Saturday, August 31, 2019

Human Nature vs Personal Gain Essay

Growing, learning and becoming the best we can be are all positive steps that evolve from life experience. It is human nature that wants to succeed and contribute to society in productive ways. In the play The Crucible, written by Arthur Miller, individuals display an ugly side of human nature and are motivated by less than noble goals. Throughout the story, justice is often replaced by the desire for personal gain. Perhaps the three best reasons are greed, selfishness and betrayal. Greed is a motivating factor among many individuals in the play. At many times, John Proctor talks with Hale about Parris’s need to become rich, by gathering valuable golden candlesticks. He says, â€Å"He preach nothin’ but golden candlesticks, until he had them†¦ I think, sometimes, the man dreams cathedrals, not clapboard meetin’ houses† (Miller 65). Proctor says this to Parries to illustrate Parris’s materialistic nature and thirst for power, land and material p ossessions. Like Reverend Parris, Thomas Putnam is also greedy. Thomas uses his daughter to falsely accuse George Jacob of witchcraft. The accusation leads to the arrest and conviction of George Jacob by Judge Danforth. Giles Corey’s explains to Danforth that Mr. Putnam is dishonest and says â€Å"If Jacobs hangs for a witch he forfeit up his property- that’s law! †¦ This man is killing his neighbors for their land† (Miller 96). Thomas Putnam uses these falsifying witchcraft trails to increase his own wealth by accusing people of dealing in witchcraft, getting them convicted and then taking advantage of the situation by buying up their property. Characters like Parris and Putnam are so obsessed with greed that they do not have a conscience. Just as the evils of greed occupy Parris and Putnam, Abigail Williams is motivated by selfishness. She is vengeful, manipulative and a magnificent liar; for example, she goes into the forest at night and practises witchcraft with the other girls form the village. However, when Abigail is confronted about her disgusting behaviour, she chooses to keep  h er well respected reputation intact. Abigail denies that she was in the forest dancing that night, threatens the girls and says, â€Å"Now look you. All of you. We danced†¦ Let either of you breathe a word†¦ I will come to you in the black of some terrible night and I will bring a pointy reckoning that will shudder you† (Miller 20). She does this to also avoid being arrested. Not only does Abigail lie about witchcraft, she also stuffs the needle in the doll that Mary Warren made for Elizabeth. Cheever explains, â€Å"The girl, the Williams girl, Abigail Williams, sir. She sat to dinner in Reverend Parris’s house tonight†¦ she falls to the floor†¦ he goes to save her, and, stuck two inches in the flesh of her belly, he draw a needle out. And demandin’ of her how she come to be stabbed† (Miller 74). Abigail uses this situation to accuse Elizabeth of practising witchcraft to harm her Abigail. She does this to sabotage Elizabeth and, eventually, take her place as John Proctor’s wife. Abigail’s callousness with Elizabeth shows that her selfishness has no bounds or morals. If greed and selfish are not bad enough human characteristics, betrayal is perhaps the most cunning and provides the most false sense of security. Mary Warren accuses John Proctor of consorting with the devil and pressuring her to join him in his evil ways, which is not true. As Mary yells in anger, she says pointing at Proctor, â€Å"You’re the Devil’s man!† (Miller 118). She continues on to say â€Å"I’ll not hang with you! I love God, I love God† (118). Mary Warren’s loyalty to John Proctor is betrayed under pressure to save her own life rather than be hanged. Abigail betrays Tituba so that she does not get question by Reverend Hale. What Abigail says to Hale and Parris when she falsely accuses Tituba is â€Å"She sends her spirit on me in church; she makes me laugh at prayer!† (Miller 44). Abigail does not want to confess her practise of witchcraft in the forest with her girls at night. While in the play there is no shortage of characters willing to do the wrong thing in life, choosing to do the right thing is always the preferred path in life. Having to replace any form of righteousness (justice) with greed, selfishness or betrayal does not justify our actions or means for the end result. Each one of the characters in the crucible mention in the above paragraph have all demonstrated that some form of human nature for self rewardance was place before justice/righteousness. There are always consequences when the truth is not told. Whenever we use these actions in our character they always lead us away in the opposite  direction from our true and honest goals. Righteousness in the heart produces beauty in the character. Works Cited Miller, Arthur. The Crucible. New York: Penguin Books, 1976. Print

Friday, August 30, 2019

The Great Poet Ali Akbat Dehkhoda English Literature Essay

However, one should non bury the fact that the outgrowth of newspapers and magazines in Iran opens a new way for political and literary arguments which were all led to societal consciousness of the populace and the upliftment of literary infinites. Like Romantic Poets such as Samuel Taylor Coleridge, William Wordsworth and John Keats, E'tesami experienced a short tragic life: A short period matrimony to her male parent ‘s cousin lasted merely 10 hebdomads, decease of her male parent, whom she attached excessively much, followed by her ain decease three old ages subsequently at the age of 30 four. Her sudden decease Shocked the whole state and was mourned by 1000s. Hence, Parvin ‘s short life did non interfere her great celebrity in which she has achieved among Iranians. The genius girl of E'tesam-al-Molk through his encouragement began her gustatory sensation in poesy since her early childhood at around age seven or eight. She composed some literary pieces which were translated from western texts by her male parent. Parvin ‘s poesy followed the Classical Persian tradition both in signifier and content. And the reformatory position of Modern Persian poets such as Nima Yushij, Sohrab Sepehri, which led to a great literary motion, remained unaffected or possibly denied by her. E'tesami published a †Divan † , a book of poesy, consisted of 156 verse forms in 1935, with an debut by the great poet and scholar Mohammad Taqi Bahar. After her decease, Abol Fathe E'tesami, her brother, published the 2nd edition of her book including 209 composings in the signifier of Ghazal, a love vocal like Lyric and assorted other signifiers of Iranian poesy like †Qasideh † , †Qet'e † which are all short pairs. They were all followed the didactic and philosophical manners of Sanai, Naser Khosrow or even Manuchehri in eleventh and 12th centuries. Her Divan gives small room for Ghazal, but harmonizing to Professor Heshmat Moayyed those few Ghazals of hers, including 5 verse forms entitled †Arezooha † [ Longings ] and †Safar e Ashk † [ Journey of a Tear ] are regarded as the best illustrations of lyric of all time written in Persian. Along with her Divan she versified 75 anecdotes, fabrications and fables. †She is best known for her stamp, fable-like fragments written in traveling tones † conveying her moralistic idealogy. However, E'tesami ‘s controversial poetic signifier, the †Monazere † [ Debate ] claimed the largest parts of her Divan. She composed 65 verse forms in Monazere manner. Moayyed stated that E'tesami ‘s Hagiographas were largely about † work forces and adult females of different societal backgrounds, a wide-ranging array of animate beings, birds, flowers, trees, cosmic and natural elements, objects of day-to-day life, abstract constructs, all personified and typifying her wealth of thoughts. † Influenced by Mysticism and Fatalism in some of her verse forms she talked of the doctrine of life as in here: The narrative of fate is madness and it ‘s non luck to fall from the roof and state it was destiny Acting is the best wing in the Eden of cognition in the land of being, art is the best wealth Search although your will is superior to believe Thrive although your way leads to the firedrake ‘s oral cavity Moayyed believed that through personification and symbol E'tesami visualized the immoralities of society and the loss of moral committedness. And through her Monazeres [ Debates ] she expressed her ain position about † life, decease, societal justness, moralss, instruction and the supreme importance of cognition. † Her formative old ages were spent in Tehran, the capital metropolis, where her household moved from Tabriz to Tehran for better life style and instruction. E'tesami ‘s formal schooling was in the American Girls College in Tehran, a celebrated school where she taught at that place for a piece instantly after her graduation. She was invited to go the Queen ‘s coach for the new Pahlavi tribunal, but she refused. She declined that invitation for she opposed Reza Shah for his indifference towards the atrociousnesss and developments done in her state. Alternatively, she joined the library of the Teacher Training College for several months. Mohammad Taqi Bahar and Parvin E'tesami are considered as the most famed classical poets have of all time risen since the 19th century. Bahar is known as the †King of Poets † who played a important function in the † outgrowth and development of Iranian literature as a distinguishable genre † in the beginning of the 20th century. His verse forms largely dealt with the socio-political facets of Iran. Other distinguished figures in classical poesy are Mirzadeh Eshghi, Aref Ghazvini and Shahriyar. Among all singular plants, †Monazere † [ argument ] revealed the extremum of her mastermind. Monazere is the argument between two objects or two individuals, where this technique revived by Parvin since Sasanid and Ghaznavid ‘s dynasties like Abu-al-gasem Ansari. She was besides influenced by the Greek and Gallic fabrications of Aesop and La Fontaine. E'tesami highlights the Arguments by conveying a †thesis and a corresponding antithesis † together with the conventional imagination and intense duologues and the concluding lines as her ain point of views. One of the most celebrated Arguments of hers called †Mast Virginia Hoshyar † [ The Drunk and the Sober ] won great esteem among Romantic poets, which was popularized as the best argument of all time written and regarded as the mirror of the societal and political background of the age. Her prowess is confined to portray the existent Dark place of high governments in the society including †Judge † , †Governor † , †Sheriff † and the mere †Municipal † , where the Municipal Police Officer caught a ‘Drunk but Aware Man ‘ in the center of the dark and decided to take him to the Judge ‘s house, the Governor ‘s castle or the Sheriff ‘s for enquiry or test, yet the Drunkard remarked that the Municipal should wait till dawn for the Judge is asleep and the governor must be hangover at that minute. In this verse form E'tesami by conveying a analogue between the Drunkard and the Sober pictured the instability of any higher societal ranks, where no 1 is in his proper topographic point or does his responsibility. Even when the Municipal suggested the Arrested Man to travel to †Masjid † [ Mosque ] till the twenty-four hours after, this chap claimed that Masjid is n't a inn for such a criminal like him. The Municipal ‘s demand for compensation or his apparels was rejected, because the hapless Drunk did n't even hold a penny or proper apparels to put himself free. E'stesami raised her inquiring and challenging of the system in her last line, when the Officer claimed that harmonizing to the Laws of the State, he should happen a Sober to flog the Drunk. In response the Drunk laughed calmly and stated: †Bring a Sober, here no organic structure is sober † The American College Parvin E'tesami became familiarity with the civilizations of the West. E'tesam-al-Molk took her to different parts of Iran and even foreign states like Europe and Iraq. Through these trips, Parvin gained the cognition he had gained over old ages of reading and interpreting Western civilizations and traditions which drew inspiration for her in organizing the chief subjects of her poesy such as humanitarianism, liberalism. The literary assemblages held in their house went around issues of Persian civilization and life style. They normally discussed over †the Oppression of Reza Shah Pahlavi ‘s government, instruction, Women ‘s predicament and the jobs of the helot † and Parvin was the lasting participants of these meetings. The impact of all these great figures is reflected in her poesy. The twenty old ages of creativeness from 1921 till her decease displayed an †astonishing adulthood of idea and trade † of this 20th century Persian poet. Throughout her poesy she ever looked for societal justness for the Masses, particularly Women. She brings out the predicament of adult females and their subjugations in verse forms like †Iranian Women † : Once a adult female in Iran was about non-Iranian. All she did was struggle through dark and distressful yearss. Her life she spent in isolation ; she died in isolation. What was she so if non a captive? None of all time lived centuries in darkness like her. None was sacrificed on the communion table of lip service like her. In the tribunals of justness no informant defended her. To the school of larning she was non admitted. All her life her prohibitionists for justness remained ignored. This subjugation occurred publically ; it was no secret. Many work forces appeared cloaked as her shepherd. Within each a wolf was concealing alternatively. Or in â€Å" A Woman ‘s Topographic point † :aˆÂ ¦..Plato and Socrates were great because the female parents Who nurtured them were themselves great. Loghman was succored by his female parent in the cradle Long earlier attending at school made him a philosopher. Whether heroes or mystics, abstainers or legal expert, They all were first students in her school. How can a kid with no female parent learn to love? A land with no swayer offers no safety and order. There is non adequate information about Parvin E'tesami ‘s personal life except a little book of essays and verse forms published on her first day of remembrance in 1944 in Tehran. Her familiarities claimed that she was an honest, straightforward but mild adult female. She had an eternal passion in larning and contending against the dictatorship of male monarchs and great sympathy towards the multitudes. She besides offered moral solutions related to the world of life. E'tesami ‘s differentiation was due to her word picture of †spiritual truth, exalted humane constructs, plaint for poorness, favoritism † and category consciousness. However, much of her plants were the acrimonious and rough unfavorable judgment of societal and political unfairness. In â€Å" The Old Woman ‘s Lament † she challenged the legitimacy of the authorities, in â€Å" The Wretched † she portrayed poorness and protested against societal spread between the rich and the hapless. Mostly her poesy has the colour of morality. The unexpected decease of E'tesam-al-Molk secluded her from the society for she afterwards lost touch with the literary circles which had ever encouraged her. Furthermore, possibly within the patriarchal mainstream of literary society, Parvin E'tesami had no agent or shelter in showing her plants. However, as a adult female poet she managed to set up her place in the literary infinite through her human-centered mentality.

