Alcohol Impact on the Fetal Development

Alcohol Impact on the Fetal Development Every year, in the United States of America, between 1000 to 6000 children are born with Fetal Alcohol Syndrome (FAS), that is considered a huge number. (â€Å"Drinking alcohol during pregnancy,† 2008). Pregnancy is a very crucial time for the fetus. Women need to take care of the fetus by resting, eating a balanced and diet nutritious and performing some physical exercise. In the world, there are many things that can impact the fetus that women are not aware of and mothers should be cautious.Alcohol is one of them, expectant mothers should not drink alcohol during pregnancy. The purpose of this research is to explain and discuss the deleterious effects of alcohol on the fetal development during pregnancy. When, Where, How They Discover that Alcohol Has Effect on the Fetus In 1968, a man from France recognized that drinking alcohol during pregnancy may cause Fetal Alcohol Syndrome (FAS), name was Lemoin. In 1973 in the United States of A merica, James and Smith continued the research about Fetal Alcohol Syndrome FAS.They mentioned that (FAS) affect the fetus growth and cause bad result to the fetus before and after being born (Caleekal, 1989). The scientist discovered Fetal Alcohol Syndrome in some children whose mother drank alcohol during pregnancy before 30 years. At that time, they created FAS about alcohol's effects on the fetus. (NIAAA, 2000). Fortunately, these days with advances in medicine, scientists discover many things having an effect on the fetal development. Many women feel that drinking alcohol during pregnancy is not a big deal.But, depending on some research, it is not only a big deal but a serious problem that will affect the fetus and will cause FAS to be in fetus. Diseases and Disorders of Drinking Alcohol During Pregnancy The Fetus's food come from what the mother consumed either bad or good. Women should not drink any types of alcohol during pregnancy or when they are planning to become pregna nt because the women might be pregnant and they do not recognize that for a few days. This situation is happening in the United States of America every year to many women. Approximately 50% of pregnancies are unplanned.Drinking alcohol during pregnancy might cause FAS. Women can protect their children from Fetal Alcohol Spectrum Disorders (FASDs) completely by stopping alcohol use during pregnancy (Centers for Disease Control and Prevention [CDC], 2010). FAS causes many serious problems and diseases in the fetus such as mental retardation, problems on the heart, weak growth of the fetus, difficulties of understanding and problems in the brain. The mothers should never drink alcohol during their pregnancies, at least the three months of first trimester because these are a dangerous and sensitive time for the fetus.However, not all the children whose mothers consume alcohol will develop birth defects. Sometimes, it affects their behavior and their lives will be difficult for them. Oth er effects of FAS are Alcohol-Related Birth Defects (ARBDs) and Alcohol-Related Neurodevelopmental Disorders (ARNDs). ARBDs are the physical problems in the fetus such as heart disease, eyes diseases or organs problems. ARNDs are the learning problems and difficulties in the fetus such as difficulties of understanding or short memory. There is no medicine or treatment for Fetal Alcohol Syndrome (â€Å"Drinking alcohol during pregnancy,† 2008).Some researchers discovered that drinking alcohol during pregnancy might cause abortion or premature birth the fetus before the specific time and sometimes kill the fetus. The probability of causing diseases depends on the amount of drinking (â€Å"Drinking alcohol during pregnancy,† 2008). According to Henry and Lyn (1984), consuming alcohol during pregnancy may lead to prematurity. They observed drinking more than seven drinks a week during pregnancy may cause preterm delivery. Also, alcohol abuse during pregnancy is associated with decreased birth weight and neurological effects on newborns.

