Wednesday, October 30, 2019

Final Paper Topic Essay Example | Topics and Well Written Essays - 250 words

Final Paper Topic - Essay Example With the growth of civil liberties, new situations and threats became flexible where poor preparations and public support declined. Many people believed that the aftermath of the Vietnam War had produced irresponsible and harsh civil liberties full of radicals, dissenters and foreigners. Therefore, the powerful orthodoxy and the military concluded that unrestrained press had undermined ability of Americans to fight in Vietnam. This led to exclusion of the press and civil liberties from the US invasion of Grenada in 1980s (Leone & Anrig, 45). In conclusion, it is evident that the violation of the freedom of the press and civil liberties in 1960s led to its restrictions. The press and civil liberties pursued their own preexisting agendas in the name of national security leadings to its restrictions. After the 1980s, there were exceptions of the war time infringements of civil liberties due to restrictions granted unto them by the Supreme

Monday, October 28, 2019

Evaluate the roles of named players Essay Example for Free

Evaluate the roles of named players Essay Managing future energy needs is certainly a global challenge that requires the cooperation of many named players both on a small and large scale. It has been estimated that global demand for primary energy is set to grow 55% by 2030 and that $22 trillion of new investment is need to meet future energy forecasts. The main player in providing future energy security can be argued to be OPEC as they control the production of over 2/3s of the worlds supply of oil, therefore leading them be price makers in the industry. OPEC is considered to be the most important player in global energy provision, it currently consists of 12 members and was created in 1960 mainly to protect the interests of member countries and to stabilise oil prices for a regular supply to oil consuming countries. However, OPECs obligations have been controversial as they have been accused of holding back on production of oil and gas in order to drive up prices, therefore using the market mechanism of demand and supply to increase profits for member states. Currently it has been proven that collectively, OPEC has stored 900,000 million barrels of crude oil, they own 78% of global resources and have a combined market share of 45% for oil and 18% for gas. This inherently makes them the largest producer of fossil fuels in the world meaning they will have a large if not absolute say in future energy provision and energy security. The responsibility of oil distribution will then fall on OPEC when supply of oil runs low leading to a bidding system for allocation of oil to where demand and price is highest. Another large player involved in providing energy security for the future is multinational oil companies; they are involved in the exploration and extraction of oil as well as transporting and refining the oil to consumers meaning they, as well as OPEC control the prices directly to consumers. Most of the top 20 oil companies in 2005 were state owned with companies such as Saudi Aramco in Saudi Arabia and PDV in Venezuela, this could be beneficial for domestic industry as they may charge less, stimulating the economy with lower production costs. However, many of the largest oil companies are relatively free of direct political influence and are therefore driven by the market mechanism leading to higher prices, above production costs. An example of a petro chemical company that has a direct impact on us in the UK is Gazprom in Russia. It solely controls one third of the worlds gas reserves and accounts for more than 92% of Russias gas production, but more importantly it provides 25% of the EUs natural gas as we are consistently becoming net importers. The security of the energy provision is open to risk as Europes fear is that Russia will be able to name its price for gas because Europe is predominately dependent on its supply. In addition, the reliability is further doubted since Russia temporarily shut off gas supply to Ukraine in 2006 and therefore the whole of Europe. Fossil fuels are of course a finite resource meaning they will one day deplete to such an extent that it will not be cost effective to extract and refine to sell. This insinuates that it is the combined role of governments and oil producing companies to innovate and invest in new technology to sustain increasing energy demands. International Governments is the last and one of the main players in providing future energy security. Governments have the option of allowing oil companies to further exploit their own environment in order to increase oil production such as the case with the province of Alberto. It is estimated up to 2. 5 trillion barrels of are held within the sedimentary oil-shale more so than in Saudi Arabia. This may relieve pressure for rising energy demand in the US as Canada does in fact have a surplus of primary energy. It will also relieve the US from its dominant reliance on the unreliable Saudi Arabian oil reserves with growing political challenges and the threat of terrorism and piracy. However, environmentalists see the exploitation of oil-shale are sands as a disaster in the making, not only does it already have detrimental environmental scars but with current technology, huge amounts of energy are needed in heating the sands to extract the oil (every 3 barrels of oil produced requires 1 barrel to be burnt). Conversely, Governments may opt to incentives conservation of energy through fuel duties or green taxes and emission trading as it leads to industries investing in cleaner technology. In addition, investment in greener fuels such as renewable and nuclear energy is a way for governments to secure energy provision in the future as it can be sustainable and everlasting. In conclusion, each player has a unique role in providing future energy security either with price stability with OPEC, investment into greener technology with oil companies and correct management and legislation from governments to both the exploitation of their environment and their fiscal system in incentive taxation. All in all it depends on the magnitude of integration of all these ideas brought forward that will secure actual energy provision in the future and allow for a sustained and secure increase in consumption of energy.

Saturday, October 26, 2019

Essay --

Summarize the main conducts of the leaders mentioned in this case, and discuss why they succeed or failed (15 marks). P&G’s reputation is earned by our conduct: what we say, what we do, the products we make, the services we provide and the way we act and treat others. As conscientious citizens and employees, we want to do what is right. For P&G, and our global operations, this is the only way to do business. a. A deep commitment to deliver leadership results. b. Leaders in P & G have a clear vision of where we are going. c. They focus our resources to achieve leadership objectives and strategies. d. They develop the capability to deliver our strategies and eliminate organizational barriers. One element that helps make the program successful: loyalty. While there's no hard and fast rule against hiring outsiders, P&G rarely does so. "We promote from the inside, because that's our primary source of talent," says Lafley. COO Bob McDonald says employees who are promoted internally nearly always thrive, while other companies, he reckons, have a 50% fail rate when they use headhunters. "What we're talking about is a system that's much more reliable," says McDonald. The result of P&G’s focus on innovation has been reliable, sustainable growth. Since the beginning of the decade, P&G sales have more than doubled, from $39 billion to more than $80 billion; the number of billion-dollar brands, those that generate $1 billion or more in sales each year, has grown from 10 to 24; the number of brands with sales between $500 million and $1 billion has more than quadrupled, from four to 18. This growth is being led by energized managers — innovation leaders — who continually learn new ways to grow revenues, improve margins, and avoid commoditizati... ...eciation for Chinese culture to be successful. Growth in this arena was facilitated by Procter & Gamble’s emphasis on attracting and retaining local talent. How to Deal with Crisis: The tumultuous nature of the Chinese economic and political system during this period forced Procter & Gamble to learn how to overcome significant challenges numerous times. The Procter & Gamble leadership recognized that in order to remain viable under such circumstances, they had to face up to the reality of any crisis situation squarely and remain unfazed while focusing primarily on the few very specific issue areas where they could make a sizeable impact. Procter & Gamble’s survival was facilitated by a policy of company-wide resolve to persevere in the face of problems created by the crisis and an emphasis on caring for their employees, particularly their domestic talent. Refrences

