Monday, September 30, 2019

Clinical Decision Making Skills for the Integrated Worker Essay

This assignment will define and analyse the need for a chosen service improvement within the pathway of mental health, as well as evaluating the suggested service. Demonstrating how this service can inform and benefit integrated practice, discussing the ways in which the agency’s statutory obligations and responsibilities impact on both individual and group decision making. The chosen service improvement for this assignment is the introduction of a mental health nurse into primary care services, for example, a GP Surgery. Focusing on service users with mental health issues in the community and therefore in the care of the local Primary Care Trust (PCT). There is an obvious need for movement towards better health and social care for individuals with mental health illnesses in primary care. No Health without Mental Health: A Guide for General Practice (Department of Health, DoH, 2012, online), sets out what General Practitioners (GPs) can do to improve mental health and enhance care and support offered to those with mental health conditions in the community. This document also states that one in four GP consultations account for mental health problems (DoH, 2012, pg8, online). Treatments for those with mental health issues cost the NHS in the United Kingdom approximately  £105 Billion per year (DoH, 2012, pg8, online). Primary care plays a pivotal role in caring for those with mental health illnesses in the community and in most cases this falls into the responsibility of the local GP surgeries. Therefore GPs are ideally placed to identify signs of distress and those with risk factors for poor mental health (NHS Confederation, 2011, online). Primary care providers, more specifically GPs are usually the first point of call for an individual experiencing some form of psychological distress (DoH, 2012, pg13, online). It is essential there is early recognition and referral to any specialist mental health services required, saving time, money and individual distress in the long-run. An area which remains problematic is the treatment of physical health care needs for those with mental health illnesses. Research continues to  highlight that the physical health of those with mental illnesses is frequently poor and people with long-term physical conditions experience higher levels of mental health issues (Nash, 2010, pg2). It is ironic that a great deal of the research carried out is with individuals that are currently in contact with either health or social care services (Nash, 2010, pg2). This issue could be tackled within primary care services, as GPs especially can treat the whole person linking rather than separating physical and mental health (Knapp, 2011, pg3, online). Professionals within the primary care sector could experience problems when trying to identify their role in relation to meeting the health needs of those with mental health issues, as well as offering interventions and support to those identified as high risk of developing mental health problems, such as, individuals with long-tem physical conditions (Nash, 2012, pg 10). Yamey (1999) found that a number of patients had actually been removed from GP registers at some point prior to accessing secondary mental health services. This causes suspicion that some mental health illnesses could be construed as a reason for being excluded from GP surgeries (Yamey, 1999). MIND (1996) carried out a survey which also showed that a large majority of individuals felt they had been treated unfairly by their GP due to their mental illness. This could be a consequence of lack of understanding and minimal training in the area of mental health in the primary care sector. Although this research is dated, it is relevant as Government white papers and initiatives currently being introduced are still recommending that more specialised training in mental health is required for professionals throughout the primary care sector. Each of the initiatives aim toward improved integrated working and lower hospital admissions due to deteriorating mental health by providing early access to services and early recognition of mental health issues in primary care. This highlights the importance of the chosen service improvement, not only for individuals with mental health issues but for those at risk of developing mental illness and the NHS as a whole. These recommendations are present in No Health without Mental Health: A Guide for General Practice (DoH, 2012, online), The NHS Outcomes Framework 2012/13 (DoH, 2011, online), and numerous others. It remains clear that professionals within the primary care sector are not  receiving adequate training in mental health care. They do not have sufficient knowledge of mental health and many do not possess the general skills required day to day when working with mental health service users (DoH, 2012, pg5, online). This is supported by Good Medical Practice (2006),(General Medical Council, GMC) which sets out the principle guidance for GPs offers no mention of individuals with mental health issues, suggesting that this document is based solely on the general population and does not taking into account the differing needs of those with mental health issues. A programme that was introduced in Wales in 2011 provides Mental Health First Aid Training to a large group of service providers including primary care. It teaches them to provide initial help to someone experiencing mental health problems, deal with a crisis situation or the first signs of someone developing mental ill health and guide people towards appropriate help (MIND 2011, online). This shows some progress towards increasing knowledge and awareness of mental health illnesses in a wider range of healthcare providers. There is evidence to show that in GP practices without mental health professionals, brief training for primary care providers have substantial benefits for patients who are mentally ill (Ross et al, 2001). This supports the need for specialist training and the chosen service improvement, as a mental health nurse in a GP surgery would be specially trained to work with individuals with mental health illnesses and would have an awareness of the difficulties service users may face when accessing services. There