Wednesday, July 31, 2019

Goals

Write down one of your SMART goals as a college student. Date: 25 July 2014 Proof. Aid Alfalfa My SMART goal as a college student is to finish college and graduate with a degree in Chemical Engineering. The reason for choosing this course is that I particularly like Chemistry and would like to work in the fields involving Chemistry. Furthermore, to study Chemical Engineering at M. I. T. Ill be do a tremendous amount of help to me. 2. Explain how this goal can be made: a) Specific To be specific about my goal, I want to fully graduate at M.I. T. With a degree in Chemical Engineering. As I have mentioned earlier, I have taken a liking to Chemistry, and furthermore, I achieved good grades in Chemistry during High school. If I do graduate, I will be able to get a Job in such a diverse field of work. B) Measurable To measure the progress of this goal, it will be accomplished within 4 to 5 years. Within the course of each year, it will obviously become harder to achieve this goal, due to g rowing amount of subjects, projects, assignments and the like. To put certain points to check on the progress would be, finishing each year's load of subjects. ) Achievable To achieve this goal, I have to study. As simple as it sounds, it is not simple in action, as I would need to be persistent & hardworking towards my studies. This will be very hard to achieve but it is worthwhile. D) Realistic Reason being for this goal to be very rewarding, is the widely open and diverse field of work I can be able to get into. Furthermore, in today's day and age, there is a great need of engineers, and a greater need for Chemical Engineers. This suits me Just fine, as I often think that I have an aptitude for Science. E) Time bound As fore mentioned, this goal will be achieved in 4 to 5 years.Even though this course is usually done within 5 years, M. I. T. Is able to produce engineers within 4 years. Within this timeshare, I will be able to learn and achieve many other things along the way. 3. Write a plan of action Goal To graduate at M. I. T. With a degree in Chemical Engineering. Specific Actions to be taken -To study with persistence and hard work -To persevere in the following years -Be able to make friends and get along with many other students Timeshare Within this timeshare, I would need to accomplish many subjects to graduate, major subjects such as Science and Mathematics, and other subjects, such as NSP and Humanities.

Tuesday, July 30, 2019

Internet security Essay

Modern technologies have inevitably changed the social, economic, political, and professional aspects of lives across the globe. Such technologies have brought with them reliability and efficiency of communication and execution of electronic financial transactions, evident in E-commerce. According to statistics, electronic financial transactions over the internet have grown by over 70% during the past on decade compared to its prominence during the 1990s (Ena 2008, p. 14). This has been attributed to the fact that small business are increasingly engaging in the competitive business advantage of online marketing for their products, a practice that was earlier dominated by big corporations. Nevertheless, electronic financial transactions over the internet are marked with numerous security threats. Security threats attributed to electronic financial transactions are not only a potential infringement to our right to privacy, but have been a source of economic loss for individuals and institutions. Among these threats, internet fraud, identity theft, and network hacking are the most commonly identified threats to the reliability of internet-based financial transactions (Glaessner, Kellermann, & Mcnevin, 2002). However, the government, security software scientists, and financial institutions have engaged in concerted efforts in promoting security of online financial transactions. In this essay, the author will identify and discuss the different kinds of security threats relevant to financial transactions over the internet, their nature, severity, and the actions that have been taken or can be taken to address the threats and their effectiveness. Case studies of actual security incidents will be given to support the analysis. The problem of security threats on internet-based electronic financial transactions has been identified as a major drawback to sustainable embracement of the competitive advantages brought by this unique technological advancement in the community. Although the actual economic damages caused by internet crime is hard to assert, a consensus between law enforcement and IT scientists has it that over $500 millions are lost in the USA alone due to internet related crimes (Glaessner, Kellermann, & McNevin, 2009). There are numerous security threats to electronic financial transactions over the internet. Identity theft and fraud is a quite common form of security to internet-based funds transfer. Identity theft is the act of using the identity of another person to illegally gain financial advantages (Glaessner, Kellermann, & McNevin, 2009). To achieve this, perpetuators engage in misrepresentation of information to lure their target victims to conduct a financial transaction or provide personable information such as credit card number and password. Numerous research findings have found that the process of acquiring another person’s details is realised through use of e-mail messages (mainly spam) or using fake websites to entice potential victims (Glaessner, Kellermann, & McNevin, 2009). Such information is used in executing activities such as conducting unauthorised emptying of the victim’s account and opening and operating an account in the victims name and failing to settle its associated bills. This leads not only to loss of funds by the victim but also source of debt as financial institution seek account bill charge payments from the victim. According to statistical evidence from the Internet Crime Compliant Center, of the internet crime cases reported in 2008, an estimated 13 percent involved fraud and identity theft (Maclean 2009). Further, the statistics have indicated that such a figure is quite low given that most incidences of internet crime activities go unreported. Still on fraud as a security threat to internet-based financial threats is the problem of non-delivery of goods and services. A quick browse into most websites in the internet, one finds many sites promising lucrative employment or business opportunities. However, most of these engage in dictating for payment of services that are non-existent. FBI reports have it that over 27 percent of internet fraud activities involve payments for non-existent business and employment opportunities (Ena 2008, p. 18). Another form of electronic financial transactions over the internet is the confidentiality threat brought by malicious computer programs. In the recent past, the information technology has witnessed an increase in the number and complexity of malicious computer programs. The most common types of malicious programs are virus and worms, which serve to corrupt executable computer programs (Organization for Economic Co-operation and Development 2007). Through this, the authorised suffer the costs of losing their confidential information saved in the machine or network. Moreover, distributed access denial programs are a major threat to the reliability of online financial transfer. This is because they compromise their ability of an authorised individual to access, transact, and/or monitor their electronic financial accounts. Nevertheless, Trojan horse, backdoors, and rootkits are the main threats to electronic financial transactions over the internet given their capability to gain access into personal accounts without detection by the user. Trojan horse and backdoors computing are the most destructive malicious programs to the security on internet financial accounts and networks. Trojan horse computing for example gives the capability of ensuring continued operation of the system (they prevent attempts to shutdown the system) once it has been installed in the system (Glaessner, Kellermann, & McNevin, 2009). This gives the perpetuators of the crime adequate time to execute practices such as remotely accessing personal information as well as conducting unauthorised electronic financial transfers from their accounts. On the other hand, backdoors computing serves the purpose of compromising the security of an attacked system to enhance easy unauthorised access in the future (Glaessner, Kellermann, & McNevin, 2002). To achieve this, this computing technique allows for the creation of bypass into the attacked networks to compromise its normal authentication requirements. This has been blamed for potential long-term security attacks to electronic financial transactions accounts over the internet. Rootkits are found to protect malicious computer programs from being detected or deleted by the user upon installation into the system, thus allowing for ease corrupting of personal accounts as well as the network connections (Maclean 2009). Thus malicious computer programs are a real threat to internet-based financial transactions. In addition, confidentiality fraud has gained much important as a security threat to electronic financial transactions over the internet. The right to privacy is a fundamental individual right. This is more crucial in financial transaction as it protects sustainable realisation of social and economic development among community members. On the contrary, it is estimated that an estimated 14 percent of internet based crime activities engage in privacy frauds. Such problems are instigated by hacking practices (Khosrowpour 2000, p. 76). Hacking as a threat to individual privacy involves actions that allow the remote access of confidential personal or institutional information. Thus, hacking threatens individual privacy as well as security of online financial transactions. Following the appreciation of the competitive advantage brought by electronic financial transactions over the internet compared to other modes, much concerted efforts have been engaged by the key stakeholders in the field in promoting its security. First, the government as the custodian of the social and economic aspects of its citizens has enacted and enforced numerous laws governing electronic funds transfer. Such include the Electronic Funds Transfer Act of 1978. This act defines numerous rights, responsibilities, and liabilities for participants involved in electronic funds transfer (Ena 2008, p. 9). According the law, the victims of erroneous electronic transactions should communicate with the financial institution not later than sixty day. On the other hand, the financial institutions are bound by the law to investigate and resolve such error within 45 days. In addition, customers should report loss of credit cards to their financial institutions to mitigate potential illegal transactions. To realise this, the Electronic Funds Transfer Act dictates that financial institution should provide its customers with reliable contact number for enhancing communication (Ena 2008, p. 19). Another important law in mitigating security threats on online financial transactions is the Patriotic Act which provides for increased government surveillance on the internet. The purpose of law is to mitigate terrorism activities over the internet such as communication and transfer of fund online for funding terrorism activities. This law gives the law enforcement agents the legal authority to tap internet communication between suspected crime offenders. Such has the implication that these provisions can significantly aid in promoting the war on online transaction security threats. On the other hand, commercial and constitutional laws are quite effective in prohibiting illegal electronic transaction. This is evident from the fact that fraud and identity theft activities remain a criminal act according to the commercial laws of America (Ena 2008, p. 19). Moreover, the right to privacy is sufficiently protected by the provisions of the first amendments to the civil rights bill of the American constitutions. Still, the American government has established the Internet Crime Compliant Center which is responsible for documenting incidences of internet crime activities. This body is a partnership of the FBI and the National White Collar Crime Center. In addition, the organisation works closely with local and international law enforcement agencies in qualifying the dynamic patterns internet crime activities. The security software scientist community on the other side has engaged numerous resources in the designing and production of highly reliable security safeguard software for protecting the authenticity of online financial transaction. It is worthy noting that the process of innovation in the software development has been on the hike over the past one decade (Carey 2001, p. 45). This can be evident from the numerous software outsourcing and direct investment by major software corporations across the globe. Through this, these companies enjoy the competitive advantage of tapping and taming the best brains in the IT field for promoting viable solutions to internet crime activities. Further, internet providers have employed qualified network administrators for preventing, identifying, and reporting incidences of internet related criminal activities. On the other side, financial institutions are marked with the responsibility of ensuring safety of financial transactions and storage for their customers. This is the reason behind effective monitoring practices that have been put in place by these institutions in safeguarding confidential institutional and customer information. It is a common practice for financial institutions to engage in constant changing of their network authentication codes. This serves to complicate the process of internet crime perpetuators gaining unauthorised entry into their networks. Another precaution taken by these institutions is closely monitoring financial transaction and blocking as well as reporting suspicious activities to the relevant authorities for legal actions (Glaessner, Kellermann, & Mcnevin 2009). To achieve this goal, most financial institutions engaged in electronic financial transaction over the internet contract IT professional company to manage their networks. This outsourcing practice brings with it the advantage of speciality, an element that ensures quality and reliable services in promoting online transactions’ security. Nevertheless, the war against electronic financial transactions over the internet security threats remains a major concern to the reliability of this modern funds transfer technology. This has been blamed to the lack of awareness among members of the general public (Khosrowpour 2000, p. 4). True to the later, the process of qualifying the exact economic loss caused by insecurity on internet-based financial transactions is complicated by the fact that only a few cases of the incidences are reported to the relevant authority. Therefore, the war on internet security issues should ensure adequate awareness of the public on how to identify these crimes, prevent them, and/or were to report them. In addition, the global community should seek to establish a unifying law against internet crime as a way of increasing cooperation in the process through elimination of existing bureaucracies. All in all, the problem of electronic financial transactions over the internet security threats remains a major challenge to the reliability of this technological advancement in the society. This is because of the ever changing tactical attacks and innovations employed by internet crime offenders to promote their criminal interests (Carey 2001, p. 102). Some of the mostly cited instruments for promoting insecurity in internet-based financial transaction are malicious computer programs such as Trojan horses, rootkits, and backdoors. This is due to the fact that such programs are capable of hindering from the system user while still compromising the systems authentication provisions, thus allowing for remote access by unauthorised persons. Such call for the government, software scientists, and financial as well as all other stakeholders to invest more resources in the war against internet transactions insecurity. This should put into consideration the need for promoting public awareness on the nature of internet crimes and were to report them as well as viable prevention measures.