Thursday, October 24, 2019

Advertising and Sales Promotions In The Internet Essay

Marketing has been one of the most significant gainers from the Internet revolution. Internet has been applied by marketers both as a medium as well as a product. Marketing has deployed it for communication of information, distribution of some of its products and for receiving payments from the customers. Internet based marketing plays a vital role in the exchange process. Internet marketing term became popular when computers started getting used in marketing extensively. Earlier, computers were used more for storing, processing and reporting of various marketing related information. But, with the entry of Internet the online data handling possibilities have virtually exploded the use of computer. This application has multiplied the use of computers faster among communities. Internet marketing profitably reinforces the concepts of marketing with the power of internet. It strengthens the existing delivery of marketing outputs and also opens newer avenues of marketing which were not possible to achieve before the arrival of internet. A marketer today can keep track of millions of customers simultaneously, segment them online, offer customized products to individual customers, fix different prices, provide varying contents and styles of information and deliver the products through appropriate modes of distribution to each of these customers. The details of such transactions and the characteristics of each of these customers can be stored for their dynamic utilization in future marketing opportunities with the customers. Estee Lauder’s anti ageing product ‘Advanced Night Repair Concentrate’   is able to make inroads in the customers mind. Internet will function as the medium for promoting the product.   Advertising and Sales Promotions: Like products and prices, customization of advertising and promotion are very much possible in internet marketing. Besides customization, the customer is contacted when he is giving, full attention to the computer screen. In fact, when a customer views any site he has done so after deliberate and conscious effort and choice. This increases his commitment to the message that he is viewing on the internet. Advertising generates a hierarchy of impacts like creation of awareness, interest, desire and action on the consumer. Different media are found to be better suited for certain kinds of impacts out of this hierarchy. Internet has been found to be amenable to finer tuning for most of these impacts. As a result, it is possible to better transport the customer from one level of impact to the next higher one and do so more quickly. The combination of this factor with the feature of individualization makes the output very powerful one. Besides this, the measurement of each of these impacts are also possible more easily and online. The promotions on internet can also be customized in a similar way. The internet marketing model suggests that commerce follows content and community. Since the internet phenomenon has occurred like an explosion there had been quite a rush to build up communities in the competitive environment. In this rush, many of the marketers tried to buy prospective customers into their communities net by offering a variety of incentives. This has caused internet marketing effort to be seen as overloaded with freebies in the form of consumer promotions. Personal Selling: The advantage of mass personal selling is made possible through internet for both customers and the marketers. Anti aging is a consumer product so Estee Lauders can get the maximum benefit by penetrating in this stream. The customers can identify the optimum provider for his unique sets of needs. Customer can also arrange for updating himself in the precise area of his interest although from the most extensive sources of information possible. The marketer can also store the historical data of individual persons and their behavior. These data can be then processed with the help of data mining and marketing decision tools. These data are utilized to provide solutions to the customers needs on an online and individual basis. The product can be configured exacting to the individual customer’s needs at the price and with a payment mechanism most convenient to him. The information and the persuasive appeals can also be tailor made for the individual customer. He can be reminded or provided with additional services as per his specific requests and all these information can be utilized in the design of next round of offering to him. This kind of individual personal service when offered on continuous basis becomes service to the customer of significant commercial value. Publicity:   Internet marketing has the capability of viewing existing customers through a wide variety of angles and compares the efficacy of each of these views. Various data mining tools available today are employed to do this job. They mainly utilize the processes of sorting, clustering and association seeking among the consumer characteristics. The history of the customer behavior in terms of past transactions and internet viewing generate rich data for this purpose of publicity automatically. Such data are often supplemented with the offline data collected through alternative sources. The customer segments created with such methodologies can have the advantage of being more dynamic because they can be created through online databases, more insightful because of the use of more powerful clustering and association seeking techniques and customers themselves selecting into a segment of mass market. On the other hand, the customers become empowered to scan much larger canvas of market and bargain for their purchasing power with a larger base of marketers. The customers can also create a large pool of knowledge by online sharing knowledge of their experience based knowledge among their peer customers. The interactivities gained by both marketers and customers have .the potential of unleashing very high levels of energy in the marketplace restricted only by the creative limits of the market players. Public Relation: The advantage of mass customization is made possible through Internet for both customers and the marketers. The customers can identify the optimum provider for his unique sets of needs. Customer can also arrange for updating himself in the precise area of his interest although from the most extensive sources of information possible. The marketer can also store the historical data of customers and their behavior. These data can be then processed with the help of data mining and marketing decision tools. These data are utilized to provide solutions to the customers needs on an online and individual basis. The product can be configured exacting to the individual customer’s needs at the price and with a payment mechanism most convenient to him. The information and the persuasive appeals can also be tailor made for the individual customer. He can be reminded or provided with additional services as per his specific requests and all these information can be utilized in the design of next round of offering to him. This kind of customization when offered on continuous basis becomes service to the customer of significant commercial value. Placement Of Product: Internet marketing is seen as attacking on the length of the distribution chain particularly the information flow related ones, much more efficiently and instantaneously. As a result it is often possible to reorganize the distribution chain at the cost of its length. The span of control can also increase considerably as many of the control related processes can be transferred to the computer. The saving in costs due to these effects is often considered as the most important contributions of internet marketing. The increased availability of distribution related information also causes information overload to the consumers. A new category of channel members, called infomediaries, have also emerged. These infomediaries primarily consolidate the relevant information about the availability of the products and pass them on to the consumers after suitably repackaging them. Besides pure infomediaries, the existing distributors do also rebundle their services after integrating the online and offline elements of their services. Internet also enables online distribution of digitized products. This helps in extending pinpointed reach to a large number of customers, eliminating the lead time between ordering and delivery, reducing the inventory requirements and smooth organization of transaction related data processing. Conclusion In the era of globalization, with marked technological strides has   revolutionized the exchange process of buying and selling of products on the Internet.   Internet marketing is a worldwide phenomenon.   Internet marketing has made inroads as the emerging mode of buying and selling of products to specific target groups with fast changing needs, preferences and life styles. Estee Lauders has the huge potential of promoting the anti aging product through internet. References Philip Kotler (2002) Marketing Management , Prentice Hall New York Charles F.,(2002) Internet Marketing, Wiley Publication Flippo Edwin B., (2001) Marketing Channels, McGraw-Hill. J Taylor Sims, J. Robert Foster, Arch G. Woodside.(1998) Marketing Channels: Systems and Strategies Harper and Row: New York

Wednesday, October 23, 2019

Research Critique Essay

This paper will review a quantitative study comparing the outcomes of physicians that use sterile versus nonsterile gloves during simple soft tissue lacerations repairs in the Emergency Room. It will address the protection of human participants, their risks/benefits, and a review of the study’s data collection, data analysis, and problem statement along with an interpretation of its findings. Article The article is from 2004, and was published in the Annals of Emergency Medicine. It’s entitled â€Å"Sterile Versus Nonsterile Gloves for Repair of Uncomplicated Lacerations in the Emergency Department: A Randomized Controlled Trial†. Protection of Human Participants A random sampling of patients were taken from populations that presented to multi-center emergency rooms in the Toronto area, with simple soft tissue lacerations that required suture repair. Of the 1,100 people approached, 902 gave voluntary consent to participate in the study. Of those, 86 were excluded for a final total of 816. There were 245 patients who refused to participate, with 40% being children (the study enrolled any patient over the age of one). There was suggestion that the large amount of children who â€Å"refused† participation was related to â€Å"parental anxiety of entering their child into the study† (Perelman et al., 2004, p. 363). Specific physical, psychological, social or economic risks to patients were not addressed in this article, but a patient information sheet was given to participants before they signed the consent. The handout provided background information on wound management, infection, and the rationale for the study. There were no imm ediate or direct benefits for patients to be involved in this study. The protocol, patient consent form, and all other related information during  this trial were reviewed and approved by the ethic and review boards of all facilities involved. Data Collection Patients that arrived to one of three large community ER’s in the Toronto area, with a wound that was viewed to meet criteria, were provided written information on the rationale of the study and asked to participate. Inclusion criteria were addressed by a physician or resident that included assessing for complexity of laceration, location on the body, and if it had occurred within 3 hours from patient’s arrival. A signed a consent was obtained and data was collected through completion of a checklist noting the patient’s age, sex, site of laceration, type of injury, time of injury, time of injury from the time of repair, and technique of repair. The patient was given a self-addressed, pre-stamped envelope that was to be completed by the physician who took the sutures out. This physician filled out an explicit questionnaire using specific guidelines on wound assessment (pus, erythema, fever,) their clinical impressions (infection vs. no infection), and their management plan (topical/oral/IV antibiotic use, or need for referral to wound specialist). The follow up physician was unaware of which gloves were used in initial repair of the wound. The returned questionnaires where coded to collate with the initial assessment forms. There are several independent and dependent variables in this study. They include: not being able to run an equivalency trial related to the large sample size of the study, and the study was only partially blind (blind to the patients, not the physicians) because the sterile and nonsterile gloves are packaged differently. Also, the study could not 100% standardize the technique of wound repair by the physicians, although they did receive orientation on â€Å"ideal† wound repair techniques with irrigation, and a there was not a single follow up clinic site that could have provided more standardization in the evaluation of wound assessment during the follow up visit. No time period for data collection was specified in this article. Data Management and Analysis Statistical software was used in the analysis of data retrieved during this study. â€Å"Demographic and clinical data were presented descriptively as means, medians, or proportions with SDs where appropriate. The χ2 test was used to compare differences in infection rate between the 2 glove groups. A 2-tailed  P value less than .05 was considered significant† (Perelman et al., 2004, p. 364). There were 4 discrepancies noted in the data between the objective wound assessments and the follow up clinicians notions of the wound, with (2) being clarified by the researchers with the documenting physician, and the remaining 2 were placed in the â€Å"infected group†. Findings/Interpretation of Findings The researchers found that there is clear evidence to support that nonsterile gloves can be used in place of sterile gloves for simple laceration repairs in the Emergency Department, without an increase in wound infections. This writer believes that the findings are valid for several reasons. One, this study cites other previous studies that had similar outcomes in related topics such as: using tap water for cleaning/irrigating wounds, or the absence of gloves, caps or masks did not affect wound infection outcomes. Secondly, this has already become practice for many physicians in the United States. This is supported in the article by researchers when a preliminary survey of 18 ER physicians and 24 PCP showed 70% often used nonsterile technique in their repairs. Lastly, the study showed comparative infection rates of 6.1% for sterile glove use and 4.4% nonsterile glove use with a level of significance of 0.05. Limitations were defined above as variables. Implications for nursing are two-fold. One, nurses can help support this nonsterile technique and continue to ensure good wound cleansing and irrigation of wounds. Using this techniques can save hospitals up to $2000/year in ER’s that see an average of 10 suture repairs/day. Secondly, as previously mentioned, this study cites others that address wound care (ex: irrigating with tap water vs. sterile saline), so this research can be used in the future to study methods of successful wound management for nursing. Conclusion In conclusion, this was a successful study in showing that there was no increase in wound infections when nonsterile gloves are used while repairing simple lacerations in the Emergency Department. It is also showed that there can be economical savings for health care entities. References Grand Canyon University [GCU]. (2011). NRS433V.v10R research critique, part 2. Retrieved from: https://lc-ugrad1.gcu.edu Perelman, V. S., Francis, G. J., Rutledge, T., Foote, J., Martino, F., & Dranitsaris, G. (2004, March). Sterile versus nonsterile gloves for repair of uncomplicated lacerations in the Emergency Department: A randomized controlled trial. Annals of Emergency Medicine, 43, 362-370. http://dx.doi.org/10.1016/j.annemerged.2003.09.008

Tuesday, October 22, 2019

To what extent was Britain a democracy by 1900 essays

To what extent was Britain a democracy by 1900 essays To What Extent was Britain a Democracy by 1900? In order to answer the question: to what extent was Britain a democracy by 1900, we have to first define what a democracy actually is. Features of democracy are: when all adults are able to vote for the party of their choice without fear of corruption, when there is a secret ballot which ensured fair elections, when all parts of the country are represented equally, when each person in different classes of society are allowed their own representatives and when there are a variety of parties which follow differing ideals. In looking at each of these aspects of democracy we can decide whether or not Britain was a true democracy in 1900. In 1850, only 4% of the entire population of Britain could vote to control who sat in The House of Lords. These were mainly people who owned their own homes or land. This meant that only the upper classes were getting to choose who was representing the country in important matters. The existence of corruption also complicated matters further as people knew that despite the fact that they were voting for the leader of their choice, there were still people being paid to vote for the party bribing them. This also lead to the overrepresentation of small areas of Britain and the South of England. There were also restrictions on people who could successfully become an MP and since MPs were not being paid large amounts there were few people who wanted to leave their reasonable paid jobs to become MPs. Also the only parties which were available at the time were the Whigs and the Tories who only represented the middle and upper classes which casts doubt on the fact that Britain was on the path to democracy. There were changes to the franchise however between 1850 and 1900 which did indeed lead towards democracy. The percentage of men who could vote increased from 33% to 66%, a massive jump. After 1884, every single adult male was ...