Thursday, August 29, 2019

Nazi Control Over Germany

Identify Nazi opposition: 1.) Communists 2.)Social Democrats 3.)Anti Nazi teachers and University Professors 4.)Roman Catholic Church 5.)Protestant Churches 6.)Jews and other persecuted minorities (once purges started). 7.)Lander (State parliaments) 8.) trade unions How Nazis dealt with opponents? To ensure political dominance, Nazis wanted to make Germany into a one-party state. To wipe out communists, Hitler used Reichstag fire as an excuse of a â€Å"communist uprising† to disable much of the communist activities. It is to be noted that anti-communism was a major part of Hitler's ideals. Social democrats were disabled as well. Lander were allowed to exist but lost all power. Anti Nazi teachers and university professors posed the threat of spreading an anti-Nazi message. The Nazis even wanted subjects to be taught according to their principles. These people were kept in check by fear of Gestapo. Roman Catholic church was a political threat and the church also had influence over people. In 1933, Hitler signed a concordat with Pope and said Nazis will not interfere with church affairs if church stayed out of politics. However Nazis broke concordat when it dissolved catholic youth league as it was a rival to Hitler youth. Catholic schools closed down after protestations. By 1937, church conflicting with Nazis and pope Pius XI issued Encyclical saying that Nazis were â€Å"hostile to Christ and his church†. Hitler angered and 1000's of priests +nuns sent to conc. camps. Protestant churches were attempted to merge into Reich church. Failed and after protests, people sent to conc. Camps. Jews sent to conc. Camps and murdered. Trade unions banned and replaced with German labour front which reduced pay and took away right to strike How did Nazis use culture and mass media to control people? After Nazis gained power, all forms of media were controlled by Joseph Goebbels. This made sure that no anti-Nazi ideas were publicized. Jewish works were banned as part of the anti-Semitism policies. By these methods, the way the German people thought could be adjusted to the Nazis' will. Culture was used in the way of making Aryan people feel that they were a superior race. Cultural Activities of racial minorities were mostly banned so that they would have no effect on Aryan ideals. Why Nazis persecuted many groups? The Nazis had an ideology of â€Å"racial purification†, whereby only the Aryans were to be in Germany. Therefore Jews and other small races were sent to conc. Camps. Jews were also persecuted because they owned many shops and businesses (once they were removed, these jobs given to Aryans). Mentally and physically disabled people were also persecuted because the Aryan race was supposed to be â€Å"perfect†. Homosexuals were persecuted as well. Was Nazi Germany a totalitarian state? A totalitarian state is a system of govt. where there can be only one party and the people are totally devoted to the state. Nazi Germany was definitely one of these because: 1. One party state: only the national socialists allowed existing. Power taken away from Lander. 2. Civil service purged of â€Å"enemies of the state† until it was fully reliable. 3. Trade unions banned 4. Education system controlled and Nazi ideals fed into children by Hitler youth. 5. Communication and media controlled. 6. Economic control by which unemployment was reduced and Germany brought close to self sufficiency. 7. Religious control 8. People monitored by Gestapo so that if a person was anti-Nazi, he would be taken away. 9. Anti Semitism and other forms of unjustified racial discrimination.

Wednesday, August 28, 2019

Principles and Functions of Management Essay Example | Topics and Well Written Essays - 1500 words

Principles and Functions of Management - Essay Example This theory focused upon the achievement of short term objectives as a means to fulfilling the long term goals of the organization. (Birnbaum 2000:43-52). Employees in every department were to set out short-term objectives, which were to be achieved within a certain deadline. Companies such as General Motors and RCA Foods adopted this method of management. However, in actual practice, this theory failed to take into account the political bickering and rivalry that existed between various departments. In actual practice, the departments rarely bothered to make and adhere to short-term objectives and the theory was soon scrapped by 1985, because it was found to be ineffective. The reason for this was because the theory failed to take into account the unpredictable human factor, that often results in problems arising with the practical execution of a management theory that may be sound good on paper but fails in practice. Managers therefore failed to make use of this theory on a wide ra nging basis, because while it sounded good as a theory it was not effective in actual practice. This is a commonly used management practice today and the tool through which it functions is commonly known as the SWOT analysis. This theory was also derived from Peter Drucker’s rational approach with an attempt to also include political inputs. This method involves the analysis of the Strengths, Weaknesses, Opportunities and Threats to a business. This was a management technique that was set out with the purpose of identifying a particular niche for every business. The aim and objective behind this management theory was to enable an organization to survive and compete effectively in a rapidly changing, globalizing environment. According to this theory, the SWOT analysis helps to analyze external and internal data within the organization and compare it with others in the industry in order to evaluate the exact

Tuesday, August 27, 2019

Journal Article Example | Topics and Well Written Essays - 250 words

Journal - Article Example He interrupts the reader’s train of thought unexpectedly and suggests the exact opposite of what they might be thinking. For example, he mentions that a few empty shampoo bottles fall in the tub that have been accumulated over time. The reader expects him to request to throw them away; on the contrary, he instructs them to put them back in order. Similarly, the instructions regarding mending the shower curtain and calling for help when none of his techniques work is hilarious. Thus Frazier points to an everyday incident which rather proves to be quirky and troublesome in an amusing way. Journal Writing This article reminds me of something really annoying, particularly when one is in a rush. Purses, wallets, hand bags and all other types of bags sometimes become a nuisance, if anything goes wrong with the straps, or zippers, or the safety locks. Even the inside pockets of bags and purses are either so tiny or so huge that our belongings get either stuck or lost, respectively. L ooking for a bunch of keys, or a receipt/ token/ ticket/ cash can become a hassled task. Fumbling for our belongings in the bags/ purses that we carry everyday is rather an annoying thing; but when looked at in retrospection, we might laugh at such incidents. Once I had to return a scarf to the sales girl in which I had found a defect.

Monday, August 26, 2019

Importance of Business Strategy Essay Example | Topics and Well Written Essays - 2500 words - 8

Importance of Business Strategy - Essay Example Every organization, no matter the size, requires to have a strategy of the business. The strategy has the principal objective of ensuring that the company can meet the needs of the customers in the market. A business strategy, therefore, has the core objective of creating the foundation of the business. Once the business is founded on a common core, then there can be the establishment of systems to monitor the direction and operations of the business so that the business can have the capacity of succeeding in the market (White, 2012). As such, a business strategy has the function of enabling the business to understand its environment and the variety of factors that it requires in order to the business to attain success. Among the specific functions of the business, strategies are to identify the strength and the weak areas of the business. Through this identification, the business can then have the capability of focusing on its strengths and attractiveness in order to sell itself to the consumers. Further, the business strategy has the capacity of enabling the business to identify the risks that the business has to face when operating within a specific market through the use of the business strategy, the company will have the capability of mitigating these risks and having the capacity of achieving profits for the business. A business strategy has the purpose of ensuring the long-term growth of the business amidst a changing business environment. There are various trends and cultures coming up in the business world and every business should have the capacity of adapting to the change.  