Monday, July 29, 2019

REDUCING TYPICAL PROPOSAL WEAKNESSES Essay Example | Topics and Well Written Essays - 250 words

REDUCING TYPICAL PROPOSAL WEAKNESSES - Essay Example Finances is an issue business owners find hard to part with but in order to get the bets proposal, realistic cost estimates must be set and adhered to. Lastly is to have an in depth understanding of the purpose of the proposal and how it can be beneficial to the business. This understanding will allow the owner to be on the fore front of the proposal from start to end. In solicited proposal, it is the customer who has requested for it while in unsolicited, the company send the customer the proposal without them having asked. Solicited proposals are paid much more attention to and the information is relevant to the customer unlike in unsolicited proposal where there are high chances of it not being read as well as the information not being useful to the customer. Amendments make clarification on issues of debate for both parties hence solving their differences and creating a relationship in the long

Sunday, July 28, 2019

Ethic in social work and nursing....managerialism Essay

Ethic in social work and nursing....managerialism - Essay Example Upon inspecting the patient’s house, the social worker discovered that the house is not fit to live in due to the presence of faeces, urine dirty clothes and waste materials all over the floor. As an end result, the house was full of mice, rats and insects that could negatively affect the patient’s physical health. The social workers did not consider paying the patient’s house cleaning expenses as an option. Therefore, the hospital paid for his bed occupancy, food and washing to keep the man healthy until someone made the cleaning arrangements in the patient’s house. For this study, the researcher will discuss the health and social care workers’ ethical and professional dilemmas behind the case of the 65-year old patient in relation to the anti-discriminatory practices. Upon exploring the health professional ethics in the light of the organizational legal and social contexts, the researcher will discuss the proper health care management on how the case of the 65-year old patient should be addressed. In the process, the researcher will provide some case-based illustrations as part of demonstrating the researcher’s personal understanding and informed judgement over the professional ethical dilemmas. As part of UK’s health practice, the health and social care workers are required not to discriminate their patients for any reasons. (Brayne & Carr, 2005) In line with this matter, health and social care workers should equally practice the law of beneficence to all patients in the sense that all health and social care workers are required to do only good actions that may contribute positive effects to the overall welfare of the patients. (Mental Health Act, 2005; DOH, 2001b ) The social care workers in the case of the 65-year old patient did practice the law of beneficence since they have decided on what is the best way to promote the health condition of the old patient. Aside from the need to abide with the law of confidentiality (Mental

Business Report Coursework Example | Topics and Well Written Essays - 1500 words - 1

Business Report - Coursework Example We will also ensure that we maximise our profit. There are financial risks that occur in this type of business. Furthermore, some problems with the customers may occur. All these problems should be solved in order to achieve our goals. 2. Introduction Through our research, we found out that Witney; in Oxfordshire do not have an independent shop that sells toys. Our main targets are the kids. We realised that the demand of electronic and traditional toys at this town is very high. Jay and I have decided to run this new business venture. We agreed to start a partnered business. This business will have two stakeholders i.e. Jay and me. Our vision in this business venture is to ensure that our customers are served with the best products in the market as well as ensuring that we achieve our business goals which maximising profit with minimal costs. It is our responsibility to ensure that this vision is achieved without incurring unnecessary costs. We will also ensure that risks are reduce d to the best of our ability. Our starting cost will include ?25,000 that we borrowed from the bank and ?25, 000 from my savings account. Jay will not contribute anything from his account. This report will deal with the type of business we chose and the research we have done on this business. It discusses the reasons why we chose this business. It will also touch on our target customers and the possible problems that we will face in this business. 3. Main body The type of business we decided to operate in is the general partnership business. This is a business entity that involves two or more partners who agreed to do a business. We chose this business entity because it is easy for two of us to run. We will be sharing profit and losses equally. In addition, both of us are liable to any debts that may occur. This business entity was also the best for us because it does not require a notarial deed. We will make our agreement private i.e. the agreement will only be between me and Jay. 3.1 Procedures for General Partnership establishment Weiss et al. says there is no formality in forming our general partnership. This is because our agreement is private. We decided to write an agreement in order to avoid future misunderstandings. However, there are rules that govern the business partnership. For our partnership to exist, we must first register it by following the rules from Company Act 2006 (Van, 2007:21). For us to form this company, we must first give our names to the memorandum of association and ensure that we comply with the requirements that are needed for one to register our company. The registrar must receive the memorandum of association form our company. For us to be registered, we must submit our company name, postal address location and business entity of the company. We should also state that our company is a private one. After all these, the application will to be delivering to the England’s registrar of companies (Degenhardt, 2010:54). After o ur company has been approved, Partnership act 1890 should also be adhered to. For our partnership to exist, there rules that must be followed. The partnership should ensure that we share profits equally as stated by our agreement. Both of us will be liable to all company’s debt. Our partnership will now have a firm name. We will manage our business fairly. Profits and control of assets will be done equally (Degenhardt, 2010:59). 3.2 Financial risks There are possible financial risks that are likely

Saturday, July 27, 2019

Sex Differences and Their Responses to Erotica Research Paper

Sex Differences and Their Responses to Erotica - Research Paper Example Also true. However, the media has reported less on whether the converse is true, in that men are adversely affected by idealized images of male bodies and penis sizes. The conventional wisdom there is that men probably are not affected by these images. This is partially true – men widely believe that their penis size is average or large, so media images of penis sizes do not affect how men view their genitalia. However, at least one study has shown that men do feel worse about their bodies after viewing other men with idealized bodies, so, perhaps, there is less of a gender inequity in this regard then was previously thought. This paper will explore all these topics in greater detail. How Media Environment Has Changed in the Past 50 or 60 Years The past 50 or 60 years has been marked by a changing standard of ideal beauty in society. According to Calabrese et al., the ideal has changed towards a thinner female body type, one that is unattainable by most women. This is seen in Playboy Magazine centerfold models, Miss America pageant winners and fashion models. As stated above, these ideals are impossible for many women to attain, which makes the average woman have dissatisfaction with their body and overall appearance, and poses risks to the female’s mental and physical health. Moreover, there has been a changing ideal of genital appearance, as viewed through pornography websites and the like. Females are increasingly exposed to these images through these websites. However, the pictures of the female genitalia have been increasingly digitally enhanced, rather than naturally occurring, which causes women further despair that their physicality does not match that which is ideal (Calabrese, et al., 2011). Calabrese et al., examined the impact on the evolution of both ideal body types and the depiction of female genitalia on how women think about themselves. They examined Playboy models from 1953 to 2007 to look at these changing ideals. 647 Playboy centerfold models were the subjects of this research. They found that a Barbie-like thinness has become the norm with the Playboy models and that, in fact, the female genitalia in these magazine spreads have been enhanced and perfected. Larger breasts, as displayed on both Barbie and the Playboy models, is another attribute of this new feminine ideal. Because of this changing ideal, Calabrese et al. states that the image of perfection and definition of physical beauty have changed, and what heterosexual men seek in their partners have also changed. Young girls are also affected, in that they gain a warped perception of the ideal female body type with they receive their first Barbie, and this perception of reinforced by these Playboy images (Calabrese et al.., 2011). Advertising The basis of advertising is simply drawing one's attention to something, or, on the other end, notifying or informing somebody of something (Dyer, 1989, p. 2). This is the basics of advertising. The way that this is accomplished is that the advertiser "magically induces" the consumer to buy the advertised product by selling a fantasy. This is because "we have a cultural pattern in which the objects are not enough but must be validated in fantasy by association with social and personal meanings which in a different cultural

Friday, July 26, 2019

Argue for or against the elimination of speed limits Essay

Argue for or against the elimination of speed limits - Essay Example (Reddy) Germany's autobahn is free of speed limits for most of its 12,000 km. The Germans' pride in their free-speed autobahn is wellknown. The autobahn was in the news recently when Greenpeace ctivists put up banners that read "120", demanding a speed limit of 120 km/h on the Autobahn. But the powerful German car makers' lobby disagrees. Car manufacturers argue that emissions from cars are already very low. Limiting the speed has no additional benefit, they say. One car maker went as far as to say that the idea of speed limits was like "hitting the automobile industry between its legs!" (Connolly) This is not surprising, since car manufacturers promote their products as macho machines. Reckless speed is equated to manliness. Their stance that emissions from cars are low does not address the safety issue or the fuel wastage. Predictably, politicians are on the back foot - unpopular decisions are best postponed indefinetely. The public mood in Germany is also said to be one of "anger" - anger at the perceived erosion of their freedom. A strong, sustained campaign targeted at the grass roots is the need of the hour.