Nursing Diagnosis

Cues| Nursing Diagnosis| Scientific Explanation| Objectives/Plan of Care| Nursing Interventions| Rationale| Evaluation| S> â€Å" Hindi pa masyado magaling ang sugat ko† as verbalized by the patientO> S/P Appendectomy>with surgical incision at right lower abdominal area>with dry intact dressing on the surgical site| Impaired Skin Integrity related to skin/tissue trauma| Inflammation of the appendixvAcute AppendicitisvAppendectomyvDissection if right lower abdominal tissuesvDisruption of skin surface and destruction of skin layersvImpaired skin/tissue integrity|Within 8 hours of nursing intervention the pt will be able to manifest the following:a. ) intact suturesb. ) dry and intact wound dressingc. ) participation in passive ROM exercises| >Assess operative site for redness, swelling, loose sutures, or soaked dressing>Monitor Vital Signs>Assist in passive movements(while 8hrs. lat on bed) such as bed turning and passive ROM exercise and active exercise the reafter movements such as bed position, sitting, standing, walking> Support incision as in splinting when coughing and during movement>Encourage pt to verbalized his for any untoward feelings especially pain, discomfort as well as changes noted on operative site>Encourage pt to engage early ambulation and have SO’s assist him in such activities>Instruct pt and SO’s to immediately report when dressing are soaked>Instruct pt and SO’s to refrain from touching/scratching operative site>Provide regular dressing care>Administer Chlorampenicol Sodium(antibiotic) as ordered| >to check skin integrity, monitor progress of healing and identify need for further> Serve as baseline data>to promote circulation to the surgical site for timely healing>to reduce pressure on the operative site>to allow continuous monitoring and assessment of pt. ondition>to promote circulation to the surgical site for timely healing>to promote circulation to the surgical site for timely healing>for immediate replacement to prevent skin breakdown and contamination of operative site>to avoid accumulation of moisture at the operative sitewhich may lead to skin breakdown>to prevent bacteria harbor in operative site|Within 8 hours of nursing intervention the pt be able manifest the following:a. ) intact suturesb. ) dry and intact wound dressingc. ) participation in passive ROM exercises>Evaluation was not carried out due to time constraints. Pt was endorsed to succeeding members of the health team for further management and evaluation| Cues| Nursing Diagnosis| Scientific Explanation| Objectives/Plan of Care| Nursing Interventions| Rationale| Evaluation| S>†Hindi namn ako nilalagnat† verbalized by the patientO> v/s taken as follow:BP:110/80 mmHgRR:22 cpmPR:68 bpmT: 37. C> S/P Appendectomy>with dry intact dressing on the surgical site| Risk for infection related to tissue trauma| Inflammation of the appen dixvAcute AppendicitisvAppendectomyvTissue trauma on RLQ abdomenMay provide portal of entry for pathogens through:>unnecessary exposure of surgical site>inadequate aseptic techniques especially in wound dressing>contract with pt’s, SO’s and visitors hands or other partsvMay result to infection| Within 8 hours of nursing intervention the pt will be able verbalize ways in preventing infection/contamination specifically proper hand washing, and proper wound care as evidenced by:>maintain stable v/s>good skin integrity>absence of swelling redness and pain on operative site | >Monitor v/s and record>assess operative site for signs of infection>change linens as necessary>Provide regular dressing care>Instruct pt and SO’s to refrain from touching/scratching operative site>Encourage pt to verbalized any changes noted on operative site such as redness, swelling and unusual/odorous drainage >Encourage pt to engage early ambulation an d have SO’s assist him in such activities>Administer Penicillin G Sodium(antibiotic) as ordered| >Elevation in rates may signal infection>to provide baseline data for comparison and identify need for further management>to prevent growth of microorganisms on linens and beds> to prevent unnecessary exposure and contamination of operative sitewhich may delay wound healing>for immediate replacement to prevent skin breakdown and contamination of operative site>to allow continuous monitoring and assessment of pt. condition>to promote circulation to the surgical site for timely healing>serve as prophylactic treatment and prevent bacteria to harbor on operative site|Within 8 hours of nursing intervention the pt will be able verbalize ways in reventing infection/contamination specifically proper hand washing, and proper wound care as evidenced by:>maintain stable v/s>good skin integrity>absence of swelling redness and pain on operative site>Evalu ation was not carried out due to time constraints. Pt was endorsed to succeeding members of the health team for further management and evaluation| Kenneth Antonio B. Bacani, SN Group 1 Nursing Care Plan Callang General Hospital, Santiago City Cues| Nursing Diagnosis| Scientific Explanation| Objectives/Plan of Care| Nursing Interventions| Rationale| Evaluation| S> â€Å"Masakit ditto sa baba†, while pointing at RLQ of abdomen. >rated pain as 5 on a scale of 10, where 1 as the lowest and 10 as the highest>characterized pain as pricking>reported that pain occurs everytime when pt moves or movedO> v/s taken as followsT: 37. CRR: 21 cpmPR: 64 bpmBP: 120/70 mmHg> S/PAppendectomy>with dry intact dressing on the surgical site>with guarding behavior over the site>facial grimacing| Acute pain related to tissue damage 2nd to post appendectomy| Inflammation of the appendixvAcute AppendicitisvAppendectomyvDissection if right lower abdominal tissuesvDisruption of skin surface and destruction of skin layersvActivation of nociceptors in dermis and tissuesvReceptors send impulses to CNS for interpretationvPain PerceptionvAcute Pain| Within 6-8 hours of nursing intervention, the pt will be able to manifest ability to cope with incompletely relieved pain as evidenced bya. ) verbalization of decrease pain form 5/10 to 2/10b. engagement in diversional activities such as socialization, watching TV, and listening mellow music| >Monitor V/S and record>Assess pain characteristics including location, intensity, and frequency>Assess surgical site for swelling, redness or loose sutures>Promote adequate rest periods by temporarily limiting activity>Encourage pt to verbalize pain perception>Provide pt with diversional activities such as socialization, watching TV, and listening mellow music>Encourage SO’s to continue provision of diversional activities and a quiet environment >Administer Toradol (analgesic)as ordered | >El evation in rates suggest increased pain intensity and frequency>Elevation in intensity and frequency may indicate worsening condition>Swelling, redness , and loose sutures may contribute to the pain felt by pt. nd are indicative of further management>to lessen pain felt aggravated by movements>to allow further assessment of pain characteristics and evaluation of treatment / intervention>to help pt divert his attention to other matters than pain felt>to allow pt continue divert his attention>to relieved or lessen pain by inhibiting prostaglandin synthesis| Within 6-8 hours of nursing intervention, the pt will be able to manifest ability to cope with incompletely relieved pain as evidenced bya. ) verbalization of decrease pain form 5/10 to 0/10b. ) engagement in diversional activities such as socialization, watching TV, and listening mellow music>verbal report that pain is completely releived>absence of facial grimacing upon performance of activities such as changing position, sitting ,standing and walking> absence of guarding behavior over surgical site>Evaluation was not carried out due to time constraints. Pt was endorsed to succeeding members of the health team for further management and evaluation| Nursing Diagnosis Cues| Nursing Diagnosis| Scientific Explanation| Objectives/Plan of Care| Nursing Interventions| Rationale| Evaluation| S> â€Å" Hindi pa masyado magaling ang sugat ko† as verbalized by the patientO> S/P Appendectomy>with surgical incision at right lower abdominal area>with dry intact dressing on the surgical site| Impaired Skin Integrity related to skin/tissue trauma| Inflammation of the appendixvAcute AppendicitisvAppendectomyvDissection if right lower abdominal tissuesvDisruption of skin surface and destruction of skin layersvImpaired skin/tissue integrity|Within 8 hours of nursing intervention the pt will be able to manifest the following:a. ) intact suturesb. ) dry and intact wound dressingc. ) participation in passive ROM exercises| >Assess operative site for redness, swelling, loose sutures, or soaked dressing>Monitor Vital Signs>Assist in passive movements(while 8hrs. lat on bed) such as bed turning and passive ROM exercise and active exercise the reafter movements such as bed position, sitting, standing, walking> Support incision as in splinting when coughing and during movement>Encourage pt to verbalized his for any untoward feelings especially pain, discomfort as well as changes noted on operative site>Encourage pt to engage early ambulation and have SO’s assist him in such activities>Instruct pt and SO’s to immediately report when dressing are soaked>Instruct pt and SO’s to refrain from touching/scratching operative site>Provide regular dressing care>Administer Chlorampenicol Sodium(antibiotic) as ordered| >to check skin integrity, monitor progress of healing and identify need for further> Serve as baseline data>to promote circulation to the surgical site for timely healing>to reduce pressure on the operative site>to allow continuous monitoring and assessment of pt. ondition>to promote circulation to the surgical site for timely healing>to promote circulation to the surgical site for timely healing>for immediate replacement to prevent skin breakdown and contamination of operative site>to avoid accumulation of moisture at the operative sitewhich may lead to skin breakdown>to prevent bacteria harbor in operative site|Within 8 hours of nursing intervention the pt be able manifest the following:a. ) intact suturesb. ) dry and intact wound dressingc. ) participation in passive ROM exercises>Evaluation was not carried out due to time constraints. Pt was endorsed to succeeding members of the health team for further management and evaluation| Cues| Nursing Diagnosis| Scientific Explanation| Objectives/Plan of Care| Nursing Interventions| Rationale| Evaluation| S>†Hindi namn ako nilalagnat† verbalized by the patientO> v/s taken as follow:BP:110/80 mmHgRR:22 cpmPR:68 bpmT: 37. C> S/P Appendectomy>with dry intact dressing on the surgical site| Risk for infection related to tissue trauma| Inflammation of the appen dixvAcute AppendicitisvAppendectomyvTissue trauma on RLQ abdomenMay provide portal of entry for pathogens through:>unnecessary exposure of surgical site>inadequate aseptic techniques especially in wound dressing>contract with pt’s, SO’s and visitors hands or other partsvMay result to infection| Within 8 hours of nursing intervention the pt will be able verbalize ways in preventing infection/contamination specifically proper hand washing, and proper wound care as evidenced by:>maintain stable v/s>good skin integrity>absence of swelling redness and pain on operative site | >Monitor v/s and record>assess operative site for signs of infection>change linens as necessary>Provide regular dressing care>Instruct pt and SO’s to refrain from touching/scratching operative site>Encourage pt to verbalized any changes noted on operative site such as redness, swelling and unusual/odorous drainage >Encourage pt to engage early ambulation an d have SO’s assist him in such activities>Administer Penicillin G Sodium(antibiotic) as ordered| >Elevation in rates may signal infection>to provide baseline data for comparison and identify need for further management>to prevent growth of microorganisms on linens and beds> to prevent unnecessary exposure and contamination of operative sitewhich may delay wound healing>for immediate replacement to prevent skin breakdown and contamination of operative site>to allow continuous monitoring and assessment of pt. condition>to promote circulation to the surgical site for timely healing>serve as prophylactic treatment and prevent bacteria to harbor on operative site|Within 8 hours of nursing intervention the pt will be able verbalize ways in reventing infection/contamination specifically proper hand washing, and proper wound care as evidenced by:>maintain stable v/s>good skin integrity>absence of swelling redness and pain on operative site>Evalu ation was not carried out due to time constraints. Pt was endorsed to succeeding members of the health team for further management and evaluation| Kenneth Antonio B. Bacani, SN Group 1 Nursing Care Plan Callang General Hospital, Santiago City Cues| Nursing Diagnosis| Scientific Explanation| Objectives/Plan of Care| Nursing Interventions| Rationale| Evaluation| S> â€Å"Masakit ditto sa baba†, while pointing at RLQ of abdomen. >rated pain as 5 on a scale of 10, where 1 as the lowest and 10 as the highest>characterized pain as pricking>reported that pain occurs everytime when pt moves or movedO> v/s taken as followsT: 37. CRR: 21 cpmPR: 64 bpmBP: 120/70 mmHg> S/PAppendectomy>with dry intact dressing on the surgical site>with guarding behavior over the site>facial grimacing| Acute pain related to tissue damage 2nd to post appendectomy| Inflammation of the appendixvAcute AppendicitisvAppendectomyvDissection if right lower abdominal tissuesvDisruption of skin surface and destruction of skin layersvActivation of nociceptors in dermis and tissuesvReceptors send impulses to CNS for interpretationvPain PerceptionvAcute Pain| Within 6-8 hours of nursing intervention, the pt will be able to manifest ability to cope with incompletely relieved pain as evidenced bya. ) verbalization of decrease pain form 5/10 to 2/10b. engagement in diversional activities such as socialization, watching TV, and listening mellow music| >Monitor V/S and record>Assess pain characteristics including location, intensity, and frequency>Assess surgical site for swelling, redness or loose sutures>Promote adequate rest periods by temporarily limiting activity>Encourage pt to verbalize pain perception>Provide pt with diversional activities such as socialization, watching TV, and listening mellow music>Encourage SO’s to continue provision of diversional activities and a quiet environment >Administer Toradol (analgesic)as ordered | >El evation in rates suggest increased pain intensity and frequency>Elevation in intensity and frequency may indicate worsening condition>Swelling, redness , and loose sutures may contribute to the pain felt by pt. nd are indicative of further management>to lessen pain felt aggravated by movements>to allow further assessment of pain characteristics and evaluation of treatment / intervention>to help pt divert his attention to other matters than pain felt>to allow pt continue divert his attention>to relieved or lessen pain by inhibiting prostaglandin synthesis| Within 6-8 hours of nursing intervention, the pt will be able to manifest ability to cope with incompletely relieved pain as evidenced bya. ) verbalization of decrease pain form 5/10 to 0/10b. ) engagement in diversional activities such as socialization, watching TV, and listening mellow music>verbal report that pain is completely releived>absence of facial grimacing upon performance of activities such as changing position, sitting ,standing and walking> absence of guarding behavior over surgical site>Evaluation was not carried out due to time constraints. Pt was endorsed to succeeding members of the health team for further management and evaluation|

The Market for Borrowing Corporate Bonds Essay Example | Topics and Well Written Essays - 2000 words

The Market for Borrowing Corporate Bonds - Essay Example An efficient corporate bond market will lead to the efficient allocation of investment funds. An efficient market will also lead to investments in riskier assets. The types of securities which can be issued in the corporate bond market are debentures, unsecured notes and subordinated debt. One of the major reasons for developing a corporate bond markets is that the bond market provide an alternative solution or source for operational funds for the private sector other than borrowing from the equity markets and banks. This helps in improving the financial stability and allocation of credit. Companies running successfully can decide to expand their activities and commence new projects. To raise capital the company can decide on raising the funds from the corporate bond market as it can be beneficial for the company in the long run. The following sections give a detail understanding of corporate bonds. These sections describe the types of securities that can be issued in the corporate bond market, the types of companies that can issue it, the benefits of issuing bonds over other sources of finance, the providers of debt and their requirements. This information will certainly help the Board of Directors to reach a decision regarding the use of corporate bonds for raising capital to finance the new project. Types of securities that can be issued in the corporate bond market A company can issue three types of securities in the corporate bond market. These three types are explained below. 1. Debentures A debenture is secured by a fixed or floating charge over the issuing company’s unpledged assets. There are two types of debentures: fixed charge and floating charge. Both the types are explained below. a. Fixed Charge debenture: A fixed charge is placed over the permanent assets of the company such as fixed as sets. These assets cannot be sold until the bondholder has been repaid in the event of default. These bondholders have the first claim on the assets of the company. b. Floating charge debenture: A floating charge is issued over those assets which the company will sell in the normal course of the business to generate income such as finished good. These assets can be sold so the company issues a floating charge over these assets. Once the company defaults the floating charge becomes fixed charge. The bondholders will then take possession of the assets. Once the claims of the fixed charge bondholders have been satisfied, these bondholders can claim on the remaining assets. For example, if all the fixed assets have been used to pay off the fixed charge debenture holders, then the assets that the company sells to generate income will be used to pay off the floating charge debenture holders. 2. Unsecured Notes It is a corporate bond with no form of underlying security attached. These bond holders have no claim over the assets until the claims of the fixed-and floating charge bondholders have been satisfied. For example if a company defaults, the fixed charge debenture holders will be paid first, then the floating charge will be paid and finally the unsecured notes holders will be paid. 3. Subordinated Debt Subordinated debt is a long-term debt issue that ranks behind all other creditors. The subordinated debt also pays a specific interest stream. In the event of a default, the holders of subordinated debt receive nothing until the claims of all other creditors are satisfied. The debt issue may also include an agreement which states that the debt will not be presented for