President Barack Obama Research Paper Example | Topics and Well Written Essays - 1250 words

President Barack Obama - Research Paper Example Obama achieved national attention during his time as a senator. Encouraged by his popularity and determination to excel, Obama ran for the Democratic Presidential Candidacy for the 2008 presidential election and won the party nomination beating Hilary Rodham Clinton. He went on to win the presidential election and sworn in as president on 20th January, 2009. Later in the year Obama also achieved the honor of being the Nobel Peace Prize Laureate of 2009 (Gormley). As a patriot and loyalist countryman, Obama had a very lucid vision about his country which he wanted his fellow countrymen to adopt; the vision of unity, accord and common good (Price). In his address to the Democratic National Convention in 2004 he said: There’s not a liberal America or a conservative America, there’s United States of America. There’s not a Black America and White America and Latino America and Asian America, there’s United States of America. We are one people, all of us pledgin g allegiance to the Stars and Stripes, all of us defending the United States of America. Obama had to face a lot of challenges soon after assuming the office of the President of the United States most significant of which were the dwindling economy and effectual exit from the war in Afghanistan and Iraq. American Recovery and Reinvestment Act, Tax Relief, Unemployment Insurance Reauthorization and Job Creation Act, Patient Protection and Affordable Care Act, Dodd-Frank Wall Street Reform, Consumer Protection Act and the Budget Control Act are some of the most important legislative measures taken by the Obama administration which are being deemed as very effective and successful for solving issues related to worsening economic conditions and social welfare. Obama achieved remarkable success in foreign policy in the form of the death of Al-Qaeda leader Osama bin Laden after a successful military operation in a mountain town in Pakistan, the ouster of undemocratic and tyrant government of Muammar Gaddafi in Libya and the success of strategic exit of forces from Iraq and Afghanistan, the process which is still underway. Gaining confidence from the success of his domestic and foreign policies, Obama declared his intensions for re-election in the 2012 Presidential Elections (Horn). Obama was born in Hawaii to parents of ethnically diverse descent; his father was an African from Kenya while his mother was of Irish descent. Obama had to struggle to understand his multiracial origin during his childhood. To further complicate things, after getting divorced his mother remarried an Indonesian student and had to move to Indonesia when Suharto, a military leader of Indonesia called back all Indonesian students from foreign universities, that is why Obama spent his early childhood in Indonesia and owing to this he is very popular in Indonesia. Obama came back to US and started living with his maternal grandparents in Hawaii where he attended high school. Being brought up in a multiracial culture was not very easy for Obama to understand as a child because multiracial background was not very common in the US at that time however it helped him having an expansive vision he practiced in his political life and enabled him to develop the quality of understanding the aspirations of people from diverse cultural and ethnic backgrounds (Hill). Being an African American

Sunday, August 25, 2019

Weekly Assignment No.7 & Weekly Assignment No.8 Essay

Weekly Assignment No.7 & Weekly Assignment No.8 - Essay Example Next, offer assistance wherever it may be needed. This reassures an employee that the company has their best interests at heart. After this, remind the employee of any holidays or worker benefits that they may have available. This will make the employee less pressured over the time that they have missed from work. Finally, restate the company’s concern for the worker and how supportive they are. We are extremely sorry to hear about the loss of your spouse to cancer. Losing a loved one is the hardest thing that we can go through as individuals. If you need any assistance at all during this unfortunate time, please do not hesitate to let us know. Our company policy dictates that you will receive five days of paid leave due to your loss. If you want to enquire about this or any other manner, please get in touch with our Humans Resources department so they can help assist you in your time of need. Once again, we are deeply sorry for the loss of your wife and we will stand with you during this difficult time for you and your

Saturday, August 24, 2019

Problem Solving Case Study Example | Topics and Well Written Essays - 250 words - 3

Problem Solving - Case Study Example The short term liquidity of ACLU improves with time and that is a good indicator for the company. The return on assets of the company shows the ability of the company to increase profits as a result of the productivity accruing from the net assets. The measure will show the productivity of the company. The productivity of the company will affect the ability of the company to increase profits and, hence, the financial position of the company. The company mainly relies on donations as opposed to loans. That means that it will have no financial obligation to external firms or financial institutions (Finkler 2010). If I were a fund raising manager, I would mainly focus on the current members as opposed to new members. If a person wants to make donations and would want to know the amount of money that will be put in the major activities of the company, I would advise on the use of efficiency ratios. All the chapters were audited because the final report was given by the company. The financial statements are not free of error because auditing is an exercise that involves sampling and that could be subject to some approximation error. The donation of land and buildings should be treated differently as capital items and they should be capitalizing in the recording of their receipt. If wish sued LIFO method, the net assets would have increased as opposed to the use of FIFO. The service that qualifies as a program service is management and general services. The decrease in net assets could be as a result of the losses from the stock market because the investments have been incorporated as part of assets of the company. Wish does not include any provisions for a law suit because they have not indicated such an instance. The overall assessment of the finances of wish shows that the company is doing well but has the potential of doing much

Friday, August 23, 2019

The Present Situations Essay Example | Topics and Well Written Essays - 1250 words

The Present Situations - Essay Example In the ethics of alternatives, there are three theoretical alternatives according to which the existing situation can be resolved. The first one is Utilitarianism in which the main emphasis is on the greatest good for the greatest number. According to this approach, if an act proves to be beneficial for more people than those who are not benefitting from it then that act is moral. In the present situation, it is to be decided that which of the decided alternative promotes the greatest good for the greatest number of the stakeholders. In order to decide which of the alternative provides the greatest good for the greatest number of people, the amount of benefit has to be measured. The benefit would be measured for all the alternatives and then the alternative which maximizes the ratio of benefit to harm to the various stakeholders by the decision would be selected to resolve the problem. If Steffan proceeds with the present situation then there is a great benefit for both Neerson and J ames Monroe. While the respondents and Lauren would be hurt. Furthermore, the amount of worth and value to be placed on covering the cost for future community services at the expense of the ethics of market research also needs to be investigated. Another factor that needs to be analyzed is that which of the alternative will allow the company to maintain its reputation as an ethical marketing research firm. Furthermore, the utility in endangering the personal information of the respondents for future benefit has to be kept in mind.