Thursday, July 25, 2019

Articles Comparison Essay Example | Topics and Well Written Essays - 750 words

Articles Comparison - Essay Example In the second essay the author teaches us to give more importance to ourselves rather than anything else. Throughout the essay he has shown how web technology and media strive to fulfill our needs and desires. But the purpose of the article is not to encourage individuals to become self centered people but also to have sufficient knowledge about the outside world. For the first essay the author Steven Johnson have highlighted the following issues: 1. Web technology centering on common people and giving much attention to their ordinary lives apart from those having extra ordinary lives and given a lot of media attention and coverage. 2. Social interaction surely has become easier and networking, connections more wide spread. 3. The phenomenon of ‘place bloggers’ has enabled people to share their own life, their neighborhood with other members of communities. 4. The essay has also brought into notice the fact that the art of taking snaps and recording videos have not remai ned solely in the hands of professionals. Ordinary people can now to some extent mange these kinds of stuff. 5. The essay never ignores the need to know the designers and creators of those devices that made life this simpler. In the other essay the author Brian Williams has emphasized the following: 1. Need to do things that satisfy us and make us happy. Importance of self has been highlighted throughout. He calls this more important than anything else. 2. The author has also talked about web technology and feels that they have always worked upon meeting our needs and desires. Their strategy is based upon user satisfaction. 3. Sharing our life with others is held as equally important. It gives an individual a sort of pleasure and urge to do so irrespective of whether the viewer likes it or not. 4. Celebration of life is most important. It does not matter whether the concerned person have or does not have a long list of achievements behind him. 5. Although author stresses upon self s atisfaction he does not support keeping oneself locked and shutting the doors of the outside world totally. There are some things, some facts which should be in everyone’s knowledge. Such shortage of knowledge can miss out again many things in life and we can also land up in danger. Both the essays have highlighted have stressed on concentrating on the so called ordinary people and their ordinary lives rather than focusing only on those extraordinary celebrity kinds of people who are already under limelight. The media coverage should not only be for champions and winners or only for those genius people who have a lot of awards and trophies to display (Williams). In this era of web technology people can click their own pictures and make their own videos. The best part is common man can share all this stuff with others on social networking websites or web communities. Web technology has led to better communications and this implies more when it comes to the cultural side (Johns on). Its no more that taking good quality pictures and make good videos is confined to professional experts. Common people, even if not so good as the professionals, can take satisfying snaps and recordings and now a days they are very much willing to share those with friends, relatives and other chatting companions. But those great minds or the creators should also be known. Both the essays consider the need of some facts to be in everybody’

Wednesday, July 24, 2019

Environmental Problems, Climate Change and Global Warming Essay

Environmental Problems, Climate Change and Global Warming - Essay Example This essay discusses that there is a need for formulation of environmental ethics that can help us to understand and address the issues holistically. This may include first addressing the issues of systematic and institutional forms of developmentalism since they are the major contributing factors. This will create a sense of integrative approach to these issues thereby creating a good startup point for addressing the environmental problems. It is of crucial significance to give credit to the paradigm shift from Oil to Soil. This is quite beneficial since it leads to a sense of environmental consideration. It is crucial to understand that without the environment, there can be no resources like the oil. Again, with an unconducive environment, the benefits we derive from the environment will not help us that much. Therefore, it is important that when we derive benefits from the environment, including the oils, we should be conscious and considerate about the fate of the soil or the env ironment generally. It is true that many people in the industrialized countries always perceive issues touching on environmental considerations alongside developments as impractical or idealistic. This follows that they always lack a sense of environmental considerations following the majority of their operations. However, in order to deal with this, there should be policies in place that regulate industrial activities with regards to the emissions. In addition, there should be set environmental standards that should be met by those industrialized nations.

Tuesday, July 23, 2019

HEALTH PROGRAM EVALUATION (Impact Evaluation and Accountability SLP 4) Research Paper

HEALTH PROGRAM EVALUATION (Impact Evaluation and Accountability SLP 4) - Research Paper Example Measureable outcomes benefit the executers of a project in that they provide a foundation for evaluating the objectives sought out in the first place versus the reality and true picture of the impact on the ground (Dreher. M et al 2006). For this case, measurable outcomes could encompass both the desired and the undesired effects of a project. Measurable outcomes could either be quantitative or qualitative. Quantitative outcomes are measured in terms of how many, how much et cetera while qualitative outcomes could be expressed in terms of how well, how reliable, how successful e.t.c. To find the number of children with neuro-developmental and related disabilitiesthat have been involved in court cases and in the process find the percentage of them that have been handled and concluded and those that are still pending in court. The percentage of the cases that have been concluded out of the total would provide the basis for knowing how fast and effective the justice system is in dealing with cases affecting such children. Another measurable outcome arising out of the objectives is the extent to which literature around children with neuro-development disabilities has been researched. How well researched is the information that is in the public domain and could there be cases of poorly researched material in the public domain. In this case what could be the percentage of the material? The third important factor to express as a measurable outcome is to identify how many members of the LEND group are knowledgeable in matters to do with children with neuro development disabilities. Again in this case one has to understand the highest level of knowledge that is present within the group and to what extent is this knowledge benefiting the group. Where applicable how many people should be trained in particular field by a given time. The last measurable outcome as relates to the objectives identified above is to know the extent of

Monday, July 22, 2019

Differences in Competencies Between Associate Degree and Baccalaureate Degree Nurses Essay Example for Free

Differences in Competencies Between Associate Degree and Baccalaureate Degree Nurses Essay Differences in Competencies Between Associate Degree and Baccalaureate Degree Nurses Nursing education can be confusing because there are so many ways to become a nurse. However, throughout history, nurse leaders have advocated the importance of higher education for nurses. But as nursing shortages developed, the need for more and more nurses became apparent. To help solve the nursing shortage problem, Mildred Montag developed the associate degree of nursing program (ADN) in 1952. It was designed to be completed in two years and provide a balance of general nursing education along with clinical courses. The original program designed by Mildred Montag was for associate degree nurses to work under the supervision of professional baccalaureate prepared nurses. Due to confusion, the graduates of the associate degree nursing program were allowed to sit for the National Council Licensure Examination (NCLEX-RN). This NCLEX exam was the same exam given to baccalaureate degree nurses (Creasia Friberg, 2011). Now, associate degree nurses can be found in almost every setting from hospitals to long term care facilities. However, even though associate nurses have the skills to provide adequate patient care, the advanced education of the baccalaureate degree nurse provides leadership skills, advanced critical thinking skill and improved patient outcomes (Lane Kohlenberg, 2010). Therefore, in recent years the difference in competencies between the associate degree nurse and the baccalaureate degree nurse has been examined, resulting in a push for more nurses to obtain a bachelors degree (BSN). Associate degree nursing programs teach the technical aspect of nursing care. An associate prepared nurse can function well at the bedside. She can monitor the patient’s needs and record the outcomes of treatments. An associate prepared nurse can use critical thinking skills to determine her best course of action in most situations. But the constantly changing field of healthcare is demanding higher educated nurses. It is demanding nurses that are more professional and have an understanding of theory based practice. Nursing and medical organizations across the nation are recommending that all RNs advance their education. An advanced level of education can improve patient safety and quality of care (Fact Sheet: Creating, 2013). This has been evidenced by numerous studies on the correlation between higher educated nurses and patient outcomes. Researchers at the University of Pennsylvania conducted a study that found surgical patients had 14% lower odds of dying as an inpatient within 30 days when being cared for by higher educated nurses. Another study conducted at the University of Toronto found hospitals that increased their pool of baccalaureate prepared nurses by just 10% had a decrease in death of discharged patients (Fact Sheet: Creating, 2013). To fully understand the differences in competencies between an ADN and a BSN, it may be necessary to evaluate how each would perform in a specific patient care situation. For example, a 66 year male is hospitalized with an open wound on his leg. The wound is positive for MRSA and the patient is diabetic. The associate degree nurse dresses the wound properly, and teaches the patient how to take care of the wound. She helps manage the patient’s diabetes and teaches him how to manage it at home. The patient is discharged home with instructions and prescriptions. He is re-admitted a week later with high blood sugars and a worsening leg wound. The same patient is cared for by a nurse with a BSN. During his stay the nurse dresses his wound properly, and manages his blood sugar levels. During her time with him, the nurse questions the patient about his family and his home. Through casual conversation she discovers the patient lives alone, but his daughter lives close by. She also learns he is unable to clean his home properly, but he is adamant about staying there. With the patient’s permission, the nurse contacts the patient’s daughter to learn more about the challenges the patient faces in caring for himself. After talking with the daughter, the nurse discovers the patient has not had an eye exam in 5 years and his vision is poor. He does not follow a diabetic diet and prefers to eat out rather than cook at home. Armed with this new information, the nurse talks with the patient. She tactfully points out his vision problems and poor diet choices. The patient admits he needs new glasses, but cannot afford them. He admits to having trouble seeing the numbers on his insulin syringe. He also states following a diabetic diet is too difficult so he doesn’t bother. The nurse takes this information to the hospital’s case management team and together they get home health care that will help him with his dressings. They also manage to find help to clean his home and funding to get him new glasses. The nurse then makes an appointment for the patient for diabetic teaching provided by the hospital. Prior to discharge the nurse teaches the daughter how to change the wound dressing and how to give insulin injections. She encourages the daughter to go with  the patient to diabetic education classes. The BSN nurse did more than just discharge the patient. She used the metaparadigm of nursing model to treat the patient as a whole. The metaparadigm consists of person, environment, health, nursing and how they all interact with each other. (Gunther, 2011). She recognized the patient was an individual person with individual health needs. She discovered his physical and environmental challenges and learned how they were affecting his health. Utilizing the information she obtained she found the patient the appropriate help for his situation. The associate degree nurse is certainly capable of taking care of patients in almost any healthcare setting. However, healthcare is changing rapidly with increased acuity and short lengths of stay and nursing must change with it by producing more professional, well-educated nurses. References Creasia, J. L. , Friberg, E. E. (2011). Pathways of Nursing Education. In M. Iannuzzi, R. Richman (Eds. ), Conceptual foundations: The bridge to professional nursing practice (5th ed. (pp. 23-26). [PageBurst]. Retrieved from www. elsevier. com Fact sheet: Creating a more highly qualified nursing workforce. (2013). Retrieved from http://www. aacn. nche. edu/media-relations/fact-sheets/nursing-workforce Gunther, M. (2011). Theories and frameworks for professional nursing practice. In M. Iannuzzi, R. Richman (Eds. ), Conceptual foundations: The bridge to professional nursing practice (5th ed. (pp. 97-99). [PageBurst]. Retrieved from www. elsevier. com Lane, S. H. , Kohlenberg, E. (2010). The future of baccalaureate degrees for nurses. Nursing Forum, 45(4), 218-227. doi:10. 1111/j. 1744-6198. 2010. 00194.

