis for the execution and tracking of all activities that are components of the project. An iterative life cycle model does not attempt to initialize with a full specification of requirements. Instead, development of the software begins by specifying and implementing just part of it, which can then be verified and reviewed in order to identify further requirements. This process is then repeated many times iteratively, producing a new version of the software for each cycle of the model by improving it step by step. In iterative model we are building and improving the product step by step. Hence we can identify the defects at early stages of the project development.This helps to avoids the downward flow of the defects. In iterative model, we can get the reliable user feedback time to time. While presenting sketches and blueprints of the product to users for their valuable feedback, we are effectively asking them to imagine how the product will work. In iterative model little time is spent on documenting process and more time is given for designing part. We can use the iterative mode for software development when the requirements of the complete system are clearly defined and understood and also the project is big scale. Figure 3.1: Iterative Waterfall Model GHRIET-Pune, Department of Computer Engineering, 2016 Fault Tolerant System For 3 hop routing protocol in HWN’s 11 Table 3.1: Implementation Plan TaskShow MoreRelatedNursing Research Utilization Project1349 Words   |  5 Pagesnursing profession has experienced several challenges and emerging issues in the recent past that have significant impacts on the health and wellbeing of the society. Some of the major challenges facing this field include nurses commitment to their work, their etiquette while working, shortage of nurses, meeting patients expectations, and their dedication to their profession and patients. While there have been numerous attempts to address these issues, the nursing field has proven to be difficultRead MoreFunctions Of Management Within Scholarly Literature1645 Words   |  7 Pages This literature review will provide a comprehensive overview and examination of the Four Functions of Management within scholarly literature. The paper will be divided into four section - reflecting the Four Functions - planning, organizing, leading, and controlling. Planning is defined as the ability, creation, and use of plans to analyze the future and plan for organizational action (McLean, 2011). Organizing is defined as the ability to understand, view, and orchestrate activities, resourcesRead MoreExamples Of Moving Strategic Goals Forward872 Words   |  4 Pagesacross the country and the world. Every day is a new challenge for transportation organisations as they work hard to run their services safely and on time. When facing regulatory or legal challenges, our clients require advisers who are as focused and consistent as they are in their business. With intimate knowledge of the challenges facing transportation firms today, whether they need planning approvals for a future project, are looking to finance a new project, need strategic corporate/ commercialRead MoreExisting Frameworks Of Strategy Implementation Essay1030 Words   |  5 PagesExisting frameworks of strategy implementation (the gaps of theory) The reasons for the framework in strategy implementations are obvious. it’s an extremely complex set of tasks and managers need to know what are the steps to follow, what is the sequence of those steps, why at all those steps are necessary, what is more critical in those steps, and so on. The frameworks are working as guide for managers to set the actions needed. In the absence of a framework, managers would still implement theirRead MoreImplementing a Proposed Solution1249 Words   |  5 Pages Implementing a Proposed Solution Introduction A project is an in-depth systematic analysis of a detailed documentation of variations, barriers, issues, solutions and implementation plans. It is to identify guidance recommendations and best practice on how to address those issues. A good project should give a summary of implementation plans and solutions to the varying problems identified. It should also focus on the assessment and monitoring methods of the implementation plans and solutionsRead MoreThe New Challenge Of Spatial Planning Essay1425 Words   |  6 Pages The new challenge of spatial planning in UK---localism dilemmas 1. Introduction: The planning system in England has been subject to dramatic shifts when the Coalition government was reselected after almost 70 years since 2010. (Gallent, Nick Hamiduddin, Iqbal Manuela Madeddu, 2013) This may be proved that the localism can have a significantly impact on urban planning or spatial area field especially after the Localism Bill was promoted and enacted in Parliament on November 2011. HoweverRead MoreImplementing Organizational Change Essay1574 Words   |  7 Pagesand what methods will be best to make the conversion to an EMR system is an important aspect of the implementation process. When the change process is initiated those involved in the success of the organization needs to examine the current processes and systems, including different roles that may be affected by the proposed change. With that in mind, effective communication during the implementation of this change will allow they may have regarding the new system. All of the above experiences takenRead M oreCity Hall Essay1192 Words   |  5 Pageskind of public consultation. Having this never-complain mindset rooted in my mind, I thought the public hearing in the United States may be similar, or a bit better. It turns out that, first time in my life, I saw how people were engaging into the planning of their neighborhood, and witnessed the spark between stakeholders in the San Francisco City Hall. The level of public participation in the two and a half hour amused me. My classmate, Iyan, and I went to the Engineering Public Hearing held byRead MoreAn Empirical Analysis Of Supply Chain Risk Management1692 Words   |  7 Pagesto help analyzing supply chain risk and test the previous research proposed instruments that can be applied for supply chain risk management was the motivation of this work. In this paper, the occurrence likelihood and the potential impact were used as supply chain risk identifier. The analysis showed that supply chains are mostly vulnerable and that the possible reason behind the vulnerabilities is low degree for the implementation of the used instruments in supply chain risk management. FurthermoreRead MoreDecision Making : The Rational Planning Model969 Words   |  4 PagesThe process of decision-making, and the models used during this process, has long been a focus in the field of Urban Planning. Part of this focus has been a discussion regarding w hich decision-making model is best suited for this profession. One often employed but highly controversial model for decision-making found in this field is the rational planning model. This model, which was first adopted by planners in the 1950’s and 1960’s, focuses on addressing the problems of cities and their inhabitants

Monday, December 9, 2019

Relativism Michigan Ross Publication †Free Samples to Students

Question: Discuss about the Relativism Michigan Ross Publication. Answer: Introduction: Most of the times businesses find themselves in a dilemma on deciding what is morally right. According to Shaw, et al. (2013, p. 26) there are many analytical and reasoning skills that business can apply to resolve these issues once they occur. To avoid the occurrence of unethical business related issues, the managers should ensure there are always the concepts of honesty and integrity and fair practices in place. However, this is not the case for the FIFA scandal that has largely affected its stakeholders. The corruption scandal at FIFA evidently eroded the dignity of the federation, and inconsequently affected the operations and affairs with the outside business and corporate environment. While it is debatable about the extent of the moral rot and the parties involved with pending investigations, the most affected stakeholders are the sponsors. Despite wild allegations that speculated that viewership of the premier football matches was at stake, many experts including Professor David Mayer at Michigan Ross are objected to the postulation. He says, My guess is it will not impact viewership, and if there is money to be made will not have a big impact on businesses who support the World Cup, which resoundingly assures the federations sponsorship, since it is the backbone of the trade (Michigan Ross 2015 p. 32). As this paper digs deeper into the controversies to highlight the degree of breach of regulations and associated impact to the affected stakeholders, the plain truth reveals itself. With multibillion sponsor partners such as Coca-Cola and Adidas having expressed their dire concerns with the malice at the heart of FIFA, the federation must be nuts to put its house in order before misery catches up. On the other hand, McDonald's is unsettled about the same, because Americans are zero tolerant to subverted ethics and anti-corruption (Wilson 2015, p. 49-51). In addition to the three above, Sonny, Hyundai, Adidas among others have as well threatened to loosen ties with the ill-fated federation, should justice and transparency be denied (Karr 2016, p. 23). Not to forget, the top officials of the governing council have as well be affected, given that Swiss authorities arrested six FIFA executives in the annual meeting in Zurich, who will later be charged with misappropriation of funds (McFarland 2015, p. 33). Since the allegations and consequent pursue of impunity, FIFA has realized that it owes its shareholders a great deal of responsibility. Thierry Weil, the Director of Marketing, expressed his regrets over breached rights to the partners and reaffirmed allegiance to the law for sustained activities of the federation, as well as its responsibility to the millions of fans around the world (Petriglieri 2015, p. 121). Lastly, some member states of the federation are as well guilty of the dishonesty that almost paralyzed its operations and reputation. Notably, Russia was hinted to have participated in the vice that saw funds exchange hands in return for a favor. For instance, Putin must have played a part to have the 2018 edition hosted in Moscow, for both prestige and economic reasons (Bremmer 2015). Ultimately, the leadership crisis that was just unveiled under Sepp Blatters tenure has mostly affected stakeholders, members and randy executives who might be locked behind bars when found g uilty. Reference List Bremmer, I. June 2015. These Are the 5 Facts That Explain the FIFA Scandal. Time. Available from https://time.com/3910054/fifa-scandal-sepp-blatter/ [24 September 2017] Karr, B. March 2016. "FIFA and the Stakeholders' Rights to Responsibility." Linked In. vol. 46, no. 18, pp 18-25. Mayer, D. and Schipani, C. 2015. "The FIFA Scandal Ethics, Cost, and Relativism." Michigan Ross Publication. University of Michigan Ross School of Business. Vol. 23, no.5, pp30-38. McFarland, K. may 2015. "Everything You Need to Know About FIFA's Corruption Scandal." Wired.com. available at https://www.wired.com/2015/05/fifa-scandal-explained/ [24 September 2017]. Petriglieri, J. June 2015. "How a FIFA-Like Scandal Affects Your Talent Pipeline." Harvard Business Review. Vol. 112, no.22 pp 119-128. Shaw, W. H., Barry, V. Sansbury, G., 2013. Oral issues in business. 2nd ed. South Melbourne: Victoria Cengage Learning Australia. Wilson, B. May 2015. "FIFA Scandal 'A Disaster' for Sponsors." BBC News. May 2015. Pp 48-61.

