Business Policy and Strategic Management Essay Example | Topics and Well Written Essays - 250 words - 2

Business Policy and Strategic Management - Essay Example Starbucks will have to re-think the assumptions on which they based their pre-recession strategies: environmental and industry factors have changed. Strategic surveillance Starbucks follows a differentiation strategy where its basic aim is to produce a brand image within the eyes of its customer through the unique taste of coffee and the exclusivity of all its other products. Currently, Starbuck’s competitors are being favored by a global economy that is slowly recovering from a recession. How the effect of the recession will play out in the long run is difficult to project now, therefore Starbucks must increase its vigilance especially with regards to its day to day activities and their overall impact on its corporate strategy. Special alert control A special alert control is the thorough, and often rapid, reconsideration of the firm’s strategy because of a sudden, unexpected event (Pearce II and Robinson, â€Å"Chapter 13: Strategic Control† Slide 13-10). The economic and financial recession of 2008 greatly affected Starbuck’s key market segments in America and Europe. Surprisingly, the Asian markets were fairly more stable and have continued to grow.

Bank of America Essay Example for Free

Bank of America Essay In a workplace where multiculturalism exists is a diverse and successful workplace. Diversity helps workers and customers to do business freely because majority of customers are comfortable to communicate with people from their own culture. Pacific City Bank a financial company, which is not a diverse bank, has employees from only one culture and this has made way for customers from the same culture to be comfortable to do business with them. From the higher level C.F.O to the vice president of the company everyone is from the same culture. It is positive fact for the customers from the same culture to feel comfortable to communicate and have safety when doing business, but there are many negative effects of not having diversity in a workplace. When your doing business in a multicultural country, it is not viable to stick to doing business only with one culture, as the potential of the company cannot be reached. Customers from other cultures would not be comfortable to do business, as they cannot understand their language or might feel out of place to do business. Whereas Wells Fargo another financial company, which is majorly known for diverse workplace has more benefits compared to Pacific city bank. Customers are more comfortable to bank with Wells Fargo, as they feel comfortable with the choices of diverse people available to communicate with. Wells Fargo’s main goal is to make their customers comfortable while banking with them. By hiring diverse employees, their workers will understand basic methods on how to act in front of another employee or customer from different cultures. Wells Fargo respects other cultures and policies. The company’s council including the Chairman, C.E.O and other senior leaders meet quarterly to establish goals and set up directions when partnering with committee in the areas where there is diversity and market segment diversity. They ensure there is supporting infrastructure and inclusion- related behaviors as the â€Å"work of all† versus the â€Å"work of a few†.

Anatomy of Criticism Essay -- Anatomy of Criticism Essays

Anatomy of Criticism  Ã‚   Introduction In his Anatomy of Criticism, Northrop Frye offers a complex theory that aspires to describe a unifying system for literary criticism. It can be argued, however, that in attempting to delineate such an all-inclusive structure, Frye's system eliminates identity in literature. The present essay takes up this argument and offers examples of how identity is precluded by Frye's system as outlined in Anatomy of Criticism. Structure Vs. Identity In Frye's system, the organizing principles that give literature coherence and structure are derived from the myths of ancient Greece and the archetypal imagery found in the Bible. In his Third Essay, Frye suggests that all literature is based on displacements of these myths. In postulating this, however, Frye denies the individual identity of a work of literature: it becomes merely another abstraction of an axial symbol, an embellished copy of an archetypal myth. This tenet essentially annexes the identity of the writer as well, for every work of literature is seen by Frye as being based on or derived from all other works. The originality of a writer's ideas is denied, and the author's identity is therefore negated. There is no such thing as an 'original' literary identity in Frye's system. For Frye, literature must lead back to the Garden, to mythical symbolism; if a literary work does not displace an archetype, then it is not considered to be literature. Although it seems that Fry e is able to find axial imagery in almost any work, we must ask what his theory of myths excludes. If we look at the works cited in the Anatomy, we see that Frye concentrates much of his discussion on the classics of Western literature (Shakespeare, Chaucer, Milton, T.S. ... ...y in this quote by removing the individual from the question: the immediacy of "Who am I?" is replaced with the more disinterested and impersonal "Where is Here?" But the questioning of identity is central to the Canadian imagination, and is perhaps an axiom of our identity. In decontextualizing and desocializing literature, Frye denies the Canadian literary identity. Conclusion Northrop Frye's theory of literary criticism attempts to include all literature in a structure that totalizes. In doing so, however, identity is excluded: the identity of the writer, the reader, and individual works ofliterature is denied; in denying these identities, Frye perhaps precludes the identity of literature itself.    List of References Used Frye, Northrop (19 ). The Bush Garden. Works Cited: Frye, Northrop. Anatomy of Criticism: Four Essays. Princeton: Princeton UP, 1957.

Origin of Narcocorridos

In the book, â€Å"The Handbook of Texas† Dan Dickey writes that in the late 1940’s and 1950’s when â€Å"Tex-Mex† music became commercialized, so did the Music called â€Å"corridos†. Back then it became popular to hear songs about drug smuggling and violence. Music from the genre corridos which was about drugs and drug smuggling was called narcocorrido, which some would say is â€Å"Mexico’s style of gangsta rap†. An excellent example of narcocorrido would be â€Å"El Avion de la Muerte† (The Plane of Death) performed by Los Tigres del Norte, which is arguably one of the most popular corridos bands in history. Los Tigres del Norte have written and performed many songs throughout their career. This famous Mexican band started in 1968 and was made up of three brothers (Jorge, Raul and Hernan Hernandez) and their cousin (Oscar Lara). They started to play their grandparents’ instruments in bars, and like thousands of immigrants they crossed the border to make it in America. Their first hit came in 1970 and was a song about two rival drug dealers. However, in 1972, their song â€Å"Contrabando y Traicion† (â€Å"Contraband and Betrayal†) became a topic of controversy. Not only was it about drug smuggling but how a woman killed a man before he could abandon her. Why would the act of murder committed by a woman spark such controversy? Bataille’s tells us that, â€Å"Such a divinely violent manifestation of violence elevates the victim above the humdrum world where men live out their calculated lives. To the primitive consciousness, death can only be the result of an offence, a failure to obey† (Bataille, 82). Even before Los Tigres del Norte, there was Rosalino â€Å"Chalino† Sanchez, a renegade artist from Sinaloa, a state in the north of Mexico that is well known for its abundant marijuana fields. Hodgson writes, â€Å"When he was 15, Sanchez shot and killed a man who had raped his sister, and fled to California, where for a while he worked as a ‘coyote', smuggling illegal immigrants and drugs across the border. Only when he was arrested, and spent nearly a year in Tijuana prison, did he discover his skill at song writing. He began composing corridos for fellow inmates, and once outside, found his skills in demand from both dealers and legitimate immigrants. † While not the best singer, his incredible lyricism built his reputation quickly. Having earned his street credibility in jail, he soon afterwards was contacted by famous Mexican drug lords who would commission him to write songs about them and their criminal exploits. To shed some light on this fascination with death, we can turn to writer Margaret Atwood in her book Negotiating with the Dead: â€Å"All writing of the narrative kind, and perhaps all writing, is motivated, deep down, by a fear of and a fascination with mortality — by a desire to make the risky trip to the Underworld, and to bring something or someone back from the dead† (157). Chalino, in this way, had a sought-after ability to immortalize the Mexican drug lords. Chalino, himself, portrayed the brave image of the Mexican cowboy. After dealing with the narcotraf icantes, he acquired both powerful friends and enemies. According to an informer that talked to Martin Hodgson, â€Å"The cartels used the group’s music to lay out a code of conduct for its members: ‘Through the corridos comes the philosophy, how the members of the cartel have to behave. If you listen carefully, the songs tell you what they did wrong. You learn what you have to do so they don’t kill you. ’† At the same time, the death drug-lords became heroes through corridos. Some enjoyed their hero status while still alive, but most of them earned it after death. This returns us again to Becker’s introduction to Human Nature and the Heroic in his book The Denial of Death. He explains, â€Å"†¦ [T]he problem of heroics is the central one of human life, †¦ it goes deeper into human nature than anything else because it is based on organismic narcissism and on the child’s need for self-esteem as the condition of human life. Society itself is a codified hero system, which means that society everywhere is a living myth of the significance of human life, a defiant creation of meaning. † Hence, by commissioning corridistas to write about them, narcotraficantes could satisfy that narcissism and become heroes in their own right.