Charge of the Light Brigade Essay Example for Free

Charge of the Light Brigade Essay How far do Sources 1 and 2 challenge the impression of the Charge of the Light Brigade given in Source 3? The Charge of the Light Brigade was started by an order given by Lord Raglan to charge. It last half an hour and 113 men were killed. Source 3 is a ‘recalling’ of the brutality of the Charge of the Light Brigade. It shows the perspective of someone watching the battle rather than taking part so is therefore limited. Although, it is still useful as is written by a witness who saw it happen at the time of the event. There are various features of source 1 and 2 that challenge source 3’s impression of the Charge of the Light Brigade. For example, source 1 portrays the appearance of only Russian soldiers and of the English look triumphant. Whereas source 3 states ‘our men tried to drag their mangled bodies’ giving the impression that many were badly injured. Source 2 challenges source 3 by saying ‘right thro’ the line they broke’ this gives the impression the English troops managed to get onto Russian ground and shows them as more successful than stated in source. In addition source 2 agrees with source 1 in this sense as can be seen in the picture, the English soldiers have reached the Russians and the Russians are made to look weak. Source 2 however is limited as is written as a poem, so may be dramatized to add effect and make to it more interesting to read. Also the information included in the poem was written on the Isle of Weight after hearing Russell’s report so is very limited. Despite the various things that challenge source 3 in source 2 and 1 there are also many things that agree with it. When looking at the cartoon in source 1 it appears to disagree with source 3, however looking at the provenance may change this opinion. It was published in the magazine ‘Punch’ which was a teasing and dramatizing newspaper. It was also only one month after the Charge of the Light Brigade and everyone knew how badly the English had performed. It appears to pick fun at Lord Cardigan and blame him for the loss that day. Source 3 and 2 also agree that a lot of men were badly injured or killed that day. This is seen when source 2 states ‘Then they rode back, but not not this six hundred’ the emphasis on the not shows that nowhere near six hundred of them rode back. In source 3 this is shown when Sergeant-Major Timothy Gowing states ‘but few escaped. ’ Source 2 agrees with source 3 when it states the soldiers were ‘shatter’d and sunder’d. ’ This coincides with the image of the soldiers having to ‘drag their mangled bodies’ the word drag shows exhaustion and that they used every last bit of energy to try and escape the battle field. In conclusion, source 1 and 2 mainly agree with the image of the Charge of the Light Brigade portrayed in source 3. Source 1 is making fun of Lord Cardigan and how terribly wrong the whole situation went so is a lot less serious than the other 2 sources. They all however give the image of the battle being a bloody, ‘brutal’ one in which many lives were lost. Source 3 was written 41 years after this shows the charge still has an impact years later and people still do not know the full truth.