Sunday, December 1, 2019

The Last Wave by Peter Weir Essay Example For Students

The Last Wave by Peter Weir Essay SOC 118The Last Wave-Peter Weir dir.(1977)In the film, The Last Wave, the director is trying to communicate the idea of aculture within a culture or sub culture. The dominant culture in the film is the whitemembers of society living in Australia. The subculture in the film is the Aborigines whowere natives to the land before the white people settled in Australia. The nativessustained their cultural beliefs and ideologies while living in largely populated cities. The dominant white culture imposes their laws , ideas of societal values and moralbeliefs on the native Aborigines. Forcing them to abide by a different law system andway of life than what their peoples have practiced for hundreds of years. In the moviethe lawyer, David, represents the dominant culture to the Aborigines because herepresents the law that is controlling their fate in the white culture. The director is also giving us many symbols or visual communication such as theconsistency of water in the film as well as, the overbearing control of darkness. The filmis shot in shadows and overall is very dark , almost forcing us to look beyond the obviousplot and storyline and into the meaning or what the film/director is trying to tell us. Thedarkness in the film can be seen as unconsciousness. It can also be seen as a predictionof the darkness that will occur in the world when the last wave comes. The last wavemeaning a giant tidal wave that will cover the earth , killing humanity. This idea issimilar to the Christian belief in the flood that was sent down centuries ago to destroy allthe evil in the world. Also, all the modern aspects of the movie (courtroom, Davidsoffice..etc) are filmed in light. While, all of the Aborigines scenes are filmed in darknessor shadows. Giving me the impression of something mysterious or not understood by thewhites concerning the Aborigines. The fact that all the modern scenes are filmed in lightcan also support the idea of the white culture being the predominate culture in the filmbut yet not dominant enough to take away the shadows(mysterious , mystical)aspect ofthe Aborigines. The lawyer, David, Also goes through a series of dreams and premonitions. Thisis stressing the idea of mind power and mystical strength that the Aborigines have. Inthat way they can be seen as the dominant culture. David is stuck between two worlds. The world he knows and understands and the other world that he is definitely a part ofbut does not understand. As he tries to grapple with the idea that he may be linked to theAborigines, his own cultural beliefs are changing. He is forming a complex view on life,a combination of ways of viewing the world by both the white Christians and theAborigines. The dream sequences in the film are sometimes difficult to distinguish from thewarped reality that is being portrayed. Overall, they do give us a chance to think andattempt to comprehend what is going through the mind of David. For he cannotdistinguish at times what is real and n ot real. But what is real depends on if you perceiveit as real as an individual. We will write a custom essay on The Last Wave by Peter Weir specifically for you for only $16.38 $13.9/page Order now To me, the film is saying that their is a definite cultural conflict between theChristians and the Aborigines living in Australia. Whichever one the viewer perceives asbeing dominant or subdominant, he will perceive the fact that their is a culture clash. The viewer may also see the idea that the Aborigines(tribal) are not understood in whitesociety and David is the only one who can. He is the link between the two worlds, and atthe same time he is the wall separating them. .u670f1f694359b154a88a6b88643a76a4 , .u670f1f694359b154a88a6b88643a76a4 .postImageUrl , .u670f1f694359b154a88a6b88643a76a4 .centered-text-area { min-height: 80px; position: relative; } .u670f1f694359b154a88a6b88643a76a4 , .u670f1f694359b154a88a6b88643a76a4:hover , .u670f1f694359b154a88a6b88643a76a4:visited , .u670f1f694359b154a88a6b88643a76a4:active { border:0!important; } .u670f1f694359b154a88a6b88643a76a4 .clearfix:after { content: ""; display: table; clear: both; } .u670f1f694359b154a88a6b88643a76a4 { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .u670f1f694359b154a88a6b88643a76a4:active , .u670f1f694359b154a88a6b88643a76a4:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u670f1f694359b154a88a6b88643a76a4 .centered-text-area { width: 100%; position: relative ; } .u670f1f694359b154a88a6b88643a76a4 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u670f1f694359b154a88a6b88643a76a4 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u670f1f694359b154a88a6b88643a76a4 .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .u670f1f694359b154a88a6b88643a76a4:hover .ctaButton { background-color: #34495E!important; } .u670f1f694359b154a88a6b88643a76a4 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u670f1f694359b154a88a6b88643a76a4 .u670f1f694359b154a88a6b88643a76a4-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u670f1f694359b154a88a6b88643a76a4:after { content: ""; display: block; clear: both; } READ: Janis Joplin EssayOverall, I feel the film was good concerning the ideas behind the storyline. Butdue in part to the directors fetish for water and darkness, he almost destroys the storylineto me. And without the storyline, you cannot interpret the film in a well structured way. Also, the symbolism is so predominant, it points at the viewers lack of intelligence . Similar to someone repeating themselves while speaking over and over and over andover, merely to stress a point. Too bad by that time the point is beyond stressed it isalmost destroyed completely. Category: Music and Movies

Tuesday, November 26, 2019

Mass Number Definition and Examples

Mass Number Definition and Examples Mass number is an  integer (whole number) equal to the sum of the number of protons and neutrons of an atomic nucleus. In other words, it is the sum of the number of nucleons in an atom. Mass number is often denoted using a capital letter A. Contrast this with the atomic number, which is simply the number of protons. Electrons are excluded from the mass number because their mass is so much smaller than that of protons and neutrons that they dont really affect the value. Examples 3717Cl has a mass number of 37. Its nucleus contains 17 protons and 20 neutrons. The mass number of carbon-13 is 13. When a number is given following an element name, this is its isotope, which basically states the mass number. To find the number of neutrons in an atom of the isotope, simply subtract the number of protons (atomic number). So, carbon-13 has 7 neutrons, because carbon has atomic number 6. Mass Defect Mass number only gives an estimate of isotope mass in atomic mass units (amu).The isotopic mass of carbon-12 is correct because the atomic mass unit is defined as 1/12 of the mass of this isotope. For other isotopes, mass is within about 0.1 amu of the mass number. The reason there is a difference is because of mass defect, which occurs because neutrons are slightly heavier than protons and because the nuclear binding energy is not constant between nuclei.

Saturday, November 23, 2019

The Ethics of Lying

The Ethics of Lying Is lying ever morally permissible? While lying can be seen as a threat to civil society, there seem to be several instances in which lying seems the most intuitively moral option. Besides, if a sufficiently broad definition of lying is adopted, it seems utterly impossible to escape lies, either because of instances of self-deception or because of the social construction of our persona. Let’s look more closely into those matters. What lying is, first of all, is controversial. Recent discussion of the topic has identified four standard conditions for lying, but none of them seems to actually work. Keeping in mind the difficulties in providing an exact definition of lying, let’s start facing the foremost moral question regarding it: Should lying always be despised? A Threat to Civil Society? Lying has been seen as a threat to civil society by authors such as Kant. A society that tolerates lies – the argument goes – is a society in which trust is undermined and, with it, the sense of collectivity. In the United States, where lying is regarded as a major ethical and legal fault, the trust in government may well be greater than in Italy, where lying is far more tolerated. Machiavelli, among others, used to reflect on the importance of trust centuries ago. Yet, he also concluded that deceiving is, in some cases, the best option. How can that be? White Lies A first, less controversial sort of cases in which lying is tolerated includes so-called white lies. In some circumstances, it seems better to tell a small lie than having someone worrying unnecessarily, or becoming sad, or losing momentum. While actions of this sort seem hard to endorse from the standpoint of Kantian ethics, they provide one of the most clear-cut arguments in favor of Consequentialism. Lying for a Good Cause Famed objections to the Kantian absolute moral ban of lying, however, come also from the consideration of more dramatic scenarios. Here is one type of scenario. If by telling a lie to some Nazi soldiers during World War II, you could have saved someone’s life, without any other additional harm being inflicted, it seems that you ought to have lied. Or, consider the situation in which someone outraged, out of control, asks you where she can find an acquaintance of yours so that she can kill that acquaintance; you know where the acquaintance is and lying will help your friend calm down: should you tell the truth? Once you start thinking about it, there are plenty of circumstances where lying seems to be morally excusable. And, indeed, it is typically morally excused. Now, of course, there is a problem with this: who is to say whether the scenario excuses you from lying? Self-Deception There are plenty of circumstances in which humans seem to convince themselves of being excused from taking a certain course of action when, to the eyes of their peers, they actually are not. A good part of those scenarios may involve that phenomenon called self-deception. Lance Armstrong may have just provided one of the starkest cases of self-deception we can offer. Yet, who is to say that you are self-deceiving yourself? By wanting to judge the morality of lying, we may have led ourselves into one of the most difficult skeptical lands to traverse. Society as a Lie Not only lying may be seen as the outcome of self-deception, perhaps an involuntary outcome. Once we broaden our definition for what a lie may be, we come to see that lies are deep-seated in our society. Clothing, makeup, plastic surgeries, ceremonials: plenty of aspects of our culture are ways of masking how certain things would appear. Carnival is perhaps the festivity that best deals with this fundamental aspect of human existence. Before you condemn all lying, hence, think again.​ Source The Entry on the Definition of Lying and Deception at the Stanford Encyclopedia of Philosophy​.

Thursday, November 21, 2019

Obesity Epidemic Its Link with Physical Inactivity and Lack of Research Paper

Obesity Epidemic Its Link with Physical Inactivity and Lack of Exercise - Research Paper Example This essay "Obesity Epidemic – Its Link with Physical Inactivity and Lack of Exercise" describes how inactivity or lack of exercise contributed to the obesity epidemic in our country. Surveys have shown that more than 1 in 3 Americans have excess body fat (Collins). Not only are the rates of obesity high but also are the amounts of physical inactivity and sedentary behavior. Data from CDC (2014) shows that in 2013, only 29% of children from high school had participated in physical activity for a minimum of 60 minutes per day on each of the seven days before the survey was conducted. The data also showed that about 15.2% students from high school had not participated in any kind of phsycial activity for 60 or more minutes on any day during the seven days prior to the survey. The CDC (2014) states that with age, the participation of young people in physical activity declines. Furthermore, its survey has shown that less than half of the students from high school attended physical education classes in an average week. Studies have shown that leisure activity and sports levels have remained stable worldwide but these leisure activities represent only a minor portion of the total levels of daily physical activity. The physical activity associated with transportation, home and work has reduced due to social changes, technological advancements and economic development (Harvard School of Public Health). While in 1950 in the USA, 30% Americans worked in occupations involving high activity, the percentage dropped to 22% in 2000.