are many aspects that could present a barrier to mental health service users when accessing services. Communication difficulties can cause problems for individuals with mental health issues as they may not feel able to make themselves understood by healthcare professionals. They may suffer anxiety or panic disorders making it more difficult to communicate effectively. One of the most problematic areas in mental health and for those suffering mental health illnesses is stigma (Nash, 2010, pg10). Discrimination is not just confined to the general population as research has shown that healthcare professionals can hold stereotypical views towards their clients (Nash, 2010, pg10). This could prevent individuals from seeking help and support for both physical and mental health problems. Some service users  with mental health issues may have previously experienced some form of discrimination and had a negative experience when accessing primary care services. For example, experiences involving reception staff with bad attitudes or individuals being made to believe the physical symptoms they are experiencing are part of their mental illness (Nash, 2012, pg12). This shows that individuals with mental health issues suffer from inequality and discrimination regarding their healthcare reinforcing the need for improved access to primary care services. Previous negative experiences can cause individuals to fear returning causing them to avoid seeking help for a physical condition. Furthermore, if a person believes the may be mentally ill, they may avoid accessing any kind of support as they fear being labelled and discriminated against due to the stigma attached to having a mental health illness. Employing a mental health nurse in a GP surgery can bring services closer to eliminating barriers between primary care services and mental health, improving the healthcare of those in the general community suffering from some sort of mental illness. The proposed service improvement supports the need for reducing health inequalities and barriers to those with mental health issues wishing to access services. Barriers to healthcare specifically Primary care services can include communication difficulties, lack of understanding from both service user and professional perspective and there may be inadequate support available to mental health service users when accessing their local GP surgeries. GPs may lack the interpersonal skills required to manage some symptoms of mental illnesses. Such as inappropriate sexualised behaviour that can be expressed during psychotic episode (Norman & Ryrie, 2009, pg711).The professional may feel uncomfortable and embarrassed when examining an individual and unaware of how best to deal with this situation. Symptoms of mental illnesses can themselves often prevent individuals with a barrier to accessing services. An individual suffering depression will most likely lack motivation and volition (Norman & Ryrie, 2009, pg429) making it extremely difficult for them to self-refer or even care about their mental and/or physical health. Further supporting the need for the chosen service improvement as families, carers and friends of such individuals could support them in attending their local GP surgery enabling them to access specialist help at an initial stage of their illness. It may be necessary for a mental health nurse in a GP  surgery to be advertised; as individuals cannot access services if they are unaware they exist. Booklets and leaflets could be made available to raise awareness of mental health issues and the support available to individuals, their friends and families’ informing the community that specialist help is available first hand within their local GP surgery. Another barrier that is present in the provision of care by primary services and GP surgeries is the use of the medical model. The health professionals within a GP surgery adopt a medical approach when treating their patients. This aims to treat the medical illness and reduce the total number or patients attending the surgery. Although this is necessary within a GP surgery setting there remains a need to consider social factors when adopting the medical approach (Barbour, 1995, pg2). There are limitations when using the medical model, however as it can prevent healthcare professionals from treating patients individually in a person centred manner, treating only the obvious medical condition (Barbour, 1995, pg10). This could have a serious detrimental effect on an individual’s health and well-being, resulting in increased appointments with their GP causing more distress and prolonging their suffering. This in turn increases the likelihood of an individual requiring crisis intervention and ultimately costs the NHS more in the long-run (Norman & Ryrie, 2009, pg172). The Royal College of General Practitioners (RCPG) ‘Roadmap’ (2007) document supports the need for adopting a model in which health and social care needs are considered in general practice (RCPG, 2007, pg1). There has been confusion around which professionals role it is to provide physical health care to the mental health population for many years (Phelan et al, 2001). Government policy recognises the importance in considering physical health care needs of those with mental health illnesses in both primary and secondary care settings (Newell & Gournay, 2009, pg 322). General practice has transformed significantly over the past decade and current government policy is aiming to improve access to and the choice of services available to patients, expanding the role of a GP and improve quality of care overall (Gregory, 2009, Pg3, online). Government policy is implemented in the structure of clinical governance and is important in  highlighting improvements that are required in a wide range of services within the NHS including mental health and primary care (NHS Direct, 2011, pg12, online). Clinical governance is described as ‘a system in which NHS organisations are accountable for continuously improving the quality of their services’ (Scally & Donaldson, 1998, online). It is a framework that ensures professionals continuously develop and improve the quality of the services they provide. Clinical governance involves the research and development, risk management, promotion of openness, education and training