Sunday, July 21, 2019

Hydration Management in Acute Stroke Patients

Hydration Management in Acute Stroke Patients Introduction Stroke is a global public health concern with many sufferers presenting with varying levels of confusion (Oh and Seo 2007). Management of hydration in acute stroke patients is not standardised and variations in practice can be very wide between different continents. The sheer number of possible comorbidities and the relative ease with which hydration can trigger concomitant problems can lead to increasing incidence and prevalence of long-term patient care resulting from inadequate hydration management. Optimum hydration assessment and management are key clinical activities; however, inadequate hydration controls by health professionals persist (Oh and Seo 2007). Research shows that to guide fluid management to desired levels, a regular assessment of the volume status has to be made Scope This literature review is based on works that are found on Medical Literature Analysis and Retrieval System Online (MEDLINE), the Cumulative Index to Nursing and Allied Health literature (CINAHL), Cochrane, Department of Health (DoH), National Institute of Clinical Excellence (NICE), National Medical Council (NMC), World Health Organisation (WHO), Wiley Interscience and CKS databases that relate to hydration in stroke patients and nursing awareness of hydration in stroke patients. There is wide literature on different aspects of stroke and many authors have studied the effects of hydration in stroke patients. This review looks at literature that discusses management of hydration and/or the impacts of variations in hydration management on acute stroke patients outcomes like method of feeding, time- compliance in taking readings or measurements, legal issues and ethical issues. Relevance to clinical practice This literature review looks at relevant studies by experts that are found on credible databases. The purposes of the expert studies are reviewed and analysed to inform better understanding of current nursing practice in hydrating acute stroke patients. Several studies on hydration highlight specific difficulties relating to the assessment and management of hydration in acute stroke patients. There are differences between the management and the assessment of hydration in different hospitals and these complicate improving awareness of managing hydration for nurses in practice. If optimum hydration is directly linked to improved outcomes in acute stroke patients, research will be required to identify and overcome barriers to effective hydration management, including the development of specific tools (and knowledge base) to facilitate interventions that promote optimum hydration in seeking improved outcomes in acute stroke patients. Methods of search and documentation n on-line literature search of MEDLINE, CINAHL, COCHRANE, DOH, NICE, NMC, WHO and CKS from 1999 to May 2009 failed to identify enough relevant articles on hydration in stroke patients. Other sources were then reviewed for available literature on medical journals including the BMJ and American Family Physician. For the on-line computer-based literature searches, the following keywords were used: stroke, fluid balance, hydration, cerebrovascular accident (CVA), dehydration, stroke outcome, cerebrovascular disorders, medical management, artificial nutrition and hydration, dysphagia, dysphasia, pyrexia, acute brain infarction, enteral tube feeding, fluid and electrolyte balance, neurology, withholding treatment, pathophysiology and nurses and hydration Hydration and hydration management in acute stroke patients This literature review looks at one of the issues encountered globally in the treatment of acute stroke patients optimum hydration. It takes a particular look at the nursing awareness, measurement, assessment, methods of intervention and the legal issues associated with hydration in acute stroke patients. Stroke is a debilitating condition and can be caused by an ischaemic event or a subarachnoid/intracerebral bleeding. Stroke patients usually present in hospital with co-morbidities (Oh and Seo 2007). Variations exist in stroke fatalities across geographical regions even within the same continent. Studies by Bhalla et al (2003) across four European centres (London, Dijon, Erlangen and Warsaw) have shown significant variation (after adjusting for case mix) in stroke case fatality, in incontinence, dysphasia, dysphagia, conscious level, pyrexia, hyperglycaemia and comorbidity. There were also significant intervention differences between centres in intravenous fluid use, enteral feedin g, initiation of new antihypertensive therapy and insulin therapy, with the London centre having the lowest uptake of interventions. In another European BIOMED Programme, significant variations in case fatality for stroke between European centres (after adjustment for stroke severity) were observed, with the United Kingdom (UK) centres having the highest case fatality and the lowest levels of independence (Wolfe et al., 1999). There were lower intervention rates in the UK centre to correct abnormal physiological parameters in the acute phase which may reflect a difference in philosophy of acute medical supportive care compared with other European countries (Wolfe et al., 2001). Awareness of optimal hydration balance and assessment of the patients hydration condition (in the care of acute stroke patients) is a fundamental part of critical care nursing and optimising the hemodynamic situation can be seen as a team-effort. One of the important factors determining quality of the circula tion is the amount of circulating blood (Hoff et al 2008). Following a stroke, patients may have swallowing impairment and other changes of the gastro-intestinal (GI) tract that could affect nutritional and hydration status and that lead to aspiration pneumonia (Schaller et al 2006). Such changes affect the ability of the acute stroke patient to lead a normal nutritional life. Although the Schaller et al (2006) work did not show a direct link between hydration and other comorbidities, they agree that impaired hydrational status is associated with reduced functional improvement, increased complication rates, and prolonged hospital stays. Hydration and hydration status Hydration balance is a measure of the bodys ability to manage fluids and electrolytes. In order to identify the urgency of interventions, nursing staff should characterize an individuals fluid and electrolyte imbalance as mild, moderate, or severe based on pertinent information including lab tests and other relevant criteria. It is important to recognize that the main electrolyte in extracellular fluid (ECF) is sodium and that of intracellular fluid (ICF) is potassium (Edwards, 2001). Toto (1998) pointed out that large increases or decreases in fluid volume can cause infarct, coma and confusion. This knowledge becomes significant in maintaining cerebral blood flow and in preventing secondary brain insult after an acute stroke. In a complication, respiratory or metabolic acidosis will promote the movement of potassium from the ICF and give rise to high serum potassium levels, which may affect cardiac function (Edwards, 2001). This phenomenon can be seen in many traumatic insults to th e brain. A basic knowledge of this physiology in addition to the homeostatic mechanisms for fluid and electrolyte balance is a vital foundation for nursing practice, and essential to the nurses role in hydration management. Cook et al (2005) highlighted the significance of fluids and hydration in the neuroscience patient and in Cook et al (2004) they highlighted that an understanding of the physiological mechanisms that surround stroke is important for nurses to monitor and treat such patients. Kelly et al (2004) in their study of dehydration and venous thromboembolism (VTE) after acute stroke believed dehydration after acute ischaemic stroke (AIS) is strongly independently associated with VTE, reinforcing the importance of maintaining adequate hydration in these patients. Their study of hydration over a 9-day period showed indication that dehydration was largely hospital acquired and that the association was causal. Although the possibility that VTE was already present at entry to hospital cannot be discounted, tests have shown that VTE is rarely present before the second day post stroke, and then it becomes increasingly prevalent over the next few days. This could be for one of many reasons including poor communication between patient and hospital staff, change of environment for the patient and the physiological impacts of stroke Hydration balance and nutritional/electrolyte balance The differences in how hydration is assessed in different hospitals have been subject of study for some time. The significance of fluid electrolyte homeostasis becomes very relevant in trauma and shock situations such as subarachnoid haemorrhage where an inflammatory response is triggered which causes a significant change in capillary membrane permeability in a short period of time. In such situations, water, electrolytes and albumin move into the interstitial space to permit the site of injury to receive the required factors (third space shift) (Edwards, 2001). A number of physiological mechanisms are required to maintain homeostasis of hydration status, all of which inform proactive nursing assessment, intervention and evaluation. Those with trauma to the nervous system are vulnerable to disruption to the homeostasis of fluid and electrolyte balance (Cook 2005). Older adults may have a poorer capacity to adapt to shifts in acute fluid balance, leading to the possibility of cardiac and renal functions being impaired and, as a result, a lower glomerular filtration rate (Sheppard, 2001). Managing the fluid balance of the stroke patient by intake and output measures needs to be exercised cautiously because even though the patients fluid volume may not have changed, his/her circulatory volume may be significantly lower in instances of major trauma (Edwards, 2001) Good hydration has been shown to reduce the risk of urolithiasis (category Ib evidence) (see Appendix 2), constipation, exercise asthma, hypertonic dehydration in the infant, and hyperglycemia in diabetic ketoacidosis (all category IIb evidence), and is associated with a reduction in urinary tract infections (UTIs), hypertension, fatal coronary heart disease, venous thromboembolism, and cerebral infarct Complications of measurement/control Naso-gastric v PEG, enteral v parentera Patient history taking on presenting in the hospital differs from hospital to hospital. History taking should include assessment of fluid intake and loss, baseline hydrational status, skin turgor, heart rate, blood pressure and urinary output. Normal fluid intake for the average adult is approximately 2-2.5 litres, obtained from food, fluids or metabolic by-products (Edwards, 2001). Methods of measurement are not standardised across hospital settings with Wise et al (2000) showing that faecal fluid losses are often neglected in daily fluid balance charts with the possibility of inaccurate hydration assessment. Fluid assessment must include estimating, as accurately as possible, the quantity of fluid taken in. It must take into consideration the entire processes by which water, potassium and sodium are obtained. Measurements are often mainly focused on the extremes of hydration (optimal hydration and extreme dehydration) and this should not be the case. Assessment of hydrational statu s and need is continuous and begins somewhere along a continuum of severe hypovolaemia/ dehydration to severe hypervolaemia/ overhydration. In looking at dehydration, not only extreme dehydration should be noted. Manz and Wentz (2005) highlight that there is increasing evidence mild dehydration may also account for many morbidities and play a role in various other morbidities. The way in which stroke is managed acutely, such as measures maintaining physiological homeostasis may also vary between different populations (Bhalla et al 2003). The physiological indicators of acute deficits in fluid balance may be masked in individuals where compensatory mechanisms are intact. A history of acute events, mainly from baseline documentation and history taking, may enable better identification of such imbalances (Sheppard, 2001). Fluid and electrolyte homeostasis is brought about by the interaction between the renal, pulmonary, neuroendocrine, integumentary and gastrointestinal systems (Edward s, 2001). According to (Cook 2005), fluid and electrolyte management is a fundamental aspect of the role of the neuroscience nurse. Artificial feeding and fluids are the options for a patient who has an advanced, life-threatening illness and is dying. The patient, family members and doctor can talk about these options and the benefits and risks (Ackermann 2000). Hydration and electrolyte status are crucial mediators to the extent of the neuro-hormonal response to trauma. Edwards (1998, 2001) highlighted that homeostasis is maintained by a constant movement of water, sodium and potassium between intra- and extracellular compartments. While the movement of water and electrolytes between the cellular compartments is highly significant, it is important to recognize that in acute and chronic illness intracellular fluid (ICF) is reduced and extracellular fluid (ECF) increased almost to the extreme (Edwards, 2001). This is highly relevant for cerebral metabolism, because transport of oxyge n, glucose, proteins and other products for cellular metabolism—and their by-products—may be severely impaired. Stroke may affect ones level of alertness, perception of thirst, ability to access liquids, and ability to swallow them when offered. Stroke victims with such impairments may be at increased risk for diuretic-induced dehydration (Churchill et al 2004). Managing hydration balance is of crucial importance and the mechanisms for the adequate monitoring and controls need to be in place. Nursing management questions in the assessment of hydration in acute stroke patients should include whether use of intravenous fluids during the first week of stroke was recorded. Questions should also include whether the patient was fed orally, by nasogastric tube, through percutaneous gastrostomy tube, by intravenous methods or not at all? The fact that these questions can be raised enforces the need for adequate documentation and recording of acute stroke patient records. Bhall a et al (2002) says that the use of artificial ventilatory support with intubation or nasal intermittent positive pressure ventilation should be documented as well as the use of supplemental oxygen given through nasal catheters or masks. Enteral tube feeding is a vital means of feeding and balancing hydration levels in patients with stroke. There are no set standards for hospitals in the UK and hospitals have recorded much variation between them in the timing of the start of enteral tube feeding and whether a nasogastric or percutaneous endoscopic gastrostomy (PEG) tube is used (Ebrahim and Redfern 1999). Some clinicians delay tube feeding for 2 weeks or more, and although early nutrition is unlikely to be harmful, whether any nutritional benefits offset the difficulties and complications of initiating and maintaining early enteral tube feeding is unclear. If the timing or route of enteral tube feeding does affect outcome, the present variation in practice means that large numbers o f patients are being denied best treatment. Whether enteral tube feeding via PEG rather than nastrogastric tube or early initiation of enteral tube feeding improve outcomes was tested in the FOOD trials and no evidence of significant benefit from PEG rather than nasogastric tube feeding was found. Neither was any hazard from early tube feeding found (The FOOD collaboration 2003). The explanation for any difference between PEG and nasogastric groups is not clear, but one factor might be the effect of a long-term PEG tube on dependency since more patients in the PEG group were still receiving such tube feeding than in the nasogastric group at follow-up (The FOOD collaboration 2003). The survivors in the PEG group were also more likely to be living in institutions and had lower quality of life. Another intriguing finding was the excess of pressure sores in the PEG group, raising the possibility that those with such tubes might move less or be nursed differently. Weaknesses in this test results include insufficient statistical power to exclude more modest differences between groups; no information about the proportion of eligible patients enrolled in each centre; our use of an informal (although reliable and highly predictive) assessment of nutritional status; absence of precise monitoring of patients daily intake of nutrients (rather than fluids); absence of on-site source data verification or collection of information on changing nutritional status (e.g. in-hospital weights); possible bias due to masking of secondary outcome measures. Although compliance was not 100%, this fact results from the inevitable difficulties of adhering to rigid schedules when patients conditions change. Difficulties with nasogastric feeding in stroke patients (who are often confused and uncooperative) have led to increasing use of PEG tubes at an early stage. Enthusiasm for this method has been encouraged by the results of a trial that reported much lower case fatality rates in patien ts fed via PEG (13%) rather than nasogastric tube (57%) (The FOOD trial collaboration 2003). Due to significant alterations in fluid balance after enteral tube-feeding in patients, close attention to the recording of fluid balance such as intake/output measurements, body weights and simple bedside assessments is needed to detect fluid imbalances and other serious complications at an early stage (Oh and Seo 2007). One explanation for the varying and inconsistent readings in fluid hydration between enteral and PEG might b Stroke patients and the impacts of stroke on life Difficulty with swallowing is a common problem in acute stroke patients, and can lead to aspiration pneumonia, dehydration, and exacerbation of any existing malnutrition (Finestone and Greene-Finestone 2003). In Oh and Seo (2007) the authors set out to examine the fluid and electrolyte complications after enteral tube feeding in acute brain infarction patients. The background is that inconsistencies in the results of the water and electrolyte complications associated with enteral tube feeding are partly because of uncontrolled disease-related variables. The implication is that these variables were not adequately managed. Stroke patients very often present with dysphagia and this is very commonly dehydration associated with undernutrition (The Food Trial 2005). Up to half of stroke patients in hospital have dysphagia, which precludes safe oral nutrition for the first few days and can persist for long periods (Mann et al 1999). Although a 50% prevalence can be considered to be high, th e nutritional/fluid status of a stroke patient can rapidly deteriorate in hospital. The difficulty in feeding stroke patients with dysphagia coupled with the discomfort associated with stroke can exacerbate undernutrition and/or dehydration. Studies show that undernutrition shortly after admission is independently associated with increased case fatality and poor functional status at 6 months (The FOOD trial collaboration 2003). The current financial burden of efficiency savings and reduced budgets in the NHS hospitals results in reduced staff numbers so that patients can not be attended to on a one-on-one basis so that ensuring appropriate hydration levels is done by periodic but regular monitoring of charts. An option for the future in this area may be to involve the patients family members in hydration monitoring and provide them with appropriate training if evidence can show that being around loved ones improves outcomes and early warnings. In acute stroke, artificial nutrition t hrough an enteral route is needed because of dysphagia and since oral feeding is unsafe in some dysphagic patients, enteral nutrition is often administered as nasogastric or percutaneous endoscopic gastrostomy (PEG) tube feeding (Finestone and Greene-Finestone 2003). Naso-gastric tube feeding (a prevalent enteral method) has been reported to improve clinical outcomes more than the parenteral route in brain-injured patients (Rhoney et al 2002). Oh and Seo (2007) in their study used 85 subjects, but their work was limited by the fact that it was performed retrospectively and some of the subjects records were incomplete. Also, because the patients in the study were from one hospital it is not conclusively known whether the results can be generalised to the whole population./p> Legal and other aspects Japanese physicians attitudes towards artificial nutrition and hydration (ANH) as a life-sustaining treatment (LST) were examined to find out if they withhold or withdraw the LST when treating older adults with stroke-caused profound impairment with no hope for recovery. The study findings show that the informants held different views towards LST because most doctors considered ANH to be indispensable and ANH is automatically provided to patients (Aita and Kai 2006). With the advancement of medical technology, decisions to withhold or withdraw LST are among the most difficult to make for health professionals (British Medical Association 2001). Physicians caring for stroke patients often encounter comatose or semi-comatose patients with severe stroke for whom it is difficult to determine whether or not to continue care (Asplund and Britton, 1989). By administering LST, some patients in this patients group, whose bodily functions other than brain function could remain stable, could pot entially survive for months or years without achieving awareness or being able to interact with others (Aita et al 2008). Certain Japanese physicians have criticized the current efforts regarding life prolonging as Aita et al (2008) states: Prolonging the process of dying like this constitutes the violation of dignity and human rights. The life-prolongation only serves hospital operators who want to make profits by keeping hospital beds occupied. They also said this practice impacted the carers and that some nurses also feel emptiness toward the manipulative life-prolongation when taking care of these elderly patients. In the West, some countries have worked out nation-wide guidelines related to withholding or withdrawing LST that say stroke-caused profound impairment with no hope for recovery is a potential reason to withhold or withdraw LST (British Medical Association, 2001). Ackermann (2000) believes withholding and withdrawing therapy challenge family physicians to be excellent communicators with patients and families and recommends that family physicians should continue to be strong advocates for dying patients. Sprung et al (2003) highlighted differences between withholding and withdrawing therapy showing that withdrawal of therapy is followed by a nearer and more rapid death than withholding therapy, and that physicians and nurses were more inclined towards withholding rather than withdrawing therapy. Food and water are considered symbols of caring (Ackermann, 2000), therefore, it may be natural for physicians to give a special status to ANH as food and water. Whether to withdraw ANH from a patient in persistent vegetative state has also drawn substantial media attention in the U.S. (Casarett et al., 2005; Ganzini, 2006). The findings of the study also suggest that the physicians double standard is partly based on their subjective judgment whether the treatment is ordinary or extraordinary. However, the standard of ordinary/extraordinary care has long been criticized as too vague to guide decision-makers in the U.S. (Beauchamp and Childress, 2001). It is believed the current legal framework has also inappropriately led some physicians to simply continue care regardless of the patients conditions, thus resulting in putting an unnecessary burden on patients. The physicians subjective interpretation of the current legal framework may lead to decisions not to initiate mechanical ventilation in some older adults for fear of facing a situation in which physicians cannot withdraw it at a later stage Conclusion Hypovolemia and hypervolemia occurred frequently after acute stroke but were often not recognized as such by nurses. The nurses predictions of current volume status do not seem sufficiently reliable to serve as a basis for therapeutic decisions. More advanced techniques for bedside assessment of volume status may be indicated for optimizing volume status in patients with acute stroke (Hoff et al 2004). Whereas studies have looked at the optimal method of improving hydration, whether correcting dehydration in stroke improves outcome is not very clear. Given the complexity of the cell death cascade following brain ischemia, novel approaches and combination therapy are inevitable for victims of stroke (Fisher and Brott 2003). The review indicates that standards vary from country to country in the legal framework for withdrawing and withholding hydration and nutrition during end stage care.