Tuesday, November 19, 2019

Financial and managerial accounting Research Paper

Financial and managerial accounting - Research Paper Example The budget would help Groovy Music to estimate their regular demand which in turn, would be helpful in deciding the product mix. Also, by preparing Activity Based budget, Groovy Music may be able to allocate their costs better and hence, get a clear picture about which order costs more. Essay 2 - The Woods and Waters Company Service Division: Particular Amount ($) Revenue (8000 x $50) 400,000 Less: Total Operating Costs (given) 280,000 (a) Net Profit 120,000 (b) Total Operating Assets (given) 400,000 Return on Investment (a/b x 100) 30 % Irrigation Division: Particular Amount ($) Revenue (250 x $5000) 1,250,000 Less: Total Operating Costs (given) 1,000,000 (a) Net Profit 250,000 (b) Total Operating Assets (given) 1,000,000 Return on Investment (a/b x 100) 25 % Company as a whole: Particular Amount ($) Revenue (400,000 + 1,250,000) 1,650,000 Less: Total Operating Costs (given) 1,280,000 (a) Net Profit 370,000 (b) Total Operating Assets (given) 1,400,000 Return on Investment (a/b x 100) 26 % Considering just the ROI, it can be concluded that the Service Division has performed

Sunday, November 17, 2019

Signal Cable Company Essay Example for Free

Signal Cable Company Essay Case 1: Signal cable company 1. Why has the stock price fallen despite the fact that the net income has increased? Ans: The stock price for Signal Cable company could have fallen for a variety of reasons. Stock price is influenced by the performance of the company, investor expectations as well as general market/economic conditions. In the case of Signal, it is clear that the stock price fell despite an increase in the net income. This could be possibly because the company might have made incorrect investment decisions by investing in two manufacturing plants as well tying up more money in inventory. Shareholders may not be happy with this decision and consequently the demand for the stock may have decreased causing a drop in price. In addition, the dividends offered by the firm has increased in 2004 from 0.187$ per share to 0.214$ per share. Once again, this could be indicative to the market of the company being uncertain of what to do with their resources and not having enough attractive investments to pursue. 2. How liquid would you say that this company is? Calculate the absolute liquidity of the firm. How does it compare with the previous year’s liquidity position? Ans: Short term solvency or the liquidity of a firm can be measured using the liquidity ratios. This is a measure of short term liquidity helping assess the sufficiency of current assets to meet current liabilities. The ratios include: i) Current Ratio: 2003= 2.50 2013= 2.06. The current ratio of the firm has decreased between the last 2 years. This is mainly driven by a huge increase in the inventory held by Signal Cable Company as well as an increase in the accounts receivables. This could be because creditors are not paying on or delays on the banking side. ii) Quick Ratio: 2004= 0.608

Thursday, November 14, 2019

Chaucers Canterbury Tales Essay - The Strong Wife of Bath

The Strong Wife of Bath       Alison of Bath as a battered wife may seem all wrong, but her fifth husband, Jankyn, did torment her and knock her down, if not out, deafening her somewhat in the process. Nevertheless, the Wife of Bath got the upper hand in this marriage as she had done in the other four and as she would probably do in the sixth, which she declared herself ready to welcome. Alison certainly ranks high among women able to gain control over their mates.    The Wife of Bath's personality, philosophy of sexuality, and attitude toward sovereignty in marriage obviously are offered as comedy. When Chaucer's short poem addressed to Bukton, who is about to marry, recommends that he read the Wife of Bath regarding "The sorwe and wo that is in mariage" (ed. Benson, p. 655), he has to mean the domination, real or attempted, or the nagging, of the husband by the wife, that is sure to follow his wedding. Why else recommend the Wife of Bath for the edification of a bridegroom-to-be? And how could such an admonition be meant as anything but jest?    The Bukton piece leaves Chaucer's present-day audience wondering whether he and Philippa, married in 1366, had lived happily ever after. Unfortunately, the Chaucer Life-Records tell us nothing personal such as this. As for Chaucer himself, although he uses the autobiographical first person pronoun, his allusions to domineering and/or nagging wives are presented through the voices of his persona and of the pilgrim narrators of the Canterbury Tales, of whom the persona is one, all as likely to be fiction as to be fact. Chaucer remains inscrutable regarding his own marriage.    What, then, are we to make of the Bukton piece; of Alison of Bath and her anti-Pauline vi... ...st wife in the world. One would expect the married men hearing this to chuckle. But, needless to say, Chaucer's audience included women as well. In that day, when all marriage was Pauline at least in theory, and permanent sacramentally as well as legally, both "archwives" and "sklendre" had promised to obey. Women could join the laughter at this old chestnut because the shrew was some other woman. Of course good Christian wives never nagged their husbands.    Works Cited Chaucer, Geoffrey. The Riverside Chaucer. Ed. Larry D. Benson. 3rd edn. Boston: Houghton Mifflin, 1987. Crow, Martin M., and Clair C. Olson, eds. Chaucer Life-Records. Oxford: Oxford UP, 1966. Skeat, Walter W., ed. Complete Works of Geoffrey Chaucer. 2nd ed. 6 vols. Oxford: Clarendon, 1899; rpt. 1972. Woolf, Rosemary. The English Mystery Plays. Berkeley: U of California P, 1972.

Tuesday, November 12, 2019

Obstacles

Even with the aided eyesight, It was still hard to see In lass, and I was often forced to sit In the front row, away from my group of friends. Being unable to see as everyone else caused me to believe I wasn't as good as everyone else, and my school work was deemed unsatisfactory. I refused to talk or answer questions In class, and that habit has stuck with me to this day. Although my eyesight will remain Inadequate until It can be surgically fixed, I was able to overcome It In the last few years.I excel In honors and AP classes, earning AS and Bi's, and I have been able to maintain a steady social life. Because of contacts, I gained a ewe level of self-esteem that allowed me to become more open to people and less introverted. I'm no longer afraid to speak in class, although it's still sometimes necessary to move myself to the front of the class to see well. At first, being almost legally blind was an enormous burden, and it takes wide shoulders to carry such an encumbrance.Recently, my eyesight hasn't been too much of a hindrance, but its trouble always makes its appearance known when I play volleyball. Being a Libber/ Defensive Specialist, my job is to pass the balls directly to my setter or close enough where she can get them. This is one of the hardest Jobs on the court, and it's even more difficult because of my eyesight. It is nearly impossible for me to Judge distances because I have little depth perception, and it has become increasingly challenging to see exactly where the ball is going.This makes it hard to pass at times, and can often result in a bad play or even a missed point. My greatest fear is being a disappointment to someone, and when this happens, I feel like I'm letting my team and my coach down. My inability to see has crippled both me and my volleyball career, but my determination can help me overcome this adversity. Through practice and willpower, I will improve my skills as a libber, even if my eyesight hinders me more often than not.I c hoose to become better for myself, and to prove to myself and others that my dedication Is stronger than my failures. I refuse to let my disability to get the best of me, In school, volleyball, and my relationships with friends and family. People will always tell you that things will get better, and I'm here to shine some truth on that statement. It won't happen on Its own, however. To achieve happiness or some other goal, you must work diligently to overcome anything In your ay, no matter how tall the mountain Is o how wide the ocean you have to cross.The only way to get across Is to keep going. Especially in sports and school. In class and my social life. Even with the aided eyesight, it was still hard to see in class, and I was often forced to sit in the front row, away from my group of friends. Answer questions in class, and that habit has stuck with me to this day. Although my eyesight will remain inadequate until it can be surgically fixed, I was able to overcome it in the las t few years. I excel in honors and AP classes, earning As and Bi's,Recently, my eyesight hasn't been too much of a hindrance, but its trouble always Specialist, my Job is to pass the balls directly to my setter or close enough where she and others that my dedication is stronger than my failures. I refuse to let my disability to get the best of me, in school, volleyball, and my relationships with friends some truth on that statement. It won't happen on its own, however. To achieve happiness or some other goal, you must work diligently to overcome anything in your way, no matter how tall the mountain is o how wide the ocean you have to cross. The only way to get across is to keep going.

Sunday, November 10, 2019

3d Printing 2013-2025: Technologies, Markets, Players Essay

This report provides a roadmap for 3D printing technology (www.marketresearchmoz.com/market-research/3d-printing-markets-ho ..) that will be invaluable to product managers of all kinds and its scope extends to all serious applications and end user sectors that have been proposed for 3D printing to date.This report pinpoints where the real opportunities will be found in the emerging 3D printing sector. Readers of the report will find an application-by-application assessment of the opportunities for 3D printing including comprehensive and granular ten-year forecasts of hardware, software and services. The report also contains detailed profiles of leading firms to watch in the 3D printing space with SmarTech’s assessment of their strategies and business models. The report also analyzes where there are gaps in the market that could be filled by start-ups and how established â€Å"rust belt† manufacturers are likely to react to the rise of 3D Printing. See more:  First Poem for You Essay The objective of this report is to provide essential input to senior executives making marketing, business development and investment decisions in the rapidly evolving 3D printing business: 3D printer and scanner firms will better understand which applications represent true opportunities and which are just hype. Furthermore, where this report identifies new sources of business revenue it also provides guidance on market evolution and timing CAD firms, software companies and service bureau will gain insight into where they can seek new addressable markets in the 3D printing space and how they should develop their business models over next decade Potential end users of 3D printing throughout industry will increase their knowledge of where 3D printing is expected to advance revolutionary change and where it is expected to be merely a useful tool. In addition, they will come to understand the capabilities of state-of-the-art 3D printing and how those capabilities will increase over the coming decade. Browse Complete Report With TOC@ http://www.marketresearchmoz.com/market-research/3d-printing-markets-hope-hype-174518 ### 3D Printing in Medical Applications Market (Medical Implants (Dental, Orthopedic, Cranio-maxillofacial), Surgical Guides, Surgical Instruments, Bio-engineered Products) – Global Industry Analysis, Size, Share, Growth, Trends and Forecast, 2013 – 2019( http://www.marketresearchmoz.com/market-research/3d-printing-market-global-industry-172430) This report includes an estimation of the global market for applications of 3D printing in the healthcare segment in terms of value (USD million) for the period 2013-2019, considering 2012 as the base year. In addition, current market trends and recent developments are taken into consideration while determining the growth rate of the global 3D printing medical applications market. The overall 3D printing market for medical applications has been categorized on the basis of its applications, raw materials, and technology. The applications market has been focused only on the medical applications of 3D printing and further segmentation has been provided which includes implants, surgical guides, surgical instruments and bioengineered products. The 3D printing technology market includes those technologies which are used extensively in medical applications for manufacturing bio-models. These technologies comprises of laser beam melting, electron beam melting, photopolymerization and droplet deposition manufacturing. The raw materials market includes the market focused for use in medical applications. The raw materials market comprises of metals, alloys, polymers, ceramics and others. The market for all these segments and sub-segments is estimated for the period 2013 – 2019 in terms of value (USD million). The geographic landscape covers the major regions, namely North America, Europe, Asia and Rest of the World (RoW). Similarly market share analysis for the year 2012 has been provided in the competitive landscape chapter of the report. Some of the significant players in this market include 3D Systems, Stratasy s, and EnvisionTEC, Arcam AB, Materialise NV. These market players have been profiled on the basis of attributes such as company overview, recent developments, strategies adopted by the market leaders to ensure growth, sustainability, financial overview and recent