Corporate Social Responsibility and branding Essay

1. Introduction In this chapter the background of the thesis will be presented and discussed. Moreover, a literature review, research problem and research questions will be introduced in order to get an understanding of the study purpose. This is followed by the limitations and disposition. 1.1 Background The companies of today are very aware of what the public and other stakeholders demand from the companies ´ way of handle their responsibilities (Burchell, 2008). In order to form a strategy for the protection of their brand image and reputation many companies find themselves engaging in Corporate Social Responsibility activities (Kotler and Lee 2005), from now on abbreviated CSR. The desire of doing well and doing good in the society in which the company is operating have been of increasing interest world wide during the last decade. As a result, corporate reporting on social responsibility initiatives can more often be found in companies ´ marketing strategies (Kotler and Lee, 2005). Even though CSR activities are increasing among today ´s organizations there is still lack of a general universally definition of this concept (Crowther and Capaldi, 2008). But in a broad perspective CSR is understood and described as the way companies integrate social, economic and environmental matters into their internal organization (values, culture, decision making and strategy), which leads to establishment of better society, wealth and better practices within the company (Horrigan, 2010). Considering the breadth of CSR it can subsequently be described in many different names: corporate responsibility, corporate sustainability, corporate accountability, corporate citizenship, sustainable development etc (Benn and Bolton, 2011). In a shorter explanation, CSR can therefore be explained as the relationship between a corporation and its stakeholder (Crowther and Capaldi, 2008). Already in 1972 the American professor in Business Administration, Dow Votaw, stated that the amount pages on social responsibility written in our time would fill up a small library. As it turns out, he was right. CSR is here to stay. The idea of taking responsibility beyond what the law demands has increased since the millennial shift (Borglund, DeGeer and Sweet, 2012). Especially big organizations, both in the public and private sectors, are engaging in these kinds of activities (Burchell, 2008). The benefits of a company ´s usage of CSR activities can lead to a better position in the market and a positive return on investment. On top of that of course the benefits for society, such as improvement of life or a cleaner environment (Kotler and Lee, 2005). On the other hand, many view CSR mainly as a step towards a reputation as a responsible business and as good citizens (Burchell, 2008). Either how, risks by avoiding to use this concept can lead to lack of legitimacy for the organization. Meyer and Rowan (1977) also claim that when having a business it is important to be accepted and to be legitimacy in the environment as well as having effective and structured internal processes to survive. According to Grusch (2006) consumers actively scrutinize the local behavior of international companies. Their out-sourced ventures are also being observed, and information regarding possible bad behavior reaches the ears’ of the public much more quickly than it used to. Consequently, to the stakeholders’ awareness and other factors that can have an impact on a company’s survival, it is therefore important for companies to establish competitive advantage. Differentiation is a way to secure competitive advantage. By using a differentiation strategy a company ´s key strengths and core competencies builds up, and this is where CSR has an important role for a company ´s brand as it gets differentiate by incorporating it in the corporate image. This kind of action can generate to better brand attitudes and in the long run this will result in brand loyalty (Grant, 2008). 1.2 Literature review 1.3 Problem discussion As stated in the background, CSR is a burning question among today ´s companies. Stakeholders are starting to put more pressure on companies ´ responsibility in the society they are operating in, therefore, in order to get a competitive advantage CSR has become a major tool in their marketing strategy (Kotler and Lee, 2005). A branding law defined by Werther and Chandler (2005) shows that CSR will evoke attitudes towards the brand. Are these attitudes positive it will be lead to positive purchase decision and loyal customers, which give companies competitive advantage (Roper and Fill 2012). In Kotler and Lee ´s book (2005) Corporate Social Responsibility – Doing the most good for your company and your cause, they are describing examples of well-known organizations that have used CSR to increase their brand value. It has therefore been a shift focus in the CSR debate, nowadays it is more a debate of how CSR activities should be used and how effective it can be used as a branding tool, rather than if companies should use this concept or not (Smith, 2003). Based on the debate the question that arises is therefore: in what way should CSR activities be used in order to be effective for a positive attitude towards the brand? Today there are many studies relating to the area of CSR. Research does suggest there is a positive relationship between CSR and consumer attitudes towards brands and companies (Creyer and Ross 1997; Ellen, Mohr and Webb, 2000; Lacey and Kennet-Hensel, 2010). It is also shown in studies that CSR activities influence how the consumer behave when a certain brand appear in their mind (Becker-Olsen et al., 2006; Nhattacharya and Sen, 2004). However, most of these studies are focusing on people and brand perception in developed countries. The literatures were more specialized of how the CSR influences image of the brand in the western world and how the western public persuaded the brand of the CSR activities. When doing literature research, the amount of research studies about CSR in developing countries were of a narrow amount. No study could be found about CSR ´s link to branding in a developing ´s countries perspective, further, about how the locals ´ (employers of the company and the consumer in the developing country) brand perception of CSR activities are. As the real life stories in Kotler and Lee ´s book (2005) showed that CSR has an effective link to the brand. However, most of the organizations were conducting the CSR activities in the country they operated in and the society had a good knowledge of what CSR is. Likewise, a study showed that the brand would be â€Å"effected† and look different if the consumers were aware of CSR of the companies (Boulstridge and Carrigan 2000). So the question that can be asked and discussed is if it will appear an effective link to a company ´s brand in a country that is not developed? A research gap is therefore identified. If we place and conduct a study conducted in a western world in a developing country ´s context, would the outcome be the same? Would there be a similar link between CSR and branding there? 1.4 Purpose The purpose of this thesis is to get a deeper understanding of the link between a company ´s CSR and its branding in a developing country. Based on the purpose the following research questions will be presented: 1. What kind of CSR activities are being used to effectively increase positive attitudes towards the company ´s brand? 2. In what way is a company ´s CSR linked to its brand in the Philippines? 3. And how do these attitudes create value for the brand? 2. Methodology In this chapter the research methodology applied in this thesis will be discussed. A description regarding the method design of the study will be explained in the following order: research design, data collection, validity and reliability and data analysis. 2.1 Research approach There are three type of studies identified by Yin (2003): exploratory, explanatory and descriptive. An exploratory research design tries to define the research question and form the hypothesis. A descriptive research in the other hand, tries to describe a different characteristic of a phenomena that arises. When doing a descriptive case study the data collection is being guided by theories. When conducting the explanatory research design it is about how it explains course of events and relate how things happened (Yin, 2003). According to Yin (2003) this thesis can be seen as a descriptive research as it will focus on describing what impact CSR has on branding. When using a descriptive research the problem is structured and understood, which means that existing literature about the topic of CSR and branding (Ghauri and Gronhaug 2010). And this kind of research is mainly done when a researcher wants to gain an even better knowledge of a specific topic (Gill and Johnson, 2010). Due to the research purpose, which is to investigate how CSR influences on a company ´s brand in the Philippines this research method fits the best among the three other ways. 3.2 Research design I chose case studies method, because it enhances the understanding of what is going on in a particular case and it can involve a detailed investigation (Yin, 2009). This information that is gained from case studies are therefore relevant to answer some of my problem and research questions as I want to investigate companies ´ CSR activities and observe these activities in order to understand its impact on the brand which is the data collection in my first section of the study. By a case study approach observations of a companies ´ activities can be captured, which is in a way impossible to capture through questionnaires and interviews (Ghauri and Gronhaug, 2010). 3.3.1 The case study In the beginning of March I will travel to the Philippines to carry on an eight weeks field study which will give me the opportunity to study some Swedish/International companies ´ CSR activities and how these activities affect their brand perception by interviewing the consumers and workers in country. The case study will therefore obtain information to fulfill my purpose. The choice of companies: The information obtained will be from companies that use CSR activities in the Philippines. In order to fill the research gap I will be aiming for to study companies with well-known CSR activities. 2.3 Data collection A qualitative method will be used in order to collect the information for this thesis. Regarding to Trost (2005) a qualitative method is described as a method where the interviewer gathers the information on the interviewee ´s feelings, thoughts and experiences. Hence, to the search of a deeper understanding of how CSR affects the brand perception, this qualitative approach fit the purpose of the thesis because it can give me a deep information regarding the employees ´ and consumers opinions and feelings towards CSR in the Philippines and the brand which is the aim of this study. 2.3.1 Qualitative interview design Semi-structures face-to-face-interview. 4.4 Validity in qualitative research â€Å"Descriptive validity refers to the degree to which the actual description holds true† (Ghauri and Gronhaug, 2010 p. 210). Bias: When interviewing the respondents a â€Å"lifting† description of the brand can appear, because they have been chosen to do this certain interview about the companies’ actions. Language is the basic tool of interviewing, and may especially be important in qualitative interviewing (Kvale, 1989). The interviews will be conducted by me in English and since communication is a very important in order to get the information it can appear some small misunderstanding as English is not my mother language. But by conducting a face to face interview, the body language and face expression will increase the validity of the interviews. REFERENCES Kotler, P., Wong, V., Saunders, J. and Armstrong, G. (2004). Principles of Marketing, 4th European edition. New Jersey: FT- Prentice Hall. Burchell, J. 2008. The Corporate Social Responsibility Reader. London and New York: Routledge. Kotler, P. and Lee, N. (2005)  ´Corporate Social Responsibility – Doing the Most Good for Your Company and Your Cause ´, Hoboken, New Jersey. Crowther, D. and Capaldi, N. (2008). The ashgate research companion to Corporate Social Responsibility. MPG Books Ltd, Bodmin, Cornwall Suchman, M. C. (1995) Managing Legitimacy: Strategic and Institutional Approaches. Academy of Management Review, Vol 20;3, p 571-610. Benn, S. and Bolton, D. (2011). Key Concepts in Corporate Social Responsibility. SAGE Publications Ltd: London Werther, W.B. And Chandler, D. (2005)  ´Strategic Corporate Social Responsibility as Global Brand Insurance ´, Business Horizons 48:317-24. Boulstridge, E and Carrigan, M.†Do consumers really care about corporate responsbility? Highlighting the attitude behavior gap.† Journal of communication management, (2000): 359-360 Gill, J and Johnson, P, 2010, Research Methods for Managers 4th Edition. SAGE Publications Ltd Ghauri, P and Gronhaug, K, 2010, Research Methods in Business Studies 4th edition. Pearson Education Limited. Trost, J, 2005, Kvalitativa intervjuer. Studentlitteratur, Lund. Halvorsen, K. (1989). Samhà ¤llsvetenskaplig Metod. Oslo: Studentlitteratur AB Yin, R.K, 2009, Case Study Research – Design and Method. London: SAGE Ellen, P.S., Webb, D.J. & Mohr, L.A. (2006). Building corporate associations: consumer attributions for corporate socially responsible programs. Journal of the Academy of Marketing Science, 34 (2), 147-57. doi: 10.1177/0092070305284976 Creyer, E. H., & Ross, W. T., Jr. (1997). The influence of firm behavior on purchase intention: Do consumers really care about business ethics? Journal of Consumer Marketing, 14(6), 421–32. doi: 10.1108/07363769710185999

Description of Major Figures of the Trojan War

Description of Major Figures of the Trojan War AgamemnonAgamemnon was the leader of the Greek forces in the Trojan War. He was the brother-in-law of Helen of Troy. Agamemnon was married to Clytemnestra, the sister of Menelaus wife, Helen of Troy.AgamemnonAjaxAjax was one of the suitors of Helen and so was one of the members of the Greek force against Troy in the Trojan War. He was almost as skilled a fighter as Achilles. Ajax killed himself.AjaxAndromacheAndromache was the loving wife of the Trojan prince Hector and mother of their son, Astyanax. Hector and Astyanax were killed, Troy destroyed, and (at the end of the Trojan War) Andromache was taken as a war bride, by Neoptolemus, son of Achilles, to whom she bore Amphialus, Molossus, Pielus, and Pergamus.AndromacheCassandraCassandra, a princess of Troy, was awarded as a war bride to Agamemnon at the end of the Trojan War. Cassandra prophesied their murder, but as was true with all her prophecies because of a curse from Apollo, Cassandra was not believed.CassandraClytemnestraClyt emnestra was the wife of Agamemnon. She ruled in his stead while Agamemnon went off to fight the Trojan War. When he returned, after having murdered their daughter Iphigenia, she killed him. Their son, Orestes, in turn, killed her. Not all version of the story has Clytemnestra slaying her husband. Sometimes it is her lover.ClytemnestraHectorHector was a Trojan prince and the leading hero of the Trojans in the Trojan War.HectorHecubaHecuba or Hecabe was the wife of Priam, King of Troy. Hecuba was the mother of Paris, Hector, Cassandra, and many others. She was given to Odysseus after the war.HecubaHelen of TroyHelen was the daughter of Leda and Zeus, sister of Clytemnestra, Castor and Pollux (the Dioscuri), and wife of Menelaus. Helens beauty was so overwhelming that Theseus and Paris abducted her and the Trojan War was fought to bring her back home.Helen of Troy Basics Characters in the Iliad In addition to the list of major characters in the Trojan War above and below, for each book of the Trojan War story The Iliad, I have included a page describing its main characters. Books of the Iliad With Character Lists for Each AchillesAchilles was the leading hero of the Greeks in the Trojan War. Homer focuses on Achilles and the wrath of Achilles in the Iliad.AchillesIphigeniaIphigenia was a daughter of Clytemnestra and Agamemnon. Agamemnon sacrificed Iphigenia to Artemis at Aulis in order to obtain favorable wind for the sails of the ships waiting to sail to Troy.​IphigeniaMenelausMenelaus was the king of Sparta. Helen, the wife of Menelaus was stolen by a prince of Troy while a guest in the palace of Menelaus.MenelausOdysseusCrafty Odysseus and his ten-year return to Ithaca from the war at Troy.OdysseusPatroclusPatroclus was a dear friend of Achilles who put on the armor of Achilles and led Achilles Myrmidons into battle, while Achilles was sulking on the sidelines. Patroclus was killed by Hector.  PatroclusPenelopePenelope, the faithful wife of Odysseus, kept suitors at bay for twenty years while her husband fought at Troy and suffered Poseidons wrath on his return home. During this time, she raised their son Telemachus to adulthood.PenelopePriamPriam was the king of Troy during the Trojan War. Hecuba was the wife of Priam. Their daughters were Creusa, Laodice, Polyxena, and Cassandra. Their sons were Hector, Paris (Alexander), Deiphobus, Helenus, Pammon, Polites, Antiphus, Hipponous, Polydorus, and Troilus.PriamSarpedonSarpedon was a leader of Lycia and an ally of the Trojans in the Trojan War. Sarpedon was a son of Zeus. Patroclus killed Sarpedon.Sarpedon