Thursday, August 22, 2019

Love Triangles and Betrayal in Carmen Essay Example for Free

Love Triangles and Betrayal in Carmen Essay The creation of operas from pre-existing literary texts is a complex process implicating the original author, the librettists, the opera directors, the publishers, and the composer. In the process of transformation, the involved parties consider prevailing cultural values as well as their own artistic ideals. These considerations weigh all the more heavily on the process when the literary text involves complex romantic relationships. Georges Bizet’s Carmen (1875), Giuseppe Verdi’s Otello (1887), and Claude Debussy’s Pelleas et Melisande (1902) provide examples of this transformation process. In all three of these works, love triangles figure prominently. These love triangles, though they share some superficial similarities, are extraordinarily different in terms of their composition and the ultimate fate of the characters. Carmen When the directors of the Opera-Comique, a venue with repertoire typically geared towards an extremely conservative, family-oriented, bourgeois audience (McClary, 1992, p. 15-16), commissioned Bizet to write an opera in 1872, Bizet suggested Prosper Merimee’s novel Carmen as a possible subject (Macdonald, 2010). The directors of the Opera-Comique were divided in their support of this work as a subject for an opera. De Leuven, in particular, was against this choice, citing the scandalous nature of the story and the conservative nature of the venue’s target audience as reasons behind his disapproval: â€Å"Carmen! The Carmen of Merimee? Wasn’t she murdered by her lover? At the Opera-Comique, the theatre of families, of wedding parties? You would put the public to flight. No, no, impossible. † (as cited in Jenkins, 2003). Indeed, it appears that the on-stage death was of particular consternation for the director: â€Å"Death on the stage of the Opera-Comique! Such a thing has never been seen! Never! † (as cited in Nowinski, 1970, p. 895). The choice of Carmen ultimately played a role in de Leuven’s resignation from his post in 1874 (McClary, 1992, p. 23). The source text for Carmen is a novella by Prosper Merimee. The author originally published this work in 1845 in the Revue des deux mondes, a non-fiction journal. The author had previously published travelogues in the same journal, and this work contained no indication that it was a work of fiction (Boynton, 2003). Instead, the work reads as a â€Å"true† story of Merimee’s voyage to Spain in 1830. In the midst of his travels, the author-narrator encounters Don Jose, the man who, after succumbing to Carmen’s seductive powers, kills her in a jealous rage following her confession of a love affair with Lucas. The librettists for Carmen, Henri Meilhac and Ludovic Halevy, at the time that they were commissioned to write this work for the Opera-Comique had already successfully worked together as a team on a number of works (including Offenbach’s La Belle Helene and La Vie parisienne) for the Parisian boulevard theatres (McClary, 1992, p. 18). In their previous librettos, the team had split the work: Meilhac wrote the prose dialogue, and Halevy supplied the verse (McClary, 1992, p. 18). In operatic settings, the prose would typically be left as spoken dialogue (for the Opera-Comique) or set as recitative. In transforming Merimee’s novella into a libretto, Meilhac and Halevy made numerous changes. Unfortunately, there is a lack of primary source evidence detailing the minutiae of the collaborative process which would shed further light upon the reasons behind these changes (Jenkins, 2003). These changes include minimizing Carmen’s criminal activities, adding the character of Micaela, and eliminating Merimee’s framing device. The removal of Merimee’s framing device (accomplished by not including a narrator) and the introduction of Don Jose before his downfall make Carmen, and not Don Jose, the focus of the story (Jenkins, 2003). Indeed, the Carmen of the libretto, with her voice not being interrupted by the narrator’s commentary, speaks directly to the audience (McClary, 1992, p. 21). Carmen was composed as a four-act opera comique, originally with spoken dialogue (as opposed to recitative). The dialogue was transformed into recitative by Guiraud for a production in Vienna, and it was performed this way for many years before producers reverted to Bizet’s original spoken text (Macdonald, 2010). Further changes to Merimee’s original resulted from Guiraud’s involvement. Meilhac’s original dialogues at times quoted directly from Merimee’s Carmen, and these instances of direct quotation were largely eliminated in Guiraud’s version (McClary, 1992, p. 45). With the addition of Micaela, the librettists created a moralizing character, the polar opposite of Carmen, with whom the Opera-Comique audiences could readily identify (McClary, 1992, p. 21). The addition of Micaela complicates the love triangle. In Merimee’s original, the love triangle included the characters of Carmen, Don Jose, and Lucas. In the operatic version, both Don Jose and Escamillo are in love with Carmen, and both Carmen and Micaela are in love with Don Jose. The librettists also substantially changed Carmen’s character. Though they downplayed Carmen’s involvement in criminal activities (she is no longer the leader of the smugglers as Merimee portrayed her) arguably in order to make her more sympathetic, they focus almost exclusively on her sexuality (to the exclusion of her healing powers and intelligence as presented in the original) (McClary, 1992, p. 22). Bizet’s music underlines the differences in characters and underlines the complex nature of the interlocking love triangles in the opera. Micaela is presented as a sweet, pure, innocent woman. Her entrance is conventional, and her music is marked by neither intense chromaticism nor indications of exoticism (McClary, 1997, p. 120). Carmen’s entrance, in contrast, disrupts the formal procedures Bizet set up from the beginning of the opera, and her music is largely chromatic and marked with features typically associated with the exotic (McClary, 1997, p. 120). Her music, like her body and personality, is irresistible to any man she sets her sights on. Don Jose’s music is different from that of both of his female admirers. His melodic lines are long, irregularly phrased, and lacking in regular cadences (McClary, 1997, p. 124). Additionally, he, unlike Escamillo, lacks a signature melodic line (McClary, 1997, p. 127). McClary points to the incompatibility of Carmen’s and Don Jose’s musical styles as evidence of the ultimate failure of their relationship. In contrast, Carmen’s brief duet with Escamillo in act four seems sincere because their musical styles are compatible (McClary, 1997, p. 125). Ultimately, Don Jose kills Carmen in a fit of jealousy over her relationship with Escamillo, and Micaela is deprived of her true love as he gives himself up to the police following his murder of Carmen. Otello Though the two Shakespeare aficionados Giuseppe Verdi and Arrigo Boito met as early as 1862, it was not until 1879 that the events leading to the composition of Otello were set in motion (Aycock, 1972, p. 594). The four-act Otello received its premiere on February 5, 1887 in Milan. In transforming the play into opera libretto, Boito eliminated six of the fourteen characters and cut the entire first act (Aycock, 1972, p. 595). Boito also cut Othello’s statement of self-defence following his murder of Desdemona from the end of the play (Aycock, 1972, p. 596). This last cut serves to keep the opera’s focus on the tragic love story. This love story principally revolves around the actions of Othello, Desdemona, and Iago. When the opera opens, Desdemona and Othello are newly married. However, Roderigo (Iago’s friend) still loves Desdemona. Iago, upset with Cassio who has been promoted over him, fabricates proof of Desdemona’s infidelity with Cassio in order to play on Othello’s jealous nature. The proof of this infidelity, in both the play and the opera, is a handkerchief. Othello murders Desdemona, and when he learns that his belief in his wife’s infidelity was mistaken, he kills himself. In this story, both Roderigo and Othello are in love with Desdemona. Given Roderigo’s minimal role in the opera, however, Iago takes his place in the dramatic situation of the love triangle. It is his betrayal and deception that leads to the demise of the two main characters. The end of the first act contains a conventional love duet between Othello and Desdemona. As Aycock (1972, p. 595) remarks, the love between these two principal characters is mature and predicated on confidence in each other’s fidelity. The climax of this love duet, on the words â€Å"un bacio†¦Otello! un bacio,† features a new melody in the orchestra. This melody reappears only in the last act, most notably when Othello commits suicide (Lawton, 1978, p. 211). The character of Iago in the opera is much more the creation of Verdi and Boito than of Shakespeare. Iago’s Credo, where he proclaims his devotion to a cruel God and admits that he is unquestionably evil, was entirely the invention of Boito (Aycock, 1972, p. 600). For Verdi, the emphasis on this character allowed him to confirm to Italian operatic tradition, which called for a baritone villain role (Aycock, 1972, p. 601). Pelleas et Melisande Maurice Maeterlinck’s play Pelleas et Melisande received its Parisian premiere at the Theatre des Bouffes-Parisiens on May 17, 1893, and Claude Debussy was in attendance (Grayson, 1985, p. 35, 37). By the fall of the same year, he had already begun composing what would later become Act IV scene 4 (Grayson, 1985, p. 37). In the case of this operatic transformation, there was no librettist acting as a middle-man. Instead, Debussy constructed the libretto himself, from Maeterlinck’s original text. The composer remained true to the original play, changing nary a word. He did, however, cut some scenes, and these cuts were made with the Maeterlinck’s authorization. In November 1893, the composer travelled to Ghent to meet with the author, and the two men discussed several possible cuts. Debussy reported to Ernest Chausson that Maeterlinck had given him â€Å"complete authorization to make cuts and even indicated some which were very important, even very useful† (as cited