Thursday, November 7, 2019

Texas Grad essays

Texas Grad essays MAGINE A SCENARIO where hundreds of children cannot attend school because the roads by their homes are impassable. Or that these children are so ill from recurring ailments that they continue to miss school over protracted periods of time. The ailments they suffer, such as dysentery, typhoid, diarrhea, tuberculosis, cholera, and even leprosy, keep them out of school and severely hinder their progress in elementary school. It sounds like a story from the Third World, but it's not. It's happening right here on Texas soil, up and down the 900 miles of the Texas-Mexico border. The children who live in colonias, subdivisions that lack basic infrastructure such as potable water and sewage disposal, live in conditions that most of us would consider a public health menace. Border Attorneys General Meet in El Paso In March, we at the Office of the Texas Attorney General, together with the National Association of Attorneys General, held a conference in El Paso to address the public health issues created by the living conditions in colonias. Also at issue was how to apply legal remedies to quell the proliferation of these illegal subdivisions and solve the economic and public health issues faced by border-area counties with large concentrations of colonias. Conference participants included the attorneys general of New Mexico, Tennessee and Arizona, as well as representatives of the U.S. Department of Justice, Housing and Urban Development, Environmental Protection Agency (EPA), and local health officials and community leaders. Entitled "Ni ...

Tuesday, November 5, 2019

Writing Tips How to Punctuate Brackets

Writing Tips How to Punctuate Brackets Writing Tips: How to Punctuate Brackets Brackets (or parentheses) are a useful type of punctuation. However, it can be hard to know where to put other punctuation marks when a sentence contains brackets. So how does this work? Check out our advice on how to punctuate brackets for more information. Full Stops: Inside or Outside? We’re often asked whether to place periods inside or outside closing brackets. But this depends on the situation. As a rule, you should: Place periods inside brackets when an entire sentence is parenthetical. Place periods outside closing brackets in all other cases. So when bracketed text is part of a longer sentence, the full stop goes after the closing bracket: The cake looks great (and tastes even better). âÅ"“ The cake looks great (and tastes even better.) âÅ"â€" And when a whole sentence is parenthetical, the full stop goes inside the closing bracket: I ate the whole cake. (And now I am full.) âÅ"“ I ate the whole cake. (And now I am full). âÅ"â€" Brackets and Commas When it comes to comma placement and brackets, there are two main rules: You will almost never need a comma before an opening bracket. You only need a comma after a closing bracket at the end of a clause. As such, you only need a comma after a closing bracket if the sentence would contain one anyway. And this means we can check whether a comma is correct by removing the bracketed text. For example, below we have one correct and one incorrect comma: We’re going to the zoo tomorrow (Tuesday), which will be nice. âÅ"“ Big cats (e.g., lions and tigers), are predators. âÅ"â€" And if we remove the bracketed text, we can see why the second is wrong: We’re going to the zoo tomorrow, which will be nice. âÅ"“ Big cats, are predators. âÅ"â€" We do not need a comma between â€Å"cats† and â€Å"are† here. And since this sentence does not need a comma, it doesn’t need one when we add the bracketed text either. Exclamation Points and Question Marks Finally, we’ll look at exclamation points and question marks. Like periods, these are forms of terminal punctuation, so they usually indicate the end of a sentence. However, unlike periods, you can use an exclamation point or a question mark within brackets mid-sentence. For instance: The man (what was his name?) left a note. âÅ"“ Here, we use a question mark to show the bracketed text is a question. It’s worth noting here that the punctuation inside brackets does not affect the rest of the sentence. And as such, when a sentence ends with bracketed text that includes an exclamation point or a question mark, we still need to add a period after the closing bracket. For example: I was not invited (and I am furious!). âÅ"“ I was not invited (and I am furious!) âÅ"â€" Summary: How to Punctuate Brackets It can be tricky to know where to put punctuation in a sentence that includes brackets. However, we have a few simple guidelines to follow that will help ensure your written work is error free: Always place periods outside closing brackets unless the entire sentence is parenthetical, in which case the full stop goes inside. Only use a comma after a closing bracket at the end of a clause. Use question marks and exclamation points inside brackets as required. However, don’t forget to add a period after the closing bracket. And if you’d like more help with your punctuation, you can always get your work proofread by the experts.

Sunday, November 3, 2019

Organisational Behaviour Essay Example | Topics and Well Written Essays - 1500 words - 2

Organisational Behaviour - Essay Example Teams on the other hand are defined through the efforts that result in performance that is better and greater than the sum of individual inputs. In effect an understanding of the group gives insight to an understanding of the individual. Teams have become more popular over the years for certain reasons. They often outperform individuals through natured competition and spirited inter group motivation. They also allow the individual to use their talents in a more efficient way. They have also been continuously associated with the ability to adjust and respond to changing environments. Team or group dynamics create a more democratised environment that increases the level of motivation among the employees. Work teams have certain benefits to the individual that accrue to the collaboration of the employees. They also have their share of disadvantages and over the individualised approach to work. To begin with, teams have a more creative approach to problem solving and are more thorough in the performance of their obligations and duties. This increases the quality of the work done. The various employees learn from the different perspectives and backgrounds on how to evaluate all pros and cons of the problem. Teams present and inter team competition which motivates the individual to perform better and emerge better. The interaction with the team also allows the individual to develop other skill sets besides the employment performance skills such as leadership, communication and association. It builds the individuals social and relational aspect through the team based interactions. On the other hand participation of an individual in a team has its challenges and disadvantages. The under-participation or over-participation of an individual in the team leads to uneven use of the individual’s potential which limits the performance of the individual. In case of team conflict the work environment created for the individual becomes more unfriendly and difficult (Scott , 2007). Team participation makes it quite difficult to motivate and acknowledge individual effort. Teams also limit individual’s creativity to the team level and it creates more bureaucracy in the work place. Further, not all individuals are comfortable working in teams and they actually work better when working individually. 2. ‘There’s no such thing as ‘stress.’...it’s all in an individual’s head and just an excuse to take time off work’ discuss There is no specific definition or explanation for job stress. It is a common phenomenon among most organisations and it occurs due to various reasons. It can however be expressed by the consideration of the internal and external circumstances and symptoms that are common with people undergoing stress. The most widely adopted explanation and definition of stress is one that expresses the circumstances that create the potential for stress. It can be presented as the result of a situatio n that creates demands that threaten to breach the individual’s capacity and abilities as well as the limits of the resources that are available. This therefore goes to the indifference between the rewards and costs of the obligations over the resources

Thursday, October 31, 2019

Connecticut local Government Research Paper Example | Topics and Well Written Essays - 250 words

Connecticut local Government - Research Paper Example ne at the Lincoln Basset School in four areas: academics, culture, talent and climate and operations noted that the school was below standard in most areas. Shahid (2014) stated that divide among staff, lack of basic resources, such as white boards and projectors and chronic absenteeism among students was the reason for the poor performance. The school was added to the State Commissioner’s Network for underperforming schools so as to significantly improve through collaborations between the state Department of Education and local stakeholders.(Shahid , 2014) Prior to finding the article I did not know that it was an issue within my community. When reading the article what amazed me was how the afterschool program has impacted positively to the kids as it serves as a catalyst for them to indulge into other avenues other than being closed with no exposure. I believe I feel this way because the program can help chronically low performing school rise. If I lived in my classmates’ community, I would ensure that they make use of their afterschool time to be doing something productive and impact their lives positively. I am saying this because many at times students engage themselves into bad behaviors like smoking and drinking alcohol. Shahid. A, Karim (2014).New Haven after-school program aims for positive life outcomes forparticipants .Retrieved from

Tuesday, October 29, 2019

Music assignment Example | Topics and Well Written Essays - 250 words

Music - Assignment Example The Gypsy Laddie also evidences localization and changing beliefs with the reference to the lady running with the gypsies and leaving her Lord and child reflecting the changing status in the community at the time with Lords and gypsies. Balladic formulas involved the use of recurrent phrases, stanzas, and lines to express narrative ideas and underline the ballad narrative making it easy to remember the words of a ballad while common modifiers were used in changing pitches. The formulas allowed for the remembering of a shortened fashion of large narrative depicting its importance in remembering words in a ballad. Examples of formulas and common modifiers include the stock words, whole stanzas, incremental repetition, phrases. In songs, the Lily-White hand represented the imminent occurrence of dramatic action including rape or seduction as evident in Prince Heathen and Katherine Jaffray involving rape and torture and rescue respectively. Other formulas used in ballads include dressing in rich attire, where to get a bonny boy, and playing at the ball. Preserving the lyrics or keeping the â€Å"emotional core† intact was important because it represented â€Å"time honored expressions of recurrent ballad actsâ €  with formulas facilitating memorization (Harris, 22). Other than localization, other forces of change that affected ballad lyrics include consciousness of class differences, increased literacy levels/education, urbanization, religion, and different social values and practices (Buchan, 236). There is a possible connection between African American spirituals and the Underground Railroad, and most of the scholars believe that a connection exists between spirituality and the Underground Railroad network. Examples of words used in the Underground Railroad network that come from spiritual texts include â€Å"Drinking Gourd† referred to The Big Dipper who’s handle pointed to the North Star symbolizing the North Start in the Bible that let the