Monday, October 21, 2019

6 Little White Lies You Can Tell To Get The Job

6 Little White Lies You Can Tell To Get The Job Lying is wrong almost all the time. And you certainly should never lie about your skills or experience in a job interview. Honesty is almost always the best policy. But†¦there are a few instances where fibbing can’t hurt- and might actually help you land the job. 1. OmissionIt’s okay to leave  one or two jobs off your resume. Maybe you weren’t there very long. Maybe you were fired or doubt that you would get a stellar reference. It’s okay to keep these quiet. Your resume doesn’t have to be a comprehensive list of your career whereabouts, just what’s most relevant and useful to your interviewer.2. How much you loved your former coworkersEven the mean girls and the power-hungry jerks and the spotlight-hoggers and the total bores. It’s okay to lie and say you were honored to work with such a great group. You’ll come off as more of a team player. Accentuate the positive! They’ll never know you used to grumble about eve ryone behind their backs the minute you got home.3. Your saintly interestsNobody’s interests really consist in charity work, volunteering, and fine arts museums. When it comes down to it, most of us would honestly report TV-watching, martinis, and trashy magazines. But it’s okay to be a little aspirational. Don’t stretch yourself too far: stick to an aspirational, but true, version of yourself.4. How fabulous your former boss wasYour last boss was actually a fire-breathing dragon. But there is zero profit in bad-mouthing him to your new potential boss. Try to pick a few good qualities you can mention, and, if all else fails, say you learned a lot.5. Your reason for changing jobsYou’re bored out of your mind and you detest your coworkers. Or your company is rumored to be downsizing, and you want to skip town with the rats. Whatever the real reason, it’s totally fine to say â€Å"I’d love to stay where I am, but this opportunity is just too d azzling to pass up.† They’ll be flattered, and you won’t look like a quitter who abandons ship at first sign of trouble.6. Your greatest weaknessEverybody fudges this one. Don’t share your real worst traits. Pick something (again, at least sort of truthful) that you can turn into a positive of sorts. Emphasize how you’re working constructively to turn that weakness into a strength. They’ll be impressed with your self-awareness and won’t notice that you’ve just flipped the table on them with their own question.Moral of the story? Don’t shoot yourself in the foot in the interests of abject honesty, but do keep mostly to the truth. It’ll be easier to remember and hold to what you said.

Sunday, October 20, 2019

Habits and Traits of Beetles, Order Coleoptera

Habits and Traits of Beetles, Order Coleoptera Coleoptera means â€Å"sheath wings,† a reference to the hardened forewings which cover the insect’s body. Most people can easily recognize members of this order – the beetles. Beetles comprise nearly a quarter of all the described species on Earth. Over 350,000 species are known worldwide. The order is subdivided into four suborders, two of which are rarely observed. The suborder Adephaga includes ground beetles, tiger beetles, predacious diving beetles, and whirligigs. Water pennies, carrion beetles, fireflies, and the beloved lady beetles are all members of the larger suborder Polyphaga. Description Beetles have hardened forewings, called elytra, which protect the delicate hindwings folded beneath them. The elytra are held against the abdomen at rest, meeting in a straight line down the middle of the back. This symmetry characterizes most members of the order Coleoptera. In flight, a beetle holds the elytra out for balance and uses its membranous hindwings for movement. Beetles feeding habits are widely varied, but all have mouthparts adapted for chewing. Many beetles are herbivores, feeding on plants. The Japanese beetle, Popillia japonica, causes heavy damage in gardens and landscapes, leaving skeletonized leaves on the plants it devours. Bark beetles and borers can do considerable damage to mature trees. Predatory beetles attack other invertebrates in the soil or vegetation. Parasitic beetles may live on other insects or even mammals. A few beetles scavenge decaying organic matter or carrion. Dung beetles use manure as food and to shelter developing eggs. Habitat and Distribution Beetles are found worldwide, in virtually all terrestrial and aquatic habitats on Earth. Major Families and Superfamilies in the Order Carabidae – ground beetlesDytiscidae – predacious diving beetlesScarabaeidae – scarab beetlesElateroidea – fireflies and click beetlesCoccinellidae – lady beetlesTenebrionoidea – blister beetles and darkling beetles Families and Genera of Interest Bombardier beetles, genus Brachinus, spray hot quinines when threatened, with visible puffs of smoke.Cotalpa lanigera, the goldsmith beetle, starred in a short story by Edgar Allen Poe, The Gold Bug.Glowworms (family Phengodidae) are not worms at all - theyre beetles! Mature females retain their larval form, and glow between their body segments, appearing like a glowing worm.The invasion of the Asian Long-horned beetle, Anoplophora glabripennis, caused the preemptive removal of thousands of trees in New York and New Jersey. The beetle was introduced from Asia in 1996, arriving in wooden crates and pallets. Sources: Insects: Their Natural History and Diversity, Stephen A. MarshallKaufman Field Guide to Insects of North America, Eric R. Eaton, and Kenn KaufmanGarden Insects of North America, Whitney Cranshaw

Saturday, October 19, 2019

Legal issues Assignment Example | Topics and Well Written Essays - 500 words

Legal issues - Assignment Example The increase of the patient’s blood pressure to 40 mm Hg within just an hour is a pertinent issue, which the nurse should have reported to the physician immediately. Nurses are also mandated to speak to physicians about changes in patient conditions, rather than leaving messages (Wolf, 2012). Therefore if the nurse in this scenario claims that she left a message for the physician about the rapid increase in the patient’s blood pressure before going for lunch, she would have violated the legal obligation of nursing practice. The professional code of conduct as presented within the Nursing Practice Act provides that nurses must go further up in the chain of command in an event when they are not able to get the physician (Mikos, 2011). Therefore inability to get the physician would not be an excuse for the nurse’s behavior in this scenario. The nurse violated the procedures and policies of nursing practice and is therefore liable to the violations and penalties of the Nursing Practice Act. Nurses are responsible for knowing and adhering to the procedures of care, such as reporting patient conditions. It is through education and training that nurses are made aware of nursing policies and procedures. Despite the knowledge of the nurse of the procedures of reporting the conditions of the patient, she ignored implementing them. Negligence is a legal issue in health care processes, which described the inability of practitioners to demonstrate due care (Mikos, 2011). In this scenario, the nurse was negli gent because she did not show due care in reporting the high and increasing blood pressure of the patient, and instead went for lunch. When a health provider fails to do what should prudently and reasonably done, then negligence is reported. A breach of duty is also categorized under negligence (Wolf, 2012). The nurse breached her duty of reporting the change in the patient’s condition. The critical nature of the patient’s blood

Wall Street Journal Research Paper Example | Topics and Well Written Essays - 500 words

Wall Street Journal - Research Paper Example These bases are First-in, first-out (FIFO) and Last-in, first-out (LIFO). Kohl’s Corporation Department Store earnings fell by 17%. Its operator’s margin was hurt by markdowns to clear out inventory. Their rival’s dismal performance was projected to fair well for them but unfortunately, this was not the case. Kohl’s Corp. fell short to capitalize on it and to some extent, it contributed in its poor performance. Chief Executive, Kevin Mansell, confessed that growth was not at the rate they had planned. They did not serve their customers at the standard they had set for themselves. Kohl’s Corp. has about 1,146 stores in 49 states, their main competitors being Macys Inc. and J.C. Penney (Talley & Tess). First-in, first-out (FIFO) is the most common inventory accounting method which assumes that the oldest inventory is used first. This method reflects how transactions actually occur. Accounting rules do not necessitate the inventory accounting method used by the company to be the same as the physical movement of goods but for companies selling via inventory supplies frequently, complexity in record-keeping is significantly reduced due to the matching movement of goods to the accounting method used. During periods when prices are rising, inventory cost is higher as compared with companies using LIFO method (Tracy 12). Last-in, first-out (LIFO) is another method of accounting for inventories. LIFO method assumes that the most recently purchased inventory is used first, which rarely matches the physical movement of inventories. Generally, when prices go up over time during the accounting period, the most expensive items in inventory are sold, reducing the net income, thus a lower tax liability becomes the end result. Companies which opt for LIFO valuation should be conscious of layering effect which can cause high tax liabilities which are not expected during high