in Grayson, 1985, p. 37). From Maeterlinck’s original play, there were only four scenes that Debussy did not set: Act I scene 1, Act II scene 4, Act III scene 1, and Act V scene 1 (Grayson, 1985, p. 38). These scenes appear to have been cut because they are unrelated to the central narrative, leading to the demise of both Pelleas and Melisande. While Debussy used Maeterlinck’s original text, he did, in some instances, cut some of the text to make the libretto more concise. Act III scene 3, for example, was cut so heavily so that only one third of the original text remained (Grayson, 1985, p. 40). Two further cuts came in 1902. During Pelleas et Melisande’s first season at the Opera-Comique, Debussy was forced to cut one scene from the performances: Act IV scene 3 (Grayson, 1985, p. 39). This almost purely symbolic scene features Yniold (Golaud’s son from a previous marriage). At the end of the scene, Yniold, wishing to share his experiences with Melisande, unwittingly reveals to Golaud that she is not in her room (Grayson, 2003, p. 76) – in essence, he signals her disloyalty to her husband. The scene was reinserted in its second season. Also, at the dress rehearsal, the Director of Fine Arts, censored the work, calling for the suppression of Act III scene 4, a scene where Yniold is forced, by his violent father, to spy on the suspected lovers (Grayson, 2003, p. 80). Pelleas et Melisande begins with Golaud discovering Melisande by a fountain in a forest. She seems to be lost and confused, and she follows Golaud on his wanderings. The two get married in secret and return to the castle of Golaud’s father. There, Melisande meets Golaud’s brother Pelleas, and these two fall in love. In one scene, Golaud happens upon Pelleas caressing Melisande’s hair streaming out from a tower window, and he realizes that his brother has betrayed him. Golaud, blind with jealousy, kills his brother in Act III. At the end of the opera, Melisande also dies, but not before giving birth to a daughter. The plot, then, revolves around the love triangle of Melisande, Golaud, and Pelleas. The unquestioning inclusion of on-stage deaths demonstrates how much the Opera-Comique had changed since the 1875 premiere of Carmen. From the time of Debussy’s first draft of Act IV scene 4 in the fall of 1893, it took almost a decade for the opera to reach the stage of the Opera-Comique. Debussy worked intensely on the opera in 1895 and completed a short score of the opera in August of that year (Grayson, 2003, p. 78). Though he had a completed opera, he had major difficulties finding a suitable venue for the performance of the work. Albert Carre, the director of the Opera-Comique, accepted Pelleas â€Å"in principal† in 1898, but he did not give Debussy written confirmation of the deal until 1901 (Grayson, 2003, p. 79). Though Debussy was ambivalent about Wagnerian leitmotive techniques, he does employ leitmotivs in Pelleas. While most of these leitmotivs are connected to ideas, each major character has his or her own leitmotiv (Nichols and Smith, 1989, p. 81). Melisande’s motive, for example, is comparatively lyrical, wandering, and typically played by oboes or flutes while Golaud’s motive consists of two notes in alteration with a more pronounced rhythmic emphasis. These motives are typically associated with different harmonic fields. Melisande’s melody is pentatonic but is typically harmonized with a half diminished seventh chord (Nichold and Smith, 1989, p. 91). Golaud’s motive, because of its sparse melodic line consisting of only two notes, is more harmonically flexible. Debussy uses it in a variety of harmonic contexts including whole-tone, dorian, and minor. Comparison of Works These three works present a widely diverse picture of operatic life in late nineteenth century France and Italy. In terms of source texts, there is a novella (Carmen), a play in verse (Otello), and a play in prose (Pelleas et Melisande). In two of the cases (Carmen and Otello), neither the composer nor the librettist knew the author of the original literary work. In the case of Pelleas, the composer had direct contact with the original author and constructed the libretto himself. These three operas were then composed in different forms: an opera comique in versions with both spoken dialogue and sung recitative (Carmen), a hybrid of continuous action with set pieces (Otello), and a largely through-composed work with one aria (Pelleas). In each instance, the transformation process reveals that it was not only the librettist and composer who were involved in the opera’s ultimate form: opera directors, publishers, and censors also had some hand in the final product. One shared trait amongst these three works was the need for the librettist to cut considerable amounts of literary material from the original text. This phenomenon is understandable given that it takes a considerably longer period of time to sing a text rather than say it. In choosing sections of texts to cut, the librettists were faced with the challenge of leaving enough of the narrative design so that it would remain comprehensible to the audience. The composer could then use musical devices to fill in some of the gaps that this missing text created. For example, Bizet could use different musical styles to highlight differences in race and class (McClary, 1997). Similarly, Debussy could use different harmonic languages (whole tone, pentatonic, modal) to indicate subtly differences in the quality of light (Nichols and Smith, 1989). A second shared trait is that two of the composers appear to have made decisions based on operatic convention in their composition of the opera. Bizet’s concession to operatic convention takes the form of the introduction of the character of Micaela, a character absent from Merimee’s original but whose presence, as mentioned above, was deemed necessary to make the work suitable for the conservative Opera-Comique audience. Verdi’s concessions are evident in the finale to Act 3, where he asked Boito to alter the libretto to make room for a traditional grand concertato finale (Parker, 2010) as well as in the changes to Iago’s character mentioned above. A third shared trait is that these three works focus on love triangles, with an act of betrayal or jealousy leading to the deaths of one or more of the principal characters. In Carmen, the primary love triangle revolves around Carmen, Don Jose, and Escamillo. In the end, Carmen dies. In Otello, the love triangle of Othello, Desdemona, and Roderigo has a tragic ending with the death of both Othello and Desdemona. Similarly, the Pelleas-Melisande-Golaud triangle results in the death of two of the characters: Pelleas and Melisande. In each case, the composer highlights one of the romantic relationships as being more viable or more sincere than the others. Bizet, as noted, employs different musical styles for each of the characters, with only Escamillo’s language being compatible with Carmen’s. Verdi wrote a traditional love duet for Othello and Desdemona, the sincerity of which is highlighted with its aforementioned reappearance in the final act. Debussy employs a technique similar to that of Bizet: he has Pelleas and Melisande sing together in octaves in Act IV scene 4). The similarities between the presentations of the love triangles stops with this characteristic, for the relationship dynamics within the central triangles are quite different in these works. In Carmen, the title character is both the primary female love interest and the character responsible for the betrayal. She betrays Don Jose’s love for her, however ill-founded it may be, by confessing her love for Escamillo. In contrast to the other operatic heroines studied here, Carmen is a femme-fatale. In Verdi’s Otello, the love between Othello and Desdemona is sincere, and neither one carries on an affair with someone else. The primary reason behind their deaths is Iago’s treachery. However, Othello does, in a sense, betray Desdemona by believing Iago’s lies. His acknowledgment of this betrayal can be seen in his committing suicide. In Debussy’s Pelleas, the guilty party is less clearly identified. Melisande, though she betrays her marriage by falling in love with Pelleas, is not depicted as a femme fatale. Instead, she is presented as an innocent, idealized woman (Smith, 1981, p. 105). Pelleas betrays his brother by having an affair with his wife. Though Debussy, as mentioned above, sympathizes with their love and highlights the love Pelleas and Melisande have for each other by having them sing together in octaves. It appears that these characters are not to be held accountable for their actions because their love was inevitable, foretold in advance by fate. ? References Aycock, R. E. (1972). Shakespeare, Boito, and Verdi. The Musical Quarterly, 58 (4), 588-604. Boynton, S. (2003) Prosper Merimee’s novella Carmen. New York City Opera Project: Carmen. Retrieved from http://www. columbia. edu/itc/music/NYCO/carmen/merimee. html Grayson, D. (1985). The Libretto of Debussy’s Pelleas et Melisande. Music and Letters, 66 (1), 35-50. Grayson, D. (2003). Debussy on stage. In The Cambridge Companion to Debussy. Ed. Simon Trezise. Cambridge: Cambridge University Press, pp. 61-83. Jenkins, C. (2003). Carmen: The Librettists. New York City Opera Project: Carmen. Retrieved from http://www. columbia. edu/itc/music/NYCO/carmen/librettists. html Lawton, D. (1978). On the ‘Bacio’ theme in Otello. 19th-Century Music, 1 (3), 211-220. Macdonald, H. (2010). Carmen (ii). Grove Online. Retrieved from http://www. oxfordmusiconline. com/subscriber/article/grove/music/O008315? q=carmensearch=quickpos=22_start=1#firsthit McClary, S. (1992). Georges Bizet, Carmen. Cambridge: Cambridge University Press. McClary, S. (1997). Structures of identity and difference in Bizet’s Carmen. In The Work of Opera: Genre, Nationhood, and Sexual Difference. Ed. Richard Dellamora and Daniel Fischlin. New York: Columbia University Press, pp. 115-130. Nichols, R. Smith, R. L. (1989). Claude Debussy, Pelleas et Melisande. Cambridge: Cambridge University Press. Nowinski, J. (1970). Sense and sound in George Bizet’s Carmen. The French Review, 43 (6), 891-900. Parker, R. (2010). Otello (ii). Grove Music Online. Retrieved from http://www. oxfordmusiconline. com/subscriber/article/grove/music/O003882. Smith, R. L. (1981).