Saturday, July 20, 2019

Alzheimer’s Disease Essay -- Alzheimers Disease Essays

Alzheimer’s Disease Alzheimer’s disease is a progressive condition where the neurons degenerate in the brain, while the brain substance shrinks in volume. Alzheimer’s is also the number one cause of dementia. When it was first noticed, Alzheimer’s was thought to be a pre-senile disease, but now it is known to be responsible for seventy-five percent of the dementia cases in people over sixty-five years of age. Alzheimer’s disease usually causes several years of personal and intellectual decline until death. Because there is an increasing number of elderly citizens in the United States, research into the causes and possible cures for the disease is on the rise (1). Several theories have been made concerning factors that may cause the condition; however, the cause remains unknown. Some suggest that it may be caused by some type of chronic infection or from exposure to a metal that may be toxic, such as aluminum (1). This line of belief originated from high levels of aluminum deposits being found in Alzheimer’s brain lesions (2). It is also known that people with Alzheimer’s have reduced levels of brain chemicals, such as acetylcholine (1). Additionally, people with Down’s Syndrome are more likely to acquire this dementia, with about fifteen percent of Alzheimer’s patients showing a family history of this disease. This leads many scientists to believe that there is a genetic link to the disease. When twins have been studied, a high agreement rate has been found for the disease. Furthermore, there is sometimes a very dominant pattern of inheritance of this disease, where a person has a fifty percent chance of acquiring it if either parent has Alzheimer’s (autosomal dominant transmission) (1,2). It is rare to acquire Alzhei... ...al and family study of 22 twin pairs. Neurology, 1987, 37, 359-3B3. 4. Thomas, C. L. Alzheimer’s Disease. Taber’s Cyclopedic Medical Dictionary, 15th ea., 1985, 61. 5. Murray, R. K., Cranner, D. K., Hayes, P. A. and Rodwell, V. W. Deposition of Amyloid Beta Protein is Involved in the Causation of Alzheimer’s Disease. Harper’s Biochemistry, 23rd ed., 1993, 750-752. 6. Miyakskawa, T., Katsuragi, S., Watanabe, K., Shimoji, A. and Ikouchi, Y. Ultrastructure Studies of Amyloid Fibrils and Senile Plaques in the Human Brain,1986,70: 202-208. 7. Frazier, S. H. American Psychiatry Glossary, 5th. ed., 1988, 11; 50: 153. 8. Cohen, C. D. Useful Information on Alzheimer’s Disease. Department of Health and Human Services, 1990, 5-7. 9. Rosenberg, R. N. A Causal Role for Amyloid in Alzheimer’s Disease: The end of the beginning. Neurology, 1993, 43:851-854.

Personal Identity and Psychological Reductionism Essay -- Psychology P

Personal Identity and Psychological Reductionism When we tackle the question of 'What makes us the individual persons that we are?', one approach that we can take is to seek an answer to the question of what it is that is required for a person to continue to exist over time. If we could agree on what is required for it to be true that you continued to exist, then we would have good grounds to believe that we had discovered what makes someone the particular person they are, and by extension, what makes any person the person they are. In essence, what we are searching for are the necessary and sufficient conditions for personal identity over time. In this essay we will focus on the claim that it is in fact, only the psychological characteristics of a person that are essential to personal identity over time. These characteristics include memory, beliefs, intentions and personality. It might also be the case that persons require some kind of body, or at least a physical means of sustaining thought, but it is the thought, not the physical basis of it, which matters. This stance, known as 'Psychological Reductionism', argues that all other features, be it physical or otherwise, are neither necessary nor sufficient for personal identity over time. Looking at the history of Psychological Reductionism may be useful in helping us understand how this view came to be considered as a possible model for personal identity over time. Descartes, in a way, set the scene for Psychological Reductionism by identifying thinking as the essential characteristic of the 'self'. His famous "I think therefore I am" placed at the core of the 'I' the capacity to think. However, by no stretch of the imagination, could we label Descartes a Psyc... ...). Chapter 14. pp. 407-415. Palmer, D.E.. Parfit, the Reductionist View, and Moral Commitment. Twentieth World Congress of Philosophy. Boston, Massachusetts, U.S.A. (1998) http://www.bu.edu/wcp/Papers/PPerPalm.htm Pyle, Andrew. Key Philosophers in Conversation. Routledge.(1999). Chapter 16. pp179-195. Scruton, Roger. Modern Philosophy — An Introduction and Survey. Mandarin.(1994). Chapter 22. pp.304-307. Torriani,T. Continuity without Identity. Rootless Self-Images (Recovering Ethnic Identity) (1998), Section 1.3. http://www.padanialibera.net/torriani/htm/mprft3.htm Warburton, Nigel. Philosophy — The Classics. Routledge.(1998). Chapter 5. pp 55-56. Westphal, Jonathan. Philosophical Propositions. Routledge.(1998). Chapter 7. pp. 89-106. Wilkes, Kathleen. The Systematic Elusiveness of ' I '. The Philosophers' Magazine 12, Autumn 2000. pp. 46-47.

Friday, July 19, 2019

Little Prince :: essays research papers

A Fable For Adults -- The Little Prince by Saint-Exupery I guess that among people who have read the book The Little Prince which has an amazing amount of readers around the globe merely second to the Bible, there should be many more grown-ups than children, though the classic tale can be read on many levels and enjoyed by readers of any age. Undoubtedly, it is full of vivid imagery and beautiful illustrations that make it sweet enough for children. However, because of the symbols, metaphors, hidden sentimental atmosphere, especially the tragic ending -- children are used to such sentences as the princess lived happily together with the prince for ever and ever -- and the moral it conveys, teens will not have proper understanding and appreciation of this story. I ¡Ã‚ ¯d rather believe that Saint-Exupery had written The Little Prince which is simple yet profound for the adults who still keep child ¡Ã‚ ¯s hearts. The little prince came from a tiny unknown planet. He had left his beautiful rose, traveled to lots of places, and met all kinds of ridiculous things as well as a wise fox and a pilot the narrator. He was looking for something though he was not aware of it. After all, the little prince learnt life lessons and we adult readers learn more from him. Adults in the Prince ¡Ã‚ ¯s Eyes Leaving his own planet, one after another, the little prince met a king, a conceited man, a tippler, a businessman ¡Ã‚ ­ and finally he arrived on the earth. All the person he met is either stupid or selfish -- from children ¡Ã‚ ¯s point of view, adults are always hard to understand and they are doing inexplicable things. But it is true! Aren ¡Ã‚ ¯t we always pursuing empty things such as fame and fortune just as the king who ruled no subjects and the man who was extremely conceited? Aren ¡Ã‚ ¯t we always trapped in a circle set by ourselves just as the tippler and businessman -- drinking for forgetting drinking, selling stars for making more money to buy stars? Aren ¡Ã‚ ¯t we always keep working but forget the aim of working just as the geographer? As we are growing up, something much more valuable than money or social status deserts us little by little without our notice. Maybe we will begin to appreciate the simple things in life again and discover the real difference between children and adults after reading this beautiful tale. The Rose and the Fox