Friday, October 18, 2019

Roche Case Study Example | Topics and Well Written Essays - 3000 words

Roche - Case Study Example ternational Conference on Harmonisation of Technical Requirements for Registration of Pharmaceuticals for Human Use (ICH) is the global regulatory body that determines quality, safety, efficacy, and multidisciplinary (e.g. medical terminology) standards pertaining to the pharmaceutical industry. Failure to meet these standards may prevent a firm from marketing its products in other countries. (Social & Environmental Factors, 2009) In 2007, the world pharmaceutical market was valued at $664 billion at ex-factory prices (EFPIA, 2009), with the US accounting for 60% of global sales (The Pharmaceutical Industry, 2008) While the big pharmaceuticals have the market cornered on patented products, the growth of the generic drug segment has capitalized on the lower cost of producing drugs whose patents have already expired. (The Pharmaceutical Industry, 2008) Furthermore, newly emergent market institutions such as health maintenance organizations (HMO) and pharmacy benefit managers (PBM) has expanded the market for pharmaceuticals. Whereas formerly, drug companies targeted prescribing physicians in their marketing efforts, they now also vie for placement in health plan protocols and contracts with HMOs. There has also been a rush in acquisitions of PBMs by drug companies in their efforts to consolidate, both horizontally and vertically. (The Pharmaceutical Industry, 2008) By the nature of its product, pharmaceutical research and development has provided much benefit to society in general in terms of lengthening of life expectancy and improving the chances of recovery from illness. There is evidence that on the basis of statistics garnered in Europe, the number of deaths due to cancer has decreased proportionately to the number of cases diagnosed in the European Union (EFPIA, 2009). The same is true for HIV/AIDS and cardiovascular diseases. In these times of emergent new diseases such as the avian flu and the swine flu, it is imperative that pharmaceutical R&D

Prohibition of Torture in the case of Guantanamo Bay Essay

Prohibition of Torture in the case of Guantanamo Bay - Essay Example As much as people tend to think that it is something of the past, it indeed happens more than it is thought of. Democratic countries such the United States of America which are said to uphold human rights are in fact culprits of condoning torture. For example, there has been a lot of evidence through videos leaked through the internet and other forms of media that implicate the United States of America condoning torture in Guantanamo bay. The first Government official to accept that indeed torture did take place in Guantanamo bay detention camp was Secretary of Defense Robert Gates. What is the Guantanamo Bay Detention camp? After the 2001 terrorist attack, the United States government opened a military interrogation and detainment camp in the Guantanamo Bay Naval Base in Cuba.2 This camp was meant for holding and interrogating detainees suspected to be terrorists. This mainly focused on the war in Iraq and Afghanistan. Guantanamo Bay detention camp is divided into three sections, th at is; Camp X-ray camp delta and camp Iguana. Camp iguana was meant to hold detainees considered to be children (those under the age of 16 years). â€Å"Camp X-ray was the first section set up to detain suspected terrorist but was later replaced by camp delta since it was a temporarily section.†3 The first detainees to be detained in Guantanamo bay detention camp were brought on January 11, 2002.... One characteristic in the two is the use of torture. In the Middle East, Israel can be used as an example. This is because; Israel is also sensitive to terrorist attacks as much as the United States of America. This is as a result of its conflicts with her neighbors especially Palestine. In both scenarios detention of terror suspects is done without any court process. In the Middle East, there are various methods of torture. One such method is suffocating of suspects using a towel and water during interrogation. This is where a prisoner is held down or strapped facing upward and his face covered with a towel or a cloth. Water is then poured on the towel. â€Å"The process of water interrogation creates a drowning feeling†¦Ã¢â‚¬ ¦...’ The same is done in Guantanamo Bay detention camp. In both Guantanamo Bay detention camp and detention camps in Israel, water interrogation is the most used form of torture during interrogation. In the Middle East detainees are also emotiona lly tortured, and they are subjected to a lot of humiliation. For example, in Iraq, there have been reports of women detainees being stripped naked. Iraqi soldiers and policemen are known for their inhumane way of handling detainees and prisoners. They mistreat them to the extent of even urinating on them. The same was going on in Guantanamo bay detention camp. Lesser Ethics in Relation to Torture and the Geneva Conventions Terrorism has brought about a new debate not only in the United States of America, but in the whole world as well. This is because the Geneva Convention prohibits torture of any soldier, detainee, civilian and prisoners of war. The Geneva conventions are treaties signed by the international community.

Thursday, October 17, 2019

Auditing Essay Example | Topics and Well Written Essays - 500 words - 2

Auditing - Essay Example Assurance service is an independent professional service, typically provided by CPAs, with the goal of improving the information or the context of the information so that decision makers can make more informed, and presumably better decisions. Attestation services are consultations that evaluate the reliability of written statements that are another party’s responsibility. Audits can be considered a type of assurance service but are only designed to test the validity of the financial statements. Recent economic issues drive increased demand for assurance services. The banking and finance industry fiasco of recent years has made these services indispensible in today’s market. There are differences between assurance engagements and attestation engagements other than audits and financial statements. One attestation is that of an entity’s compliance with requirements of specified laws, regulations, rules, contracts, or grants. A type of assurance engagement is that o f a comfort letter prepared to assure the recipient of the financial soundness company. The American Institute of Certified Public Accountants (AICPA) and the Institute of Internal Auditors (IIA) have positioned the auditing professions to become "assurance professions." Here, we explored the difference between assurance services, attestation services and auditing services. Furthermore, we discussed economic issues that drive increased demand for assurance services. We also identified one assurance engagement and one attestation engagement other than an audit of financial statements and the differences between them. The ten Generally Accepted Auditing Standards (GAAS) provide the foundation for all other auditing standards and interpretations. Here, we define the standard of "due professional care" and how a court might decide whether an audit firm met the standard. We also discuss why independence is often considered the

Using Health Information Technology as a Source of Evidence-Based Research Paper

Using Health Information Technology as a Source of Evidence-Based Practice - Research Paper Example Among the various health care IT resources that can be applied in the process of alleviating the effects of the nursing workforce shortages are; tele-health, clinical decision support systems, care planning tools, data capture, decision support system, computerized provider order entry, bar code medication administration, and electronic health records (Clark 22). This paper seeks to explore the last three resources as evidence based resources to help address shortages in the nursing workforce. The electronic health record acts as an official record for persons shared by multiple agencies and institutions. Health information systems that are digitized should improve care quality, efficiency, and ultimately reduce the effects of shortages. The EHR includes family history, allergies, contact information, insurance information, and hospitalization records, among others. Its benefits include efficient retrieval of information, automatic sharing and updating of information where different organizations and offices are concerned, as well as lower effort redundancy (Clark 56). These benefits, as well as others, aid health institutions in reducing reduce the time needed, by nurses, in retrieving information manually, and thus, reducing their workload. Another healthcare IT resource that helps to combat this shortage is patient monitoring technology. As the current nursing workforce continues its transition to proactive models of delivery of healthcare, remote monitored solutions are expected to gain more ground. Information that nurses are provided with include health intelligence, international health research, market analysis, news and commentaries, and strategic insights (Clark 67). These are especially useful since the strained workforce that work for 12 hours has limited time to attain this information themselves. Patient monitoring services offer knowledge on ongoing

Wednesday, October 16, 2019

Auditing Essay Example | Topics and Well Written Essays - 500 words - 2

Auditing - Essay Example Assurance service is an independent professional service, typically provided by CPAs, with the goal of improving the information or the context of the information so that decision makers can make more informed, and presumably better decisions. Attestation services are consultations that evaluate the reliability of written statements that are another party’s responsibility. Audits can be considered a type of assurance service but are only designed to test the validity of the financial statements. Recent economic issues drive increased demand for assurance services. The banking and finance industry fiasco of recent years has made these services indispensible in today’s market. There are differences between assurance engagements and attestation engagements other than audits and financial statements. One attestation is that of an entity’s compliance with requirements of specified laws, regulations, rules, contracts, or grants. A type of assurance engagement is that o f a comfort letter prepared to assure the recipient of the financial soundness company. The American Institute of Certified Public Accountants (AICPA) and the Institute of Internal Auditors (IIA) have positioned the auditing professions to become "assurance professions." Here, we explored the difference between assurance services, attestation services and auditing services. Furthermore, we discussed economic issues that drive increased demand for assurance services. We also identified one assurance engagement and one attestation engagement other than an audit of financial statements and the differences between them. The ten Generally Accepted Auditing Standards (GAAS) provide the foundation for all other auditing standards and interpretations. Here, we define the standard of "due professional care" and how a court might decide whether an audit firm met the standard. We also discuss why independence is often considered the

Tuesday, October 15, 2019

Uneasiness Due to Less Commanding Novice Physical education teacher Thesis

Uneasiness Due to Less Commanding Novice Physical education teacher - Thesis Example This essay discusses that the experience of the teacher helps the teachers making plans for their lessons keeping in view the characteristics of the class and the attitude of the students. The experienced teacher is able to develop the task for classroom on the basis of their observation of the needs and behaviours of the children but the novice teacher has no or little idea about the attitude and behaviours of the students in the physical education class and their study plans and lessons are mainly based upon the written sources rather than real time observations.After implementing the lesson plans in the first class they have to monitor if there is need of modifying the plans according to the needs of the students. In this situation, the students are not getting refined educational instructions as the teacher has to spend more time on experimenting and testing his lesson plans rather immediately practicing them. The novice teacher often changes their lesson plans and activities on the basis of the class response that causes uneasiness to the students and makes it difficult for the students to easily adjust in the classroom.The decision-making strategies of the novice teacher are also different from the experienced teacher. Unlike the experienced teachers, the novice teacher doesn't have many strategies for managing the students in the class by facilitating their individual performances so the novice teacher mainly focuses upon the interest level of the entire class and make a decision on the basis of the overall interest.