Sunday, October 27, 2019

Identifying and preventing harm from deterioration in patients

Identifying and preventing harm from deterioration in patients This study will discuss what a nurse needs to know in relation to identifying and preventing harm from deterioration in patients in a hospital ward setting. A review of current literature will be carried out in order to find the best available evidence on the subject. The key issues arising from the literature will be critically analysed to provide a balanced and objective consideration of the strengths and limitations of current practice in relation to the recognition and communication of patient deterioration. Finally the study will use the evidence to attempt to make recommendations for practice in this area and discuss the nurses role in the development of the new practices which could enhance the management of patient deterioration and ultimately ensure safer care for patients. Rationale for Subject Choice As a student nurse about to become a registered and accountable practitioner, one of my main concerns is that I have the knowledge and skills to recognise deterioration in the condition of my patients and the ability to communicate my concerns effectively to ensure they are seen promptly by a more senior clinician and any further decline is prevented. Therefore my rationale for choosing to study this topic was to try to find evidence which would support me in contributing to safer care of acutely ill patients. Background The increasing complexity of healthcare, an ageing population and shorter length of stay, means that hospital patients today need a higher level of care than ever before. Therefore, it is essential that hospital staff are equipped to recognise and manage deterioration (Department of Health 2009). Many patients who experience cardiopulmonary arrest show signs of deterioration for more than 24 hours before arrest, and it has been estimated that approximately 23,000 in-hospital cardiac arrests in the United Kingdom (UK) could be avoided each year with better care (Smith et al 2006). Furthermore, evidence has shown that delays in recognising deterioration or inappropriate management can result in late treatment, avoidable admissions to intensive care and in some cases, unnecessary deaths National Confidential Enquiry into Patient Outcome and Death (NCEPOD) (2005) National Patient Safety Agency (NPSA) (2007) (2007a). These studies highlighted the magnitude of the problem in the UK, they s howed that hospital staff do not understand the disturbances in physiology affecting the sick patient, they frequently ignore signs of clinical deterioration and lack skills in the implementation of oxygen therapy, assessment of respiration and management of fluid balance NPSA (2007) (2007a). NCEPOD (2005) reported that approximately 50% of ward based patients receive substandard care prior to Intensive Care Unit (ICU) admission, and 21-41% of ICU admissions are potentially avoidable. Analysis of 425 deaths that occurred in general acute hospitals in England showed that 64 deaths occurred as a result of patient deterioration not being recognised due to observations not being undertaken for a prolonged period leading to changes in vital signs not being detected, and delay in patients receiving medical attention even when deterioration was detected (NPSA 2007). Despite considerable economic investment there is continued evidence of suboptimal care and the Department of Health (DoH) (2 009) have acknowledged that the recognition and management of acutely ill patients need attention. They say there are many factors influencing a patients ability to receive appropriate and timely care including the failure to seek advice, poor communication between professional groups, and a lack of clinical supervision for staff in training (DoH 2009). The following literature review will attempt to find evidence of the factors which contribute to sub optimal treatment of deterioration. Literature Review A literature search was undertaken using the electronic databases CINAHL, ESCBO host, Internurse, Medline, Science Direct and Swetswise through the Liverpool John Moores University search engine, and also the British Nursing Index via Ovid using the Royal College of Nursing search engine. The keywords used were: deterioration, hospital deterioration, communication of deterioration and early warning systems. A total of thirteen articles were found to be of use, two of these were published outside the UK (Australia and Italy) however after reading them it was decided that the evidence was relevant and they were deemed appropriate for use. As the study developed a further search was performed using the terms deterioration tools, communication tools, SBAR and RSVP communication tool two articles from this subsequent search were used in this study. Additionally and as mentioned above useful references were also sought from the Department of Health, the National Patient Safety Agency, the National Confidential Enquiry into Patient Outcomes and Death, and the National Institute of Clinical Excellence. The search revealed the topic had been fairly well researched, especially in recent years and the articles seemed to have stemmed from the reports by NPSA (2007) (2007a) and NICE (2007). Smith (2010) recently proposed a Chain of Prevention to assist hospitals in structuring their care processes to prevent and detect patient deterioration and cardiac arrest. The five rings of the chain represent staff education, monitoring, recognition, the call for help and the response and it was found that the themes of education, and recognition were well documented in the literature. Nurse Education Preston and Flynn (2010) say in order to avoid unrecognised patient deterioration and therefore enhance patient safety nurses must review their knowledge and skills in measuring the physiological parameters of temperature, blood pressure, blood glucose levels, oxygen saturation levels, and neurological function, and in particular identified the respiratory rate as a particularly sensitive indicator of clinical decline. In addition nurses also need to recognise the significance of physiological compensatory mechanisms that are activated in clinical deterioration, so they can report their findings accurately and with confidence to doctors and senior staff. Steen (2010) agrees that nurses require the knowledge and skills to be able to provide critical care in the general ward setting, as accurate assessment using a systematic approach can aid timely detection and intervention and can help to stabilise the individuals condition preventing organ dysfunction, multi organ failure and furthe r deterioration, thus reducing morbidity and mortality rates and admission to ICU. However, Odell, Victor and Oliver (2009) feel that recognising deterioration of a ward patient and referring to critical care teams is a highly complex process, requiring skill, experience, and confidence. Preston and Flynn (2010) suggest that nurses can be helped to develop these skills by attending the Advanced Life Threatening Events Recognition and Treatment (ALERT) course, they considered the possibility of nurses undertaking the ALERT course whilst a student, they say this will help newly qualified nurses to promote their skills, abilities and rationale for recognizing and responding to patient deterioration. They also recommend the further development of acute illness simulation programmes in both pre and post registration courses to help nurses to become more confident and expert in responding and reporting acute illness to medical and more senior staff. They say what is needed is a closer col laboration between education and health service partners to deliver these programmes and competent clinical teaching staff to facilitate these simulated exercises in a safe environment that utilises accurate patient scenarios, equipment and charts that are currently used in practice (Preston and Flynn 2009). Monitoring Accurate monitoring of patient condition featured highly in the literature. The NPSA (2007) revealed that in 14 of the 64 incident reports they studied, no observations had been made for a prolonged period before the patient died therefore vital signs such as blood pressure, pulse and respirations were not detected. But the literature revealed the crucial importance of regular observations in the recognition of deteriorating patients. Preston and Flynn (2010) said doing the observations is crucial for detecting early signs of deterioration in acute care as closely monitoring changes in physiological observations can identify abnormalities before a serious adverse event occurs. Early identification is important to reduce mortality, morbidity, length of stay in hospital and associated healthcare costs (NICE 2007). Preston and Flynn (2010) also stipulated that close supervision of unqualified nursing staff doing the observations in acute care should be a high priority and should follow both the NICE (2007) guidelines and recommendations from the NSPA (2007) (2007a). However following an observation of care by Morris (2010) an issue was identified where observations were incomplete, with recording of respiratory rate and oxygen saturations omitted and although an early warning score chart had been used, a score had not been recorded (Morris 2010). Recognition The importance of nurses utilising an early warning system was highlighted. Cei, Bartolomei and Mumoli (2009) say using the Modified Early Warning Score (MEWS) when recording patient observations is a simple but highly useful tool to predict a worse in-hospital outcome and aid identification of patients at risk of clinical adverse events such as cardiac arrest, sepsis and raised intracranial pressure. Nonetheless a study by Donohue and Endacott (2010) revealed that participants did not look for trends in the MEWS data and few used MEWS data in the manner it was intended i.e. it was used to confirm whether the patient met the trigger criteria, rather than as a routine component of assessment, the study found that MEWS was used infrequently, used too late and not employed to communicate patient deterioration. Mohammed, Hayton, Clements, Smith, and Prytherch (2009) felt the significant advantage of an early warning or track and trigger system like MEWS was that they use a visual scale t hat gives a score if a physiological recording enters a colour zone. But they found that there are disadvantages to using these systems in practice if nurses add up the scores incorrectly. In their study (Mohammed at al 2009) found that calculating scores could be improved by using a handheld computer and this approach was more accurate, efficient and acceptable to nurses than using the traditional pen and paper methods in acute care. The Department of Health (2009) say early warning systems play a key role in the detection of deteriorating patients; however, clinicians need to be aware that in some clinical situations these systems will not reflect clinical urgency (Department of Health 2009) and effective assessment skills must be employed. Call for Help and Response The NPSA (2007) report revealed that in 30 of the 64 incident reports they audited, despite recording vital signs, the importance of the clinical deterioration had not been recognised and/or no action had been taken other than the recording of observations (NPSA 2007). This could be due to ineffective communication of the deterioration. The literature review showed that communication of deterioration was a more recently well documented subject. Steen (2010) Tait (2010) feel that a vital component of the management of the acutely ill patient is the ability to communicate clearly and precisely with all members of the multidisciplinary team to aid timely and appropriate help and intervention for the patient. Still there is much evidence of communication breakdown between disciplines, Beaumont (2008) states communication between medical and nursing staff can be problematic, nurses may not communicate clearly enough and struggle to convey information in a manner that would convince doctor s of the urgency of the situation, sometimes there is failure by doctors to perceive, understand or accept the source of nurses clinical and professional judgement, less experienced nursing staff might not feel comfortable or confident to call more senior staff because they fear doing the wrong thing or crossing occupational and hierarchical boundaries. These problems can result in conflict between professional groups as they attempt to work towards positive outcomes and may prevent patients from receiving assistance and support when required (Beaumont 2008). Endacott, Kidd, Chaboyer and Edington (2007) agree that formal divisions of labour and professional boundaries can cause gaps or discontinuities in patient care and feel communication between clinicians must improve. Donahue and Endacott (2010) say the failure of nurses to recruit senior support to deal with acutely ill patients is a contributing factor to the sub-optimal care of critically ill patient, it may be due to a lack of experience or knowledge on the part of the doctor but may equally be due to the nurses inability to articulate the seriousness of the situation. Their data identified that nurses have an awareness of the need for a succinct story but they continue to make calls for assistance with little relevant information (Donohue and Endacott 2010). As stated above suboptimal communication between health professionals has been recognised as a significant causative factor in incidents compromising patient safety and the use of a structured method of communication has been suggested to improve the quality of information exchange (Marshall, Harrison and Flanagan 2009). A number of communication tools are available; some hospitals use the SBAR (situation, background, assessment, recommendation) tool to structure conversations between members of the multidisciplinary team, which uses standardised questions to prompt the conveyor of information to share the necessary details (Steen 2010). In a simulated clinical scenario Marshall et al (2009) described the positive effect of this method on students ability to communicate clear telephone referrals. However, Featherstone, Chalmers and Smith (2008) feel that SBAR is not a memorable acronym and they prefer the use of the RSVP (Reason, Story, Vital Signs, Plan) system used in the ALERT cou rse as framework for the communication of deterioration, the authors say SBAR does not easily slip off the tongue, and RSVP is much easier to remember in an emergency. They say the reason for the call can be explained in clear simple language, and the story gives a time line of important events, they feel nurses will be familiar with a narrative style of communication and are used to giving a brief summary as part of the handover process. The vital signs must be given in figures, and can include the early warning score, or summarized in words that convey the deterioration effectively and the plan for the patient should be outlined by the caller or expected from the receiver (Featherstone et al 2008). Smith (2010) says the use of standardised method of communication, such as the RSVP system will improve communication about patient decline. Recommendations for Practice Constant change within the National Health Service is essential to advance care quality and ensure the provision patient focused care that is evidenced based. Ensuring the latest and best available evidence is put into practice is a is a crucial way of ensuring that people get the treatments and services that are the most effective and will have the best health outcomes, it ensures that the public funding that supports the NHS is used wisely and that the treatments and services offered are cost effective, and both of these factors lead to the provision of clinically effective care. Everyone involved in healthcare provision must ensure quality is enhanced and must be willing to change current practices for the benefit of patients. Nurses have a professional responsibility to keep up to date with changes and developments within their field and to deliver care based on the best available evidence or best practice (Nursing and Midwifery Council 2008). Larrabees (2009) Model for Evidence Based Practice Change suggests that there are six steps towards implementing change in practice, firstly practitioners should assess need for change in practice, and this study has found evidence which clearly points to the need for changes in practice in order to reduce avoidable harm to patients. The next steps of Larabees Model (2009) are to locate the best evidence, and critically analyse the evidence, and from the evidence found in this study it is evident there are several recommendations for changes in practice which would help nurses in acute care to develop their skills in recognising and reporting deterioration. To keep the Chain of Prevention suggested by Smith (2010) strong he suggests that staff education, monitoring, recognition, the call for help and the response must all be robust in order to prevent harm from unrecognised and unassisted illness. Recommendations to enhance these areas would be to ensure that the recognition of life threatening illness is taught from an early stage in a nurses career by attending the ALERT course earlier in their training and by the teaching of patient scenarios in the clinical area and facilitated by staff who are trained in critical care. With regards to the call for help and the response rings of the Chain of Prevention (Smith 2010), it has been shown that the use of communication tools help nurses to get an earlier response when calling for assistance, so it seems sensible to implement the standard use of a communication tool in acute care when communicating deterioration. The next step in Larabees Model for Change (2009) is to design the practice change, and it is recommended that use of the RSVP communication tool (see appendix) should become hospital protocol when calling for assistance; this is because it is easy to remember and it is used as part of the ALERT course which many acute care nurses have attended. Nurses should receive training on the use of this tool and it should be displayed near the tele phone in every acute area. In order to implement and evaluate this change, which are the next steps in the Model (Lara bee 2009) a nurse should firstly let people know about it, this can be done by using various means of communication i.e. trust intranet, ward meetings, discussion with senior nursing staff and managers. They must then get people to take on the change by involving enthusiastic team members and organising a pilot test of the use of the RSVP tool. Crucially the rate in which more senior practitioners respond must be audited find out if the tool is working in practice and if not why not, is more information or training required is the tool not displayed clearly enough. The final step of the Model for Change (Larabee 2009) is to integrate and maintain the change in practice, to do this a nurse must ensure all new staff are trained to use the system and continuously evaluate its use to ensure it is working in practice. Conclusion This study has highlighted the evidence base and resources available to support nurses in contributing to safer care of acutely ill patients it has found that in order to facilitate accurate detection of changes in condition, nurses working in acute care must acknowledge the importance of observations and early warning systems in the identification of patients at risk of adverse events and ensure patients are assessed using a sound knowledge of physiological compensatory mechanisms, to enhance this knowledge they should attend an ALERT course, the evidence pointed to nurses attending these courses early in their career and that clinical scenarios could also help increase their knowledge of acute illness. It was found that communication tools help nurses when calling for senior assistance and the implementation of a standard tool within acute hospital settings could help to prevent harm from deterioration.