Thursday, July 18, 2019

Legal History of Bangladesh Short

Legal System has developed gradually in Bangladesh with her growth as a nation over the centuries. Before the advent of British rule this part of the country was under Mughal rule. The Mughals seized power from the Turko-Afghan sultans who ruled the country since the beginning of the 13th century. It was under the Hindu ruler (Aryans) for 1500 years before and after the beginning of Christian era when they conquered the land by vanquishing the indigenous people. During the Turko-Mughal rule the country formed the eastern part of Subah Bangla and, during the British rule, eastern part of the province of Bengal.Historical development of Legal System of Bangladesh: Legal history of Bangladesh can conveniently be studied under five important periods — Hindu Period, Muslim Period, British Period, Pakistan Period and after independence (or Bangladesh period History & Development of Legal System in Bangladesh: Hindu Period to Pakistan Period Md. Ziadul Islam Chowdhury Sadi Department of Law University of Dhaka Legal System has developed gradually in Bangladesh with her growth as a nation over the centuries.Before the advent of British rule this part of the country was under Mughal rule. The Mughals seized power from the Turko-Afghan sultans who ruled the country since the beginning of the 13th century. It was under the Hindu ruler (Aryans) for 1500 years before and after the beginning of Christian era when they conquered the land by vanquishing the indigenous people. During the Turko-Mughal rule the country formed the eastern part of Subah Bangla and, during the British rule, eastern part of the province of Bengal. Historical development of Legal System of Bangladesh:Legal history of Bangladesh can conveniently be studied under five important periods — Hindu Period, Muslim Period, British Period, Pakistan Period and after independence (or Bangladesh period). HINDU PERIOD: Introduction & Sources of Law Legal system in Bangladesh under Hindu period is also known as Aryan legal system because during Hindu period law and legal system were mainly developed by Aryans who migrated from central Asia[1]. After coming to India the Aryans followed certain norms in their conduct with one another. Read also History QuizzesThe rules of conduct (achar) of each class included religious observances which were binding, and violation of the same was expiated by the rituals of penance (prayaschitta). The Brahmins, the priestly class, helped the wrongdoers in performing those rituals. Those rules of conduct were called dharma and included duties and obligations. In course of time it became the dharma of the king to compel the people to observe their rules of conduct and the Brahmins, as the repository of knowledge of those rules, advised the king in administering the same. Legal obligations and their violations were

Wednesday, July 17, 2019

New Media Marketing Campaign Success Story Essay

come d protest was one of the biggest planetary brands introduced and proclaimed by Unilever since 1957. fall(a) started its chance as a yellowish pink ooze mensuration that was clinically proven to be milder for dry, sensitive skin than other leading(a) soaps half of women experience dry skin. dove provides a wide range of purging and personal fretting products that check a genuine difference to the condition and feel of consumers skin and fuzz. Some products of plunk include antiperspirants, deodorants, body washes, bag bars, lotions and moisturizers, hair fright and facial c be products. During the 1990s, the throng began to ext conclusion the brand across the boom personal care spectrum, and go down outright encompasses a wide range of products from bar soap to shower gel, and from deodorants to shampoo-conditioners. fall has attracted far-flung media concern since 2004 for its marketing. A new string of plunge for Men products was launched in 2010. oer the last few years, Dove has cerebrate on delivering products that inspire women to enjoy their own stunner and individuality. As part of our bowel movement for original Beauty, the Dove Self-Esteem strain (DSEF) demonstrates our commitment to the brands kick to make such(prenominal) women feel well-favored each day, by widening at onces view of spectator and by inspiring women to issuing great care of themselves. The DSEF aims to educate and inspire young girls with a series of tools and workshops which ultimately protects and nurtures their body-related self-confidence and enables them to become fully realized adults. crusade IntroductionDove play for Real Beauty is carry that focused non on the product, but on a way to make women feel fine regardless of their age and size of it. The point shtup the execute is to celebrate the natural corporeal variation embodied by all women and inspire them to have confidence to be comfortable with themselves. The launched campaign featured common women of antithetical shapes and sizes viewed in a keep down of ways one was approaches in the avenue another answered an ad which was placed in a local newspaper. The Dove political campaign for Real Beauty is a global effort that is intended to serve as a starting point for societal trade and act as a catalyst for widening the exposition and word of honor of strike.The campaign supports the Dove mission to make women feel more(prenominal) than beautiful every day by challenging straightaways stereotypical view of beauty and inspiring women to take great care of themselves. In addition to changing womens view of their bodies, Dove also aimed to change the beauty market. In an industry where the moulding of beauty is often a size devil blonde super example, Dove lofty itself by using models that ranged from size sise to fourteen. CRFB abandoned the conventional cynical mode of portraying perfect women as beauty constituent models. Main go als of the on position campaign were to subscribe awareness to the new product line, stimulate debate active the definition of beauty, draw media attention, gain market insurance coverage chuck up the sponge consumer interaction with the brand, and call to join the self-pride program partnership. .Type of New Media utilizeWebsiteThrough Doves website, the man is able to gain more insights about the campaigns. The Dove Self-Esteem Fund was developed as part of the Dove prevail for Real Beauty to help light the next generation from self-limiting beauty stereotypes. We have already helped over 5 billion girls and we invite you to play a role in supporting and promoting a wider definition of beauty. Dove Self-Esteem Fund Girls tho Interactive Self-Esteem Zone (Appendix 1.3) allows the man to do everything from take interactive quizzes, creating their own online magazine to get a realism check in art of theatrical role manipulation. Furthermore, they gived a viral te lly (Appendix 1.4) Evolution, cover the transformation of a normal feeling girl into a stunning model and affix it on the website. Visitors faeces overture new self-assertion building tools, take part in interactive self-esteem activities and join self-esteem discussion boards. FacebookAs consumers forthwithadays are getting more IT savvy, the Dove Facebook page (Appendix 1.1) generally attracted 3,688,330 tidy sum liking it. From the page, Dove not alone educates the campaign to the public, it also engages the public and users of Facebook to convey with them. Dove has done so done the interactive panels (Appendix 1.1), where they asked What does real beauty fee-tail to you? From there, the public will post their repartee or view up the paries of the page. The Dove Facebook page is able to affect mass audience of several(predicate) languages and finish as they allow visitors to pick their authentic country and language choices. Thus, even if the visitor is not En glish speaking, they will close up be able to understand the reading stated on the page. YouTubeYouTube is a social media platform that allows feedback from its viewers. By using YouTube, Dove has stimulated its customers to get involved by telling their own opinions about beauty concept. That helps the campaign more and more lucky and well-known. With YouTube, Dove can also flyer the effect of their campaign via the number of viewers. They created viral impression and placed it on the CFRB website, the tv set Evolution, shows the transformation of a normal= flavour girl into a stunning model and it became a hot doneout YouTube by the name Dove Evolution Video, 2006.Doves Evolution video (Appendix 1.2), which win both a Film yard Prix and Cyber social lion (A super acid Prix for cyber-marketing) at the 2007 Cannes Lion Inter issue Advertising Festival, takes a different approach. By highlighting the extent to which pictures of models are often modified and retouched in advertisements, this video point out the unrealistic constitution of many models appearances. Showing how much a models appearance can change from its natural state at the beginning of a photo shoot, give thanks to make-up, stylists and computers, Evolution is intended to challenge women not to accept a type of beauty that is unrealistic and attainable only through and through the use of editing and retouchingConclusion event of the CampaignThrough the campaign, results stated that the campaign has been shown on over 25 study TV conduct and in more than 800 articles in opinion leading newspapers as well as in familiar womens magazines. In the first sixsome months of the campaign, gross revenue of Doves firming products increase 700% in Europe and in the unite States, sales for the products in the advertisements change magnitude 600 per centum in the first two months of the campaign. In 2004, the first year of the campaign, global sales surpassed $1 billion, exceeding compa ny expectations. Doves public relations company built in news coverage for Asia with the Dove models appearing in 618 different newspaper clippings with a circulation of 139 million. By the end of 2005, sales in the Asian-Pacific market increased from 19 percent to 26 percent. In the United States, the campaign got free publicise space from media coverage on national television shows reaching 30 million daytime television viewers.These shows include The Oprah Winfrey Show, which included the campaign everyday for a week, The Ellen DeGeneres Show, The straight off Show, The View and CNN. Evolution the viral video and the most famous execution of the campaign to date had global impact. The viral has been viewed more than 15 million times online and seen by more than 300 million tidy sum globally in various channels of distribution, including news coverage, by the estimation of Ogilvy Chairman-CEO Shelly Lazarus. Dove and Ogilvy have won awards for this campaign. These include the t wo universal gravitational constant Prix Cannes Advertising Awards in 2007. This is an new number of awards to win. Evolution the viral won Film Grand Prix and a Cyber Grand Prix. Dove won a smooth IPA for effectiveness with the campaign. In 2006 it was awarded a Grand EFFIE, which honors the most significant achievement in marketing communications effectiveness.Individual viewThe success of the Dove campaign has been its carefreeness in bypassing traditional mainstream media and entering commonplace culture through new media. Dove used YouTube to ask their consumers to help create the Self-Esteem Campaign. To get things started, Dove posted a fast-motion, one-minute film entitled, Dove Evolution, which races through the cosmetic artistry and Photoshop plastic operating room that ultimately transforms a models features into an ethereal face that then appears on a billboard. The film ends with the tag line No wonder our perception of beauty is distorted. The YouTube Dove film h as been viewed over tercet million times and has brought more attention to the Campaign for Real Beauty. Doves message and story then migrated to the recreation media.The spot played on TV shows such as Ellen, Entertainment tonight and The View. Dove, the brand with a point of view, now had customers with a point of view. The Dove Campaign opened marketers eyeball to the importance of global consistency. The internet makes it easier for sight to connect the dots and to share information. With the internet bounteous the consumer a voice and allowing user-generated media to have a real impact on our culture, marketers should be able to recognize this and realize how much power the consumer now holds.

Hayleys Consumer HR policy

Hayleys Consumer HR policy

You dont need to get a team policy on every aspect of your organization.Hayleys Consumer new Products limited hosts home for many of the world renown brands in Sri ancient Lanka such as Downy, Gillette, Olay, Whispers, Tide, Pantene, Kiwi, Pringles, Fujifilm, GP Batteries, 3M, Head and Shoulders, late Philips and etc. These brands are basically operated under few divisions such as Consumer Lighting, Consumer functional Imaging and Information, Consumer Healthcare, P;G products, New Business development.There is a supermarket channel owned by the Hayleys consumer named Haymart and there are outlets owned by Hayleys for perspective different brands such as Hayleys Caf © Pixel for consumer imaging and information and Lighting little craft for consumer lighting. Hayleys consumer products have reached a range of 70, 000 outlets throughout the whole country and expanding their business day by day as the corporate leader of the Sri Lankan market.It late helps to have a sample policy w hen youre prepared to make your own.The share higher prices of the Hayleys group have also increased despite facing tough competition and rapidly changing market conditions. Investments made by the group has also rapidly increased within the past few years, this has especially been total true for the leisure sector. 2.Examination on the five HR roles at Hayleys Consumer World of Hayleys has a proper Human resource management system under it, the world of Hayleys has a small group HR department to control the HR activities of the companies under the group and each daughter new company of the group has a separate HR department to control the HR activities going on dark inside the company.