The Founding of the Massachusetts Bay Colony

The Founding of the Massachusetts Bay Colony Massachusetts Bay Colony was settled in 1630 by a group of Puritans from England under the leadership of Governor John Winthrop. The grant empowering the group to create a colony in Massachusetts was granted by King Charles I to the Massachusetts Bay Company. While the company was intended to transfer the wealth of the New World to stockholders in England, the settlers themselves transferred the charter to Massachusetts. By so doing, they turned a commercial venture into a political one. Fast Facts: Massachusetts Bay Colony Also Known As: Commonwealth of MassachusettsNamed After: Massachuset tribeFounding Year: 1630Founding Country: England,  NetherlandsFirst Known European Settlement: 1620Residential  Native Communities: Massachuset, Nipmuc, Pocumtuc, Pequot, Wampanoag (all Algonkin)Founders: John Winthrop, William BradfordImportant People:  Anne Hutchinson, John White, John Eliot, Roger Williams,First Continental Congressmen: John Adams, Samuel Adams, Thomas Cushing, Robert Treat PaineSigners of the Declaration: John Hancock, Samuel Adams, John Adams, Robert Treat Paine, Elbridge Gerry John Winthrop and the Winthrop Fleet The  Mayflower carried a mixture of English and Netherlands Separatists, the Pilgrims, to America in 1620. Forty-one  colonists on board the ship signed the  Mayflower Compact,  on November 11, 1620. This was the first written governmental framework in the New World. In 1629, a fleet of 12 ships known as the Winthrop Fleet left England and headed for Massachusetts. It reached Salem, Massachusetts on June 12th. Winthrop himself sailed aboard the Arbella. It was while he was still aboard the Arbella that Winthrop gave a famous speech in which he said: [F]or wee must Consider that wee shall be as a Citty upon a Hill, the eies of all people are uppon us; soe that if wee shall deale falsely with our god in this worke wee have undertaken and soe cause him to withdrawe his present help from us, wee shall be made a story and a byword through the world, wee shall open the mouthes of enemies to speake evill of the wayes of god and all professours for Gods sake.... These words embody the spirit of the Puritans who founded the Massachusetts Bay Colony. While they emigrated to the New World to be able to freely practice their religion, they did not espouse freedom of religion for other settlers. Settling Boston Though Winthrops Fleet landed at Salem, they did not stay: the tiny settlement simply couldnt support hundreds of additional settlers. Within a short time, Winthrop and his group had moved, at the invitation of Winthrops college friend William Blackstone, to a new location on a nearby peninsula. In 1630, they renamed their settlement Boston after the town they had left in England. In 1632, Boston was made the capital of the Massachusetts Bay Colony. By 1640, hundreds more English Puritans had joined Winthrop and Blackstone in their new colony. By 1750, more than 15,000 colonists lived in Massachusetts. Unrest and Exile: The Antinomian Crisis   During the first decade of the Massachusetts Bay Colony, several political crises occurred, unfolding simultaneously, concerning the way religion was practiced in the colony. One of those is known as the Antinomian Crisis which resulted in the departure of Anne Hutchinson (1591–1643) from Massachusetts Bay. She was preaching in a manner that proved unseemly to the colonys leaders and was tried in civil and ecclesiastical courts, which culminated in her excommunication on March 22, 1638. She went on to settle in Rhode Island and died a few years later near Westchester, New York.   Historian Jonathan Beecher Field has pointed out that what happened to Hutchinson is similar to other exiles and departures in the early days of the colony. For example, in 1636, because of religious differences, Puritan colonist Thomas Hooker (1586–1647) took his congregation to found Connecticut colony. That same year, Roger Williams (1603–1683) was exiled and ended up founding Rhode Island colony.   Christianizing the Indians   In the earliest days of the Massachusetts Bay Colony, the Puritans carried out a war of extermination against the Pequots in 1637, and a war of attrition against the Narragansetts. In 1643, the English turned the Narragansett sachem (leader)  Miantonomo  (1565–1643) over to his enemies the Mohegan, where he was summarily killed. But beginning with the efforts of John Eliot (1604–1690), missionaries in the colony worked to convert the local Native Americans into Puritan Christians. In March of 1644, the Massachuset tribe submitted themselves to the colony and agreed to take religious instruction. Eliot set up praying towns in the colony, isolated settlements such as Natick (established 1651), where newly converted people could live separated from English settlers and independent Indians both. The settlements were organized and laid out like an English village, and the residents were subject to a legal code that required that traditional practices be replaced by those proscribed in the Bible. The praying towns roused dissent in the European settlements, and in 1675, the settlers accused the missionaries and their converts of treason. All of the Native Americans professing loyalty to the English were rounded up and placed on Deer Island without adequate food and shelter. King Philips War broke out in 1675, an armed conflict between English colonists and the Native Americans led by Metacomet (1638–1676), the Wampanoag chief who had adopted the name Philip. Some of the Massachusetts Bay Indian converts  supported the colonial militia as scouts and were crucial to the eventual colonial victory in 1678. However, by 1677, the converts who had not been killed, sold into slavery or driven northward found themselves restricted to praying towns that were essentially reservations for people reduced to live as servants and tenant farmers.   The American Revolution Massachusetts played a key part in the American Revolution. In December 1773, Boston was the site of the famous Boston Tea Party in reaction to the Tea Act that had been passed by the British. Parliament reacted by passing acts to control the colony including a naval blockade of the harbor.  The first Continental Congress was held in Philadelphia on September 5, 1774, and five men from Massachusetts attended: John Adams, Samuel Adams, Thomas Cushing, and Robert Treat Paine. On April 19, 1775, Lexington and Concord, Massachusetts were the sites of the first shots fired in the Revolutionary War. After this, the colonists laid siege to Boston which the British troops held. The siege eventually ended when the British evacuated in March 1776.  Signers of the Declaration of Independence from Massachusetts on July 4, 1776, were John Hancock, Samuel Adams, John Adams, Robert Treat Paine, and Elbridge Gerry. The war continued for seven more years with many Massachusetts volunteers fighting for the Continental Army. Sources and Further Reading Breen, Timothy H., and Stephen Foster. The Puritans Greatest Achievement: A Study of Social Cohesion in Seventeenth-Century Massachusetts. The Journal of American History 60.1 (1973): 5–22. Print.Brown, Richard D., and Jack Tager. Massachusetts: A Concise History. Amherst: University of Massachusetts Press, 2000.Field, Jonathan Beecher. The Antinomian Controversy Did Not Take Place. Early American Studies 6.2 (2008): 448–63. Print.Lucas, Paul R. Colony or Commonwealth: Massachusetts Bay, 1661–1666. The William and Mary Quarterly 24.1 (1967): 88–107. Print.Nelson, William E. The Utopian Legal Order of the Massachusetts Bay Colony, 1630–1686. The American Journal of Legal History 47.2 (2005): 183–230. Print.Salisbury, Neal. Red Puritans: The Praying Indians of Massachusetts Bay and John Eliot. The William and Mary Quarterly 31.1 (1974): 27–54. Print.

Agnes Macphail Biography

Agnes Macphail Biography About Agnes Macphail: Agnes Macphail was the first Canadian woman to be a member of parliament, and one of the first two women elected to the Legislative Assembly of Ontario. Considered a feminist in her time, Agnes Macphail supported issues like prison reform, disarmament, international cooperation and old age pensions. Agnes Macphail also founded the Elizabeth Fry Society of Canada, a group working with and for women in the justice system. Birth: March 24, 1890 in Proton Township, Grey County, Ontario Death: February 13, 1954 in Toronto, Ontario Education: Teachers college - Stratford, Ontario Profession: Teacher and columnist Political Parties: Progressive PartyCo-operative Commonwealth Federation (CCF) Federal Ridings (Electoral Districts): Grey South EastGrey Bruce Provincial Riding (Electoral District): York East Political Career of Agnes Macphail: Agnes Macphail was elected to the House of Commons in 1921, in the first Canadian federal election in which women had the vote or could run for office. Agnes Macphail was the first woman to be elected to the House of Commons.Agnes Macphail was the first woman appointed as a member of a Canadian delegation to the League of Nations, where she was an active member of the World Disarmament Committee.Agnes Macphail became the first president of the Ontario CCF when it was established in 1932.Agnes Macphail was a major influence in the establishment of the Archambault Commission on prison reform in 1935.She was defeated in the 1940 general election.Agnes Macphail wrote a column on agriculture issues for the Globe and Mail.She was first elected to the Ontario Legislative Assembly in 1943, becoming one of the two first women to be elected to the Legislative Assembly of Ontario.She was defeated in the Ontario election in 1945.Agnes Macphail was re-elected to the Ontario Legislative Assembly i n 1948. Agnes Macphail contributed to the adoption of Ontarios first equal pay legislation in 1951.