Friday, October 25, 2019

resistence basic guide :: essays research papers

A basic guide to resistance. Electron Flow Model Everything is made of very small particles called atoms. Each atom has a heavy positively charged nucleus and is surrounded by a cloud of light, negatively charged, electrons. In metals, the outer most electron of each atom is weakly attracted to the positive nucleus and can escape from the atom and wander around between the atoms. [Note 1] So, in metals, we have all these millions and millions of electrons whizzing about at high speed, in random directions, between the fixed atoms. When you connect the piece of metal across a battery all these electrons are still whizzing about at random, BUT they are also forced to slowly drift in one direction. This slow drift is called the current. [Note 2] As the electrons are forced through the metal they collide with the atoms and transfer energy to them. This is where the word resistance comes in. The electrons experience resistance to their forced movement between the atoms. When the electrons collide with the atoms the electrons lose energy and slow down, the atoms gain energy and vibrate faster. You should know that the faster the vibration of particles the hotter the temperature of the material is. So the energy from the battery, that is used to force the electrons to move, is transferred to the atoms, and we see this as the metal getting hotter. The resistance of a metal always leads to a heating effect when a current is passed through it. The size of the resistance will depend on the type of metal, and its dimensions. Note 1 The regular arrangement of atoms in metals is called the "lattice" or "crystal lattice". The electrons are not completely free from the nuclei so it is not quite correct to describe the electrons as "free electrons" or the atoms as "positive ions". However, in many books you will see metals described as "a sea of electrons moving randomly through a lattice of positive ions." In newer books and your GCSE specification you might find the atom parts described as "positive atomic kernels". Anyway, this whole arrangement is known as "metal bonding" and the attraction of the electrons to the positive atomic kernels produces the characteristic properties of metals. Note 2 The current in a metal is due to the drift of electrons. Without the atomic model many people get the idea that charges (electrons) flow out of one end of a battery, through the wire, and then back in to the other end of the battery.