Legal counsel A policy thats assessed by legal counsel needs to be shared with employees.There how are permanent staff and also contract staff working under Hayleys consumer. Service very center is providing all these people with a maximum service for their betterment. All the HR functions are computerized at Hayleys consumer and the news and information is passed through email to the administrative and senior executive staff, including their pay role and other relevant information every month, those additional information for the other Junior staff with no company email address is given manually. The HR central system is outsourced atHayleys Consumer and all the details of every employee working under Hayleys consumer is inserted into the system where click all the necessary details could be taken in a few seconds at the finger tips.Developing a recruitment policy how that is proper is your step in an effective hiring practice.That is the main time where outsourcing what comes in for the service center, and the evaluation is done through the company HR department. The provident general fund at Hayleys consumer is the same as the group it is a private provident fund not such like many of the other private companies in the country and the employees have quick access to their fund through he HR service center. . 2 Corporate HR Corporate HR usually lies on old building a connection between the companys strategic goals and the flow of Human resource objectives.

You should make and old keep up a separate file for every one of your employees.The Management Trainee program done by the group HR department along with the company HR departments is a good example of how the corporate HR works within Hayleys Consumer.Even when hiring interns for the consumer the group HR gives a much better help in selecting the best to succeed towards he strategic goals of the corporate. When a division in the company ask unlooked for a new recruitment the HR division goes through their information bases and do the surveys to select the best fit for the position to make the path easier to achieve strategic goals. The recruitments vocational training and development is done and the objectives of HR are set in a way which the small group strategic goals can be achieved.HR Policy Manual A HR policy manual for smaller businesses start with the needed policies.At Hayleys consumer the mbedded role in HR is not identified as vital and important and logical not give n much of an attention by the HR department of the company. The HR manager old has direct links with the managers and the staff of the organization and opens up to connect discuss any issue or matter regarding their work but the discussions needed to be done to acknowledge the managers are not done properly.Sometimes the HR manager doesnt know the vital situations in the company where there are threats for some employees Jobs where there how are threats that some divisions could be closed down in the near future and the HR assistant manager should have a clear understanding about such ituations to provide those employees with Job opportunities at most least in some other company in the group but apparently the HR manager in the consumer products is forget not well aware of such facts, but the manager should be aware and should be able to provide necessary divine guidance for the employees in such situations. .

In the era of today, businesses big and small how have a challenge not to just help develop their workers, but to guarantee compliance start with the requirements of employment law.2. 5 Operational Executor This role is basically to check whether the other five roles how are going in order to achieve the goals both HR and strategic for the organization.This role is click done by the group HR for the consumer products limited and given much of a such notice where the HR roles are carried through well within the organization. Every month a report is asked by the group HR department from the consumer HR department to check whether everything is in line according to the plan.Many years earlier, our business grew from three to eight workers in a time same period that was really brief.Employees need to be favorable and collaborative.

Employees need to have a rational comprehensive comprehension of the procedure thatll be followed for termination and discipline.Employees are our asset logical and play a vital role in our companys achievement.They ought to know the advantages deeds that they will receive in addition when he is hired.They need to address the coverage of the organization on the new job on the hidden weapons.

Tuesday, July 16, 2019

Edgar Allan Poe’s ‘The tell-tale heart’ and Ray Bradbury’s ‘The fruit at the bottom of the bowl’ Essay

match and job the master(prenominal) themes from Edgar Allan Poes the divide-tale soft tittyedness and slam Bradburys the produce at the sink in of the roll.The dickens stories twain verify offence, penalization and s ratiocination off. The ii stories twain retr e trulywheret dickens men who let haunt with both his plunk for or individual elses form part. They count genuinely homogeneous b arly forthwith they ar re e rattling(prenominal)y preferably an the inverseThe agents dickens stool up tensity in in that respect stories they piddle absent this gain by adding some topic to the highest degree the claim/write enquiry in c pretermit twain(prenominal)(prenominal) hunt, which makes the subscriber pass on of what is dismission on. electron beam Bradbury tries to advance us a cue in his act what the invoice is sanitary-nigh, in antecedent you dupe fill up the invention the designation is non de piece of musicdy provided aft(prenominal) you suck in carry the tosh it obtains cle arr, the valet de chambre in the hi bol wizy hits some atomic number 53 and shows ghost with cleansing, as he necessitates to issue forth discharge of the exhi second gear. The agent drills the fiction the harvest-feast at the scum bag of the atomic number 18na to punctuate that the art object is so obsess with the grounds and what rat be seen he has for vanquish close to the things that ar doubtfuler than the draw near what the warmness bedt see, benignantred the forthput that is at the merchant ship of the bun. In this hi ro military objet dartce we argon non accustomed a call forth, awaken or devoted any benign of entropy active the image, which is quite st flow.Edgar Allan Poe does the kindred(p) kind of thing with his title of respect of respect the enounce-tale burden this as thoroughly is non get to us until we bem mathematical function re ad the myth his title explains what materialises when the type stigmatiseters case is caught he/she breaks subdue in social movement of dickens policemen because of his/her sum, his sensible is sexual relation him what to do and lastly the oddball breaks dis do master(prenominal)tle. The account is nearly a thin-skinned soulfulness that I am raw who is pale by nonp aril parts snapper and deposet resume it no interminable and reddentually run intos the while and gets caught when he/she breaks good deal core grouped in motility of ii officers, nonwithstanding he/she scarcely opines they turn over thatchered the middle solely they put one acrosst enlighten they fool obliterateed the man merely deep in in that respect encountert they cheat they put up make defile and their assured gets the intermit of them.The yield at the understructure of the argona is restrict at midnight the quantify ticked midnight and the disposition who is W illiam Acton gravels ghost with cleaning as he has killed a man (Huxley) and wants to get ptyalise of the indicate in almost every line it mentions something approximately his hand or fingers he is hard to int dying what his manpower or fingers withstand stirred the fingerprints were every, everywhere at the remnant of the study it doesnt dictate us if Acton was caught it leaves us to pee-pee chances what is spill to play to him. As in the tell-tale the s cuckoos nest (who we argon not t overaged a name or sex) is tired of(p) and becomes haunt with an nitty-gritty of a man I deliberate of it was his nerve, yes his essence and thats what causes the absent and we do last that he is caught. They both(prenominal) pull the crime by executing.We do impinge on that both the important grammatical cases atomic number 18 taken a air and tending(p) prison house sentences only if it doesnt in reality tell us this is natural sluicet because of the c harge the stories argon set by with the nictitate backs, the prehistoric and simulateation tenses we do not whap if the accounting is organism told to us even from a prison cadre or if they convey already get thither penalisation it leaves us in doubt to what is exhalation to happen to them or what has happened to them. It does wee-wee us an motif that they are already sentenced because they are coition the tier in the by departed bring erupts.In the tell-tale sprightliness the teller is verbalize the baloney he or she offset printings to go distressed when he mentions the shopping mall and he starts to condition up tensity when it comes to the end where the geek breaks win in front of the deuce officers the temper breaks down because of the tender nervusedness get the better of in his head save I founding fathert come back he does hear this in his head I call it is his witting give tongue to him to knowledge to what he has do in the written invention they plant this by adding a peck of exposition attach because he is rupture down and it is all occurrent so fast I could bear those hypocritical smiles no chronic I tangle I moldiness foretell or returnIn the two stories the slips choose to kill their victim. In the tell-tale snapper the vitrine be laterwardswards to kill the man he couldnt take the collection of the shopping centre any retentiveer I make up my wit to take the sustenance of the old man, and olibanum un slatternlyn myself of the eye unendingly as in the payoff at the nates of the curlicue it was through with(p) more(prenominal) ad lib he mediocre end up having an subscriber line with a man called Huxley and Acton (the main character) stop up strangling Huxley and sidesplitting him. until now though the two stories attend very likewise they prepare their differences.In the harvest-time at the lowlife of the peal the writer uses a range of sentences when he is have words of the town just about the medieval he uses long sentences and in present he uses shorter sentences withal the author writes the stage after the murder is attached and tells us how the murder is effect by victimisation smash backs and includes us into the account when he is talk in the present, which makes the write up count more eerie, as the the tell-tale heart is told in a jolly antithetical way it doesnt use the analogous way of committal to piece of music he writes in one coif kinda of two.He writes in the starting signal soul harken I and trace how healthily- how calmly I screwing tell you the satisfying stratum. He starts the outgrowth of the invoice lecture to the ref which drifts you in to the story because the character is not public lecture smack I hear all thing in paradise and in earth. I comprehend numerous things in hell so how and so am I gaga? and you become at sea to what is passage on and makes you want to read on to stripping out what the character is verbal expression and what he is on about?In the tell-tale heart the character mentions that he has gone(a) hallucinating wherefore pass on you opine thusly that I am mad? he has anomic his creative deemer and I imagine that is punishment full for him because he has took out-of-door somebodys life now he has had his sagaciousness taken from him. In the harvest-feast at the john of the bowl I weart conjecture Acton has gone unrestrained he just becomes haunt with assay to get governance of the evidence and this is what makes him become obsessive.I dont think in advance the murder either of the characters were mad, whitethornhap the character in the tell-tale heart may have been a while mentally volatile as it is a bit confuse how he becomes so obsessive over one mans eye further I think that he/she tends to lose their take heed after the murder as it has got to him/her a lot. As William Acton in any case tends to lo ose his foreland towards the end of the story as his manpower start to take run across that unmapped to his eyes, his gloved fingers travel in a forgetful detrition stave on the palisade and to a fault he starts to talk to himself would u, I would, are you certain, yes.I think both stories had a well survey out linguistic context and both themes were weapons-grade still even though the stories both chink the same confine (murder, crime and punishment) they depend very identical just they are in truth quite versatile I didnt fix that until after I had compared the two stories. The two authors use opposite styles of writing in their stories. I really enjoyed edition the stories but not as lots as canvas them and catching how some(prenominal) they are unlike.