Monday, October 14, 2019

Cheating in sports Essay Example for Free

Cheating in sports Essay The topic that I am researching is â€Å"Cheating in Sports†, from illegal drugs use, gambling, to federal indictments, NASCAR, all types and its impact economically and socially on society. Because millions and millions of dollars are won and lost in the world of sports, as well as the social impact it has with the public/society. So the questions that come to mind are, why do we care and identify with our teams so much? What is the appeal, what do we find so admirable about winning in a sporting game? Where do we draw the line when it comes to cheating in sports? Why as a society do we place such a high emphasis on winning in sports! Narrative Hook #1 – Is society’s obsession with winning jeopardizing the integrity of sports? This hook draws readers in and creates interest because it immediately captures their attention by asking the reader to consider societies role in possibly jeopardizing sports integrity. Readers can relate because every society in the world has some type of sports team, either, locally, or nationally they relate to, from the young to the old. Also, the majority of most people are not, were not athletes or involved in sports as a profession or employment or even at the amateur and recreational level. Most people (society) are fans of a particular sport and follow it, whether closely or as a casual interest. Narrative Hook#2 – Who is to blame, the athlete, the sport, the public for the wide spread cheating in sports? This hook draws and captures readers’ interest because it now specifically looks at several possibilities to consider and that most people will fit into. Depending on their own personal position, as an athlete, or former, involved in a sport as an employee, recreationally, or just a fan, they can relate on a personal level as it pertains to cheating in sports. I ask though, who is to blame, the athlete? How do you tell a young kid who’s family has been living in poverty, and has the chance to earn millions and change their lives by taking a little blue, white, pill that will give him a competitive advantage and possibly make that dream come true! When millions upon millions are at stake, a Super Bowl, a World Series and your team has the tapes of the opposing teams plays, or the signals of the pitcher, and it can mean the difference of being crowned the victor or not, what stops you, the coach, owner, to not cross that line, or should we say who stops you? That World Series winning home run, or that kick-off returning touchdown to win the Super Bowl, or that last round knockout by the underdog to win the match for the championship, what if you found out they all were the result of cheating? Would it make a difference, or would it not? Week 4 Significance of the purpose statement is multifaceted. It is to provide the goal or intended outcome of a study (in this scenario). Sets the objective, based on the need or problem and then particular or specific questions are developed (research questions) focusing on a single concept (phenomenon) or idea. The overall intent of this grounded theory study is to understand the ethical and economic impact that cheating in sports has on athletes and society. This will focus on exploring the experience of the fans (society), individual athletes and sports organizations. Conducted with individual interviews via phone or in person, at sporting events, sports organization, both professional, collegiate, high school, and recreational in the Charlotte and surrounding region, as well as various internet sites. At this stage in the research, the impact that cheating has in sports will generally be defines as the economic gain and the short term ethical effects on society and athlete. Fellow classmates, as I worked on developing my purpose statement, my challenge was what and how to narrow down to a single phenomenon. There is much to consider! I am trying to connect the dots of a few things. How cheating by some athlete effects the ethics of others to cheat, when they can see the competitive gain and possible financial as well! Then there are the fans, society, and how it impacts them, and their perspective of the individual athletes, their specific team and finally the sports organizations! As I stated last week, to the fans, does it make a difference, if their favorite athlete was caught, or their team? Is the problem with the athlete, or is it with us? In the reading it does state, that in a qualitative study, â€Å"advance a single phenomenon, recognizing that the study may develop into an exploration of relationships or comparisons among ideas†. So, I ask your help, should I just state, that my single phenomenon is maybe just the ethical aspects of cheating, or just the economical and additionally, should I focus on just one specific group, the athlete, society, sports organizations or leave as is with the thought that as stated above it will develop into other relationships or comparisons that can be expounded on in the research?

Sunday, October 13, 2019

Health Policy Regarding To Smoking Health And Social Care Essay

Health Policy Regarding To Smoking Health And Social Care Essay This essay will demonstrate the government health policies regarding to smoking including with changes in health care field from the development of NHS with current scenario. It is important to know what is policy. Policy is a collection of different ideas and methods which is used for the improvement in any field including health care and on the other hand, health policy is a practical device, or advantageous procedure and political course of action [ Hennessy, D. Spurgeon, P., 2000]. Health policies may be explained as the strategies methods adopted as being advantageous, measure to provide within the recourses available from health systems that, at least maintain and preferably improves health. As time is changed there is changed in people thinking, behavior and their lifestyle due to this reason the consumption of cigarette smoking in society is increased from last few decades. Smoking has been recognized as one of the most considerable causes of avoidable death and disease. Smoking alone is the supreme cause of preventable illness and premature death in UK and smoking is responsible for 23 Percent in males and 12 Percent in female deaths. There is more than 106,500 deaths are due to cigarette smoking (Wilkinson S. et al, 2004). Smoking is defined as the inhalation and exhalation of smoke from flaming tobacco in cigarettes, cigars and pipes etc. Historically smoking put into practice, was followed by inhabitants of western hemisphere, in spiritual rituals and for therapeutic purposes. Smoking has a history preliminary from the late 1500s.Cigarette smoking is a serious health hazard. Tobacco contains nicotine a toxic substance named alkaloid -and some others dangerous stuff like carbon monoxide, prussic acid, and ammonia etc which are very harmful for the health. The current scenario of smoking in England have fallen from 28 percent in 1998 to 25 percent in 2003-means approximately 1.2 million smaller numbers of smokers (Department of health,2003). Due to smoking , one in five deaths held in UK and smokers lose, Tobacco smoke can causes the 90 percent of lung cancer then non smokers(Peterson and Peto,2004) [Neubeck, L., 2006]. It is anticipated that about 120,000 young men who aged between 30 and 50 years in the United kingdom are impotent as a consequence of smoking [British Medical Association(BMA)] , 2004]. The main aim and purposes for choosing this topic is to study smoking policy in united kingdom and to improve knowledge about current health policies on local level or at national level and to see the statistical data of smoking cessation and what are the government policies regarding the smoking cessation in the society for different age groups and to discuss the need, origination and operation of policies in health care. To develop the understanding about health care system in the United Kingdom and to improve knowledge about NHS as an organization and its role and policies in health care system. Smoking is considered very dangerous for health not only for an individual but for the nation also because many billion pounds every year spend by NHS for prevention. Smoking is a causing factor of many diseases which is related to our health and environment directly or indirectly such as chronic obstructive pulmonary disease, heart diseases lifestyle related problems and behavioral problems. Due to smoking, people become habitual and then it is hard to come out from this situation or if a person suddenly quit then it gives some harmful effect to our body. Smoking affects the person and it effects others through second hand smoking and passive smoking. if a pregnant women involves in any kind of smoking during pregnancy then, this is not only harmful to her but also to her baby too and the results are baby deliver with some congenital anomalies. In the UK (Department of health, 1998) illustrates that, approximately 23% in 1995 and 15% in 2009 babies were born with disabilities who were delivered from smoker mothers. So the government introduced new health policy on smoking ,Choosing health (Department of Health, 2007) introduced the smoke free public policy which says that no is allowed to do smoking in public place such as malls, buses and railway station etc.. This policy included with, to regulate the way of smoking is portrayed on television and on advertisement in newspapers and mark health warning notice on tobacco products. There are some causing factors which enhance or encourage youth to involve in smoking such as now a days it shows as a symbol of prestige and personality which effects the youth and children. Specially children are more prone to be affected by smoking directly or indirectly because they learn from elders and they are more curious to learn and try everything and on health effect their lungs are smal l compare to adults and their immunity is low and they are more prone to get and harmful effect of cigarette smoke. According to human anatomy children breaths faster than the adults and hence they inhale more toxins and harmful chemicals as compare to adults. Smoking can cause many diseases it affects the respiratory system and can lead to diseases like cancer, bronchitis etc. .It also causes the headache and poor circulation, bad breath and stomach cancer and cancer of the pancreas ( Peterson and Peto,2004).According to Department of health (2005) in the general adult population for 2001 still shows that approximately 28 percent of men and 25 percent of women smoke (Department of health 2005). There are some other effects of smoking cessation like restlessness, waking up at night, increased appetite, Depression, Mouth ulcers and cancers, with poor concentration on work (smoking and health, 2005). There are some other risk factors associated with the second-hand smoking. In adults it causes coughing, feeling sick and breathing problems and in babies and children much higher rate of cot death as compared to the children of non smokers. Higher chances of ear infection, complaints of coughs, sneezing and cold and flu (Source Jamrozik, 2005). Nowadays due to change in the disease pattern people are thinking about their health .They want to have smoking policies which reduces the rate of smoking. Thinking of people Behavior and life style is changed. The disease rate of lung cancer, cardiovascular system and respiratory problems are increased due to smoking. In UK 12000 people are die in every year due to second-hand smoke (Jamerozik, 2005). In addition to this, smoking affects in a loss of productivity among workers, and ill health. A smoke free policy needs to be practical and impartial. Second-hand smoke is of two types: Main stream and Side stream smoke. The Residential and Commercial Services (RCS) introduce that all public places including residential areas, offices areas will be smoke free. This policy comes into progress on Sunday 1st July 2007.Smoking Is prohibited in all enclosed premises i.e. university buildings, covered walk ways. This policy applies to all university employees, students, residents and visitors etc. NHS Direct has a duty to promote and maintain the health of the community. It extends to the work environment, and thus help in promotion of general well being of all people. The NHS Direct policies not worried with people who smoke but with where they smoke and to prevent effects of smoking on visitors, and non smoking colleagues. It is also alarmed with the presence of carcinogenic substances in the vicinity of NHS Direct sites. From 1st July 2007, practically all enclosed places including work places in England will become smoke free, which will make sure a better and healthy environment, so that everyone can relax, travel and work free from second-hand smoke ( NHS Direct,2008 ).According to this policy smoking is prohibited in all working areas, such as centers and offices surroundings at all times, it will also includes after working hours periods and shifts as well as evenings and weekends and will also in the following ordinary areas: meeting Room, kitchen areas, Store Room reception Areas. According to Health and Safety at work etc Act, 1974). In UK the Department of Health (NHS Direct, 2008) has taken achievement to increase the general awareness of the risks concerned with the second-hand smoke through the following: countries first ever multimedia and education campaign. Funding to facilitate smoke free cities network and to help cities move towards smoke free on a voluntary basis. Almost all 50 percent in UK (there are 60,000 in the UK) and half of the Restaurants Association (10,500 group and individual restaurants). Benefits of Action and Second-Hand smoke: Environment and Economic benefits for society individual and industries includes: The NHS expenditures is reduced through smoking prevalence. The costs from the sickness absence are reduced. It enhances safety benefits (such as reduced fire risks).The cleanliness and maintenance costs are reduced. The Action on smoking and health report relates to strategy of tobacco control for England and recommendations which reflects the current balance and reserved powers in England. By helping smokers to quit, harm of tobacco can be reduced. All health professionals should have the skills to provide basics to stop smoking advice to the persons who smokes including the provision of treatment and referral to specialist stop smoking services. There are medicinal products on the market to help the smoker to quit and they also provide substitutes of Nicotine products. The tobacco control community looks ahead to working with the government in shaping the new strategy and new era in tobacco control. The Department of Health, 2004 has set a further public sector agreement(PSA) targeted as to reduce the rate of smoking to 21 percent or less by 2010( 26 percent in 2002). According to a Report of Smoking in public places on 15th December 2005 was published by the House of Commons Health Committee. They command paper sets out the government response in the report. The aim of government to achieve reduction in smoking frequency through along with combination of policies, which will help 70 percent of smokers who they want to quit. Smoking in pregnant women remains and issue of public health because the women who continued smoking during pregnancy, the infant born were hospitalized for a considerably more number of days (Petrou etal, 2005)[ ]{midwives attitude to smoking and smoking cessation in pregnancy}. The other national services highlights the danger of smoking like National Services Framework for heart diseases, cancer and children, young person and maternity services they highlights of the danger of smoking . The Health Action Zone in England, April 1999 to March 2000. The White paper Smoking Kills announced the new money for setting up the cessation services over a three year period. The NHS smoking cessation services will provide a new move towards help the people who want to quit smoking. They provide specialist and intermediate services. In specialist smoking cessation services they provide intensive treatment, usually clinics, run by smoking cessation specialists, usually in form of group over the course period of 5-6 weeks. It also includes Nicotine Replacement Therapy. In intermediate services provided by the other health practitioners who have taken some kind of recognized training usually they provided on a one to one basis, their services also include Nicotine Replacement Therapy. The new evidences has made by committee in 2004 , which has based on the report of Scientific Committee On Tobacco and Health [SCOTH],1998.They pay attention to the new organization between the secondhand smoke and lung disease. They have published their latest report from SCOTH was along with the Choosing Health White Paper.[Department of Health,2009]. The carpool vehicles should need to display the No smoking signs (NHS, smoking in workplace.2009). The cost effectiveness for government like NHS cost in overall smoking is estimated approximately 1.5 billion pounds a year. This cost will be reduced by decreasing the rate of smoking, about 1.7 percentage rate of smoking is reduced from 25 percent, then it means that about 100 million pounds are saved annually( ). The development of a smoke-free policy needs to be a practical and impartial. These policies are created to give staff guidance, patient and visitor clear guidance on what is acceptable. The government policy for smoking in the work places is that to reduced passive smoking all employers have to provide designated smoking areas outside the organization (Department of Health, 2009). Nowadays, the lifestyle of people has been changed the smoking rate is increased in both men and women. Parents smoke in front of their children this leads to affects the children because the children are more curious to learn and they want to trial and experiment of smoking in their peer groups. In pubs and discos youth enjoying their parties with wine, alcohol and smoking. They start due to their peer pressure and thereafter they become habitual of smoking. People spend most of times outside from their homes and they live alone so they start drinking alcohol and smoking to reduce their boredom and tensions. Due to this kind of social impact on the people the rate of smoking is increased. Nurses play an significant role for delivering health policies in the society through the use of education program for on individual and to the community. Encourage people to attend workshop for the cessation of smoking provide them support to come out of this .Use the opportunities to explain the relationship between changes in health status and smoking. They assess the smoking status of patients and to give advice all smokers to stop. They assist the people who interested in doing so. Health care practioners offer follow up and refer them to specialist stop smoking services if they required. For heavily addicted smokers who are currently unable or to quit, there is also the possibility of switching to pure Nicotine products (which like the current medicinal products on the market, contain Nicotine only and other tobacco derivates).Smokers are addicted to Nicotine but they are harmed by the tar and toxins in tobacco. Now there is more than ever a need for increased efforts to promot e tobacco education and the intervention amongst nurses in order for them to have the prospective to be credible and successful advisers to patients and the public. The community healths nurses are in very good position interfere with smokers. Many who want to give up smoking do so as a result of the health problem. So the problems in community in those nurses have a significant role to help them and community and community people to quit from this lethal problem. People who are habitual to smoke of if they want to quit from it then and nurses and government have to prepare policies to available to them substitute of smoking for example Nicotine Replacement therapy such as chewing gums. Asses the smokers to and help them to quit the smoking give them proper advice and suggestions and help them to take classes and join workshops to the smoking in the society. Advice them that take proper substitute of smoking instead of taking tobacco instance they may consume nicotine substances or the cigarettes and they also take some medical subanstances to reduce their smoking habit. the community health nurse should health to stop smoking . And there are fa ster acting NRT produce Department of Health, 2000ts available and are being developed in the current scenario. There are more and more treatments are becoming available for smoking cessation. It is a rapidly developing field in the society and there are some others methods like Hypnotherapy is suggested and Acupuncture therapy is beneficial. The care which is offered to the pregnant women would impact on society. In conclusion, many government policies have been implemented in local and national level for the development of people and encourage them to adopt healthy life style and stop smoking although the government gets several incomes from the sale of tobacco products. These policies and recommendations are taken from NHS and the department of health and implemented in the society. The harmful effects of smoking not only affect to the mother but also their baby in the womb and the impact of health care policies in health care system. It starts with the effects on the fetus and carries on throughout childhood.