Thursday, October 24, 2019

Regulatory and Accreditation

Quantitative Research Article Critique Sandra M. Smith NUR/518 February, 26, 2012 Veta Massey Quantitative Research Article Critique Kalisch, B. J. , & Lee, K. (2011). Nurse Staffing Levels and Teamwork: A Cross-Sectional Study of Patient Care Units in Acute Care Hospitals. Journal of Nursing Scholarship, 43(1), 82-88. Introduction The purpose of this study is to explore the current research data and use of the Nurse Teamwork Survey to see if nurse staffing levels predicts teamwork. The importance of teamwork is to achieve a higher level of patient safety, quality of care, job satisfaction, and decrease turnover.A cross-sectional descriptive design was used with a 2,545 nursing staff on 52 units delivering patient care, in four different hospitals among the Mid- West. The relevance of the study is to show that there is an association between quality, safe care, and teamwork which also requires safe staffing (Kalisch & Lee, 2011) The title of the article suggests the main variables an d the population in the study. The abstract concisely and clearly summarize the main problem, method, and results of the study. The problem identified is a lack of understanding between the relationship of workload, teamwork, and level of staffing.Literature review The literature review is up- to -date and focused mostly on primary sources. Dates of the literature review range from 1994- 2009. Only one review studied was over 10 years and six were in the past five years. The review provides a range of comparisons between teamwork and job satisfaction, mortality rate, interpersonal skills, and quality of care. What is known is that a higher level of teamwork in the intensive care units was found to be related to a decrease in mortality rates (Kalisch & Lee, 2011). Also, a decrease in vacancy rates, and staff turnover was associated with higher level of teamwork.Brewer (2006) showed that† improved teamwork found a significant decrease in patient falls. † The literature rev iew provides a solid base for this study. What is unknown is the relationship between workload, staffing levels, and teamwork. Framework The study illustrates a â€Å"conceptual framework which postulates that staffing levels predict teamwork when there is control of the acuity( CMI) of the patients on the units, the size of the hospital and the nurse staffing levels( nurse staffing included RN’s, LPN’s, NA’s, and unit secretaries)† (Kalisch & Lee, 2009, p. 3). There is a conceptual map, which identifies the variables and relationship that is simple and understandable. The framework was based on the outcome of the literature review and the effects that staffing levels had on teamwork. The framework does identify the relationships between teamwork and staffing levels to patient outcomes. â€Å"The framework relates to the body of nursing knowledge in that patient safety and patient perception of care delivered in held in high esteem for nurses† (Kal isch & Lee, 2011, p. 83).The conceptual framework identified the meaning of teamwork by using the Salas, Sims, and Burke (2005) study that identified five important elements of teamwork (trust, team orientation, back up, shared mental model, and team leadership). Using this conceptual framework its basic foundation, the Nursing Teamwork Survey (NTS) was developed and tested to be used for the psychometric elements. This testing resulted in identifying five different elements of the nursing team that was descriptive. The research questions proposed where asfollows: â€Å"By controlling the CMI and size of the hospital, does the level of staffing predict nursing teamwork?By controlling hospital size and CMI, does the level of staffing predict subscales of teamwork (trust, team orientation, back up shared mental model, and team leadership)† (Kalisch & Lee, 2011, p. 83)? The aim of the research questions was appropriate to the study on that they identified the relationship betwee n teamwork and staffing levels. Method The study (Kalisch & Lee, 2011) used a descriptive, cross-sectional design and an appropriate sample was used. â€Å"The setting was four hospitals within the Midwest of the United. Sampling characteristics were 60% over the age of 35.The majority of the sample were female (89%) and RN’s (70%), and the majority (74%) had at least 2 years experience† (Kalisch & Lee, 2011, p. 83). The sample group was identified and described and sufficient in size and character. The size of the hospitals were between 300 -900 beds. All units were eligible for inclusion. A total of 52 beds was the study sample. The sampling staff made up 2,545 respondents. 1,741 were RN’s, 41 were LPN’s, 502 were NA’s, and 191 were unit secretaries. The sample groups were appropriately identified as pertinent to the study question.The NTS was used in this study and was intended to measure nursing teamwork in the inpatient care setting. The Bartl ett test was used to indicate the correlation matrix that showed it not to be an identity matrix. The Kaiser-Meyer-Olkin measured the sample adequacy. In this study it was determined to be excellent at (0. 961). Confirmatory factor analysis also showed that the team work model of five factors fit the data well. A comparative fit index model was 0. 884 with a root mean square error of approximation to be 0. 055. The test and retest reliability was good at 0. 92.The consistency of the survey showed to be 0. 94 with co-efficient ranging from 0. 74-0. 85. The results of these tests showed a similarity in responses of staff members on the same unit (Kalisch & Lee, 2011). The NTS used was a questionnaire. It contains 33 questions with a Likert-type scaling system. This survey was generated by the literature review and from focus groups with staff members. The staff members are dependent variables within the study, although the hospital size and CMI of the patients are independent variable s. The survey was given to the staff with a time limit for responding.The response was anonymous. Staffing data was also obtained by each hospitals database. The nurse staffing indicators included hours per patient day (HPPD), RN hours per patient day (RN HPPD), and skill mix (RN’s LPN’s, and NA’s providing direct patient care). The acuity of the patients was also a factor. The study did ensure comparable data among the four sites. This was done by using the raw data that was provided by the participating hospitals. The appropriate statistical methods were used in this study and the research questions were also addressed with the groups surveyed. Data collectionThe study was conducted over a four- week period where data was collected from each facility. The data collection phase included two separate study phases. The first phase was the administration of the survey to the units and the collection of raw staffing data from the hospitals. The NTS was put in an en velope with a letter of explanation about the study. Incentive was given to each participate by the addition of a candy bar. The participation was made known to be voluntary. The subjects were to place the completed survey in a locked box provided on each unit. A pizza incentive was given for units who achieved a 50% return.This incentive was appropriate because the staff had to take time out of their work day to do the study. The second phase, which collected the raw data of HPPD, RN HPPD, CMI, and skill mix were obtained from each unit prior to the NTS being administered (Kalisch & Lee, 2011). The collected data was appropriate to the study questions. Statistical data analysis Data analysis was obtained by the use of the Statistical Package for Social Science version 16. 0. The unit analysis is identified as the patient care unit. The mean score for teamwork level obtained from the NTS was collected and combined to a unit level team score.Statistical analysis was done to address e ach question in the study. Appropriate methods were used to analyze the data obtained. â€Å"Preliminary analysis involved using frequency, descriptive, and correlation methods that associated with the research question. Correlation analysis was effectively used to address the relationships between hospital bed size, staffing levels, and teamwork† (Kalisch & Lee, 2011, p. 85). Regression analysis was done to identify the correlation of staffing levels as it compares to the five subscales of teamwork.One analysis identified HPPD as the high level of predictability of teamwork on the unit. The analysis showed that the higher the skill mixes on a floor and higher HPPD, the greater the predictability of teamwork. The findings of the study are adequately summarized by the use of multiple tables. The findings are reported in a manner that would support evidence-base practice. Discussion The major findings of the relationship between staffing levels and teamwork were interpreted and discussed. This study does demonstrate that there is a relationship between HPPD and nursing teamwork.It was also reported that the higher the skill mix the greater level of teamwork. Researcher notes that â€Å"the use of actual nurse staffing data adds substantial credibility and confidence to the previous findings† (Kalisch & Lee, 2011, p. 86). The interpretations of the study appear to uniformly flow with the results. The study does discuss the limitations of the study on that the sample was in only four Mid-Western hospitals. According to Kalisch and Lee (2011, p. 87), â€Å"team work is more difficult to achieve in larger hospitals. † The sample does not provide for generalizability of the findings.The study recommends further direct observation studies to measure actual teamwork. Implications The study does discuss the implications of the findings. The results suggest that ensuring adequate staffing is important but also increasing the efficiency of the deliver y of care by using staff more effectively. Summary Despite some identified limitations such as generalizability, the study findings appear to have validity and show confidence in the truthfulness of the results. The study does contribute to meaningful results and evidence applicable in nursing practice and hospital policies regarding staffing.Further study suggested would be to observe larger inner city hospitals with greater levels of skill mix for longer duration of time. References Brewer, B. B. (2006). Relationships among teams, culture, safety, and cost outcomes. Western Journal of Nursing Research, 28(6), 641-653 Kalisch, B. J. , & Lee, K. (2011). Nurse Staffing Levels and Teamwork: A Cross-Sectional Study of Patient Care Units in Acute Care Hospitals. Journal of Nursing Scholarship, 43(1), 82-88. Salas, E. , Sims, D. E. , & Burke, C. S. (2005). Is there a ‘big five† in teamwork? Small Group Research, 36(5), 555-599.

Wednesday, October 23, 2019

Compare & Contrast “Mid Term break” by Seamus Heaney & “Treasure in the Heart” by Joolz Essay