Wednesday, August 21, 2019

Necessity is the mother of invention Essay Example for Free

Necessity is the mother of invention Essay Introduction Rationale This research topic necessity is the mother of invention. Evaluate this statement in relation to scientific and technological experiment. was chosen for studying in the area of informatics study. However, the research topic was seemed to be in the philosophical term to understand the basic need of technology more than the informatics subject, which deals with creating and developing of computer study. So that this topic needed past experience and historical background to be evaluated, but didnt need much in education background because the topic wasnt related to the theory or language of computer study. The topic in this area was very interested for future study because it could helps in understanding and forecasting the need of society need when developing or creating new technology or inventions which lead to the success in business. These are the fact of this chosen topic. The analysis of the research topic The research question is Necessity is the mother of invention. Evaluate this statement in relation to scientific and technological experimentation. The key words that show the content of the question are Necessity is the mother of invention. The relationship of this question is to show the relation between necessity and invention that necessity is the cause of the invention or not. The requirement of the question is to prove the relationship between necessity and invention by evaluates the statement according to scientific and technological experiment. The proposes of the thesis are to show that to what extent does necessity be the mother of invention and to evaluate according to scientific and technological experimentation. Three areas were analyzed during the study. These three areas, which are communication, industry, and medicine, were studied in the area that involve in scientific and technological experimentation. The communication was studied to understand its necessity and invention of the present. The industry was studied to analyze the situation of necessity in the economical competition,  which lead to the use of invention. The medicine was studied to show why it is very necessary to human life and what are the alternative inventions that come after. So all evidences were collected to support the thesis of the research question and its purposes that the study defends an argument on the proving of the necessity that lead to the invention. The diagram on the next page shows the structure of the analysis of the research topic. Data Collection The Research Method The research was carried out in three steps. The first step was to understand the research topic by searching for definition, background history, and general information from the source books and journal articles. Then all the information was evaluated to find out which areas are mostly involved in the research topic and range, which is the scientific and technological experimentation. The second step was the collection of data to find the relevant information. The information was analyzed according to the relevancy to the research area, the objectivity of the author, and the period spent on collecting of the data. Then third step, the limitation of the information will be analysis on the certain aspects of the topic areas of the scientific and technological experimentation. Therefore, the research will focus only the necessity and invention in the areas of scientific and technological experimentation. Most of the sources that use in the research were some kinds of business and socia l case study such as Cleft palate case in the medicine study(Singer and Bergthold, 2001, pp.2161-2230). Annotated Bibliography Cotterell, A. (1988). An overview of research and co-operation in advanced information technology. In A. Cotterell, Advanced Information Technology in the New Industrial Society (pp.1-27). New York: Oxford University Press. Written for expert manager who involve in information technology that want to find out which technologies are matched for their business  area. This chapter describe about new technologies that involves in industry and focus on future technology. The improvements of communication and computer storage are used to compare in industry area to explain how necessity are they. Also, this chapter explains the expert system in new technology to shown that new technologies have invented new ideas in the industry. Fuglsang L. (1993). The soft information technologies and its critics: the risk of wild policy making in science and technology. In L. Fuglsang, Technology and New Institution (pp.54-96). Denmark: Copenhagen. Written for computer managers that involve in information system research and development of technology in future research. These chapter focuses on what invention creates by the risks which cause when new science and technology are emerging while old are crisis. The history of technology over 50 years is used to prove that risks cause necessity to create invention of new technology. Hall, B.J. (2000). Use of the pulmonary artery catheter in critically ill patients: Was invention the mother of necessity? Journal of the American Medical Association, 283(19), 2577-2578. This article has been written for doctor and hospital that involve in surgery area. This article discusses two studies regarding the use of pulmonary artery catheters in critically ill patients and the process of its future evaluation. The use of pulmonary artery catheters is necessary for the medicals and surgical intensive units (ICUs). It helps to manage critically ill patients. Singer, S., Bergthold L. (2001). Cosmetic vs. reconstructive surgery for cleft palate: A window into medical necessity debate. Journal of the American Medical Association, 286(17), 2162-2203. This article has been written for doctor in plastic surgery and people who interest in cosmetic surgery. Medical necessity is a term that  used in most commercial health plan to create invention. This article is focus about plastic surgery for a cleft palate, and the debate about whether the surgery is cosmetic or reconstructive. But because of medical necessity can mean different things to different people and organization, so it could be both general meaning. Stewart, J. (1992). Technological change and industrial location. In J. Stewart, The Management of Science and Technology (pp.110-192). Denmark: The Australian National University. This book has been written for educator and manager that involve in information technology and works on the productive area of research. This chapter focus on Just-in-Time system, which is the new industry system that create by the competition in the world economic. Because of competition in the market industrial investment, the Just-in-Time system is used to because it is necessary to control cost and increase profit. Tate, A. N., Clayton B.S. Gourley K.G. (2001). Development and implementation of a managed care rotation in medical necessity review: Exposing students to new opportunities. Journal of American Pharmaceutical Education, 65(3), 261-307. The purpose of this journal is for fourth-year PHD students to design a rotation in managed care through medical necessity review. The rotation involved working with the Tennessee department of Healths TennCare Appeals Units. It shows how the impact of pharmacists can have on patients lives. They claim by using professional development experience to show the advantage of utilizing pharmacists. The Literature Review The five articles that are reviewed focus mainly on scientific and technological experiments, which separate into three major areas. These three areas are communication, industry, and medicine. The writers s attitude toward the study of information technology and science, which are  used in society, raised a very detailed discussion and neatly analysis on the proving of necessity as mother of invention. The sub-topics in each area contain important information involve in necessity of both individual and social points of view. Evidence is provided completely from all sources and can accurately be used to prove that necessity is the mother of invention as reasons and evidences. The purpose of the review is to make a clearly analysis on these six articles toward similarities and differences in their areas. The first article, an overview of research and co-operation in advanced information technology by Arthur Cotterell, mostly represents in the area of communication. In this article, he discusses that the communication is important to the future of society. Cotterell compares the different between old and new mediums of communication, which lead to the social necessity. He explained the medium clearly in details and supported by using a city named Swindon (Cotterell, 1988, p.26), which wildly use fiber optic (medium) as his evidence. The successful of the fiber optic is picked up to prove his documents. In the second article by Jenny Stewart, Technological change and industrial location, represents in industry area, which focus mainly in competition in market industry investment and scarcity of natural resource for industrial manufacturing. She points and explains the effect of competition and scarcity lead to the change of new system. The Just-In-Time (JIT) system, which is a new information system, is used to compare how efficiency it is with the old system. This system is the very successful system that helps reduce and eliminate cost, waste, and speed in production. She analyse automotive industry in Australia, which success in this system, as her evidence. The smaller, more technological advanced players, and accurate in the industry is the main point of the invention in this article. The third article, which is written by Fuglsang, in the article, he expresses the meaning specifically of how and why invention is created (Fuglsang, 1993, pp.54-96). The main point of his article is to show that when the time is running and population is increasing, they cause the old invention to become crisis and it is necessary to invent something new to replace the old. This article can be used as theory and reason to explain and clearly support all three areas of communication, industry, and  medicine. The phases of invention development are used to show the steps of scientific and technological improvement. In each phase provide the evidence of the development of invention clearly since past fifty years when a manual turning-machine was created to the automatic machine are used. He also supports his evidence by using the development of American technology. He mentions that the growing application of new technologies in society creates a need, so it is very important to studies more about technology network in political process. The forth article written by Sara Singer and Linda Bergthold, they mainly represents in the area of medicine. This article focuses on medical necessity by compare the different between cosmetic surgery and reconstructive surgery. They support the document that medical necessity in the area of surgery is really necessity by using health plans (Singer and Bergthold, 2001, p.2162). This health plans is medical necessity standard that use permanently all over t he world. They also comment generally that social viewing among medical necessity in surgery is also included in some case. The case of a cleft palate patient is used to analysis and discusses the different between cosmetic and reconstructive case. Then they argue and support that medical necessity determinations involving the condition that proven to be especially problematic not self-desirable. The fifth article written by Jesse B. Hall, Use of the pulmonary artery catheter in critically ill patients: Was invention the mother of necessity? the article show that pulmonary artery catheters is necessary to most patients that involve in heart, lung, and blood problems. He analysed this technology from 10217 patients in 34 medical and surgical intensive care units (ICUs) in 1998. According to Hall, the pulmonary artery is used in the case that no medicine can used to cure the sickness. He suggests that this invention still has high risk, so this is very necessary to improve this invention to help critically ill patients and the process of its future evaluation. All issues in five sources, which written by Arthur Cotterell, Jenny Stewart, Fuglsang, Jesse B. Hall and Sara Singer and Linda Bergthold, are considered very important to show the audience the historical and current significance of continuity about necessity as mother of invention in the term of scientific and technological experiment. This is because when the old  invention is considered as the necessity for the future improvement, the continuing improvement to the new invention will be created. Arthur Cotterell writes about the use of communication medium during the past 10 years until the use of new medium today (Cotterell, 1988, p.26). His examples of twisted pair and fiber optic cable show the fact that the why the increase of performance of new medium are used by the change in society. It shows the audience clearly the distance between time in the past and present of social necessity. This article also talks about the rapidly increases of necessity which lead to the improvem ent of new medium in the future continuously. In the issue of Jenny Stewart and Fuglsang have the similar area in the industry that also express the same meaning of need in the industry. Jenny Stewart shows the change in industry system by using automotive industry in Australia since 1990 (Stewart, 1992, p.124). Fuglsang shows the rationalization phase (Fuglsang, 1993, p.56), which is one of 4, phases in technological invention development. This phase analyses from the past 50 years of the development. Both Jenny Stewart and Fuglsangs article shows the change in the industry, which involves in commercial interests and competition. This article helps to show the link between competition and tutorial in the industry, which leads to the use of the new invention. In the rest of the issues from Jesse B. Hall, and Sara Singer and Linda Bergthold are involved in medicine area that involve in the surgery. Jesse B. Hall talks about the result of the use of pulmonary artery catheter (Hall, 2000, pp.2577-2578). This result shows the need of cosmetic surgery among the people who have problem of the natural disable of the body and also explain the use of the invention to help solve the problem. Sara Singer and Linda Bergthold article also help to shows that since from the past the meaning of medical necessity is mean only