Starting a Business Online, Part 1 Assignment Example | Topics and Well Written Essays - 1000 words

Starting a Business Online, Part 1 - Assignment Example Designing of a mechanism of addressing the issues that relate to the regulations governing the operation of businesses is necessary. The online crimes also present a major challenge for most of the businesses. Therefore, this paper elucidates strategies and operations that help in the analysis and addressing various issues that relate to the e-commerce industry. A major strength is the expansion of the global market commanded by the store. It expands the geographic retail market for the clothes stores beyond the Jersey Shore boardwalk to areas all over the world. Another strength is the time-saving potential of e-commerce both for the store and the customers. It reduces the physical movement through fast internet transactions. Lastly, the e-commerce provides the customers the opportunity to compare prices and potentiate their choice of a better business deal (Mahavidyalaya, & Sharma, 2014). Security is the major challenge due to the decreased trust and integrity of the e-commerce form of trade. Furthermore, there are many websites online that are fake thus reducing the authenticity of carrying out online business by the customers (Mahavidyalaya, & Sharma, 2014). The e-commerce business will also lack the personal contact with the customers, thus causing an inability for bargaining and evaluation of customer satisfaction. The changing trends have made the customers interested in branded items through a global trade system. The number of internet users has also risen, and thus promoting the ability to reach the potential customers. The e-commerce also offers a twenty-four hour service to the customers, hence increasing the contact time with the customers. Competition from other online businesses is a major threat to the business. Competition is global, rather than local. The laws and regulations are diverse and thus they may not support the business systems in all countries. Fraud and

The Crucible by Arthur Miller Essay Example | Topics and Well Written Essays - 2000 words

The Crucible by Arthur Miller - Essay Example the crimes he did not commit the author started thinking about the concepts of â€Å"victims† and â€Å"villains† and of the controversy of the absolute truth. It turns out that it is rather easy to pass from one category into another because determining truth and lie still requires enormous efforts even in court. Social moral and religion create enormous pressure on each and every human and fragile psyche sometimes cannot withstand that. In reality most of people are accusatory and would rather point to someone else`s vice than admit one`s guilt. For some people their reputation turns out to be much more important than ultimate truth. Under pressure of the society and in fear of punishment people are prone to change their beliefs and opinions and reveal their faint-heartedness. But it is well-known that people are prone to show their real nature only in critical situation. So extreme circumstances in which the characters of Miller`s play find themselves reveal their tr ue nature: some turn out to be villains and some victims of social moral, some are prone to bend under the pressure of probable punishment and some only find inner power in difficult situation, some act out of altruism and some care about their own life and happiness. Three characters of the play, Reverend Hale, Reverend Parris, and John Proctor, find themselves in extreme situation and each of them transforms his views throughout the play to show eventually his true self. Despite the fact that in 17th century people live under close observation of church, they still act as ordinary people-make mistakes, lie, make sins. In his play â€Å"The Crucible† there is a number of characters who switch the roles of â€Å"victims† to â€Å"villains† depending on their words and actions. It is sometimes very difficult to blame people strictly taking into account fragile In his play Miller suggests that it is impossible to remain in one role of either â€Å"a victim† or â€Å"a villain† for long because

How will the Professional MBA program prepare you for your chosen Scholarship Essay

How will the Professional MBA program prepare you for your chosen career path - Scholarship Essay Example roduce me to a broad spectrum of opportunities such as pursuing of an entrepreneurial route, progress for my business, handling new and challenging responsibilities and utilizing others such as marketing where my desire lies. This would ensure I achieve a wide array of knowledge base, insights and boost my poise to operate successfully in all environments. Most business executives in the corporate world with MBA degrees are embellished with high levels of responsibility and seniority within their job description. Coupled with my degree in criminal justice, the MBA degree will guarantee flexibility and fluidity in changing of career paths in order to exploit new opportunities hitherto underutilized. It will also to appreciate the complexities involved in business, bolster the practice of law and initiate conversance with the laws governing commerce. This diversity will put me up to date with the goings on in the world of business hence better decision making when it comes to issues of

Sustainable Solutions Paper Research Proposal Example | Topics and Well Written Essays - 250 words

Sustainable Solutions Paper - Research Proposal Example They also have more powers with their suppliers given their market share in the industry (Kurtz & Boone, 2011). Bargaining power of buyers: Comcast product prices have been on the rise, hence showing their powers on consumers. Most consumers are willing to buy even at higher prices because they have no options since this is the only company offering cables. Switching cables with others is expensive, hence minimizes the pain by buying from Comcast (Teen, 2014). Availability of substitutes: there had never been a substitute until recently when consumers had a choice of satellite or cable. For now, consumers can choose their connection to be cables or satellite, and it seems they will stay for longer (Teen, 2014). Competitive rivalry: there is competition from satellites which has resulted in price cuts, but not much. The prices have started rising again, despite the competition (Teen, 2014). However, there is fear that Cables or satellite will wipe the other to enable price cut. Comcast is a big organization and able to get favorable deals with content producers such as Disney and football leagues. This gives them the advantage to have a frequent supply of content to its customers hence adding value. Similarly, the organization has a close tie with technology partners, hence have a strong ability to offer superior products to customers (Eaton, 2010). The company has also increased customers value by converting its infrastructure to digital to maximize bandwidth capacity. It has also cluttered its acquisitions to improve the existing infrastructures. More so, it is leading in innovation by researching on products and developments as well as supporting activities to enable it satisfy its clients (Eaton, 2010). Secondly, the company has focused category targeting. For instance, it has products tailored for each market niche it

Finance and Accounting Essay Example | Topics and Well Written Essays - 1250 words - 1

Finance and Accounting - Essay Example Both these ratios address the bankruptcy issue. According to the calculated ratios, Qatar Telecom’s liquidity position seems to be strong as compared to Vodafone in both the years 2010 and 2011. Qatar Telecom’s personal liquidity ratios have deteriorated in 2011, compared to 2010, but then even the company has a stronger position as compared to Vodafone, which almost has balanced proportion between its current liabilities and its current assets. Vodafone’s personal current and acid test ratio has reduced in the year 2011 and it currently has a ratio of 0.49:1 and a 0.48:1 current and acid test ratio. Gearing Ratios Gearing ratios analyze the proportion of debt to equity within the financing of a company. These ratios illustrate as to how much a company is financed via and how much via equity. A company having more loans and less equity is said to be highly geared and is considered to be more risky but having said that, it can never be stated that a low geared com pany is good, since it is considered to be taking less initiative, hence a balance is to be maintained. According to the calculated ratios, Qatar Telecom is highly geared as compared to Vodafone. The ratios clearly illustrates that the Qtel’s debt financing is 1.59 times its equity financing. Qtel has reduced its debt financing by paying off some of its debt as compared to the year 2010 but this has not been a significant reduction. Qtel’s debts almost amount to 61% (0.61) of their total assets, hence it can be seen that the company has heavily relied upon debts. Vodafone on the other hand has too little debt financing and it can be seen from the ratios that the company prefers equity financing over debt financing. As...By June 2008, Vodafone received was awarded telecom operating license within the country, making the company as the second mobile phone service provider within the country. Vodafone started its services within Qatar on 1st March 2009. This ratio provides an idea to the investors as to the return that that would extract from the company. The return on investment for Qtel has improved and has increased by 1.79% (5.82-4.03). Vodafone’s return on investment has also improved but the company’s losses would not be able to make them give any good to their investors. Since both the companies operate within the same sector, a fair comparison between the performances of the two would be more fruitful. The best technique available to analyze the financial performance of both the companies would be to use ratio analysis. There are various ratios which can be used to evaluate the performance. Following are the ratios which have been calculated to assess the financial performance of both the telecom service providers. From the ratios, it can be derived that the financial performance of Qtel is way better than Vodafone but it can be argued that Vodafone is still within its early and growing phase and that the company has shown good prospects, hence it can improve with the passage of time.

Animation Question Essay Example | Topics and Well Written Essays - 250 words

Animation Question - Essay Example It is an improvement from 5 drawings because it includes a number of activities. It implies that the character could be having substantial weight (Ratner, 295). It allows the audience to see the character undertake preparations for jumping. At seven drawings, the character is held in the midair. The action creates suspense in the animation, which is a significant aspect of literature. The scenario is an improvement from 15 drawings. It allows the audience to view additional activities. It allows the audience to substantiate the weight of the audience. First, movement of the coyote can be easily noticed as walking or running (Ratner, 295). It then lowers itself down swiftly in order to prepare to jump. It then exposes itself in the air to jump. The coyote successfully suspends itself in the air to create an effect to viewers. The timing also allows the audience to study the relative speeds of the coyote and

Finance and Accounting Essay Example | Topics and Well Written Essays - 1250 words - 1

Finance and Accounting - Essay Example Both these ratios address the bankruptcy issue. According to the calculated ratios, Qatar Telecom’s liquidity position seems to be strong as compared to Vodafone in both the years 2010 and 2011. Qatar Telecom’s personal liquidity ratios have deteriorated in 2011, compared to 2010, but then even the company has a stronger position as compared to Vodafone, which almost has balanced proportion between its current liabilities and its current assets. Vodafone’s personal current and acid test ratio has reduced in the year 2011 and it currently has a ratio of 0.49:1 and a 0.48:1 current and acid test ratio. Gearing Ratios Gearing ratios analyze the proportion of debt to equity within the financing of a company. These ratios illustrate as to how much a company is financed via and how much via equity. A company having more loans and less equity is said to be highly geared and is considered to be more risky but having said that, it can never be stated that a low geared com pany is good, since it is considered to be taking less initiative, hence a balance is to be maintained. According to the calculated ratios, Qatar Telecom is highly geared as compared to Vodafone. The ratios clearly illustrates that the Qtel’s debt financing is 1.59 times its equity financing. Qtel has reduced its debt financing by paying off some of its debt as compared to the year 2010 but this has not been a significant reduction. Qtel’s debts almost amount to 61% (0.61) of their total assets, hence it can be seen that the company has heavily relied upon debts. Vodafone on the other hand has too little debt financing and it can be seen from the ratios that the company prefers equity financing over debt financing. As...By June 2008, Vodafone received was awarded telecom operating license within the country, making the company as the second mobile phone service provider within the country. Vodafone started its services within Qatar on 1st March 2009. This ratio provides an idea to the investors as to the return that that would extract from the company. The return on investment for Qtel has improved and has increased by 1.79% (5.82-4.03). Vodafone’s return on investment has also improved but the company’s losses would not be able to make them give any good to their investors. Since both the companies operate within the same sector, a fair comparison between the performances of the two would be more fruitful. The best technique available to analyze the financial performance of both the companies would be to use ratio analysis. There are various ratios which can be used to evaluate the performance. Following are the ratios which have been calculated to assess the financial performance of both the telecom service providers. From the ratios, it can be derived that the financial performance of Qtel is way better than Vodafone but it can be argued that Vodafone is still within its early and growing phase and that the company has shown good prospects, hence it can improve with the passage of time.