Home Furnishings Term Project Paper Example | Topics and Well Written Essays - 1750 words

Home Furnishings Project - Term Paper Example . . . . . . . . . . . . . . . 7 F. New Product Developments . . . . . . . . . . . . . . . . . . . . . . 8 G. Works Cited . . . . . . . . . . . . . . . . . . . . . . 12 Table of Figures Figure I - LOLA Love Seat . . . . . . . . . . . . . . . . . . . . . . 4 Figure II - FLEX Loveseat Sleeper . . . . . . . . . . . . . . . . . . . . . . 4 Figure III - KLOBO Loveseat . . . . . . . . . . . . . . . . . . . . . . 6 Figure IV – JLOVESEAT . . . . . . . . . . . . . . . . . . . . . . 9 Figure V - BOCCA Loveseat . . . . . . . . . . . . . . . . . . . . . . 9 Figure VI - MAGENTA Loveseat . . . . . . . . . . . . . . . . . . . . . . 10 Figure VII - ECO-FRIENDLY Loveseat . . . . . . . . . . . . . . . . . . . . . . 10 Love Seat E-Manual Love Seat Basics Love seats are small sofas or chairs designed for two persons. This type of furniture is called as such due to the romantic connotation that only two persons can sit on it, who most probably have a special relationship. They are also called †Å"double chairs† or â€Å"settees† (Vaughan, par. 1) and was reported to be in existence in America since the 18th century (pars. 2-3). The purpose of making a wider chair during the 17th and 18th century is to accommodate the bigger design of dresses and not for seating two romantically linked individuals (Encyclopedia Britannica, par. 1). It is only in the 19th century that such type of chair was called a love seat or â€Å"courting chair† (par. 2). ... Love seats can in fact form as part of the total decorative setting in the room with the latest trendy designs and color combinations. Love seats have the same height as sofas but horizontally shorter by 10 to 20 inches making them suitable for smaller office area (Decorative Love Seat, pars. 2-3). The design and materials vary with mixture of traditional, modern and sophisticated, and may be thematic or historic (pars. 2-3). Designs, Designer and Manufacturers KI KI love seats are manufactured by KI Group. Its love seat product is categorized under the sofa categories (Commercial sofa, 1). Lola love seat is designed for office setting or any workplace that requires a soothing environment (1). Lola love seat has a beige covering and curves that reflect the contemporary taste in office requirements (1). The design departs from the traditional flat and narrow furnishings commonly seen in offices (1). The curvature of Lola love seat follows the body contour that gives complete relaxatio n despite the pressure that an office environment projects. The thrust of KI designers in going beyond the traditional love seat is reflected in their designs (Flex Loveseat Sleeper, 1). KI Flex Loveseat Sleeper can function as a bed by just pulling the sliding portion beneath the seat (1). The arms are made of solid Maple hardwood while the arm panels, seat and back cushions are replaceable (1). The love seat has the following dimension: total dimension, 61†w x 37.5†d x 33.5† h; seat, 56†w x 20†d x 18†h; and arm, 28† h. There are more than 50 color and fabric upholstery choices for the product lineup ok KI (Approved Fabrics, 1). The online marketing strategy of KI on presenting the types of

Discussion Questions Week 3 Essay Example | Topics and Well Written Essays - 500 words - 2

Discussion Questions Week 3 - Essay Example It also provides training resources for programmers looking to learn the Java language. Sun’s community approach to Java is one of the platform’s greatest strengths. Out of the several labels associated with Java, â€Å"Write one and run anywhere† is by far the most popular. When a Java program is compiled, it does not use operating specific code. It uses â€Å"bytecodes.† All Java applications run inside a Java Virtual Machine. You can create an Java application on a Windows Vista machine that will run equally well on a Linux, Windows 95 or Mac machine. Developers design for Java and not for an operating system. This makes Java very flexible when compared to other programming languages. Variations of the Java Virtual Machine will run equally well on cell phones, PDA and other small electronic devices. In comparison with other languages, Java applications typically used less code. Some Java applications run slower than OS specific programs. This is a small price for operating system independence. Advances within Java’s virtual machine and compiling are closing the speed gap. Java is one of the most secure programming languages within the industry today. (Riske, 2004) Java applications must receive permission to uses computer resources. The very nature of the language prevents events like â€Å"buffer overloads† which are a weakness within C+. Byte security is one of Java’s core defenses against malicious code. Whenever a Java applet wants to run, it is inspected. Byte security verifies that it is a compiled Java program and not a virus or spyware program. Personal Digital Assistants offer several advantages to businesses. The meat processing industry can save money in energy management and heat and cold management and monitoring. (Lovatt, 1999) Meat Plant Energy Modeler, MIHeat, Lamb Freezer MBC are software packages designed to run originally on at best a IBM compatible Pentium I. Java versions of

Criminal procedure 1 Assignment Example | Topics and Well Written Essays - 500 words

Criminal procedure 1 - Assignment Example e certain aspects of life, such as the abolition of segregation and definition of sexual harassment, which was brought before the supreme court for a final, legal decision. Since the courts cannot issue a legal opinion until it is officially requested, it is understandable why they did not implement the Bill of Rights until the 1960s, when it officially came into play for political and judicial changes ( â€Å"The Bill of Rights: A Brief History†). Source: American Civil Liberties Union. (n.d.). The bill of rights: A brief history. Retrieved from https://www.aclu.org/racial-justice_prisoners-rights_drug-law-reform_immigrants- rights/bill-rights-brief-history 2. In Dred Scott v. Sanford, the issue of American citizenship came into question for African- Americans. The issue was that African-Americans, whether in slavery or free were not to be considered American citizens and therefore, had not right to sue in the federal courts and that the federal government had no right to regulate slavery. The suit was brought forth by Dred Scott whose owners had brought him across territories where he was considered a free man in some states and tried to sue in order to gain his freedom. The supreme court protected the rights of the slave owners, deciding that Scott did not have the right to sue for his freedom. This landmark case is remembered for being only the second time that the courts did not uphold an Act of Congress. 3. The 14th amendement guaranteed citizenship to the United States for any person who was born or naturalized in the United States. Had this law been passed prior to Dredd v. Scott, Dredd would have seen his citizenship as an American recognized by the courts, which would then have ensure his rights as an American citizen, quite possibly gaining him his freedom in the process. It is important to remember that the courts can only act upon legal issues regarding constitutional matters once it is brought to their attention. The Dredd v. Scott case no doubt

The study and history of Electroconvulsive therapy and how it has Essay

The study and history of Electroconvulsive therapy and how it has changed over the years (its present,past and future) and it sh - Essay Example ECT is a highly technical procedure requiring a team that consists of an anaesthetist, a psychiatrist, psychiatric nurses and recovery nurses. Doing a study on how ECT has changed over the years has given me an insight of how the use of ECT in the treatment of mental health illness has changed over the years. Undergoing this study has also enabled me to implement an important role in caring for patient who receive ECT, especially in the areas of pre- and post-treatment care. Mental health nursing care for the ECT patient has evolved from a traditional supportive and adjunctive practice to the current practice of independent and collaborative nursing actions. The nurse’s multifaceted role in ECT is enacted by providing education and support, performing pre-treatment assessments, monitoring the procedure, observing and interpreting post-treatment patient responses, and this study has helped me understand how I fit into that role. Electroconvulsive therapy is considered one of th e more effective methods for the treatment of persistent depression that has proven resistant to treatment with medication or psychotherapy. The method even has an extremely high rate of success, reportedly between fifty up to ninety percent, when ECT is used as an initial treatment for severe cases of index depression, a major depressive episode that presents with a specific start date and normal mood before that date. If used for schizophrenia, ECT is usually combined with pharmaceutical treatments as well. When used together in this manner, the treatment is shown to reduce the risks of future relapse, more so than treatment with the medication alone (Taylor 2007). Mechanism of Treatment and Treatment Activities Electroconvulsive therapy treats psychiatric disorders through the induction of generalized seizure activity in the brain, and some have suggested that the seizure activity alone is the mechanism of treatment (Bolwig 2011). However, despite the years of experience with the treatment in the medical community and just as many years of research, the exact reasons for its success are still unclear (Madsen et al 1999). Many possible reasons for it have been suggested. One possible suggestion for the mechanism of the treatment has been that it may induce neurogenesis (Madsen et al 1999). Neurogenesis is the growth of new neural cells, but only recently has it been discovered that such new neurons can grow in the adult human brain throughout life. Adult neurogenesis has been suggested as a method to treat neurological and psychological disorders, as part of or separate from ECT (Eisch & Nestler 2002). ECT has also been found to increase synaptic activity in the brain as well as forming these new neurons and neural connections, another possibility for its mechanism (Bolwig 2011). Another suggestion for mechanism is based on its efficacy in the treatment of major depressive disorder. Patients who are treated for major depressive disorder with ECT are found to have elevated levels of pancreatic polypeptide after successful treatment, which is known to be secreted after activation of the vagal nerve complex. Researchers have used these findings to conclude that vagal nerve stimulation may be the responsible mechanism for electroconvulsive therapy, at least for those patients being treated for depressive disorders (Bar et al. 2010). During electroconvulsive therapy, the patient is put under general anaesthesia and pharmacologically

The Trojan women Assignment Example | Topics and Well Written Essays - 250 words - 2