reconstruction to the normal state of patients. Both issues from Jesse B. Hall, and Sara Singer and Linda Bergthold come form the different medical case but they have similar thesis, which are medical necessity that lead to the invention of new medical invention. All the writers come from the different areas but they have the same meaning of their issues that the continuing of the time lead to the increase of need of invention in both new and improvement. So that their issues are strongly support the statement that necessity creates the invention in the part of science and technological experimentation. There are three articles which surely are the objective of the writers when they present research their research results and evidence to support their arguments because these articles provide complete information and details of the document. The first article, which is objective, by Arthur Cotterell supports and expresses the meaning of his argument clearly by using the complete examples and information of communication mediums (Cotterell, 1988, pp.1-27). He shows the detail number of capacity, speed, range, and material made in each medium sample clearly. He also compares the different in each medium by mathematical calculation. This helps audience to easily understand the different even technical term. The second article, which is objective, from Fuglsang is objective because he has the acknowledgment from Massachusetts Institute of Technology in the United States (Fuglsang, 1993, pp.54-96). His article and support evidences come from the case studies in Denmark, US, and Sweden. Th ey are emphasis and detail clearly on the influence of culture, organizational choices and institutional concerns through research. The third article, which is objective, from Jenny Stewart is objective because her argument and sources come from the federalism research centre (Stewart, 1992, pp.110-192). She provides the information clearly in the example of automotive industry in Australia in percentage of profit, time, competitor, and increase of product output. The other two articles from Sara Singer and Linda Bergthold, and Jesse B. Hall are not objective because they provide the information too general. It is general because the information they provide is not specific in number of result from the succession in medical treatment. Both of them show only the result from the invention by using only reasons, causes and effects after treatment (Singer and Bergthold, 2001, 2162-2203). This is because most of the article is the summary of the result of the cleft palate research, so that they just mention about the need and future development, which result from the succession of cleft palate surgery. Although they dont provide completely information, the area that they work is in medicine area, which concentrates only the result of necessity. So that their article can express their main ideas easy and clearly understand by using reason, cause, and effect documents. By compare all the articles which each others, the information that provided by the authors are enough to support the necessity of  invention by using their specific details and information, research, reasons, causes, and effects. Their sources are considered as essential in comparative and explaining the necessity as mother of information in scientific and technological experiment. The interpretation of data is clearly in all five sources because all data can be analyse to evaluate the need of the research topic in relation to scientific and technological experiment easily. The relationship between the necessity and the invention is linked in clearly understand. There are three different ways in their interpretation of data. The first way is represented by the article of Arthur Cotterell. He interprets his information by explain the detail of old communication medium and new communication medium in technical term and estimated calculation of speed, capacity, and range. For example, he explains that twisted-pair could carry 10Khz but if compare with fiber optic (Cotterell, 1988, p.26), fiber optic is faster than twisted-pair million times. He also clarifies the use of fiber optic that it uses in linking between two or more networks and twisted-pair uses in local phone line. The second way is represented by Fuglsang and Jenny Stewart. They interpret their sources by using the result of the time in the industrial development. They show the change and need since from the past and result of it in the present. The time between standardization and rationalization is used by the author to show the relation of the improvement of the invention from first creation to the first development (Fuglsang, 1993, 56-56). The third way is represented by Sara Singer and Linda Bergthold, and Jesse B. Hall. They interpret their sources by using the result of their information, which is the specific in medication. They summarize the result of medication from the patient and use it to support their argument. The research result of the patient in a cleft palate case is used to analysis the term of medical necessity in the surgery area of medicine. The result after the surgery is used to compare that the surgery is reconstructive surgery not cosmetic surgery. In comparison of all the writers, they interpret all data clearly. All the data are separated into three areas, which Arthur Cotterell is in communication area, Fuglsang and Jenny Stewart are in Industry area, and Singer S. and Linda Bergthold, and Hall are in medicine area. There interpretation of data can support each others and express their  understanding in analyse that necessity as mother of invention clearly. There are three articles that are conducted the research thoroughly in order to prove the points by the writers. The complete research could help the claim of research topic to become more strong and reliable without being counter by other argument. Arthur Cotterell, Singer S. and Linda Bergthold, and Jenny Stewart are the writers who do their research thoroughly. Arthur Cotterell researches neatly on the information system research, which express all the meaning, material used, quality, and performance of each medium between communications clearly (Cotterell, 1988, p.15-27). He use a city name Swindon to do his research. This city is widely use in fiber optic and coaxial cable to link between communication which mean that it is a very efficiency sources to use on communication research. Singer S. and Linda Bergthold research on the medical necessity on surgery course. They use a patient who was born with cleft palate problem as their research (Singer and Bergthold, 2001, pp.2162-218 0). They clearly research on the result before and after that patient take the surgery. They also research on the health plan of the medical standard and analyse it with medical theory as the reconstructive medication. Jenny Stewart researches on the Australia industry. She finds out that the reasons of necessity in industry come from the competition, which lead to the need of more flexible, fast, and efficiency technology(Stewart, 1992, p.124-192). This led her to find out the new system, Just-in-Time system, and research it on the Australia automotive industry. She has the result of how efficiency and profitability it is. The other sources from Fuglsang and Jesse B. Hall are not researched thoroughly because they get the information from general source directly without fully detail. Fuglsang picks up the history to speak to support the argument but the detail on his suggestion seem not clear on details and analysis. From Arthur Cotterell, Singer S., and Linda Bergthold, and Jenny Stewart research, they are very to understand their point of view from their research and directly connect audience to the understanding. The clearly details and information of their research link their ideas to the necessity as mother of invention in the scientific and technological experiment. From five sources, there are four sources that provide practical and  realistic suggestion by the writers. The practical and realistic of suggestion can help the article to become more clear and ease of understanding. First is Jenney Stewart, she suggests that future of the industry needs smaller, more technological advanced players, and accuracy (Stewart, 1992, p.125). The writer suggestion shows that her study is very important to the use of technology for the future use. Her suggestion is proved by her comparative of old technology and new technology that show the change of size, quality, quantity, and speed. Second is Arthur Cotterell, he suggested that by the help of computer-aided design would help to avoid a lot of tentative material cutting. The writer suggestion shows that his study is very important for the industry to increase their performance of the system. This is very useful in showing the relationship between necessity and invention. Third is Sara Singer and Linda Bergthold, they suggest that cosmetic or treatments intended primarily to improve appearance is exclude in medical necessity standard (Singer and Bergthold, 2001, p.2162). The writers suggestions are used for people to understand that the purpose of surgery is different in some case because some case could count as personal desirable such as cosmetic. This shows the relation between medical necessity and invention clearly. They support their suggestion by evaluate the cleft palate in the medical necessity term and health plans. Forth is Fuglsang, he suggests that the growing application of new technologies in society creates a need to assign a more offensive and organized role to technology studies networks in the political process. This suggestion shows that his detail on study is very important for who is interested in technological development. The writer proves his suggestion by evaluate and show the need over past 50 years of the development of information and communication technologies in four phases (Fuglsang, 1993, p.55-58). From all the suggestion of all writers could help the audience to know what are the main interests in on the articles of the writers, which are very useful. There is no surely use of expert opinion from all the writers. They havent pick up any expert opinion but they adapt to use another people and place from other sources as their expert opinion. The expert opinion on the article of Sara Singer and Linda Bergthold is not mentioned clearly. They  use the term physician as their expert opinion to help support their argument in consider appropriate medication for a patient, such as treatment intended primarily to improve appearance. As same as Sara Singer and Linda Bergthold, Jenny Stewart doesnt use expert opinion but she uses other opinion, Lamming (1998), who is one from her source. Lamming talks about the industry remaining effectively in stress period. This opinion helps audience understand the best period of industry development. In the article of Fuglsang L., this writer use Sloth Andersen and Slavo Radosevic, who are not mention clearly who are they, as the expert opinion. They talk about an innovation forum, which help to support the writer about the change of technology during a century so that the view of technological change would be see as the important to the new invention. The rest of the writers do not have any expert opinion to support their argument. But in the case of their writing, the support of expert opinion is not important because the evidences and examples are enough to call as expert opinion in the case of science and technological experiment. In conclusion, all of the five articles are clearly review, analyse, and can be reliable. All the sources talks in the areas of communication, industry, and medicine by using variety of evidence and alternative ways of using expert opinion. The objectivity of each writers are confirm in all sources and the interpretation are very clear. The thoroughness of treatment of the subject matter could confidentially be used from the analysis. Each suggestion from all writers are mentioned mostly point to the future use and analysis. For further research the study of more variety of necessity in creating invention must be more research and study to express their meaning widely in different area. This could help to look and analysis more widely in today and future development of invention. But the main point of all reviews is to find out the best ways to the result of successful future. The Limitations of research This research limited by certain factors. The research was limited by some limitations of the topic. The personal factor was caused by the research topic is not directly related to the past experience and educational  background but mostly related to the philosophical area which is not computer study. This caused the lack of some specific or direct information that could help analyze the topic more efficiency. Another reason is the topic question is some kind of question that can answer in two ways that people could agree and disagree depends one the personal opinion so that the degree of the answer to the question is not strong enough. This caused some part of the argument easy to be counter by some situation in both side of agree and disagree. The suggestions for future study The problems of limitation of research need some suggestions to be made for future study. Firstly to solve the problem of lacking in specific education background, this research needs the specific education of philosophy and psychology to help provide more specific and strong supported information for the term of human necessity. This can help to improve the supported argument of the essay to become more reliable. This future study can do by focus on the continuous of inventions in each area in term of psychology, which will be very helpful in this research. The research doesnt need to find out the started point or the first creation of the invention because this essay was only focusing in present invention. Second future study is by searching more support from the expert opinion to help solve the limitation of unstable argument due to the meaning of research topic, which is too wide in general. The more researched findings of supported expert opinions can strongly help to support the argument and make the research become more reliable. This could be done by focus on the expert opinions that involve in the succession in each area of industry, medicine, and communication. The success of expert opinions is more reliable and couldnt be counter by other argument easily. In conclusion, if all suggestions of future study are completely finished the research will not have any blank spaces to be counter by other counter argument.