Saturday, October 12, 2019

Momma Lowrider: Sandra Teran of Dukes Car Club :: Essays Papers

Momma Lowrider: Sandra Teran of Duke's Car Club On Easter Sunday of last year, the sound of gunfire, then police sirens, interrupted the music booming from the cars on South Sixth Avenue. Three people died and six were injured in two separate shootings that occurred within an hour of each other on the street crowded with cars and people (Stauffer). This event reinforced the way the public often views cruisers: as violent juveniles or gang-bangers engaging in a dangerous, vain activity. The violence of Easter Sunday, however, does not typify cruising or cruisers. Cruising - and the intense work that goes into making a car, especially a lowrider, truly "cruise-worthy" - offers an alternative to violence and gangs. Often, a car club helps with the work of customizing a ride, giving the owner advice on how to get the look of the car just right. Duke's Car Club has been one of the most popular and visible car clubs in Tucson since it was founded forty years ago (Teran 10/8/01). Sandra Teran, a member of Duke's Car Club, represents an a spect of cruising and car clubs that few people are aware of: family involvement and community pride. When it comes to cruising, lowriders star in the show, and have for the last thirty years. "Lowrider" signifies any automobile, from trucks to cars to motorcycles, customized to ride low to the ground. The asphalt-scraping suspension isn't the only alteration; the cars often sport elaborate paint jobs, expensive wire rimmed wheels, plush upholstery, and tough hydraulics systems. The cars' owners, also called lowriders, display their cars by cruising slowly down the street or exhibiting them at car shows. Despite the time and money put into a lowrider, lowriding is not just about the cars. It is also about family and community, as Sandra Teran explained to me when I interviewed her. Sandra is prominent in the lowriding community, and driving up to her home I could see why. Three classic luxury cars sat in the driveways, their meticulous paint gleaming. The love for all things classic extends to the inside of her home; two jukeboxes stand by the front door and a photo of one of her son s wearing a zoot suit hangs on the wall. I arrived a few minutes early for our interview, and Sandra had gone to pick up one of her grandchildren, so I sat and waited.