Critical Appraisal of Pereira Da Silva; SS Obesity Meanings Essay

Critical Appraisal of Pereira Da Silva; SS Obesity Meanings - Essay Example Therefore, the study explored the expectations and the beliefs regarding the exigencies and the impacts of bariatric surgery (Bowling, 2009:56-58). The methods included a study population comprised of 30 morbidly obese patients. The results were based on three core themes namely: eating behavior, treatment, and obesity. Critical appraisal is an integral process in the evidence-based practice. The aim of critical appraisal is aimed at identifying the methodological flaws in the literature besides, providing the consumers of research evidence with the opportunity to make informed decisions regarding the quality of the research evidence (Trinder & Reynolds, 2000:69-72). The critical appraisal for both the quantitative and qualitative research is appropriate. Developing a critical appraisal framework for healthcare services allows for the need to have competent healthcare treatment for obesity. Therefore, health professionals are required to be intelligent consumers of research, and this entails the ability to publish research something which Pereira da Silva has accomplished. According to Benton and Cormack (2000) argue that there have been tendencies to evaluate qualitative research against the appropriate criteria against the quantitative research. This has led to attempts by various individuals to analyze the qualitative research within a quantitative framework thus raising the questions of credibility, reliability, dependability, and transferability. Hamers and Colison (2005) state that â€Å"there have been various frameworks that have been reviewed and the common features that are related to quantitative and qualitative research established† Generally, the guidelines tend to reflect upon the respective approaches, whereby the guidelines for quantitative research tend to be in the form of checklists, the guidelines for qualitative research tend to be more discursive. Sajiwandani is of the view that there must be a checklist that covers all the points a ppropriate for covering the points appropriate in treating obesity. They must include the hypothesis, operational definitions, reliability, and validity of any questionnaires (Sajiwandani, 1996). According to Sackett et al. (2002) assert that evidenced-based research is the â€Å"integration of the best research-based evidence with clinical expertise and patient’s value.† The evidence-based practice as described in the work of Pereira da Silva gives an equal emphasis on the situation of the patient, the best available research evidence, the patient’s values, wishes, and goals, and the clinical expertise of the practitioner, in this case, those dealing with obesity cases. The Literature Review The researcher uses contemporary material about the topic being discussed; and the meanings of experiences associated with awaiting bariatric surgery. The research on obesity uses a lot of high-quality material of the obesity topic being researched on (Fried, Hainer, & Basd evant, 2007:267). This led to the development of the research question thus allowing the hypothesis testing and identification of the appropriate method of data collection. Data collection involved the use cognitive interviews, questionnaires, open-ended questions, and the focus groups. The interviews were audio-taped, transcribed, and the coded according to the ground analysis methodology.  

Household Behavior and Demand Essay Example for Free

Household Behavior and Demand Essay Household behavior is one of the any basic concepts in economics which has an effect on market trends. Household demand, for instance, can be seen as related to consumer choices in terms of which products are mostly bought in the market and which products need more supplies in terms of item production and its corresponding allocation. One of the many essential features of household demand is its corresponding effect on what is being provided in the market and, more importantly, the quantities or stock that is being allocated in the market. It seems quite obvious that the quantities of certain products in the market—for instance, in a certain area or a certain supermarket—are patterned according to the existing demand and the foreseen demands a some point in the future, say within a frame of a few weeks time. Household behavior, for its effects on market trends to be realized and understood, must be taken from a general and collective standpoint since a single specific household behavior cannot entirely be taken into account as the precise and sole measure in determining the overall household behavior true for all o most instances with regard to market trends. For example, it has been observed that Chinese people rely largely on the prices of products in determining which ones are the best buys. Paul French notes that â€Å"for pragmatic Chinese shoppers, price remains the bottom-line† which translates to the idea that â€Å"win on price and you win† (French, 2007). Hence, in the context of Chinese households, producers of certain goods should greatly consider the fact that Chinese households will most likely prefer goods which are relatively lower in price as compared to other products in the market in order stay atop the competition. To be able to gain control of the price index of a certain product in the market means to be able to win the market competition if the Chinese household behavior is the primary basis to be used. The perception appears simple enough: household behavior determines household demand which, in consequence, affects a large portion of certain market trends. Thus, to analyze a specific market trend for a specific product entails the analysis and understanding of certain trends in household demand caused by household behavior. An existing household demand, say, for breakfast cereals can be looked upon the collective household behavior in terms of cereal consumption for the past six months for the locality of Chicago, for example. Given a relatively high consumption rate for breakfast cereals with the price not exceeding $4 per box among families, companies producing breakfast cereals may have the corresponding decision to pattern their product according to the existing demand. Although it may not essentially be the case that companies will sacrifice prices of their products in order to meet the demand for the value of the products, being able to adjust product prices in accordance to the existing market prices will most likely lead to favorable results on the part of the companies since market demand is met. Quite on the contrary, there are still other related factors which hinder the feat of lowering prices according to the budget and income of households which determine their capacity to buy and consume certain products. More recently, several instant-noodle corporations in China have difficulties in lowering the prices of their products due to escalating prices in wheat and other farm commodities (Zhu, 2007). With prices in instant-noodles—a popular product among individuals with meager budget—soaring, even the household demand or low-cost instant-noodles may hardly deter companies from lowering the prices of their goods just to meet the existing demand in the market. On the part of households, proper allocation of income can be one remedy in order to curb unnecessary spending so as to be able to allocate budget on goods which the households deem as a dire part of their income-spending. In this case, household behavior and demand appears to be patterned according to the existing market trends which is the opposite or reverse case of what has been provided earlier. Hence, it is also possible to have a household behavior or consumer choice that is based on existing market trends apart from the possibility that market trends may also be based on existing consumer choice and household behavior. Allocating income to maximize utility is one household behavior that determines consumer choice in the long run. For instance, there is the observation that â€Å"household expenditure patterns are affected by the share of household income accruing to women† (Hopkins, Levin, Haddad, 1994). Given this perception, the choices of consumers over a vast array of products competing in the market is not only affected by external elements determined by companies but also by internal elements sprouting from household consumption patterns of certain goods in relation to the household’s budget allocation. In terms of income and substitution effects, the changes in the prices of certain goods are proposed to alter the demands for such goods. Changes in relative prices as well as changes in the purchasing power of the money income can greatly alter the existing demands for, say, a breakfast cereal. Even if the prices for breakfast cereals remain the same for a given period, alterations in the income will result to an equal change in the budget constraint (Hamermesh, 1977). On the other hand, if the price of breakfast cereals changes, the budget constraint will change accordingly. One concrete way in further understanding the situation is that in order to maximize the utility with the decreased budget constraint, the household will tend to have shifts in their patterns of consumption. For instance, with the budget constraint arising from the decrease in the money’s purchasing power, households will tend to maximize the utility of money by increasing the segregation of purchases of goods based on low-cost preference. An example to this is when households purchase goods with relatively lower prices given a budget of $20 which results to more purchases of various goods while on the other hand households purchasing goods with relatively higher prices will result to lesser maximization of the utility or lesser goods purchased with the $20 budget. Hence, wage rates also share a crucial part in determining household behavior and demand as well as consumer choice. It has been seen that the rates of wages of certain groups of people have corresponding implications on the purchasing power of households. To arrive at the observation that the wage of a household is decreased corresponds to the observation that the purchasing capacity of the same household proportionally, if not significantly, decreases. A higher wage, then, will translate to a higher capacity to purchase goods in the market. In the larger scheme, a group of households with a high rate of wage will most likely have higher purchasing capacity thereby inducing the household behavior of increased spending assuming the household has lesser tendencies to save their income. In effect, a certain market demand will be conjured in such a way that a certain good, for instance, will experience an increase in demand which calls for a corresponding increase in goods being supplied. Thus, it can be noted that the overall rate in household demand will relatively increase given the increase in wages. On the other hand, interest rates may greatly alter or shift the persisting demand from households towards a certain good. For instance, a higher interest rates for purchased loans by households will certainly result to a higher real cost of purchase in the fulfillment of all payments made for the loan. It is quite apparent that an increase of 2% in interest rates from 4% to 6% will most certainly have a corresponding effect on the actual cost of the good purchased. For the most part, higher interest rates translate to higher cost of purchases, decreased household spending given a fixed rate of wages, and a lesser spending on other goods which result to a corresponding decrease in the demand for those other goods. The price of leisure also has a significant role in comprehending the patterns in household demand and consumer choices. For instance, higher prices in the cost of airplane travels would entail that the consumer will opt for the airline provider with the least cost. A decline in the preference for airlines with comparatively higher airline prices will most likely be felt assuming that a given set of consumers have fixed income. Budget constraints in an environment of increasing prices in leisure enable one to view the household demand for existing leisure. Indeed, it has been observed that several market trends can be viewed and analyzed using the perceptions on household behavior and demand for certain goods and products. The interrelationships existing between the market trend and the household behavior is clear although at some point several exceptions would have to be made. Essential to this understanding is the view that there may or may not be actual budget constraints and that prices of commodities may actually shift even without the presence of the shift such as a decline or incline in the demand from households. Nevertheless, there are many cases in which household behavior has its implications on the existing market trends. References French, P. (2007). When the Best Buy Is No Buy. The Wall Street Journal(August 7). Hamermesh, D. S. (1977). A Note on Income and Substitution Effects in Search Unemployment. The Economic Journal, 87(346), 312. Hopkins, J. , Levin, C. , Haddad, L. (1994). Womens Income and Household Expenditure Patterns: Gender or Flow? Evidence from Niger. American Journal of Agricultural Economics, 76(5), 1219. Zhu, E. (2007). Chinas Battle Against Inflation Puts Noodle Makers in Hot Water. The Wall Street Journal(August 29), B11.

Performance Enhancing Drugs Essay -- Athletics Sports Essays

Performance Enhancing Drugs For many years sports have played huge roles in human’s everyday lives. From entertainment, political, financial and to actually competing in them. The task for the sportsmen or women, especially in the top rank, is to beat the other competitors and get a good result from it. Here there is a high amount of pressure on many athletes coming from the media, coaches, themselves etc. They have the wanting to do well and achieve their goals and aims so much that some of the athletes turn to performance enhancing drugs. Obviously training for competition is the main thing to do but using drugs is another helper to succeeding. So, to their way of thinking, doping does not seem like cheating it just seems like something that has to be done for success. Using chemicals in the hopes of improving athletic performance is nothing new. If you were an athlete in the Greek Olympic days, your coach might have suggested you try different mushrooms to gain a competitive advantage. Doping, however, in the sense used today, really came onto the scene in the 19th century. The first drugs to be used were heroine and morphine. Heroine was mainly found in horse-racing circles, while morphine was very much in fashion in boxing and so-called endurance sports. It was suspected of having caused the death of Arthur Lindon, a Welsh racing cyclist who died a few months after the Bordeaux-Paris race of 1896, thereby becoming the first ever recorded victim of doping. Things really got out of hand at the beginning of the 20th century, with strychnine and ephedrine making their appearance, not to mention steroids. Over the last few years, doping has taken a new, dangerous turn. Growth hormones drugs have appeared, as well as doping i... ...ity without drugs. If the athlete, coach or medical adviser resorts to using drugs to assist performance, they are also cheating themselves. If an athlete, coach or medical officer is caught breaking the rules, it could affect their future career in sport as well as bring shame on the sport, their family and friends or harm their own body’s even result in death. I feel that the use of doping substances or doping methods to enhance performance is cheating, unfair and is contrary to the spirit of fair competition. I feel that performance enhancing drugs are wrong in many ways like the horrible effect they have on the athlete’s body. Also the bad name that it gives to the sport that the athlete cheats at and very importantly the way that young children look up to there favourite athletes and if he/she hears about them taking drugs they may want to try them as well.