The Trojan women - Assignment Example His brave abduction of the beautiful Helen, wife of Menelaus, sparked off the Trojan War .â€Å"†¦..Athens was a city ostensibly at peace but feverishly preparing a massive military expedition to far-off Sicily, a war of choice whose purpose†¦Ã¢â‚¬ ¦Ã¢â‚¬  (Euripides, et al pg. 4). Paris is self-centered person and portrays significant egocentrism and often unmanly. He fights effectively with a bow and arrow and never with the more manly sword or spear but rather often lacks the spirit of going to the battle and prefers to sit in his room making love to Helen while others fight for him. This rare romantic indulgence by a man during war earns Paris scorn from both Hector and Helen. Paris is significant in the storyline since his craving desire and eventual sexual relationship with Helen is the cause of the war and surrounding conflicting political interests in troy. He finally died from the same war he contributed in its flare up and his wife was later married by his brother Deiphobus (Euripides, et al.34-7). Paris represents the stereotype that historical prophesies hold as his marriage to Helen went in line with the earlier Aphrodite, the Goddess of love. The moral lesson that can be learnt from this case humility and chastity which Paris lacked and led to a series of bloody atrocities as indicated by Trojan

Philosophy Token vs. Dualism or New Theory Essay

Philosophy Token vs. Dualism or New Theory - Essay Example In recognition of the mental states in relation to the brain, the Token Theory of mind upholds the analogy of realizations and supposes that the individual thought is identical with the individual brain state in which it corresponds. This philosophy reasoned that if mental states is a cacophony of thought processes then most likely it is identical to the internal state of the brain. In simplified terms; it is interaction of mind and body and the interaction of physical processes in the brain and parts of the body via the nervous system and there is nothing more than physical in the way it functions. Smart (1956) said that the mental state's 'desire for a cup of coffee' would thus be nothing more than the "firing of certain neurons in certain brain regions". The mental phenomenon is then equated with the processes of the brain and is actually considered as the fundamental features of the brain. A heavy challenge under this theory would fall under the category of need. The explanation seems to relay the idea that humans regardless of affiliation feel hunger and hunger is identical to a certain brain state. Each mental state is said to be identical to an individual brain state without any categorization. ... Dualism meanwhile is a complex model that divides the human beings into two substances of matter and mind and separates the mind from the body. In Plato and Aristotle both maintained, for different reasons, "that a man's 'intelligence' (as a faculty of the mind or soul) could not be identified with, or explained in terms of his physical body". In a non-physical form, dualism exists to identify the mind as the control factor in movements along with other components. Dualism however explains the property of the physical (skin, bones and the entire system of the human body) in response to the mental (thoughts and feelings). For example, in simple dualism: a needle puncturing your finger is a physical trauma and causes you to perceive pain; as a physical response one either withdraws the hand or voice out a verbal reaction to pain. In other words there is direct physical interaction between the mind and the body. In more complex dualistic setting and explanation: when one sees a car, the input is placed on the senses and sends out signals through the senses which interpret the experience in the brain whereby a mental image is produced. Scientifically this could be acceptable, but the simplest is always the best answer when trying to find the most natural relation to a human's mind. Despite a certain initial clarity, the token identity theory is still faced with a heavy challenge in the form of the Putnam's(1967) multiple realizations. If this is a difference however, then pain cannot be identical to a certain brain state and thus the identity theory is empirically unfounded for her. It dwells on the neurological aspect of the mind and the

Persuasive speech on child sex abuse Essay Example | Topics and Well Written Essays - 750 words

Persuasive speech on child sex abuse - Essay Example The immediate impact could be adverse, but in the long run, the future of these children is put into test especially the kind of adult people they become. III. National Child Abuse and Neglect Data System (NCANDS) in 2007 reported that of all the cases confirmed or substantiated as either child neglect or abuse, 9.3 percent of them were related to sexual abuse (â€Å"The national centre for victims of crime† web). These figures translated to a total of 83,800 victims in that year alone. This is a worrying trend in the modern world, despite reports indicating of a declining trend in this problem. This number represents a high number of children who have to suffer for no cause under the arms of people who are supposed to be offering them protection and love. Such reality should raise alarm to all of us since at one particular time we will be parents in case we are not are already. None of us I am sure would want their children to suffer sexual abuse or molestation. IV. Thesis Statement: due to the numerous negative effects associated with child abuse, there is needed to implement laws that will ensure that children are treated properly without worry. First I will discuss the effects of child sexual abuse, followed by proposed solutions to the problem, which would be focused on promoting good treatment among the children. Finally, I will share on the various benefits associated with adopting laws meant to oversee proper treatment of children in the society. I. Disturbing figures indicate that 1.6% or 16 out of every one thousand children suffer from rape cases, as reported by the Bureau of Justice Statics report. Annually, close to 16% of the youth in the United States are sexually abused. Results from different studies in 1986, 2000, 2002 and 2005 reveals similar results that 63% of women who had suffered sexual abuse by a family member also reported to have been

Song Analysis Essay Example for Free

Song Analysis Essay I mean post the scene of the caper, Like a loc, with little Ceas in a choke (uh), Toting smoke, we aint no mother$#@*in joke, Thug Life, %;amp;@! *s better be known, Be approaching, In the wide open, gun smoking, No need for hoping, Its a battle lost, I gottem crossed as soon as the funk is bopping off, $%#^@, I hit em up [Outro 2Pac] Now you tell me who won, I see them, they run (ha ha), They dont wanna see us, Whole Junior Mafia clique, Dressing up trying to be us, How the #$%@ they gonna be the Mob? When we always on out job, We millionaires, Killing aint fair, But somebody got to do it. Oh yah Mobb Deep (uh), You wanna #$%@ with us, You Little young @%$ mother#$! ^ers, Dont one of you ? %#*@s got sickle-cell or something, Youre fucking with me, %^amp;@#? You #%?! around and catch a seizure or a heart-attack, You better back the #$%! Up, Before you get smacked the %amp;^@ up, This is how we do it on our side, Any of you %#! amp;@s from New York that want to bring it, Bring it. But we aint singing, We bringing drama, *;amp;^$ you and your mother %$*@ing mama. Were gonna kill all you mother ^($#ers. Now when I came out, I told you it was just about biggie. Then everybody had to open their mouth with a mother ? #@$ing opinion, Well this is how we gonna do this: ;amp;%#$ Mobb Deep, ;amp;%#$ Biggie, ;amp;%#$ Bad Boy as a staff, record label, and as a mother ;amp;%#$ing crew. And if you want to be down with Bad Boy, Then ;amp;%#$ you too. Chino XL, ;amp;%#$ you too. All you mother ;amp;%#$ers, ;amp;%#$ you too. (take money, take money) All of yall mother amp;%#$ers, amp;%#$ you, die slow motheramp;%#$er. My four four (. 44 magnum) make sure all your kids dont grow. You mother;amp;%#$ers cant be us or see us. We mother amp;%#$in Thug Life riders. West Side till we die. Out here in California, ! amp;%#$, We warned ya, Well bomb on you mother amp;%#$ers. We do our job. You think you the mob, %$? #@, we the motheramp;%#$in mob, Aint nothing but killers, And the real amp;%#! @s, all you motheramp;%#$ers feel us. Our $#! % goes triple and four quadruple, You ! amp;%#$s laugh cause our staff got guns under they mother;amp;%#$in belts, You know how it is and we drop records they felt, You ! amp;%#$s cant feel it, We the realist, ;amp;%#$ em. We Bad Boy killers.