Recently I have been studying two similarly themed poems both concentrated upon the chilling reality of death. In the following essay I will to analyse & compare the similarities & contrasts between â€Å"Mid term break† Written by Seamus Heaney & â€Å"Treasure in the Heart† written by Joolz. I will attempt to delve & explore the subconscious meanings behind the structure and wording of these poems. I will attempt to give a brief overview of relevant background information concerning Heaney & Joolz which had a substantial effect on the poems written by both poets. Seamus Heaney was born in April nineteen thirty nine, the first of a closely knit family what would eventually turn out to be nine siblings. This ment Seamus felt a lot of responsibility to his family from a young age. This is surely a contributing factor to why he wrote this poem as he would have surely blamed himself in part for his brother’s death. This is very similar to one of the reason why Joolz would have written her poem both were very close to these people and felt a lot of anguish at there passing. Both would have wanted to be able to pay there respects in a more memorable & effective way for themselves. Seamus family was a mixture of â€Å"old Ireland† his father being a second generation cattle. But his mother was a descendant of the â€Å"new Ireland† a family with many Irish industrial ties. This surely gave Seamus a unique and very diverse view when it came to his surroundings. When Seamus was only twelve years old he was awarded a scholarship to St.Columb College. This gave him a real opportunity to do what he could with his life. Evidently family was a very important subject in Heaney’s life & I am sure that is why he found it so important to write a poem about this event. From studying the title of his poem â€Å"Mid term Break† you would expect a happy poem with children playing having fun. You would not expect the opposite and that is exactly what this poem really represents. The poem is about death and the wave of misery & destruction that affects the concerned people. Another way you could look at the title of the poem is that he wanted to make his last memory of his brother a fond one. As he was also older when he wrote this final reflection it would have ment it would be a more mature & reflective title, this however would surely of been different had he wrote it at the time of the death the title would have probably been more an angry outburst of sadness & hatred upon his part. The word â€Å"angry† in the title could first of all represent a break in the routine of everyone’s life, as if once the terrible accident happened everything halted to a stop as people took time to mourn. This word break could also symbolize a time of great time of sadness & grief just like â€Å"bells knelling†. The start of the poem starts slowly rather ambiguously like a sick joke slowly revealing the punch line. He begins the poem with slow & cagey vocabulary it signifies a young boys nervous, clammy state of mind. You can identify with how he would feel when he says: â€Å"I sat all morning† From this you can feel the tension in the air like a tightly pulled string about to snap. When you think of having to wait some-where for a long time alone it conjures up memories of boring and sad times. This really sets the theme and tone for the rest of the poem just in this one line a very effective way to begin. He leaves it very mysterious at the start but you know what the general flavour of the poem is going to be from this one taste. The whole poem is set in first person. This gives it a more immediate impact as if you are living the occasion right now. This is more of an effective style when trying to show the reader the circumstances of the writers anguish. Rather than being set in third person it is more in your face and this gives you the sense of almost viewing the whole scene as a bi-stander. The use of wording in the second line is a very significant & begins to give you an inkling of what has happened when he says: â€Å"Bells knelling† The way knelling is slotted into the poem is a useful indicator of what has happened, as seen by the actual definition of knelling which is: (verb) 1. To ring a bell slowly & solemnly, especially for a funeral. So as shown by the very descriptive use of wording used at this stage the bells were a very significant part his memory of this saddest of times. The bells would have also have been very significant to him at the time as I am sure time was going so slowly for him. He would have felt sick, agitated but the bells would re-assure him of the fact that time was still going & that no matter how bad he felt life goes on. Then he moves on to an even more awkward situation you can feel the cold sadness in the air of this journey, the tears streaming down his face when he moves onto: â€Å"Two O’clock our neighbours drove me home† The inclusion of time is very significant, as it shows how slow time really would have been going for Heaney right then. The way he describes the drive home in general give you a chill down your spine after all he says is: â€Å"The neighbours† He makes the whole experience feel very in-personal & foreign as if he was being taken home by some complete stranger like a police officer after doing something horrific. The whole of the first verse runs on as is then the theme for the rest of the poem. You would tend to believe this is down to the face that when he wrote this poem it was along time after and the memory had all become one jumbled up mess. So this would lead you to think these certain scenes are imprinted into him like a scar deeply running into his darkest parts. As if the memory will be with him for life so he has to get it down on to paper to lighten some of the weight of his pain. Then he moves onto a scene that was at the time almost as scaring to his conscious being as his brothers death was: â€Å"I met my father crying† This would have been a very shocking & and uncomfortable situation for Seamus at the time. Surely this one scene would have driven home to him how he must stay strong for his family as they needed him to. The use of such a miserable revelation as a parent crying over there lost son also shows the reader the effect it had on everyone & how much of a horrific and un-natural situation it is and that no one should have to suffer. But then just to finish you off he drops in this one really tiny piece of info that really gets to you: â€Å"He had always taken funerals in his stride† Just as if you didn’t feel for him and his family how terrible this was. When a grown man cries it really shows you how terrifying a fact it is that this one simple act of carelessness can rip a grown man to shreds. Moving on next you get one character that you will normally find at funerals trying to consol everyone with cheap words. But all everyone really longs for are those precious ties to be relived with the little boy who they all loved but was taken away from them in one â€Å"break†. You then get the sharp but beautiful contrast of something so special it really gives you that glimmer of hope. When you are reminded in your glum, unforgiving state that life is still growing & that there are still more happy memories to be lived. But also it would feel ignorant & rude to laugh at a funeral, but it feels right when a baby laughs. This gives you a reminder of the innocence of the young and how life will poison this if you do not die young. Next you move onto a totally different scene: â€Å"Old men standing up† This shows the respect they have for this boy as if for today he was a man & with that comes the pain of life. Heaney uses this situation to his advantage however. Every man has suffered this some time he does not know what is going on or how these men are here or who they are. But there is one thing he does know he should be nervous & embarrassed after all they are here paying respects for this brother and he doesn’t even know who they are. But even under all this you feel the character of a boy now a man shine though. You can feel the bitterness conveyed when he says: â€Å"Tell me they were sorry for my trouble† He understands even then when he was just a young boy the hypocritical vibe he feels from them. I mean how can they even know his brother he was only four he had barely even seen the world so what makes these men so special? You then get the other end of the spectrum another stage in the routine of mourning. Anger of course she’s angry who wouldn’t be if there son was tragically knocked over in some freak accident? But you know you never get the real impact of death concerning a little child until you realise how bad the mother is feeling. That is what really makes this part so personal and gripping: â€Å"Coughed out angry tearless sighs† It hits you the reader how bad she must be feeling. So sad & angry she can’t even face releasing her eyes to gush out the tears she so richly deserves to let go. No instead she locks away herself to the world & just grips to her son like a young girl clutching her comforting teddy. But no he still won’t release himself to mourn he must stay strong for the family. Even hours after the death the true tole of what has happened still doesn’t truly hit then young man still counting the time like the clock of death ticking away A prominent theme though out the poem of course from that solemn tolling bell. But still it hasn’t hit him as now his brother has gone not even a person just: â€Å"The corpse, stanched & bandaged† The memories are as if they have no left the body all that is left is the empty meaningless shell. Even though is written in first person the description is so in-personal it’s almost cruel. But then the final nine lines are like one big jumbled description more like a final saying goodbye. He describes such a simple but beautiful just as he would want his brother to have the best. Not an empty corpse this time this is as if his brother is only sleeping for a long time. The scene is the most beautiful & ironically happiest part of them poem. â€Å"Snowdrops & candles soothed the bedside† This gives the impression of it being a very tranquil & comfortable scene where finally he can mourn & try to come to terms with his brother’s death. The use of snowdrops describes a very beautiful & pure room as if angels are watching over his brother from above. As he would want now his brother is with them. He the goes on to use an intriguing word to describe the bruise on his temple: â€Å"Wearing a poppy bruise† It’s almost as if it is not a bruise on his head but a sign of remembrance not just for him but it also signifies the wasteful way so many young men & women lose their lives. It not a bruise on his head really it’s an emblem an icon never to be forgotten neither shall is brother be forgotten as he continues to remain young: â€Å"A four foot box a foot for every year† Really that is when it hits you the use of this simile is just enough to make you think what really is the point when people are dieing so young. I think in the reality the last line is there to create a memorable finish that will stick in your mind forever. In final analysis of the poem I find the poem to start off slow with a sort of dull boring way for effect. But then in the second stanza the poem reads through very quickly this continues until the sixth stanza, I believe this is to display how much a blur the whole memory is. Until he comes to the most significant last two stanzas: â€Å"Snowdrops & candles soothed the bedside† This is a beautiful & calm analogy unlike the previous few stanzas it is a more calm & thoughtful description. Throughout the last two stanzas he uses a lot more punctuation like commas and full-stops for example. This is because it was probably the most memorable part of the whole experience after all it’s the last time he saw his baby brother. I find this poem to be a very beautiful & realistic poem. He uses good effects such as descriptive words & an ever changing pace to keep the reader glued and keeps them thinking. He uses some very good similes such as: â€Å"He lay in his four foot box as in his cot† This sad but beautiful simile is a great way to finish off any poem and in all I think it is a great poem. Also the most interesting aspect of the middle stanzas he takes you though different people & there contrasting ways of dealing with bereavement Now moving onto Joolz and the information behind her life and why she would put what she has in her poem. Joolz born in Colchester in 1955 actually once said herself: â€Å"I was a difficult child† Brought up in Cosham near Portsmouth she would often spend lots of time with her Nan as her mother worked for the electricity board & her father would spend long periods away with the army. This is probably the main reason behind why she was angry at the death of her grand mother and the setting of her funeral. Joolz was a troubled youth, she hated school everything except art. She could make herself ill on demand, a weapon she surely used more than once. She moved to Harrogate, Yorkshire in her childhood where she would be based for many years. As an adolescent she was difficult to look after and was put on tranquilisers. When she was only sixteen years old talented at poetry she went along to a folk club at the time she was the only girl. When only 19 she married a maintenance fitter & motorbike kid. After that for a while she stopped writing poetry but after five years they split up and she moved to Bradford. This show how will full she was and independent she must have truly believed in being herself & obviously it must have been very hard for her at her Nan’s funeral evidently. From the title of Joolz poem: â€Å"Treasure in the Heart† You can tell this is going to be a very loving & beautiful portrayal of some ones life. Obviously to reflect on a true treasure in Joolz heart. The use of these words is a very poetic way to start. The title of Joolz poem is more to the point & gives you an idea of what the poem is going to be about. Unlike Heaney’s title which is rather misleading & elusive. Both ways are effective but in different aspects, Heaney’s for shocking you after such a normal & uninspiring title. But then there is Joolz title which is just so beautiful & really gives you the sense of passion from the start. This really sets the tone for the whole poem & you know from then on there is going to be a lot of regret & passion blazed on these stanzas. Her passion is displayed by the strong words she uses like â€Å"shouted† the wording shows how much she cared. Just like in Heaney’s poem Joolz sets hers in first person. This as I said is significant as it gets the reader more immersed & just like Heaney’s poem it means the emotions from the poem can shine through. All through the first three lines she begins them with â€Å"I should†. This shows how angry she was at herself and evidently she wish she could make it up to her Nan. But even more important she wishes she could go back & change everything. But crucially I think she is writing this poem as some sort of minor reprisal for the way she let her Nan down, but also for her to vent her anger the only constructive way she knows how. Also she wants to immerse the reader and by opening with this repetitive start it intrigues the reader and compels them to read on. But she’s not just angry at herself just like she has lived her life she is angry at the system: â€Å"In that sickly, stupid, hideous place† This really shows the root of her furious tone. She knows that the chapel was never good enough not for her Nan not for no ones. She knows that nothing but the best would be good enough & you know from the way she reacts she just wanted it to be perfect. What she did not want it to be was fake, un-respectful & thoughtless but that’s all it really was: â€Å"Full of fake fabric flowers†¦ taped organ music† This she knows should have been a happier occasion after all her nana had a long life†¦she was lucky when you think of Heaney’s brother & the way he was taken she would have known her nana was lucky too. But why such a fake terrible service to remember her after all was her Nan not good enough for some real beautiful flowers at some gorgeous antique church? Even then more insults seemed to sprout from every where for instance all ten people who turned up, after all those years her Nan had lived did she not deserve for a at least a few more people to pay there respects? A far cry from the hundreds of people who were there for Heaney and his family after his brother’s death, what a difference a few people make. But then the biggest insult of them all, this really seemed to push Joolz to breaking point but at the same time drew the writer in: â€Å"this fat, untidy†¦woman rolls out sonorously†¦imbecile clichà ¯Ã‚ ¿Ã‚ ½s† Even then she knows no matter how bad the ceremony was still a great person: â€Å"her terrible strength & sword sharp truthfulness† This is why Joolz loves her Nan & why someone would not have loved her would have probably bewildered her. But how even her Nan had fallen from that once great person who she will always love and cherish but now she is just: â€Å"Shell thin and faded silvery† This must really hurt Joolz to see her Nan the most motherly figure she probably had, turned into nothing more than skin & bones. Overall her Nan was ten times better than that fat untidy Christian woman could ever be and that is what she hates most. She hates how she was at her funeral this is evident all the way from lines twenty five- thirty! â€Å"Snotty nosed†¦still a child† This is very important as it shows through all the anger & her thoughts that she was still only a child & must understand how is was not really her fault. In fact Heaney was at a very similar age he neither knew what to do but they dealt with it the same at the end of the day but in there own little ways. I understand totally after all when you are only a teenager you are fully aware of death but it still remains some one else’s problem till it hits you. But even then she knew very well that her nana deserved more time than she got: â€Å"Nine minutes that stupid ceremony took† Time is important to her after all the years her nana spent looking after her all the opportunity she has to pay her respects is nine pitiful minutes. Of course this is going to make her angry everyone deserves the chance to mourn for longer than nine minutes no matter who you are: â€Å"Listen to me!† The line she has probably rehearsed in her head a thousand times but she lets it pass. She would have been fierce like her nana would have wanted. This is the passion she really wants to show on that fateful day, or just to say how disgusted she really was. Then she could have rallied her ceremony to make it that little bit more perfect: â€Å"She deserved more than this†¦in the end† She would have said everything she needed to say then and she would never have needed to write this poem. But then you would never of had this ending of such sad proportions: â€Å"But I said nothing†¦im really sorry† These are really important words as then finally say what she has all along been longing to bellow. The whole poem is set out more like one whole paragraph for the majority. More of speech than a poem, in truth the lines are simple sectioned into groups ranting about different topics. The poem flows well all of it relating into the next part as it is very well though out. I personally find the poem to be good but it is a more personal topic. I find it harder to relate to this poem rather than Heaney’s however the use of description & the whole poem is very impressive. Finally I found Heaney’s poem to be the better & most effective. The fact that the poem was about a year olds death compels me more than Joolz topic.