Ending For Samphire By Patrick OBrien Essays -- Papers

Ending For Samphire By Patrick O'Brien 'As she pushed him, she felt her arms weak like jelly.' Molly knew the force of pushing this boy was too much for her tired arms, but he still fell downward, quite surprised by Molly's actions. On most occasions the boy would have felt embarrassed by being pushed over by a girl, but instead the boy stood up, stared at her and took his trustworthy chameleon and left. Molly really wanted to catch this figure up, but something, maybe her own pride, had pulled her back. Instead she went and sat down beside the palm tree, recollecting her thoughts on how to survive in this unknown island. She knew that she was the only one that survived in the plane crash, so where did the boy come from? And why was he accompanied by a chameleon? And why did she push him, when all he did was stare at her? These questions whirled around Molly's head until she went to a deep sleep. As the native boy left he felt only respect for Molly's action. It showed that she had a key strength of survival - courage. He knew that she is one to be respected if they ever meet again. For now though, his pet, which he names Lacey, was in desperate need for food, and he walked onwards to the lake of swamps. The lake of swamps was a lake that looked very abstract and gave a rancid stink, but still retained some of its beauty. The mystical them of the lake attracted the boy, as from generation from generation he has been taught from his tribe that there is a mystical creature that lives in the lake. The boy grabbed a small boulder and chucked it in the centre of the lake, which stunned most of the fish upwards onto the bank. The... ...outh, because the creature could sense if the human breathed underwater. But the boy could not take the girl upwards, because she was wriggling frantically, trying to kick her way out of the boy's grasp. The boy held on for dear life on her mouth, but she kept fighting frantically until suddenly she stopped. She rose above to the water as a motionless figure. The boy knew she was dead. At utter surprise of Molly's death and that the boy knew he had killed her, he shrieked in horror, tears rolling down his eyes against the floating water. What he forgot was the mystical swamp creature. He had motioned his mouth so the creature had grasped hold of him. The boy fought for escape, but he, like Molly, came to no avail. The creature, after one swirling motion of a hand, had knocked the boy out. The boy's vision went black.

Medicare and Medicaid Cuts Essay

The debate on health care spending has been highly contested and remains the top most agenda on the Obama administration. The U. S government has been pursuing effective health care reforms for quite a long period of time. Focus has been on developing a plan that reduces government spending on heath and home care reimbursements while increasing the regard for insurance cover. An important aspect of these reforms is the reduction in budgetary spending on Medicare and Medicaid programs (Meena, et al. 006). President Obama in 2009 announced the $ 313 reduction in Medicaid and Medicare efficiencies as a move to accomplish the proposed savings essential for facilitating the administration’s heath-care plan. Currently, the cut on Medicare reimbursements paid for health care access costs by psychiatric patients, the elderly and the disabled stands at about 21%. In justifying these cuts, the U. S government points out that the funds would be less essential in the light of a new health care reform. However, at the current economic status and the increasingly declining rates of hospital revenues, this move has resulted into the rationing of medical and home care services, high payroll taxes, and closure of departments and hospitals. According to a study conducted by the American Hospital Association (AHA) regarding these cuts, about one in every five hospitals have already reduced a number of health care services such as outpatient services, post-acute care and behavioural health; as they have had to reduce overhead costs resulting from the cuts (Shen, 2003). These cuts will affect millions of people especially seniors, military families and the disabled who depend greatly on Medicare. This is because accessibility to physician help will be minimized. In support of medical practitioners, The American Medical Association (AMA) argues against these cuts on the basis that they are derived through an unreliable method of determining the physicians’ reimbursements and which according to them ought to be reviewed. It is imperative to also note that the effects of these cuts are being transferred to the public through increased insurance costs. Effects on Access, Cost and Quality of Psychiatric Care There is evidence that patient’s access to health and home care has been increasingly diminishing in the past few years and even got worse following the recent 21% Medicare cuts. Physicians argue that this has been prompted by the increased costs in the provision of medical care services due to the reimbursement cuts. For instance, by the year 2005, medical care provision costs had been projected to be about 40% more than the in 1991 (White, & Dranove 1998). In 2008, about $ 879 million was spent by hospitals in Michigan in subsiding services for the patients affected by the cuts. There have also been care rationing, reduction in provision of vital medical services and closure of hospital departments has been prevalent. This means that access to heath care services by concerned individuals has reduced significantly. A number of medical practitioners have been forced to stop providing psychiatric services to patients due to high overhead costs (Meena, et al. 2006). The reduced Medicare and Medicaid reimbursements have made it impossible for psychiatrists to effectively provide care to long-term-care clients as well. There are reports of psychiatrists declining to provide consultation services in nursing homes as result of the lower rates of Medicaid and Medicare reimbursements received. According to the chair of the Geriatric Psychiatry committee for the Maryland Psychiatric Society, Allan Anderson, the cuts are a drawback to the willingness of the psychiatrists to provide care for the Medicare-based patients (Mulligan, 2002). Geriatric patients currently are underserved. Psychiatrists argue that due to a reduced access to psychiatric care such in cases demanding early interventions, most psychiatric patients are ending up complications. Doctors note that the cuts make it difficult for them to meet the requirements of their practice such as administrative issues and thus end up restricting their caseloads on Medicare. Currently, Medicaid does not take responsibility of the complete co pay for patients on both the Medicaid and Medicare and this has made a number of clinics to close to avoid the extra burden of absorbing the costs of treating these patients. For instance, Minnesota’s Mayo Clinic incurred a loss of about $ 34. 2 million in years 2002 and 2003 due to these cuts and it is such losses that are pushing clinics to close down minimizing access to health acre even more. Access to healthcare for the Medicare patients is increasingly becoming expensive and complicated given that the ability to pay currently determines this access (White, & Dranove 1998). Most heath facilities have had to cut down on their provisions of vital services that the seniors, the metal disabled and the military personnel within the community rely on to protect their bottom lines. Affected patients are being forced to skip visits to hospitals and this has prompted the providers to restrict access through costs. Impact on Psychiatrists and Other Medical and Home Care Providers A study of about 14,000 anaesthologists and surgeons indicate that most medical care providers will change their practice thus jeopardizing health care provision. A third of those studied said they will cease to practice as Medicare psychiatrists. This will adversely affect their quality of life. Practical challenges are forcing the providers to halt providing some Medicare related services, cutback on staff, minimize time allocated for Medicare patients and/or halt further purchase of equipments essential for serving such patients (Konetzka, et al. 2005). This will limit the doctor’s practice adversely. Some medical and home care providers have been forced to quit their practice following the high overhead resulting from the high costs incurred in attending to Medicare patients. Hospitals are being forced to resize on Medicare patients’ staff since hospitals have had to absorb care costs. Individual practitioners are more affected. Reimbursements cuts are prompting hospitals to focus on other non-reimbursement-dependent care services while closing down departments as well as cutting back on services to enable hospitals protect their bottom lines. This trend is prevalent even in community hospitals. In this regards, hospitals and home care provision establishments have had to reduce the number of practitioners providing these services and hence most are on the verge of losing their jobs should the cuts continue as anticipated (Mulligan, 2002). This implies that the government will only be solving on problem while creating multitude of others such unemployment. Many hospitals have also resulted in freezing of workers’ salaries and hence compromising their motivation. Impact on Taxpayers According to Randall (2009), the 2005’s 3 % reimbursement cut resulted into a $ 49 billion in terms of cost on permanent reforms. Currently, the Medicare reimbursement cut stands at 21% at a reform cost of about $ 210 billion. Medicare and Medicaid programs are funded by pay roll taxes. According to the health care reform bill, there will be an expansion of the pay roll tax associated with the Medicare to cover unearned income. It is projected that beginning year 2018; insurance firms will be required to pay an excise tax of about 40% for plans where family premiums range from $ 27, 500 and above (Sam, 2006). Experts note that these payroll tax effects will be transferred to employees in terms of lowers wages and benefits or in terms of higher premiums. This comes at a time when the government is focused on laying strict measure to ensure that people have health insurance. Further, it is also projected that from year 2013, adjustable spending accounts which currently enable users to skip various expenses on health care, will reduced or limited. In regards to the high income earning population, families earning in excess of $ 250, 000 will be required to spend way above what they spend currently on medical payroll taxes. Moreover, the now exempt unearned income will also be subjected to 3. 8 percent in payroll taxes. Individuals and families are definitely feeling the weight of these Medicaid and Medicare cuts through increased payroll taxes. This is because the federal government is focusing on insurances an alterative to help patients meet their health care costs. A 2005study by the Kaiser Family Foundation on employer health benefits indicates that family coverage premiums had increased by an average of about 9. 2 percent (Sam, 2006). Health insurance expenses have made it costly to employees as they are subjected to deductions for the same. At the same time, the mean per month contribution by employees on family plans increased to $ 226 in year 2005 form 2000’s $135. These are some of the costs that the citizens are bearing at the expense of the reduction in Medicare and Medicaid cuts.

Acute Care: Care Implementation and Evaluation.