Developing An Online Media Strategy Annotated Bibliography Marketing Essay

Developing An Online Media Strategy Annotated Bibliography Marketing Essay This article presents the thoughts that for business owners, having a Web site is no longer the one thing necessary for a successful online presence. Engaging customers through social and interactive features is fast becoming the new standard. These days, Internet marketing requires a coordinated, branded, cohesive approach. Internet marketing efforts yield little value if you cannot measure the results. The author discusses the various ways to find where a firms traffic is coming from, and more importantly, on which page it goes away. Sometimes people want to do business with you, but leave your Web site because they are confused. Determining your biggest exit pages allows you to refine their content until more people are converting to suspects, prospects and finally customers. Continue to work on improving your Web site by implementing a cohesive Web strategy and taking advantage of many elements to reach potential customers in whatever part of the Web they use. The costs are small and the profits large (Altschuler, 2009). This article was helpful by giving advice on how to choose web-based strategies to grow a business in size and reputation. Andrewes, J. (2006). Developing an online press office for Cardiff Council: Principles of excellence. Journal of Communication Management 10(2), 156-173. Retrieved from Emerald database. This article discusses the development of an online press office at Cardiff Council in the United Kingdom. It presents an analysis of key issues of public relations theory as they apply to the provision of an online press office. This is supported by a survey of journalists who have used Cardiffs media service and enhanced by assessment of examples of existing best practice across local authorities in the UK. Andrewes states that there has been a considerable volume of work published on general internet usability and principles for communications, but there is little guidance for Public Relations practitioners on how to apply communications principles and best practice specifically to electronic communication with the media and none at all for local government. Indeed general media relations guidance for local government does not yet even take account of the advent and impact of the internet, with most recent publications dating back ten years or more (Andrewes, 2006). This article w as helpful in discussing the need for PR practitioners to have a framework for the creation of an online media service based on public relation practices. Barson, D. (2009). Leveraging Social Media to Grow Your Beauty Brand. Global Cosmetic Industry, 177(10), 22-23. Retrieved from Business Source Complete database. This article discusses the need for a good social media plan. Such a plan can drive sales and build consumer relationships. The author believes that when creating the plan certain rules must be followed, not the least of which is maintaining brand image. Companies worldwide as well as those within the United States are utilizing social media to present their firms to an ever-growing connected world. Whether creating business pages on Facebook or sending out promos in 140 characters or less on Twitter, marketers are turning to the Web to both drive sales and build consumer interaction for long-term success. As the world of technology changes, businesses must adjust with the times and online media is a fascinating and effective tool for building a brand (Barson, 2009). Berman, S. J., Abraham, S., Battino, B., Shipnuck, L., and Neus, A., (2007). New business models for the new media world. Strategy Leadership 35(4), 23-30. Retrieved from Emerald database. This article attempts to examine the conflict between new and traditional media and explore future industry competitive scenarios. Four primary business models are identified traditional media, walled communities, content hyper-syndication and new platform aggregation. The research also found evidence of another developing conflict that it calls the media divide. The new media world has arrived. Its a wild frontier market where youthful demographics are the prize and tech-savvy adventurists lead the way. In this digital gold rush, Internet successes such as YouTube and MySpace, and their associated audience growth rates, are the envy of broadcast TV and the rest of the entertainment establishment (Berman, Abraham, Battino, Shipnuck, Neus, 2007). To examine the clash between new and traditional media and explore future industry scenarios, the authors conducted a study that included interviews with leaders of media companies and an in-depth analysis of the factors that are shaping th e industry outlook. This article was helpful in highlighting two polar-opposite trends that mark the conflict between new and old media. Bohi, H., (2010, January). To Tweet, or Not to Tweet? That is the question. Alaska Business Monthly 26(1), 80-81. Retrieved from Business Source Complete database. This article discusses the popularity of social media marketing and networking and the mania surrounding the top media channels Twitter, Facebook, MySpace, LinkedIn, YouTube, Flickr, blogs and other online communities. On Facebook alone, there are more than 300 million active users who are 35 or older and 50 percent of these log on daily. More than 8 billion minutes are spent on Facebook every day, worldwide. Twitterholics have more than 18 million followers and that number is expected to hit 26 million over the next year (Bohi, 2010). Social media marketing includes using social networks, online communities, blogs or any other collaborative Internet form of media for marketing, sales, public relations and customer service. Although well-written, informative, and entertaining content remains critical, the difference between this method and older marketing tactics is social media is about engaging the customer, not simply giving them a sales pitch. This article provides insight into the many choices of social media marketing. Brown, L., Gallagher, S.M., and Brown, C. (2008). How CEOs can promote a strong market culture. Strategy Leadership 36(5), 28-33. Retrieved from Emerald database. This article presents recommendations for executive priorities, focusing on changes in the realm of culture. The authors believe that corporate culture, if correctly aligned with the external environment, is the key to long-term organizational success. The paper aims to explain how CEOs can take an abstract concept like culture, visualize it, and take steps to harness its power to create enduring competitive advantage in the marketplace. The authors hypothesize that a strong market culture exhibits high ratings on six dimensions of corporate beliefs and behaviors related to: customer insight, competitor awareness, collaborative approach, criteria for decisions, CEO leadership, and a deep organizational commitment and contribution of all functions to creation of superior value for customers. A market culture is defined by: (1) how the overarching culture of a business focuses attention on markets, (2) the skills a business uses to create value for customers, and (3) the level of belie f that the ultimate purpose of the business is to create superior customer value, profitably (Brown, Gallagher, Brown, 2008). This article was helpful in discussing specific steps for leaders to take to foster growth in each dimension. Fjeld, K. and Molesworth, M. (2006). PR practitioners experiences of, and attitudes towards, the internets contribution to external crisis communication. Corporate Communications: An International Journal 11(4), 391-405. Retrieved from Emerald database. This paper aims to promote better understanding of how the internet is used as part of crisis communication. Today the web plays a significant role in disseminating information and that online communication allows organizations to achieve multi-level communication. The paper reports on data collected from in-depth interviews with ten senior Public Relation practitioners in order to understand their experiences and attitudes. The article identifies a range of attitudes of executives, formed by recent experience. Although generally preferred, two-way communication with stakeholders is not always practical. This, along with their preference for existing approaches, and ignorance about the internet formed their views about online communication. The result was that some regarded the internet as inferior in terms of its ability to achieve traditional tasks and because of its potential for undesirable dialogue. When the web was acknowledged as useful it tended to be considered as supplement ary to existing approaches. There was little recognition of the need for online dialogue (Fjeld Molesworth, 2006). This paper was helpful in articulating a range of positive and negative attitudes towards the use of the internet for crisis communication, based on the experiences of senior PR practitioners. Getting the social media on your side: Marketing specialists must embrace the world of technology. (2010). Strategic Direction 26(2), 6-7. Retrieved from Business Source Complete database. This article discusses the immediacy of the Internet and the effect it can have on a company and its relationship and reputation with its various publics. The authors use this article to explain that businesses ignore the power social media can exert at their peril, and must learn how to embrace them positively. The social media encompass an exceptionally wide path, combining everything from social networking sites such as MySpace and Facebook to business networking sites, Podcasts, news delivery sites and collaborative websites such as Wikipedia. They offer a huge challenge to companies which have been used for so long to coordinating and controlling their promotional efforts through such established, traditional channels as public relations, advertising, personal selling and direct marketing. Social media have brought into the mix a wide range of online, word-of-mouth forums which now play a massive part in influencing consumer behavior (Getting Social Media, 2010). This article wa s helpful in discussing how managers have lost control over the way information reaches the public while simultaneously giving ways traditional communication can be used to develop new strategies. Gurau, C. (2008). Integrated online marketing communication: implementation and management. Journal of Communication Management 12(2), 169-184. Retrieved from Emerald database. This article discusses the particularities of integrated marketing communication (IMC) in the online environment. Both secondary and primary knowledge are examined in order to identify the various meanings of the integrated online marketing communication, the opportunities and challenges raised by online communication, and the structure of an effective coordinated online marketing communication system. The author attempts to investigate the manners of implementing IMC in an online environment. Based on an analysis of the specific characteristics of the online environment and audiences, and on information collected through face-to-face interviews with managers of United Kingdom consumer retail firms, the meanings of the integrated marketing communication in the online environment, as well as the challenges and the opportunities created by the internet for the implementation of an online IMC process, are identified and discussed. The article was informative in that given todays technol ogical advances, using them is not always the first choice in form of communication of todays managers. Halepete, J., and Park, J. (2006). Competitive e-tailing strategies for fair trade organizations: Benchmarking against successful commercial organizations. Journal of Fashion Marketing and Management 10(4), 491-507. Retrieved from Business Source Complete database. The purpose of this article is to provide competitive internet retailing strategies for fair trade organizations using a benchmarking approach. It provides valuable managerial implications for fair trade organizations focusing on web site operations. Information availability and strategic web site management can attract customers to make purchases on fair trade web sites and, in turn, enable organizations to sustain and grow in the competitive marketplace. This study was designed to provide competitive e-tailing strategies using a benchmarking approach. The benchmarking will guide firms to compare and measure their performance with outstanding performers, achieve the best business outcomes, and in turn, advantage producers and artisans in developing countries (Halepete Park, 2006). The authors integrated classifications of information load on the web site that can influence customer shopping experiences and purchase decisions: company information, product information, distribution c hannels, customer service, and web site quality. This article was helpful in discussing benchmarking as a technique through which businesses constantly compare and measure their performances with outstanding performers and provides competitive advantages to businesses. Harridge-March, S. (2004). Electronic marketing, the new kid on the block. Marketing Intelligence Planning 22(3), 297-309. Retrieved from Business Source Complete database. This article considers electronic marketing, using the familiar framework of the seven Ps of marketing product, price, promotion, place, process, physical evidence, and people in an attempt to evaluate electronic marketing and its potential contribution to marketing in general. The author concludes that while not every marketer embraces the use of the Internet, this newcomer has become an accepted part of marketing activity. The article concludes that while electronic marketing does not yet have the potential to replace traditional marketing efforts, it should be seen as a valuable and complementary tool, and managers should embrace new technology in order to create greater value for customers. Issues such as branding, public relations, direct marketing, advertising, personal selling and information seeking are considered in an attempt to evaluate electronic marketing and its potential contribution to the marketing practice. The author states that in the United Kingdom by 2001, ove r a third of adults in Great Britain who accessed the Internet also purchased goods or services through it, meaning, of course, that two-thirds do not shop online, and some writers cite uncertainty and/or risk as preventing consumers from doing so. Some companies have been criticized for apparently thinking that all Internet shoppers are the same, instead of realizing that there are many reasons why a customer may visit a site. This results, particularly, in a lack of commitment for the purchase of high-involvement goods in this way (Harridge-March, 2004). This article was helpful in recognizing that for every potential customer trusting the provider sufficiently to enter into a transaction is paramount, and communicating trustworthiness remains a challenge Hearn, G., Foth, M., and Gray, H. (2009). Applications and implementations of new media in corporate communications: An action research approach. Corporate Communications: An International Journal 14(1), 49-61. Retrieved from Business Source Complete database. This article is about advances in new media and the web technology that is making it easier for organizations and their employees, suppliers, customers and stakeholders to participate in the creation and management of content. New media and Web services can be employed to work in conjunction with conventional communication tools such as phone, fax and corporate intranets. This approach enables organizations to maintain and strengthen existing stakeholder relationships, but also reach out and build relationships with new stakeholders who were previously inaccessible or invisible. The authors review and explore the uses