Friday, October 11, 2019

Effects of Nurse Staffing on Patients Outcomes Essay

This study focuses on the issue of nursing staffing and its effects on the outcomes of the patients. To begin with, the tem nursing staffing will be defined and followed by a discussion of nursing staffing in relation to the nurses themselves. Nursing staffing levels and their effects on the patient outcomes will also be discussed with regards to morbidity and mortality besides other indicators of patient outcomes, the impact of nursing staffing levels to quality of care as well as an overview of past studies as far as the relationship between nursing staffing levels and the outcome of the patient is concerned. Nursing staffing The term nursing staffing refers to the levels of nurses that are employed at a particular institution. Normally, the nursing staffing levels are measured as ratios of nurses to their patients within their institutions and the higher the ratio, the more preferred as it is thought to mean a better outcome for patients in their care whereas lower ratios are associated with poorer patient outcomes. Nursing staffing and the nurses Nursing staffing has been investigated with the nurses themselves in mind and such studies have included the Schmalenberg and Kramer study of 2009 which sought to establish and assess the factors that influence the perceptions or the opinions of nurses as far as nursing staffing levels are concerned. Nursing staffing has also been studied with regards to the negative effects on the nurses such as nurse burnout and job dissatisfaction such as the study carried out by Aiken et al in 2002. As far as international literature is concerned, most of the studies that look at the impact of nursing staffing on the nurses themselves concentrates on adverse outcomes such as physical injuries, encounters with aggression and violence, sickness and absenteeism, self reports of job satisfaction levels as well as burnout. According to the study by Schmalenberg and Kramer (2009), the nurses’ opinion of their working environment is a strong predictor of their opinions as far as the staffing of their units and of their institutions is concerned. Additionally, the factors that were found to profoundly affect this opinion are the competence of the staff, teamwork, flexible delivery system, and a balance of positions in relation to the needs of the patients that are under their care. The study by Aiken et al in 2002 revealed that there was a higher chance of nurses experiencing job related burnout in hospitals with high Patient nurse ratios. Further, nurses in institutions which had the highest rates of patient to nurse ratios were twice likely to suffer from dissatisfaction from their jobs. These influenced the decisions of nurses to leave their current jobs and thus creating more staffing problems that would lead to more negative patient outcomes. Nursing Staffing and the Patient There are various outcomes that are thought to be directly related to the staffing of nurses in any institution are associated with the patients, such as morbidity mortality, nosocomial infections, falls, pressure ulcers, suicide, and length of hospital stay, medication errors, post operative complications, infection rates and adverse events such as cardiac or respiratory arrests, most of which are negative patient outcomes (Flynn and Mckeown, 2009). There are various studies that have focused on this relationship such as the study by Aiken et al in 2002 however, according to Liang et al (2012); most of these studies have been carried out in western countries. Flynn and Mckeown also studied the relationship between the patient outcome and the nurse staff levels in a bid to identify information that would enable nursing managers to determine the optimum nursing staff levels. The quality of care that is given in nursing homes, which is also an antecedent of the patient outcome has been investigated in studies such as the study done by Castle and Engberg min 2003. Some of the studies that have been used to investigate the relationship between patient mortality as an outcome of nursing staffing levels have been cross sectional and critics have argued that these have failed to include a direct link between staffing and individual patient experiences besides lacking sufficient statistical controls (Needleman et al 2011). One of the patients’ outcomes that have been associated with low levels of nursing staffing is the mortality of patients (Aiken et al 2002). This study was carried out in Pennsylvania hospitals whereby the patients to nurses’ ratio were in the range of 4:1 to 8:1. In the course of the study, 4535 out of 232 342 surgical patients died within thirty days (Aiken et al 2002). This study concluded that four patients less for every nurse would reduce in fewer deaths in the same time and not just in the surgical wards but among all the patients hospitalized in California (Aiken et al 2002). A study by Liang et al in 2012 confirmed the relationship between nursing staffing levels and patient mortality. Cho et al also investigated the relationship between nurse staffing and negative effects such as morbidity, mortality and medical costs. Nurse staffing levels were considered as nursing hours and as nurse proportions and the higher the number of patients that a nurse was supposed to take care of, the higher the rate of mortalities and complications such as atelectasis and pressure ulcers among others in post operative pneumonia patients (2003). This was attributed to the higher than usual demands of taking care of these patients which demanded lower patient to nurse ratios. In yet another study by Kiekkas et al in 2008, the relationship between nursing overload and mortality among intensive care unit patients was investigated whereby the nursing workload was considered the result of total patient care demands and nurse staffing levels. Of the three hundred and ninety six patients who were admitted in the intensive care unit of a Greek Hospital, one hundred and two of them died. The workload of the nurses was found to be significant especially as far as mortality as an outcome was concerned in surgical patients, medical patients, and both groups together which indicated that patient care demands were an important moderator in the course of investigating the relationship between nursing staff levels and mortality (Kiekkas et al, 2008). Staffing of nurses and work environment variables have been assessed with regards to their effects on patient outcomes in a conceptual model by Meyer et al in 2009. The study was carried out in Canadian hospitals in their cardiac and cardiovascular patient units whereby the PCDM together with regression models was tested. PCDM in this case is an acronym for the Patient Care Delivery Model and in addition to confirming the relationship between nurse staffing levels and patients outcomes , the study indicated that patient outcome are also the result of factors associated with patients themselves as well as factors associated with the nurses (Meyer et al, 2009. Additionally, Liang et al established some of the reasons behind the high patient to nurse ratio in Taiwan most prominent of which was the desire of hospitals to control their expenditure but which had negative outcomes for its patients. Flynn and Mckeown in 2009 found out that it was important for nurse managers and others that are involved in the recruitment of nurses to critically examine the common methods that are used for the purposes of determining nursing skill mix as well as staffing levels in their effectiveness in the course of health service organization and delivery. This is in spite of the fact that most studies have been unable to accurately determine or support a minimum level of nurse-patient ratios in various hospitals (Flynn and Mckeown, 2009). Castle and Engberg in 2009 proposed that poor staffing in nursing homes was the result of high rates of turnover among the patients, low staffing levels, low stability levels and low use of agency staff and that poor staffing in nursing homes is accompanied by poor patient outcomes. However, in order to enhance staffing in nursing homes, administrators should focus on all and not just a few select characteristics (Castle and Engberg, 2009). In response to the failure of cross sectional studies to establish or demonstrate a direct link between levels of nursing staffing and patient experiences besides lack of statistical controls, Needleman et al carried out their own study of the nursing staffing levels and the outcomes of the patients in 2011. This study utilized the Cox proportional hazards model and established that the staffing of nurses below the recommended levels was related to patient mortality. Conclusion This study has been a literature review with regards to nursing staffing levels and patient outcomes. The definition of nursing staffing has been defined as well as the effects of nursing staffing on the nurses themselves besides the effects of nursing staffing levels on the patient outcomes. This has been done with various studies that have been done in the past concerning the subject.

Thursday, October 10, 2019

Developments In Cold Environments Sustainable Essay

To what extent are more recent developments in cold environments sustainable ? Fishing can disrupt food chains. For example krill fishing in the southern ocean is depleting food supplies for whales and penguins. Overfishing of a species can severely deplete its population, sometimes beyond recovery. Overfishing of the patagonian toothfish in the Antarctic is currently a concern. Bottom trawling catches fish by dragging nets along the sea-bed. This disrupts the eco system by reducing light levels thought increasing turbidity and catches other species as well as the target one. Its carried out in the gull of Alaska, the greenland sea and the barents sea. Fishing quotes have been introduced to limit the number of fish caught and prevent overexploitation of the resource. Large cruise ships increase pollution in the areas from the ships and from the tourist. Tourists and tourism developments disrupt wildlife and damage habitats leading to reduced biodiversity. National parks have been set up to allow tourism whilst protecting the environment e.g. denali national park in Alaska was set up in 1917 and then expanded in 1980 to induce a greater area of land. Cars and private vehicles are banned from the park so visitor’s have to travel in park buses on approved routes. The most vulnerable parts of the park don’t have any roads at all. So the ground is protected from the damaging effects of vehicles. Oil spills can occur during transport of oil from the area. For example in 1989 there was a huge oil spill off the coast of Alaska when the exxon valdez oil tanker crashed. Over 40 million litres of oil spilled into the ocean and over 250 000 birds and fish were killed. Oil spills can occur if the pipelines leak between 1977 and 1994 there were on average 30 to 40 spills a year from the trans-alaska pipeline. Some of these were caused by intentional attacks and forest fires. Oil pipes have automatic shut off valves in order to minimis e oil spills if the pipelines are damaged.

Final Essay

He is stuck on the bridge between being an adult and a child and does not know here he wants to go. He doesn't know what he wants to do or be in the future. Throughout the book, Holder makes many references to the ducks that he saw a few times in Central Park. He says, â€Å"The ducks. Do you know, by any chance? I mean does somebody come around in a truck or something and take them away, or do they fly away by themselves- go south or something? â€Å"(Slinger 91 This could be a symbol for Holder and his life. Holder is wondering where the ducks will go, very much like he is wondering where he himself will go.Holder wonders if he will have to get up and go nowhere on his own, or if someone will come along and help him out before things get too difficult. Holder is thinking about where the ducks will go when it gets cold and hard for them to survive. He is also thinking about where he will go when life gets even more difficult and harder for him to survive on his own. Holder is also scared for the future of children. He has experienced firsthand what it is like to be extremely stressed and forced to grow up quickly. He does not like growing up and he just wants to be a child forever.Holder wants to save children from falling into the world of adulthood. He says, â€Å"Navy, I keep picturing all these little kids playing some game in this big field of rye and all. Thousands of little kids, and nobody's around – nobody big, mean – except me. And I'm standing on the edge of some crazy cliff. What I have to do, I have to catch everybody if they start to go over the cliff – I mean if they're running and they don't look where they're going I have to come out from somewhere and catch them. That's all I do all day. I'd just be the catcher in the rye and all. Know it's crazy, but that's the only thing I'd really like to be.This shows that Holder actually is caring for the children in the world and he wants to help them keep their innocence in any way that he can. Throughout the Story, Holder mentions his little brother Allele. Allele passed away when they were little of cancer. Holder feels guilty and upset over Allies death and really misses him. Allele was one of the few people who Holder actually loved and cared about. Allele had an old baseball mitt with poems written all over it that he would read while standing in the field. While talking about Allies old baseball mitt that Holder kept, he says â€Å"You'd have liked him.He was two years younger than I was, but he was about fifty times as intelligent. He was terrifically intelligent. His teachers were always writing letters to my mother, telling her what a pleasure it was having a boy like Allele in their class. And they weren't just shooting the crap. They really meant it. But it wasn't just that he was the most intelligent member in the family. He was also the nicest, in lots of ways. He never got mad at anybody. God, he was a nice kid, though. He used to laugh so h ard at something he thought of at the dinner table that he just about fell off his chair.