Acute Care: Care Implementation and Evaluation. This assignment will be based around the care that is implemented and evaluated, within a National Health Service (NHS) Foundation Trust (FT). The focus of the assignment will be to discuss two health problems that a selected patient has and has been admitted to the FT with. The selected patient had been admitted into FT with breathing difficulties and also suffering from dehydration. The assignment will focus upon the goals that are set for the patient whilst in FT and the reasons why the goals are set. The patho-physiology of the two problems will also be discussed and also the care that had been implemented to achieve the goals. Throughout the assignment, the patient will be known as Terry with the permission from the patients parents, according to the Nursing and Midwifery Council (NMC, 2008) confidentiality guidelines. The assignment will also aim to discuss the role of the Health Care Professional (HCP) in planning appropriate care for the patient, in particular, using the assessment technique of goal setting by using Specific, Measurable, Achievable, Realistic and Time Set (S. M. A. R. T) target planning technique (Roper et al, 1996). The reasons for planning care can involve the HCP assisting in preventing potential health problems, for example, breathing difficulties for the patient becoming worse and to also assist in solving problems where possible. Care planning can also assist in alleviating possible health problems that cannot be solved by HCP’ s and so will need the assistance of Multi Disciplinary Team (MDT) , for example, consultant, physiotherapists to further improve an develop the care plan. Terry is a 42 year old single man, who lives with his parents, and has suffered from a number of illnesses throughout his life, for example, optical glyoma, Deep Vein Thrombosis (DVT), epilepsy, and also learning difficulties. Terry has difficulty with breathing, and this appears to have been caused by respiratory rhythmicity centre in the medulla and the pons (areas of the brain which can control breathing) and these appeared to not be working in the correct way (MacKenzie, 1996; Waugh et al 2006). Terry’s reduced neurological status was due to trauma that had been suffered in the motor pathways, and the peripheral nerves, in the brain (Iggulden, 2006). Terry was admitted to the Intensive Care Unit (ICU), within the NHS FT, suffering from numerous problems that were mainly neurological. Terry's admission to ICU was due to the increased breathing difficulties that he was experiencing. Due to the breathing difficulties, the nursing team, and Terry's consultant, agreed that it would be best for Terry to have a percutaneous tracheostomy inserted. Due to Terry suffering from a probable cerebellar lesion, severe learning difficulties and poor communication skills; it did appear that Terry could not understand what the nursing team were informing him of, the medication that he needed and the care that was being delivered (NMC, 2008). Due to the fact that Terry appeared not to be able to understand or communicate with the nursing team, and that his parents and family members were with him, the nursing team, and myself, ensured that the parents, and family members, were informed of what was happening regarding the care that had given to Terry. The fact that Terry could not understand the instructions given to him, due to learning difficulties, consent to insert a percutaneous tracheostomy had to be given from Terry’s parents, to the Consultant (NMC, 2008). The tracheostomy that had been inserted into Terry helped the nursing team in the ICU and on the ward, to oxygenate Terry to the optimum level of 98%. The tracheostomy, also ensured that Terry was able to maintain a breathing rate of between 35 and 50 breathes per minute (Bailey, 2008). Although Terry was able to maintain a respiration rate, the normal respiration rate for an adult is normally between 14 and 18 breathes per minute (Bailey, 2008). The nursing care that had been implemented included ensuring that oxygen was flowing through the tracheostomy and this ensured that Terry had enough oxygen in his body for his heart and lungs to function, and that the heart pumped the oxygenated blood around the body (Machin et al 1996; Roper et al, 1996; Bailey et al 2008). Due to Terry’s respiration centre not working properly, and suffering from breathing problems, this meant that gaseous exchange was impaired, and led to a risk of respiratory acidosis. Gaseous exchange is where the oxygen goes into the alveoli capillaries, and the carbon dioxide is moved out of these capillaries (Bailey, 2008). The respiration centre is made up of a group of nerve cells, which are in the reticular endothelial system of the medulla oblongata. These cells send impulses to the motor neurones, via the spinal cord, and are then sent to the intercostal muscles (Bailey, 2008). The trauma that Terry had suffered with, was a possible cerebella lesion when he was a child. When Terry was admitted, his oxygen level was 82% (Bailey, 2008). The goal for this problem was to keep Terry's respiration and oxygenation at a level that was suitable. A suitable level of respiration for an adult is between 14 and 18 breaths per minute, and an oxygen level of around 97 to 98% (Bailey, 2008). The patho-physiology of breathing difficulties includes a lack of oxygen to the tissues of the body, including the brain, and even death (MacKenzie, 1996; Waugh et al 2006). Due to Terry haiving an oxygen saturation level of 82%, we set the goal that we would aim for and set this goal with his parents. The goal that the nurses had set with Terry's parents, due to the fact that Terry had learning difficulties and could not set the goal with the nurses. The goal was set as the nurses aimed to have his oxygen saturation level between 95% and 98% within two hours. The goal had to fit in with the Specific, Measurable, Achievable, Realistic and Time Set (S. M. A. R. T) target planning technique (Roper et al, 1996; Faulkner, 2000). Terry's sitting and lying position had to be carefully planned around him, this ensured that we as a nursing team where able to ensure that his lungs would expand to their optimum and to maintain a satisfactory oxygen saturation levels within his body (Roper et al 1996; Machin et al 1996; Hackman, 2008). The normal oxygen saturation level is between 95% and 98% (Woodrow, 1999). The fact that Terry had an oxygen saturation level of just 82%, the Consultant had to prescribe oxygen for Terry. The oxygen that had been prescribed for Terry, had been increased from 24% to 40% (NMC, 2002). The consultant advised us to ensure that the oxygen was to be humidified. Due to Terry having the tracheostomy, we were able to deliver the oxygen with the use of a tracheostomy mask and what is called a T-piece circuit (Machin et al 1996; Dolan, 2008; Soady, 2008). The consultant also advised the nursing team to ensure that neurological observation's were undertaken, especially the oxygen saturation levels, every 15 minutes until Terry's oxygen saturation levels had risen to 96% (Machin et al 1996; Dolan, 2008; Soady, 2008) The neurological observations with regards to the goal, meant that the nurses were able to deliver oxygen, which would enable the oxygen saturation level to be maintained (Machin et al 1996; Dolan, 2008; Soady, 2008). Once the nursing team had ensured that the oxygen had been delivered to Terry at 40% and was humidified, they then ensured that 15 minute observations were maintained. The Consultant had to ensure that the 40% oxygen that he had verbally prescribed, was documented and written clearly in Terry's medical notes and on his prescription sheet (NMC, 2002; NMC, 2004). The fact that Terry had been prescribed the higher rate of oxygen, this needed to be clearly documented within Terry’s nursing notes (NMC, 2004). The documentation was needed, so that the other nurses were aware of the change. Although the observations had been maintained every 15 minutes, with regards to Terry's oxygen saturation levels, this ensured that the nursing team maintained Terry's neurological observation's (Machin et al 1996; Dolan, 2008; Soady, 2008). The goal that had been set by the nursing team and Terry's parent's, for his oxygenation levels did fit into the Specific, Measurable, Achievable, Realistic and Time Set (S. M. A. R. T) target planning technique. The goal was specific, measurable and realistic for Terry and the nursing team caring for him, as well as being achievable in the time frame that had been set by Terry's Consultant (Faulkner, 2000). Due to the fact that the nursing team had achieved this goal for Terry, proved that the nursing care and interventions made by the nursing team, were effective. The nursing care and interventions were effective enough, for this goal to have been met (Roper et al 1996). The goal that had been set for Terry with regards to his oxygen saturation level, had to be documented. The goal had to be documented within the nursing notes, which the nursing team had to document clearly. The nursing team were able to hand over the information about Terry, to the nursing staff that would have been caring for him on the next shift. (NMC, 2004) The second of Terry's problem's is that he was at risk of dehydration, this was due to the fact that Terry could not swallow as he had a reduced neurological status. The fact that Terry could not swallow was due to the motor area of cerebral cortex of his brain, did not work in the way that it should (Waugh et al 2006). The motor area of the cerebral cortex of Terry's brain, was damaged due to the increase in epileptic seizures. Dehydration can cause the cells to deplete, due to not having enough fluids for them to replenish. The cells replenish in the sense that the fluids help the cells to regenerate, regulate the body temperature, to dilute the waste products within the body, and to maintain the level of fluids within the tissue fluid and blood (Waugh et al 2006). The patho-physiology of dehydration includes thirst, the mouth being dry, the tongue would look leathery, and fluid from within the tissues and skin would be withdrawn (Roper et al 1996; Brown, 1997; Day, 1997). Due to Terry not being able to drink fluids, he was not able to regulate his own body temperature, nor was his body able to dilute the poisonous substances in his body (Waugh et al 2006). Due to fluid being withdrawn from the body, this would mean that the body would not be able to maintain its own volume in blood (Roper et al 1996). The patho-physiology of not having enough fluids also includes the kidneys would excrete less than they normally would; a person would be lethargic; the skin would lose its elasticity and would appear to be more wrinkled (Roper et al 1996; Brown, 1997; Day, 1997). If Terry had been suffering from dehydration, his would have looked sunken and his urine output would be reduced as well as being more concentrated. If Terry had been suffering from a severe case of dehydration, his blood volume would be reduced. If the blood volume was to cause a circulation deficiency, this would cause his kidneys to fail to excrete the waste products that they normally excrete (Roper et al 1996; Brown, 1997; Day, 1997). Due to Terry not drinking the recommended two litres of fluids per day, we had to set a goal. The goal that had to be set, had to be set with Terry's parents (Roper et al 1996). The goal for the second problem, was to prevent dehydration during Terry's stay in hospital, through ensuring that Intravenous Saline was delivered through venous access (Dougherty et al 2008). The Intravenous Saline had to be delivered through venous access, due to the fact that this was the most effective way in which to infuse fluids. The fluids had to be infused over a period of 24 hours, due to the volume of the fluids. The Consultant prescribed two litres of Intravenous Saline, and the nursing team ensured that it was delivered (NMC, 2002; NMC, 2004; Dougherty et al 2008). Due to the fact that the fluids needed to be infused, the nursing team ensured that the fluids were delivered through the venous access, by using an infusion pump. The pump that was used by the nursing team, was the volumetric pump. The volumetric pumps allow health care professionals to administer large amounts of infusions, and this is why were used this type of pump to deliver the fluids that Terry needed over a 24 hour period (Sarpal, 2008). Due to the fact that the nursing