of new media in organizations. We find that this dynamic area has only been the subject of a few rigorous studies so far that map out current uses of new media. Since new media are deployed in such a dynamic fashion, we argue that organizations are best to adopt an experimental customer-centered approach at this stage of the evolution of the technology both in terms of use and implementation. It also fosters the participation and engagement of external stakeholders (Hearn Gray, 2009). This article was useful in understanding how a corporate communication strategy can leverage current trends. Jensen, M. B., (2008). Online marketing communication potential: Priorities in Danish firms and advertising agencies. European Journal of Marketing 42(3/4), 502-525. Retrieved from Business Source Complete database. This article discusses where resources should be directed to utilize online marketing communication (OMC) further, including the identification of the diversity of OMC adoption, prioritization and future potential. The internet has had a tremendous impact on many processes in companies. Marketing is probably one of the areas most affected due to the possibilities offered in online communications. Thus, OMC has grown to be an important part of a companys promotional mix. Whereas OMC in its early days was limited to mainly the implementation of corporate websites, greater possibilities exist today. OMC today consists of multiple activities (Jensen, 2008). This article was helpful in giving details on the diversification of the implementation of online marketing communication, the future potential, and where resources should be directed to utilize OMC further. Kane, G.C., Fichman, R. G., Gallaugher, J., Glaser, J. (2009, November). Community relations. Harvard Business Review 87(11), 45-50. Retrieved from Business Source Complete database. This article describes the changes wrought by social media platforms and shows how organizations can make the most of new media frontiers. With social media, society has moved beyond the era of stand-alone, static web pages. Todays communities actively post and vet information. Users increasingly treat these venues as their first stop in gathering data and forming an opinion. A recent Pew study found that nearly 40% of Americans say they have doubted a medical professionals opinion or diagnosis because it conflicted with information theyd found online. If users put that much faith in what they learn on the internet, what will they be willing to believe if members of a social media forum start trashing your organization? And are you prepared to handle it when it happens? (Kane, Gallaugher, Glaser, 2009). This article was helpful in informing that a companys social media team must develop policies and strategies for managing online communities, both to abate negative consequences and to foster positive relations. Karagozoglu, N. and Lindell, M. (2004). Electronic commerce strategy, operations, and performance in small and medium-sized enterprises. Journal of Small Business and Enterprise Development 11(3), 290-301. Retrieved from Business Source Complete database. This article explores the electronic commerce involvement of small and medium-sized enterprises (SMEs) in terms of the strategic, operational, and performance aspects. SMEs tend to pursue e-commerce strategies associated with customer base expansion and customer service consistent with their bricks-and-mortar competitive strategies and build e-commerce operations consistent with their e-commerce strategies. These e-commerce strategies also contribute to the SMEs sales growth and profitability. Adoption of e-commerce has evolved from rudimentary simple Web site construction applications to more sophisticated customer service and personalization models (Reynolds, 2000). Competitive advantage and profit considerations in the adoption of e-commerce are crucial for small and medium-sized enterprises (SMEs) in that they have limited financial slack to experiment with new approaches and limited cushion for failure. A plethora of failure by the pure dot-com companies with unproven business m odels have constituted a caveat for the bricks-and-mortar companies to exercise due diligence in venturing into e-commerce. This article was helpful in explaining the effects of e-commerce on brick-and-mortar businesses. Making Your E-voice Heard. (2008). Wearables Business, 12(3), 28. Retrieved from Business Source Complete database. This article discusses that companies in nearly every market, from book publishing to bridal wear, are jumping on the YouTube and blogging bandwagons and taking advantage of the Internets ability to spread information quickly through channels such as e-mail and social networking. Whether a highly produced, TV-quality Webcast or something shot with a handheld camera, video can make a big splash online. Some businesses are putting such content on their Web sites and making it available on YouTube or social networking sites like MySpace, with remarkable success (Making Your, 2008). This article was helpful in explaining how viral-marketing can be used to spread information in short time with little effort. Martinsons, M.G. (2006). Strategic management lessons from e-commerce. Handbook of Business Strategy 7(1), 337-340. Retrieved from Business Source Complete database. This article explains the importance of a sound business idea, good market knowledge, long-term planning, external relationships, and balanced business development. The emergence of a new technology typically brings both opportunities and risks. With the emergence of the internet, both the opportunities and the risks have been enormous for entrepreneurs, business managers, investors, consultants, and others. Hundreds of thousands of new enterprises have been started all over the world with the hope of capitalizing on the opportunities that has emerged from the commercialization of the internet (Martinsons, 2006). This article was useful in summarizing the first internet-driven ventures, and highlighting important lessons for strategic management. Palmer, A. and Koenig-Lewis, N. (2009). An experiential, social network-based approach to direct marketing. Direct Marketing: An International Journal 3(3), 162-176. Retrieved from Business Source Complete database. This article discusses the direct marketing challenges and opportunities associated with the emergence of social network media. Companies need to address target audiences both directly and also indirectly through social media. The purpose of this article was to provide a review of the changing media landscape of direct marketing, and proposes a model of direct and indirect targeting of buyers. While many in the marketing community are scratching their heads wondering how the recent generation of web-based social media will generate profits, this paper takes the perspective of direct marketing by asking why and how a message sent by a company may be more effective if it is targeted at individuals through social network media. In particular, the notion is explored that users experience of using social media will predispose them to look more favorably upon a company sponsored message when it is embedded in social media, rather than targeted directly at the individual. The challenge for direct marketing is how to achieve a position at the center that combines the seller, the buyer and the community (Palmer Koenig-Lewis, 2009). This article was useful in explaining how the experience of someone using a social network site can be mutually beneficial to both the buyer and seller. Rowley, J. (2004). Just another channel? Marketing communications in e-business. Marketing Intelligence Planning 22(1), 24-41. Retrieved from Business Source Complete database. This article discusses the role the Internet plays as both a marketing and communications channel. Some practitioners and academics have dismissed the Internet and the current level of business interest in the Internet as hype, arguing that the Internet does not offer any new business models, or new opportunities for creating customer value. This position denies the central significance of relationships in business activity. Relationships are important at both individual and organizational level. Relationships within the value chain both within organizations and between organizations are crucial to the creation of competitive advantage and the generation of unique propositions regarding customer value (Rowley, 2004). This article was helpful in exploring the establishment and maintenance of relationships between consumers and companies as being the heart of customer attraction and retention. Rowley, J. (2004). Online branding. Online Information Review28(2), 131-138. Retrieved from Business Source Complete database. The role of brands and branding in the new economy that is characterized by digitization and globalization are attracting considerable attention. Taking the organizational perspective the challenges for branding in online environments relate to: the message capacity of Web pages, the need to integrate branding and marketing communications across different channels, the trend towards organizational value propositions, brands as search keys, and the opportunity to link and develop brand positions, globalization, and the increased engagement of the public sector with branding. Online branding is discussed in nearly every book on e-marketing or e-business. In an electronic shopping environment where physical interaction is reduced and product qualities and benefits must be distilled and captured in a way that can be communicated over the wires, online branding may be increasingly important. Others argue that with the wealth of information on the Web at their fingertips, coupled with inte lligent agents and search engines to help them locate the information, products and services that they need users will no longer need to rely on the shorthand of brand. Instead they will gather detailed information on products and services and make their own judgments on the suitability of a product making brands superfluous (Rowley, 2004). This article was helpful in explaining some of the unique aspects of online branding. Srivastava, M., Sharma, M. (2008). The Role of Emotional Appeals in Internet Advertising: A Study of the Contributing Factors Involved. ICFAI Journal of Management Research, 7(9), 27-36. Retrieved from Business Source Complete database. This article discusses online media and how its increasing usage rate has changed the marketers world. Internet advertising has captured the imagination of marketers, who see in it an enormous potential to raise the profile of their brands. Companies are moving online across the spectrum of marketing activities, from building awareness to after-sales service. In the light of the widespread use of the Internet, the marketers and advertisers target their consumers by developing an emotional connection. Today, most of the Internet advertisements are created on the basis of emotional integration appeals. The evolution of online media and its increasing usage rate have changed the marketers world. The spread of wired Internet networks has opened new vistas for advertisers to earn more revenue by exploring its vast and growing reach. Adoption of Internet advertising has become a key component of marketing strategy. Internet advertising provides a popular avenue to interact and communicate with the customers (Srivastava Sharma, 2008). This article was helpful in providing insight into the factors responsible for developing emotional appeal, and ways in which Internet advertising can contribute to the formation of emotional bonding between consumer and company. Tench, R., Bowd, R., and Jones, B. (2007). Perceptions and perspectives: corporate social responsibility and the media. Journal of Communication Management 11(4). 348-370. Retrieved from Business Source Complete database. This article discusses the importance of developing understanding of Corporate Social Responsibility (CSR) and the Media. Reports on differing media interpretations, perceptions and perspectives of CSR and how they are prone to shift and change in part depending on the perceived definition and issues are discussed. Public Relations practitioners and policy makers should find how the media interprets and understands CSR of interest. Existing concepts and frameworks have the potential to be further developed and informed by these practice-based findings. Real-world application has the potential to shape, guide and inform theoretical constructs. Increasing media interest in CSR and the primary data while forming frameworks also furthers understanding of the concept from academic, business practitioner and stakeholders perspectives (Tench, Bowd, Jones, 2007). Further details on other strategies are offered. Vonder Haar, S. (2008). Its all about integration. Streaming Media, 5(1), 31-38. Retrieved from Business Source Complete database. This article discusses the growing intersection of web-conferencing and videoconferencing technologies illustrating the increasingly important role that online multimedia is playing in the development of integrated communications strategies for businesses. Among companies that have deployed online audio and video technology, the two most frequently deployed applications integrating multimedia are executive presentations and employee training. Historically online multimedia has uniquely addressed the communications challenges that large companies face in distributing information to far-flung networks of employees. Web audio and video provide a forum for large company leaders to communicate directly with a global workforce on a cost-effective basis. As a result, todays enterprise multimedia sector is largely tuned to address the internal communications needs of these large corporate customers who have illustrated the most willingness to invest in online audio and video capabilities (Vo nder Haar, 2008). This article was helpful in explaining that not only is the process of communication considered essential but, in this case, the content of the communications is vital as well. Vrasidas, C. and Zembylas, M. (2004). Online professional development: Lessons from the field. Education Training 46(6/7), 326-334. Retrieved from Business Source Complete database. This article discusses the lessons learned from applying a framework for the professional development of teachers, drawing on three interrelated theoretical areas: constructivism situated and distributed cognition, and communities of practice. Online environments are rapidly expanding as a venue for professional development in education, business, and industry. One of the more pressing questions faced by the teaching profession today is whether this idealized vision of professional development can be realized online. The demands of work and family life for teachers, many of whom are women, underline the need for professional development activities that can be delivered anytime, anywhere. Distance education has been predominantly based on approaches which emphasized a linear and objectivist approach to learning and teaching. Given that technology increases the opportunities for interaction among tutors, learners, content and technological tools, it is important to design relevant lear ning environments for rich interaction in the context of e-learning (Vrasidas Zembylas, 2004). This article was helpful in analyzing the need in preparing instructors to teach online classes and what that involves. Wilenius, M. and Malmelin, N. (2009). Towards sustainably managed media organizations: reflections on the future of responsible business in media industry. Business Strategy Series 10(3), 129-138. Retrieved from Emerald database. This article offers insight into the future of responsible business in the media industry. The focus of analysis is on the views and opinions of leading CEOs in media companies in about responsible business and the social and organ