Tuesday, August 20, 2019

Sepsis Infection Causes and Effects

Sepsis Infection Causes and Effects Sepsis affects 18 million people worldwide each year (Slade et al 2003). Sepsis remains life threatening and mortality rate remains high approximately 40-50 % (Opport et al2005). We, nurses in all areas of practice, will care for septic patients during our professional carreer.Many nurses receive little training in how to identify sepsis or how important early and aggressive treatment to help prevent the condition. I am very interested to discuss about sepsis, because I have looked after many patients with sepsis. The aim of this essay is to raise awareness of sepsis, so that nurses will have a greater understanding of this condition and feel more confident in the identification and treatment. The definition of sepsis is the presence of Systemic Inflammatory Response Syndrome (SIRS) criteria in the patients with a new infection. Once sepsis becomes complicated by a dysfunction in one or more organs, this defines severe sepsis. Bacteria cause 90% cases of sepsis. They are two types, gram negative and gram positive. Escherichia coli, Klebsiella, Enterobactor, Pseudomonas aeruginosa, Serratia, Proteus and Bacteroides fragilis are the gram-negative bacteria. Staphylococcus aureus, Streptococcus pneumonia, Alpha and beta-hemolytic streptococci are the gram-positive bacteria (Edwards 2001). Gram-negative bacterial infection causes most cases of sepsis. Viruses or fungi can also cause sepsis, particularly Candida spp (Cohen et al 2004). The surviving sepsis campaign (formed in2002) is an international collaboration to improve the diagnosis, management and treatment of sepsis. The main aims of the campaign are: To increase the awareness of sepsis, severe sepsis and septic shock among health care staff and the public. Develop evidence-based guidelines for the management of severe sepsis. Ensure that the guidelines put into practice to create a global standard of care for patients with sepsis. Reduce the mortality from sepsis worldwide by 25 percent in the five years following the publication of evidence-based guidelines in 2004 (Dellinger et al 2004). It is essential that nurses are aware of the evidence-based guidelines as our role is crucial to the success of the campaign. Nurses are in an ideal position to identify the first signs of a patient developing sepsis, and the sooner treatment begins the less likely the condition is to spread and result in organ dysfunction or failure (Ahrens and Tuggle 2004). Infection is a major reason for patients admitted to hospitals and some patients may develop infections while in hospital (DH2003). Infection can found in any system of the body. The most common sources of infection that can lead to sepsis are: Respiratory tract: community-acquired pneumonia or health care-associated pneumonia. Intra-abdominal-cavity: infection might result from diverticulitis, appendicitis, perforated bowel, and ischemic or necrotic bowel. Central nervous system-such as meningitis. Genitourinary system: urosepsis is an infection, which might result from an obstruction in the urinary system, or catheter related infection. Skin: wound infections, cellulitis or necrotizing infections of the skin and soft tissues with rapid destruction of tissue, such as necrotizing fasciitis. Intravascular Catheters: any invasive catheters (central venous catheter or peripheral canulae. Many organ systems may affect during the sepsis syndrome. Respiratory system: As the effects of of sepsis progress, acute respiratory distress syndrome (ARDS) may occur. During sepsis, there is a decrease in the performance of the ventillatory muscles, which leads to hypercapneic ventillatory failure and respiratory arrest These happens when metabolic demands on the ventillatory muscles. Tachypnoea,hypoxia and respiratory alkalosis are associated with the early onset of ARDS, followed after 48 hours by pulmonary infiltrates and respiratory failure (Mortelliti Manning). Sepsis leads to an increase in lung permeability, the sequestration of polymorphonuclear neutrophils and respiratory failure. These affect the function of respiratory system (Nagase, Uzumi Ishii). Cardio vascular system: The dysfunction of cardio vascular system is also observed in patients with sepsis, where both the heart and blood vessels show hypersensitivity. An increased amount of pro-inflammatory cytokines and vasoactive substances is present during sepsis. Following the increase in pro-inflammatory cytokines, production of nitric oxide is increase in both the vascular endothelium and smooth muscle. This leads to a fall in systemic vascular resistance, thereby hypotension (Patterson Webster). Renal Dysfunction: Normally, the kidney regulates perfusion and glomerular filtration via autoregulation, which is dependent on the afferent and efferent arterioles. Autoregulation of the kidney, is affected during sepsis. Coagulation system: Sepsis often associated with a disorder of coagulation secondary to the cytokine-mediated activation of the coagulation pathway. This secondary disorder, known as disseminated intravascular coagulation (DIC). It causes bleeding and micro vascular thrombi, both implicated in multiple organ failure and soft-tissue damage (Meijers Bouma). Diagnosis can base on the presence of fever and other abnormalities of vital signs, as well as the presence of one or more organ dysfunctions that are not the original site of infection or trauma (Ahamed). Sepsis syndrome is characterized by; alteration in body temperature regulation, tachycardia, lowered systemic vascular resistance, respiratory alkalosis, leococytosis, leucopenia and some form of organ dysfunction(Chistman, Holden and Blackhell).It does not discriminate between different ages, underlying disease, genetic background, infecting micro-organisms or sites of infection. Sepsis can occur in people who were previously healthy. The infecting organism may be a temporary defect in the hosts defense. Defects may be located in specific or non-specific cellular barriers, humoral immunity barriers and physical barriers such as the skin or mucous membranes and reflexes such as cough and peristalsis (Maskin, Fountain and Spinedi et al). In understanding the changes that happen to the body in severe sepsis, it is helpful to remind ourselves of the changes that occur during the normal immune response. Cells damaged by infection from bacteria, viruses, chemical agents or trauma produce the same non-specific defensive response of inflammation. Regardless of the cause, inflammation has three basic phases; vasodialatation and increased permeability of blood vessels; emigration of phagocytes; and tissue repair (Tortora and Grabowski, 2000). Vasodilatation brings more blood to the damaged area, and the increased permeability allows phagocytes and antibodies to pass out from the circulation. The clotting cascade is also activated. Clot formation is part of the normal immune response, and may be the bodys attempt to confine any invading organism to one area of body (Ahrens and Vollman, 2003). This inflammatory response and activation of the clotting system is to repair damaged tissues and prevent further damage. Clinical assessment is important in patients with sepsis. Any patients who triggers early warning score, should be assessed initially using the ABCDE approach. This systemic approach ensures that the life threatening problems are assessed and managed in order of importance. The Resuscitation Council 2006 also recommends that clinical staff should follow ABCDE approach when assessing and treating critically ill patients. It is sensible to adopt this systemic approach to the assessment of sepsis patient (ABC of sepsis). Airway: An assessment should be made of the patency of airway. If patient is alert and talking, there is less chance of an airway problem. Breathing: The bodys demand for oxygen rises in sepsis. As demand outstrips supply, lactic acidosis occurs. These processes combine to elevate the respiratory rate. The depth and pattern of respiratory rate should evaluate in addition to any asymmetry of chest movement. Listen for abnormal sounds include expiratory wheeze, suggesting obstruction of the lower airway and crepitating suggest the secretion, pulmonary oedema or consolidation. If a respiratory problem is identified, attention should be given to oxygen therapy and to the possible need for bronchodilators and physiotherapy. The response to therapy should be assessing repeatedly. Pulse oximetry is mandatory, and ABG and chest X-ray is helpful. Circulation: Attention should pay to the colour of the skin, particularly peripherally. Pallor is suggestive of hypo perfusion and may suggest a low cardiac output. Heart sound should auscultate to seek murmur. Feel for the peripheral skin temperature. In decompensated sepsis, where the cardiac output begins to fall, the peripheries may appear cool. Capillary refill time is useful test of perfusion. The heart rate and rhythm should asses by palpitation of peripheral pulses. Disability: Sepsis can produce confusion, agitation and reduced conscious level due to reduced cerebral perfusion. Fluid resuscitation can restore cerebral function. It is important to check blood sugar because; hypoglycemia can also produce these signs and is readily correctable. The conscious level can quickly asses and communicate using the AVPU scale.( A-Alert,V-responds to voice,P-responds to pain,U-unresponsive). Exposure: The patient should be examined from head to toe seeking the source of sepsis. Consideration should be given to the patients dignity during this assessment, and it should be recognized that exposure can cause rapid temperature loss. Therefore, it is essential to check peripheral temperature. When treating patients with sepsis, the first hour known as the golden hour because the treatment given or not given during that time can have significant impact on the survival (ACS 1997).To be able to treat patients in the `golden hour` we must first be able to recognize it confidently. Studies have shown that patients admitted to intensive care unit from the wards are often not referred early enough. Sometimes receive suboptimal care, which can increase patients mortality (McQuillan et al1998).Vincent et al 2002 suggest that some patients with sepsis are recognized late and are not treated appropriately before transfer to ICU. In March 2004, the Surviving Sepsis Campaign produced comprehensive guidelines on the management of patients with severe sepsis. Initial treatment within one hour of diagnosis is, Give supplemental oxygen therapy, via facemask, to achieve SpO2>94%. Obtain blood specimen lactate, full blood count, urea and electrolytes, glucose, liver function tests, coagulation screen and blood culture two sets. Samples from sputum, urine, wound swab etc as appropriate. Blood cultures should be taken before antibiotics are given to identify any microorganisms that may be in the blood and it should from a peripheral vein and from any invasive catheters that the patient may have in situ.Blood cultures are not always positive in patient with sepsis. Cohen et al (2004) suggest that care should take when obtaining blood cultures to prevent them becoming contaminated and giving a false positive result. Administer intravenous broad-spectrum antibiotics. In severe sepsis antibiotics should be given within one hour of diagnosis (Dellinger et al, 2004). Giving prompt antibiotic therapy may reduce mortality by 10-15 percent, compared with patients in whom antibiotic therapy is delayed (Wheeler Bernard, 1999). Any septic patient who has a lactate level above 4mmol/L should be considered to have severe sepsis even if the blood pressure is within the normal range. If patient is hypotensive, fluid resuscitate up to 3boluses of 500ml normal saline to maintain MAP>65/systolic 100mmhg (Trusts sepsis care pathway). Consider catheterization to maintain fluid balance. If the patient have signs of severe sepsis, needs referral to ICU. Signs of severe sepsis are; Systolic blood pressure below 90mmHg or MAP below 65mmHg, lactate above 2mmol/L, urine output below 0.5ml/kg/hr for 2 hours, INR above1.5, bilirubin above 34mol/L, platelets below 100mol/L, creatinine above 177mmol/L. Some patients develop severe sepsis from infections they acquire while in hospital. One in ten NHS hospital patients are affected by healthcare associated infections(HCAIs) each year(DH2003).The most common of these infections are urinary infections as a result of indwelling urinary catheters and pneumonia.Therefore,nurses must make continued efforts to play an active part in reducing the number of HCAIs as this can potentially lead to fewer patients developing sepsis . Ahrens and Tuggle (2004) suggest that it may also be beneficial to raise the publics awareness of the Surviving Sepsis Campaign and the warning signs of developing sepsis. This may help to achieve the main aim of the campaign, which is to reduce mortality.Sepsis, is a common condition and can be fatal. A good knowledge of the signs and symptoms of sepsis is the key to prompt recognition. Every patient suspected having sepsis should have blood taken for a serum lactate level. In patients with severe sepsis, early aggressive treatment and adherence to evidence-based guidelines can help to save lives. In addition, efforts to reduce HCAIs can aid in the reduction of the incidence of sepsis.

How can we remove causes of hunger today Essay -- essays research pape

Q. How can we remove the causes of hunger in the world today? At the end of World War II public officials and scientists from all over the world predicted that, with advances in modern technology, it would be possible by the end of the century to end poverty, famine, and endemic hunger in the world. Today these optimistic projections have been replaced by hopelessness and resignation as perhaps one-fifth of the world's peoples live in absolute poverty with incomes of less than $700 a year. The United Nations estimates that around 830 million people in the world do not have adequate access to food. An estimated 24,000 people die from hunger or hunger related causes, three-fourths of which are children under the age of five. Moreover, hunger exists not only in Asia, Africa, and Latin America, but also in the richest nation on earth. Thirty-six million Americans do not have enough to eat, and the number is growing. In order to discuss eradication of hunger, we need firstly to identify some true causes. The immediate cause being improper food management; over population, lack of purchasing power, ignorance and unemployment are the issues that worsen the problem. Lot of people in this world is hungry because some people misuse and waste the world’s abundantly available food resources. The first and an obvious solution to the problem therefore is to stop this, and to distribute them among the starving population. World production of grain alone is over 1.5 billion tons, enough...

Monday, August 19, 2019

Essay --

Alison Hennen The Glass Castle Book Review The Glass Castle was overall very strange. Written by Jeannette Walls in her point of view, this book is her memoir that she wrote to share her story with the rest of the world. It won the 2005 Elle Readers’ Prize and the 2006 American Library Association Alex Award. The title comes from an unkempt promise from Jeannette’s father, but rather than seeing it as a letdown, Jeannette remembers it as a hope that things will get better, a trait she must have received from her mother. While The Glass Castle focuses mainly on her immediate family, she later wrote another book, Half Broke Horses, about her grandmother, Lily Casey Smith. The book starts off with Jeannette, a successful adult, taking a taxi to a nice party. When she looked out the window, she saw a woman digging through the garbage. The woman was her mother. Rather than calling out to her or saying hi, Jeannette slid down into the seat in fear that her mother would see her. When asking her mother what she should say when people ask about her family, Rose Mary Walls only told her, â€Å"Ju...