team were delivering Intravenous Saline to Terry, it was important that this was documented by the nursing team within his nursing notes. The fact that this was documented in Terry's notes, ensured that the information was handed over to the nursing team on the next shift (NMC, 2004). It was important hat a fluid balance chart was also documented, as this would help the nursing team to ensure that the amount of input from fluids, was similar to Terry's urine output. The fact that the nursing team were able to monitor Terry's fluid input and output, ensured that his body was not retaining any of those fluids within a 24 hour period (Hunt et al 2008). The goal for dehydrat ion by providing two litres of Intravenous Saline over a 24 hour period, did fit into the Specific, Measurable, Achievable, Realistic and Time Set (S. M. A. R. T) target planning technique. This was due to the fact that the goal was specific, measurable and time set. The goal was achievable and realistic, but only while Terry's venous access was as good as it was. When Terry's venous access for the Intravenous Saline to be delivered was poor, this meant that the nursing team had to find another route to deliver these fluids. The nursing team had to re-set the goal for delivering the Intravenous Saline. (Faulkner, 2000) Due to the fact that the nursing team could not deliver the Intravenous Saline through the venous route, had to be documented. The nursing team had to document the fact that Terry had poor venous access, and that they had asked his Consultant to review Terry (NMC, 2004). When Terry's Consultant had been to review him, the Consultant advised the nursing team to deliver the Saline through Terry's PEG tube. Terry's Consultant had to document the fact, that he had advised the nursing team to deliver the Saline through Terry's PEG tube. The Consultant also had to document that his advice was due to Terry's poor venous access in Terry's medical notes, and he had to document this on the prescription chart (NMC, 2004). Due to Terry having a Percutaneous Endoscopic Gastrostomy (PEG), the nursing team and Terry's parents re-set the goal to deliver the fluids that Terry needed (Faulkner, 2000). The new goal that had been set, was to deliver one litre of Intravenous Saline through Terry's PEG tube. The litre of Saline was delivered to Terry through his PEG tube, over an 8 hour period rather than a 24 hour period. Even though the nursing team had to deliver the fluids through the PEG tube, they had to ensure that the goal did fit into the Specific, Measurable, Achievable, Realistic and Time Set (S. M. A. R. T. ) target planning technique. This goal was specific, measurable, achievable, realistic and time set for Terry and the nursing team (Faulkner, 2000). Before the nursing team could deliver the Saline through Terry's Percutaneous Endoscopic Gastrostomy, the Saline had to be prescribed by his Consultant. The Consultant had to document the Saline on Terry's prescription chart, and also had to document the route that the nursing team were to deliver the Saline (NMC, 2004). The Saline that had been prescribed by Terry's Consultant, also had to document in Terry's medical notes, that he had prescribed this and also document the route that he had advised to the nursing team (NMC, 2002; NMC, 2004). When the nursing staff had commenced the delivery of the Saline through the Percutaneous Endoscopic Gastrostomy (PEG) tube, they themselves had to document this. The nursing team had to document the Saline running through the PEG tube, to enable the nursing notes for Terry to be up-to-date. The nursing team to document the amount of Saline that was to run through Terry's PEG tube, and what time the Saline infusion began. The nursing team also had to document how much of the Saline was to be infused in any one hour, when the Saline was due to finish, as well as document the lot number and expiry date that were on the bag of Saline. NMC, 2002; NMC, 2004) The documentation of the infusion of the Saline running through Terry's Percutaneous Endoscopic Gastrostomy (PEG) tube, ensured that the nursing team could hand over the information to the nursing team that were due to care for Terry on the next shift (NMC, 2004). The goal that had been re-set by the nursing team, and Terry's parents, fitted in with the Specific, Measurable, Achievable, Realistic and Time Set (S. M. A. R. T. ) target planning technique (Faulkner, 2000). The fact that the goal had to be re-set, ensured that the nursing team had been able to deliver the Saline through the Percutaneous Endoscopic Grastrostomy (PEG) tube. The goal to deliver the Saline through the PEG tube, had been specific, measurable, realistic and time set for Terry and the nursing team. This goal had been achieved, due to the fact that the care that the nursing team had been able to deliver the Saline in the time that they had set with Terry's parents (Faulkner, 2000). Due to the goal being achieved in the time frame that had been set by the nursing team, and Terry's parents, meant that the nursing team had been able to deliver the care that had been needed to achieve this goal (Faulkner, 2000). I am now at the point in this assignment when I can reflect. For my reflection, I will be using the Gibb's Reflective Cycle to reflect upon this assignment, which is documented within his book that was published in 1988 and entitled Learning by Doing: A Guide To Teaching and Learning Methods (Gibb's, 1998). Due to the fact that Terry ad a number of health problems, I had a hard task of choosing which two that I would use. I did have to think long and hard about which two health problems that I would use, but I was given permission from his parents to enable me to write this assignment (NMC, 2008). The two health problems that I had chosen, were breathing difficulties and dehydration. Due to the breathing difficulties that Terry suffered with, meant that his oxygen saturation levels were low. Due to Terry's breathing difficulties, this is why the nursing team, and his Consultant, had to gain consent from Terry's parents, to insert a percutaneous tracheostomy. The fact that the tracheostomy was inserted soon after Terry's admission, enabled the nursing staff within the ITU and the ward of the NHS FT, to ensure that Terry's oxygen saturation levels were maintained. Therefore, this is the reason why a goal was set. Due to a goal being set for Terry's oxygen saturation levels to be maintained, provides evidence to show that the nursing interventions were effective. The effectiveness of these nursing interventions, proves that goals that are set for an individual patient can also be met. The second goal that had been set for Terry by the nursing team, and his parents, had fitted in with the Specific, Measurable, Achievable, Realistic and Time Set (S. M. A. R. T. ) target planning technique. Due to the fact that this goal was only partially met, did not necessarily mean that the care that had been delivered to Terry, had been ineffective. The care that had been delivered to Terry had been effective, but the goal could no longer be achieved through the venous route, due to the fact that Terry's venous access was poor. Due to Terry's poor venous access, this is why the nursing team had to re-set the goal with his parents. The goal that had to be re-set, fitted in with the Specific, Measurable, Achievable, Realistic and Time Set (S. M. A. R. T. ) target planning technique. The goal had been re-set, and had also been achieved in the time frame that had been set with Terry's parents. The goal that had been re-set, had been achieved in the time frame that had been set. The goal had been achieved due to the fact that, the nursing team were able to deliver the Intravenous Saline through the Percutaneous Endoscopic Gastrostomy (PEG) that Terry had in place. The fact that the nursing team could not achieve this goal when it had first been set, was not an issue that could have been anticipated. Even though nursing teams can not anticipate why the goals are not met, they can re-set the goal and in time, meet the new goal. Therefore, the nursing care and interventions that are delivered, do make nursing care effective. Documentation of all care from the nursing team was important, due to the fact that the nursing team on one shift, were able to inform the nursing team of the next shift. Documentation also ensures that if the nursing team were unsure of any test results, that they were able to look over the nursing notes to ensure they knew where we were up to with the patient. The Consultants documentation in the patients medical notes, ensured that other doctors or Consultants were also aware of the patients condition and any tests that may have been ordered. Bibliography. Bailey, M. , Crossen, S. , Holland, J. , & Hollis, V. (2008) Observation's in Dougherty, L & Lister, S. (eds) The Royal Marsden Hospital Manual of Clinical Nursing Procedures. 7th ed. Chapter 25, Pages 496-544. Oxford: Wiley-Blackwell Publishing. Brown, A. (1997) Caring for the Patient Undergoing Surgery in Walsh, M. (ed) (1997) Watson's Clinical Nursing and Related Sciences. 5th ed. Chapter 10, Pages 232-259. Edinburgh, Bailliere Tindall. Day, S. (1997) Caring for the Patient with a Nutritional Disorder in Walsh, M. (ed) (1997) Watson's Clinical Nursing and Related Sciences. 5th ed. Chapter 16, Pages 552-570. Edinburgh, Bailliere Tindall. Dolan, S. (2008) Respiratory Therapy in Dougherty, L & Lister, S. (eds) The Royal Marsden Hospital Manual of Clinical Nursing Procedures. 7th ed. Chapter 38, Pages 749-765. Oxford: Wiley-Blackwell Publishing. Dougherty, L. , Farley, A. , Hopwood, L. & Sarpal, N. (2008) Drug Administration: General Principles in Dougherty, L & Lister, S. (eds) The Royal Marsden Hospital Manual of Clinical Nursing Procedures. 7th ed. Chapter 11, Pages 202-251. Oxford: Wiley-Blackwell Publishing. Faulkner, A. (2000) Nursing: The Reflective Approach to Adult Nursing Practice. 2nd ed. Gloucestershire: Stanley Thornes Publishers Limited. Gibb's, G (1988) Learning by Doing: A Guide To Teaching and Learning Methods. Oxford: Further Education Unit, Oxford Polytechnic. Hackman, D. 2008) Positioning in Dougherty, L & Lister, S. (eds) The Royal Marsden Hospital Manual of Clinical Nursing Procedures. 7th ed. Chapter 34, Pages 668-689. Oxford: Wiley-Blackwell Publishing. Hunt, P. , Kelynack, J. & Stevens, A. M. (2008) The Unconscious Patient in Dougherty, L & Lister, S. (eds) The Royal Marsden Hospital Manual of Clinical Nursing Procedures. 7th ed. Chapter 44, Pages 849-853. Oxford: Wiley-Blackwell Publishing. Iggulden, H. (2006) Care Of The Neurological Patient. Oxford: Blackwell Publishing Limited. Local NHS Trust (2004) NHS Trust – Recommended Protocol for Care of the Patient with a PEG. Liverpool: Local NHS Trust. Machin, J. , Rhys-Evans, F. (1996) Tracheostomy Care and Laryngectomy Voice Rehabilitation in Mallet, J. , Bailey, C. (eds) (1996) The Royal Marsden NHS Trust – Manual of Clinical Nursing Procedures. Chapter 41, Pages 550-565. London: Blackwell Science Limited. MacKenzie, E. (1996) Respiratory Therapy in Mallet, J. , Bailey, C. (eds) (1996) The Royal Marsden NHS Trust – Manual of Clinical Nursing Procedures. Chapter 35, Pages 474-480. London: Blackwell Science Limited. Nursing and Midwifery Council (2002) Guidelines for the Administration of Medicines. London: NMC. Nursing and Midwifery Council (2004) Guidelines for Records and Record Keeping. London: NMC. Nursing and Midwifery Council (2008) The Code – Standards of Conduct, Performance and Ethics for Nurses and Midwives. London: Nursing and Midwifery Council. Roper, N. , Logan, W. W. , Tierney, A. J. (1996) The Elements of Nursing. 4th ed. America: Churchill Livingstone. Sarpal, N. (2008) Drug Administration: Delivery (Infusion Devices) in Dougherty, L & Lister, S. (eds) The Royal Marsden Hospital Manual of Clinical Nursing Procedures. 7th ed. Chapter 13, Pages 290-309. Oxford: Wiley-Blackwell Publishing. Soady, C. (2008) Tracheostomy Care and Laryngectomy Care in Dougherty, L & Lister, S. (eds) The Royal Marsden Hospital Manual of Clinical Nursing Procedures. 7th ed. Chapter 42, Pages 809-829. Oxford: Wiley-Blackwell Publishing. Waugh, A. , Grant, A. (2006) Ross and Wilson Anatomy and Physiology in Health and Illness. 10th ed. Philadelphia: Churchill Livingstone. Woodrow, P. (1999) Pulse Oximetry. Nursing Standard. Volume 13, Number 42. Pages 42-46. Woodrow, P. (2006) Intensive Care Nursing – A Framework for Practice. 2nd ed. Oxon: Rouledge.