RISE OF INDUSTRIAL CAPITALISM

RISE OF INDUSTRIAL CAPITALISM INTRODUCTION Any society is capitalist if the means of production that is tools and materials belongs to the employer and not the employees and the employees produce commodities belonging to their employer. Commodity is something produced for the chief purpose of being exchanged. With increased wealth the leisure class improves in structure and function. Differentiation jets in with less elaborate rank and class. Hence this has led to the upper class and the lower class that depended on the lower class for their survival giving rise to the workers and non workers this develops into capitalism. This paper seeks to explain the rise of industrial capitalism with one claim which serves as thesis that the rise of industrial Capitalism was a result of unequal distribution of wealth in communities giving rise to the non workers who owned the means of production and also the workers. This includes trade practiced by people in the higher class consuming more the workers could produce hence as time goes th ey require more and more people in the lower class to produce for them. Industrial capitalism is a system both social and economic whereby industry and resources are owned by few for profit. In this capitalist system means of production were privately owned. America witnessed the growth of Industrial capitalism in late 19th century and early 20th century. . In any capitalistic state, property is privately owned and is protected by the supreme law of that state. Thus in the rise of industrial capitalism, we are looking at starting of when individuals in a society started acquiring property privately. The rise of industrial capitalization was as a result of five main view points which include: conspicuous consumption, great monopoly, scientific management and difference in living standards. According to Thorestein Veblen on his conspicuous consumption theory stated that rise of industrial capitalization was as a result of wealth accumulation to a few number of people, thus the wealthy developed more in function and structure as a result of having access to more goods and services. Thus there arose a difference in class structure. This was further enhanced through inheritance of wealth and inheritance of gentility. With the inheritance of gentility came the inheritance of obligatory leisure. Thus those who were born wealthy outranked the others born in less wealthy families thus the unlucky to be born in the poor families became the servants of their masters.In this case to rise the ladder from the lower level to high level could take decades of years if not centuries. This in turn resulted into unequal state. This is referred to as feudalism that brought increased ‘primary accumulation of resources or investment capital. .According to Henry Demarest on the story of great monopoly rise of industrial capitalism came about as a result of monopoly in some useful natural resource in this case it was fuel. This monopoly of fuel resource needed by so many people; resulted in acquisition of wealth and elevated some peoples standards. In principle of scientific management as a result of recorgnising the importance of conservation of natural resources scientific management has slowed down the fast rise in capitalism. This created a know how in how the environment had been affected negatively in the search for wealth to be used by few people at the expense of the masses. The difference in living standards was brought about by Jacob Riis where he states that long ago one part of the world did not know how the other part lived because they simply didnt care. The half on top cared little for the others struggling so there was a build up in number of people struggling to a point in which crowding was so much at the bottom creating discomfort to a point where the bottom could not be ignored. CONSPICOUS CONSUMPTION Conspicuous consumption theory of industrial capitalism started as a result of differentiation within class this was a result of the rich owning the means of production. The leisure class which was known for its reckless consumption stood ahead of the social structure in point of reputation. Thus in the survey of growth of conspicuous consumption, it appeared that the utility of both was alike and lied in the element of waste which is common in both. This consumption resulted into depletion and wastage of resources and the workers rioting against the non workers. They wasted goods, time, and effort as a way of demonstrating the possession of wealth. The consumption becomes larger element in the standard of living. Thus rise in rush for wealth to maintain a higher social status. Consumption became a larger element in standard of living in the city than in the country in an effort to remain decent in the city. The higher class would spent without care to that they are wealthy and in tu rn the other people in the City who belonged to the same class would also do the same; competing on who could ‘consume more. GREAT MONOPOLY Great monopoly gave wealthy individuals control over important natural that were vital in production and by so doing influenced industrial capitalism by owning the raw materials for instance coal and petroleum. Petroleum in cities in the United States as well as well as other countries serves to control the production for the people in lower class failed to acquire the power to manufacture their goods if they had any. Majority of oils production in America, manufacture and export had been controlled for long period by a single corporation which had a monopoly for very long. These monopolies could control the whole economy from production, manufacture and even distribution and pricing the goods and services available. PRINCIPLES OF SCIENTIFIC MANAGEMENT Scientific management influenced rise in industrial capitalism in that the whole country at once recognized the importance of conserving material resources. In the past the prevailing idea had been that the right man for the job could be found and the methods of production would be safely left to him which was an old system of personal management. Acquiring of products was at the expense of the environment. DIFFERENCE IN STANDARD OF LIVING Difference in standards of living came as a result of one part of the world not caring about the other part thus those underneath facing crowding and discomfort so great that the consequent upheavals became so violent it was no longer easy to do anything and the upper half failed to inquire what the matter was. Thus capitalism came about where everyone for himself in search for personal property. This scenario resulted to poor masses that would live under the mercy of help from other countries of from their extravagant neighbors who were the course of the problem. CONCLUSION In conclusion the rise of Industrial Capitalism in many parts of the World especially America and Western counties was a result of control of the means of production and consumerism as President Roosevelt argued that the Americans were misusing resources. The scramble to acquire in America was the root cause of industrial Capitalism. People who criticize capitalism put forward the argument that Industrial capitalism was associated with unfair and quite inefficient distribution of wealth creates imperialism and counter revolution wars fighting against economic and cultural exploitation repressions of workers and trade unionists, and phenomena such as social alienation inequality, unemployment, and economic instability. Critics have argued that there is an inherent tendency towards oligolopolistic structures when laissez-faire is combined with capitalist private property. Capitalism is regarded by many socialists to be irrational in that production and the direction the economy is unplanned, creating many inconsistencies and internal contradictions. Environmentalists have argued that capitalism requires continual economic growth, and will inevitably deplete the finite natural resources of the earth, and other broadly utilized resources After the Industrial Capitalism the world has witnessed another form of capitalism which is almost similar and that is financial capitalism. America witnessed the entry to Industrial age and this affected the Americans both economically and socially especially the blacks who still were regarded as outsiders and could not settle in some places especially in the North and could not be allowed to own property in some cases. With Industrial Capitalism it made that the blacks were more sidelined and became poorer and poorer. Capitalism concentrated resources to a few whites and the consumerism culture that developed then saw America face the Great Recession of early 20th century. President Roosevelt had to change the policies of pay to improve the lives of many poor Americans who had been made poor by capitalist policies that concentrated wealth and means of production on a few hands. Bibliography Primary Sources Lloyd, Demarest Henry, The Story of a Great Monopoly, The Atlantic Monthly, March 1881. Taylor Winslow Fredrick, Principals of Scientific Management, 1911. Veblen, Thorestein, The Theory of Leisure Class: An Economic Study of Institutions (New York: Macmillan,1902): 68-101. Secondary Sources Diggins, Patrick John, Thorstein Veblen (New Jersey: Princeton University Press, 1999): 83-85. Kilcullen, John, Marx On Capitalism (Sidney: Macquarie University, 1996): 1-2. Riis, A Jacob, How the Other Half lives (Minnesota: Kessinger Publishing, 2004): 130-13 Zentes, Tamà ¡s, The transformation of the world economy (Mexico City: United, 1988): 38.

When We Dead Awaken: Writing as Re-Vision and In Search of Our Mothe

  Ã‚  Ã‚   Women.   Adrienne Rich says we have our work cut out for us.   Alice Walker says we could do so much given the artistic chance.   Patricia Williams says that we are not sleeping.   I listen and relate to these women.   And I wonder what do I say?   I am a woman.   I don't know what it means for me to be a woman.   I just am.   Ã‚  Ã‚  Ã‚   Be Insatiable.   Be insatiable and still a woman.   Stand for your beliefs, be a bitch and yet stay soft and sexy and agreeable.   I feel like a lousy commercial for some perfume, "I can bring home the bacon, fry it up in the pan, and never let you forget you're a man, because I'm a woman."   I am caught in the crossfire of who I am and who I ought to be according to everybody else.   Is this what Williams' dream at the end of her essay was about? The red dress, the hair and she is loud.   She is the "her that she had always dreamed of being, fascinating."   What I find "Fascinating" is that even she is watching herself from the outside.   I do this.   I watch myself play each role.   Ã‚  Ã‚  Ã‚   I am not black, or Hispanic.   I am heterosexual.   I want to be a wife.   I want to be a mother.   I can look at society and see myself staring back at me, white, Christian and content.   Does this make me unqualified to read and understand the meanings in the texts of Alice Walker, of Gloria Anzaldua?   What about Adrienne Rich?   These women have stared into the face of society and they are not reflected.   But I do relate.   Sometime I feel like the silent minority within the majority.   The one that thinks and feels and understands and yet is overlooked, ignored.      Ã‚  Ã‚  Ã‚   I feel ignored because of the majority view that the because of the majority view that the minority has.   I hear about the "Mormon" in this area, the ... ...s the words of her fascinating self say, "Voices lost in the chasm speak from the slow eloquent fact of the chasm.   They speak and speak and speak, like flowing water" and she wakens strong, single hearted and completely refreshed.   Florida Scott Card said" you do not need to claim all the events in your life to make them yours, but when you do, you are fierce with reality."   It is not always easy o reality."   It is not always easy or notable to be a woman.   Being a woman speaks from the chasm, it speaks from the walls, and it speaks from voices within, some chiding some soothing, like flowing water.    Works Cited Rich, Adrienne.   "When We Dead Awaken: Writing as Re-Vision,"in Ways of Reading, 4th ed., (Boston: Bedford Books, 1996). Walker, Alice.   "In Search of Our Mothers' Gardens," in Ways of Reading, 4th ed., (Boston: Bedford Books, 1996).   