Wednesday, October 9, 2019

The purpose of human rights Essay Example | Topics and Well Written Essays - 2000 words

The purpose of human rights - Essay Example The two are different despite the fact that they relate to one another2. Human rights are the freedoms and rights that all human beings have an entitlement to enjoy during their lifetime. They are the rights that the state has an obligation to provide to the citizens. They include the right to liberty, life, expression and thought, and equal treatment before the law. These rights express the various responsibilities that the government should provide to individuals and, responsibilities of the government authorities to groups or individuals3. The state bears the role of ensuring that all the citizens enjoy their rights. They are fundamental inalienable rights, which all people in the state have an entitlement to as human beings. The rights exist as legal or natural rights in both international and national law. Human rights are an international practice that prevails in policies of different states and, and in various activities organizations that are nongovernmental4. Human rights a re norms that protect people from legal, social, and political abuses. The source of conception of these rights is the treaties, Universal Declaration of Human Rights, and the human rights documents that people followed in international organizations. The Declaration of the rights clearly illustrates many human rights that all countries have a responsibility to protect and respect5. The rights fall into six key families, which include Security rights that protect all the people against crimes like murder, torture, rape, and massacre. Due process rights, which protect people against the abuse of legal system. The abuse includes imprisonment of individual without trial, excessive punishments, and secret trials6. Liberty rights protect individuals’ freedom in expression, belief, association, movement, and assembly. Political rights protect a person’s liberty to involve themselves in politics via various acts like assembly, communication, serving in public offices, and vot ing. Equality rights ensure equal citizenship, non-discrimination and equality before the law. Welfare rights ensure that an individual acquire quality education and that the government protects them from starvation and severe poverty. Group rights are also remarkably vital rights that the Universal Declaration leaves that protect the different ethnic groups from genocide. It also covers the ownership of various resources and territories by the groups7. The various ideas that led to the development of the human rights arose during the Second World War. In 1948, the United Nations made a remarkable step in adopting the Universal Declaration of Human rights. The societies that existed during the period had developed elaborate systems, political legitimacy, and conceptions of justice meant to realize human dignity. Another crucial issue that has contributed to the development of human rights is the secularization of the Judeo-Christian ethics by the Europeans. A human being gives birth to a baby who is equal in dignity to the mother8. Human beings have a conscience and reason that guides them to act to one another in the spirit of goodwill. Human rights form vocabularies that articulate the norms of various cultures that guide people to associate with one another effectively9. The widespread nature of agreements of international human rights provides the necessary support of the values that human widely share. Human rights norms are

Tuesday, October 8, 2019

Integrating Research Methods with Marketing Decisions Proposal

Integrating Methods with Marketing Decisions - Research Proposal Example It is mostly qualitative and unstructured. Being qualitative in nature, it uses a small focus group instead of a larger population or interviews that are in-depth, or projective techniques. In the focus group method, a small group of people is interviewed on the topic. These people are free to interact with one another. This is a hurdle for the researcher as he has no control over the group. Many times it drifts towards irrelevant matters. The data also gets influenced by others. Another problem is that it is researcher dependent. The questions framed by the researcher lead in one particular direction. Projective techniques are indirect techniques that help understand the underlying beliefs without disclosing the actual aim of the research like word association, sentence completion , story completion, cartoon tests, role play etc. In-Depth Interviews are conducted on one-to-one basis. This helps in getting in-depth information and also to get to the hidden issues. Unlike survey interviews it may not have the same set of questions for all the participants. It is a time consuming process that may get influenced by the bias of the researcher. There are three techniques used in these interviews - One is Laddering, in this the questions start off with the external objects and slowly get to internal attitudes or feelings. Another way is Hidden issue questioning. In this the researcher concentrates on deeply seated beliefs and feelings. Third one is Symbolic Analysis. Here the researcher asks opposite questions and tries to understand their symbolic meanings In-depth Interviews are the best suited way for this research as it will help understand the underlying beliefs and attitudes that form the basis for buying a vehicle. This is the information needed by the company to remodel Taurus.Descriptive research methodDescriptive research gathers data and then interprets it by tabulating and organizing the data. Description is used as a tool in organizing the data. It is very helpful to find out what is the best solution to the given problem with many variables. Once the research question is fixed, the descriptive research method can be decided upon. The methods of data collection could be surveys, interviews, observations and portfolios. Surveys draw conclusion based on the questionnaire and help to identify the factor that needs change.These surveys can be done through written questionnaires or personal interviews or telephone interviews. Interviews are most time efficient and help in getting in-depth information by creating a rapport with t he participants. But it is time consuming and requires a lot of time to be spent in interviewing and in traveling for interviewing. In comparison, telephone interviews are less time consuming and less expensive but there is no visual input. Mailed questionnaire is even faster but has very low response rate and requires a very simple survey design.Observational research methods are based on direct observation that can give lot of

Monday, October 7, 2019

Marketing Managerment Project Paper Research Example | Topics and Well Written Essays - 1750 words

Marketing Managerment Project - Research Paper Example The case cites an example of Kellogg’s in Asia-Pacific region especially in India. This case is a classic example of concerted marketing efforts going haywire to produce reverse results. When a multinational giant organization such as Kellogg’s launches into an unknown region and area it needs to do the homework and establishes itself. The case highlights on the turnaround strategies used by the company to control the damage and survive. Today Kellogg’s is a household name in most Indian families and also the most preferred breakfast cereal, irrespective of that Kellogg’s needs to be alert in the volatile market. In an upcoming and third world market the options available are many for the consumers as the competition keeps offering one product after the other, which eventually widens the choice for the average consumer. Hence to not only to survive, but also sustain profitably, Kellogg’s has to innovate and in product as well marketing strategies. T his paper also suggests a few such strategies with its implications and challenges. No organization can capture a market and be complacent, because capturing a market may be a onetime effort but retaining the market with profitability requires new challenges to be taken and met with competence, effort and good marketing. Kellogg’s – The Indian Story We all love breakfast cereals and the crackling sound they make early morning. They give us an idea about how fresh and beautiful each day is going to be after a healthy breakfast. We are now going to look into a healthy breakfast story of none other than the breakfast giant Kellogg’s in India. Kellogg’s so far in western market has always maintained its upper hand. It was introduced in the Indian market in the year 2005 and was an absolute flophouse. From there on the company looked into various perspectives to make the product a success and has continued to grow in the market steadily. Today even if it has n ot captured the so called breakfast market share it has managed to survive and even run profitably and smoothly in India. We are going to study the turnaround of Kellogg’s in India in this assignment. Kellogg’s started its way in 1906 and today is the leader of corn flakes and breakfast cereals. Its worldwide expansion program goes as back as 1914. Kellogg’s expanded in England and Australia. By the year 1958 Kellogg’s settled in America making it the most popular breakfast frosty cereals and corn flakes. Over the years Kellogg’s has acquired Worthington Foods, Kashi Company and Keebler Foods. They also have a marketing tie up with Disney. Today Kellogg’s is manufactured in 17 countries and marketed over 180 countries worldwide. It has multiple products such as corn flakes, nutrition bars, ice cream cones, pies, and waffles etc. Today it is a company with billions of dollars of turnover world over. With this strength, history and backing Kel logg’s launched with many trumpets in Indian market. It started with its basic product - cornflakes. SWOT Analysis of Kellogg’s: Strengths: 1. Kellogg’s is a multi-billion dollar company having presence worldwide. 2. The product quality that is offered is uniform across the markets world over. 3. It has an excellent brand name and enjoys a healthy brand image. 4. Through various acquisitions it has acquired a range of products starting from breakfast cereals to nutrition bars and diet cereals. 5. Its primary strength lies in baking and innovative products it keeps coming

Saturday, October 5, 2019

Importance of Life Essay Example | Topics and Well Written Essays - 1000 words

Importance of Life - Essay Example This paper will present personal thoughts about the two essays, establishing connections and oppositions, in the area of male-female communication at home. Inferences from the two stories â€Å"I want a wife† explains that wives take a very passive role at home. They offer support services to men after they leave home for work or education. The role of a wife when the husband is not at home will entail taking care of the children, supporting the dependants of the man, finance the man where necessary, as well as doing the daily chores. She is portrayed as one who should sacrifice for the man, by losing days of work, losing pay due to absenteeism as well as leaving her job after the husband gets employed. She is portrayed as the person to take care of the physical needs of the husband as well as those of the children while offering social support to the family (Tannen). A wife is presented as the one to offer support for the social life of the man, children – who she will babysit – as well as the guests of the home, who is required to serve. She is presented as the one to take care of the sexual needs of the man, whenever he feels the need, but she is presented as one that will not present her sexual needs. After all the devotion, she is supposed to accept her replacement, and at the same time absorb the burden of taking care of children after divorce (Brady). The story, â€Å"sex, lies and conversation; why is it so hard for men and women to talk to each other†...presents the woman as the talker of the family, but one who will not express herself in the pubic (Tannen). The case explains the ideal American family, where the man talks in public but not at home. The family outlook is supported by scientific findings that many marriage breakups – according to women – are caused by the lack of communication (Brady; Tannen). Women feel that men do not listen or pay attention to them, which could be explained on the basis of th e different communication cultures of men and women. Women – since their background as girls – relate in an expressive manner, while men relate in an authoritative, non-sentimental manner, which makes women feel like the men do not listen or communicate to them. Women make one another feel better, by demonstrating their shared problems, while men downplay the extent of the other’s problems, and will often not pay a lot of attention to the physical expressions of one another, like women. Through a research study on school children, it was demonstrated that women are expressive to one another – and the expressive aspect is what they expect from husbands – who are naturally passive in their communication and interactions. The problem rises from the need of intimacy among women, and the detachment of men from their feelings. The story ends in the call for an understanding of the cross-cultural nature of men and women, which will enhance their communica tion as well as the understanding of one another (Brady; Tannen). Discussion of the connections and the oppositions between the two stories â€Å"I want a wife† presents the wife as a highly passive member of the family, who will not question the instructions of the husband as well as her roles as a wife. â€Å"My wife must lose time at work and not lose the job† (Brady). The story â€Å"sex lies and conversation† is the opposite, as it portrays the wife as â€Å"