Colonies Essay -- essays research papers

The Middle and Southern settlements were as different as night and day. Established for different economical and social reasons, these two colonial areas share very few similarities. Reasons for their migration and their final destinations greatly influenced the outcome of each society.   Ã‚  Ã‚  Ã‚  Ã‚  First, the Southern Colonies were formed by aristocratic Europeans who came to the New World in search of land. These wealthy people brought Europeans and African servants. In their new home, the aristocrats produced a society in which only the wealthy had power. They tried and at some times forced their servants to convert to Christianity. They were constantly battling the Native Americans and had little respect for them. On the other hand, unhappy New England colonists and Europeans wanting complete freedom settled the middle colonies. The settlement of these lands was mainly started by William Penn. Penn, received land for the King for debts owed to his father. It was Penn’s goal to create a society in which all people were equal. There was no slavery in the Middle Colonies, unlike the Southern Colonies, and by law, all men could own land. Also, they respected the natives and even employed them from time to time. They remarked on how it wasn’t nec essary to bare weapons around these people. Although the goal of these settlements was complete religious toleration, it wasn’t totally feasible.   Ã‚  Ã‚  Ã‚  Ã‚  In addition, the colonies in the south ... Colonies Essay -- essays research papers The Middle and Southern settlements were as different as night and day. Established for different economical and social reasons, these two colonial areas share very few similarities. Reasons for their migration and their final destinations greatly influenced the outcome of each society.   Ã‚  Ã‚  Ã‚  Ã‚  First, the Southern Colonies were formed by aristocratic Europeans who came to the New World in search of land. These wealthy people brought Europeans and African servants. In their new home, the aristocrats produced a society in which only the wealthy had power. They tried and at some times forced their servants to convert to Christianity. They were constantly battling the Native Americans and had little respect for them. On the other hand, unhappy New England colonists and Europeans wanting complete freedom settled the middle colonies. The settlement of these lands was mainly started by William Penn. Penn, received land for the King for debts owed to his father. It was Penn’s goal to create a society in which all people were equal. There was no slavery in the Middle Colonies, unlike the Southern Colonies, and by law, all men could own land. Also, they respected the natives and even employed them from time to time. They remarked on how it wasn’t nec essary to bare weapons around these people. Although the goal of these settlements was complete religious toleration, it wasn’t totally feasible.   Ã‚  Ã‚  Ã‚  Ã‚  In addition, the colonies in the south ...

Toys R Us :: essays research papers

These past few years haven't quite been all fun and games for John Eyler, chairman and CEO of Toys "R" Us. Shortly after joining the company in January 2000, Eyler set about revamping Toys "R" Us to better compete in the marketplace while brushing up the company's image. But a downturn in the economy together with the effects of 9/11, not to mention the West Coast port lockout, wasn't part of the plan. Although he still has considerable work ahead of him, Eyler's efforts appear to be paying off. Total sales were up two percent for both the second quarter and the first six months of 2002, compared to the previous year, and results for the entire year should likewise prove relatively strong. The company credits "careful attention to inventory management combined with very strong expense controls" for the positive numbers. Customers, however, are impressed with the improved service, remodeled stores, and price cuts on hundreds of toys. Part of the company's successful turnaround lays in the partnership its Toysrus.com unit formed with Amazon.com just over two years ago to sell toys online. Under the agreement, Amazon.com is responsible for handling all orders, including shipping and customer service, for Toysrus.com. The primary responsibility of Toysrus.com is to choose the toys to offer online and make sure there's plenty of available stock. Both companies will face challenges, however. For Amazon.com, the test will be to make sure its complex fulfillment systems integrate seamlessly with Toysrus.com's. The eTailer must also coordinate the tricky placement of products in distribution centers to avoid cost overruns. Toysrus.com is faced with finding the right balance between supplying Toys "R" Us stores and the web site with "hot" toys, so as not to disappoint customers. Furthermore, to make orders profitable, it must get people to buy multiple products. The venture has also helped build both companies' brand names and extend their reach into the marketplace. According to John Barbour, president of Toys "R" Us International, and one of the executives who played a pivotal role in creating the partnership, about 1.

My Interview to My Very First Patient as a Nursing Student

My reflection for 1st PCP visit Recently, I have completed the very first visit for the Patient Care (Feel Link) Project (PCP). The story of Mr Yung, the patient whom I visited, does reveal a less familiar side of the lives of chronic health patients. Giving is receiving. The visit not only provides me with a precious opportunity to care for the people in need, but it is also very enlightening and deepens my understanding about the profession. I am assigned to work with a MBBS year 1 student for the whole project. We visited Mr. Yung at Ruttonjee Hospital on 23rd February, 2011.He is a patient who suffers from chronic asthma, GI impairment and allergic rhinitis. He has also undergone several major operations and these operations bring him numerous long-term defects, ranging from failing to have normal solid food intake to receiving long-term drug treatments. Not difficult is it to imagine he leads an inconvenient life because of his chronic illness. I do feel greatly compassionated a nd empathetic towards his pain. This visit is a precious experience that I can have never come across during lectures, so I cherish this visit much. Throughout the whole visit, Mr.Yung emphasized that he was extremely impoverished and begged us to help him seek help from social workers to ease his financial difficulties. I believe he does not receive sufficient help form the health care professionals, and so he has no choice but to ask us to refer his financial need to the social workers. He told us he was extremely depressed because his senior allowance was not enough to support his vast medical expenses. It is expectable that Mr. Yung could have received more effective treatments and medications with a considerable financial ability. Melancholy and depression achieve nothing but only contribute to deteriorating Mr.Yung’s chronic illness. Social workers shall spare no endeavors to take care of chronic patients like Mr. Yung as they ‘assist people to adjust to the chang es brought by the illness’ (Daly, Speedy & Jackson, 2006, p. 188). It is believed that social workers are of paramount importance to promote social well-being of the patients. As a result, rehabilitation of patients can be facilitated and boosted. The shortage of social workers may be the core problem behind Mr. Yung’s story, and this requires government long-term strategic planning to solve it ultimately.It is expected that an increased number of social workers can provide a more holistic counseling for patients, so their needs are better looked after and catered. Mr. Yung also once expressed his reluctance of transferring to Tung Wah East Hospital because he was deeply disappointed with the terrible service quality of the doctors there. On the one hand, it is understandable that the frontline health care professionals are facing much pressure because of heavy workload and exceedingly long working hours. On the other hand, it is inappropriate and undesirable for them to displace their negative emotions on their patients.It succeeds in nothing but only threatens patients’ trust and obedience to health care professionals. An article suggests ameliorating the quality of health care by adopting the healthy psychology approach, which encourages ‘doctor-patient communication and patient cooperation with treatment’ (Friedman, 2002, p. 72). It is foreseeable that adopting the healthy psychology approach can cultivate the relationship between the health care professionals and patients, so they would be able to develop a better understanding of each other. Eventually, Mr.Yung’s story and the stories of many other suffering patients would cease to exist. I treasure this invaluable patient-visiting opportunity a lot because I know little about hospital setting and patients’ need. This visit does guide me understand the psychological need of patients. As discussed by Friedman (2002), health care should never be limited to me dical aspect, but widened to psychological and social aspects because these three aspects are closely related. The Biopsychosocial Health Psychology Model of Health takes more comprehensive and all-rounded care of patients.In the case of my first visit, better services shall be provided by doctors and social workers under this model. In short, unconditional positive regard is the best means to bring patients love and warmth and it also enhances patients’ rehabilitation and restoration from illness. Health care professionals shall put much heeds on psychosocial aspect, instead of medical only, when delivering their cares to patients. This first visit also gives me a chance to learn collaborating and cooperating with others in work.I am deeply pleased to work with my MBBS partner. Interdisciplinary cooperation between us is trained, sharpened and polished through the visit. I was able to have effective division of labour with my partner, and so productivity and efficiency can b e enhanced. The visit allows me to apply the cooperation skills that I have acquired in lectures. Therefore, I now have a better understanding for my future role as a nurse. Indeed, nurses and doctors are very significant members in the multidisciplinary health care teams.This visit gives me a rough idea that multidisciplinary parties achieve much more than single teams in terms of health care. My partner takes the initiative to provide comprehensive medical knowledge and contribute a lot to the quality of the visit. I come to realize how important collaboration and multidisciplinary are after the visit. All in all, I enjoy every moment of the first PCP visit. It widens my horizons and presents me a more complete picture of my future career role as a nurse. This visit redefines my conception of health care provision.After the visit, I come to understand, apart from medical services, psychological and social elements are crucial integral parts of an all-rounded heath care system. Als o, I find the visit extremely inspirational as I become more aware of collaborating with counterparts when administering health care to patients. Well cooperation can bring better health care services and satisfaction to patients. With concerted effort, it is expected that an inclusive health care provision system would be maturely developed in the foreseeable future.Word count: 998 words References Friedman, H. S. (2002). The Social and Cultural Basis of Health and Illness. In H. S. Friedman (Ed. ), Health Psychology (2nd Ed). (pp. 50-74). NJ: Prentice Hall. Friedman, H. S. (2002). Adaptation to Chronic Illness. In H. S. Friedman (Ed. ), Health Psychology (2nd Ed). (pp. 183-213). NJ: Prentice Hall. Griffiths, R. , & Crookers, P. (2006) Multidusciplinary teams. In J. Daly, S. Speedy & D. Jackson (Eds. ), Contexts of nursing an introduction (2nd Ed). (pp. 184-198). Australia: Elsevier