for staff, clinical effectiven ess and clinical auditing of services within the NHS. It is extremely important that high quality care is provided in healthcare and clinical governance ensures professionals are individually accountable for the quality of care they provide (South Tees NHS Trust, 2013, online). Buetow and Roland (1999, pg184, online) suggest ‘there is a barrier between managerial, organisational and clinical approaches to quality of care’ denoting that the aim of clinical governance is to bridge the apparent gap by allowing all professionals within an organisation involvement and ‘freedom from the control of managerialism’ (Buetow & Roland, 1999, pg189, online). Although this suggests the aim is to promote equality throughout organisations when it comes to quality of care. There remains a need for one individual or a small group of people to accept the role and responsibility and become the clinical governance lead or team (Buetow & Roland, 1999, pg189, online). In a primary care setting such as a GP surgery this would entail being responsible for a large number of professionals who may have had little reason to communicate with each other previously. This could cause conflict within an organisations culture if the quality of care professionals provide is questioned. The Department of Health (2008) stated ‘the current system of NHS primary care does not ensure a consistent level of safety and represents insufficient quality across the country’. Resulting in GPs becoming required to hold a licence which is reviewed and renewed every five years and to register with the Care Quality Commission (CQC) from 2011 (GMC, 2009, online). This ensures up to date practice, competence and assures the provision of quality care. Clinical governance enables services to show how targets have been met within their organisation and how they meet the needs of their patients, supporting the decisions made by professionals and teams within the organisation (Buetow &  Roland, 1999, pg187, online). All organisations have what is known as an organisational or agency culture. Agency culture is made up of numerous aspects including, values and beliefs, language and communication, policies and procedures and rituals and routines within an organisation. Each organisation has a varied culture with a different set of beliefs and norms. It could be a result of these norms that staff members may not be willing to embrace change or take time to attend extra training for specialist service user groups such as the mental health population. It may appear that the service gains results and targets are met therefore may not want to change anything. This places organisations at risk of neglecting areas for improvement. Changes within agency culture can become a challenging process especially when there is disruption to traditional working routines (NHS Direct, 2011, online). Staff within a GP surgery may have been led by one individual or a small group of the same GPs for a long period of time and may feel the services they provide are sufficient. Newly qualified members of staff joining the workforce may feel their opinions and ideas are underappreciated or not even considered because the routines and procedures are already in place. An unwillingness to accept change could have detrimental effects on the mental health service user population. This is reflected in recommendations by government policy. No Health without Mental Health (DoH, 2012, online), Making it Happen (DoH, 2001, online) and Call to Action (DoH, 2011, online) each suggest recommendations for primary care services to develop the services provided to those with mental health illnesses and stress the importance of mental health promotion within primary care. The culture within a GP surgery may appear to be more superior to other NHS services as most GP surgeries are independently contracted and are not direct employees of the NHS (Gregory, 2009, pg 8, online). This enables them to provide enhanced services such as extended opening hours and specific services fo r those with learning difficulties (Gregory, 2009, pg 8, online). The above are components of General Medical Services (GMS) whereas Personal Medical Services (PMS) enable GP surgeries to cater for the specific needs of the local population (Gregory, 2009, pg 5, online). This could include drug and alcohol services or mental health services if there were a large number of the local  community presenting to their GP surgery with these issues. The cultures within each of these types of GP surgeries could be different completely. In a PMS GPs could have received specialist training in the areas large numbers of patients require support, resulting in patients feeling more valued and respected as well as staff members. GP surgeries can be seen as ‘providing a gateway to specialist care’ (Gregory, 2009, pg8, online). This view could be difficult to change. However by offering a wider range of services and treatment options, the gap between primary and secondary services as well as both an individual’s health and social care needs ca n be filled (Gregory, 2009, pg8, online). This service improvement aims to improve the health and social care needs of individuals with mental health illnesses in the community. However, not only are there barriers in place that service users must overcome to access primary care services there remains a lack of collaborative working between health and social care services. This has consequences on the service user and other professionals involved in their care denying the individual of adequate holistic care. Professionals from different areas such as nursing and social work may be bound by differing statutory obligations which can affect their decision making and the care they provide. Starting with the professional body they are registered with as a professional such as the Royal College of Nursing (RCN) or the Health and Care Professions Council (HCPC), these give professionals a value base they must work from and develop continuously. Legislation also has a huge impact on a professional’s decision making, for example the Mental Health Act (MHA, 2007). The law determines what a professional can and cannot do in a crisis situation. If a mental health nurse was based in a GP surgery they will have specialist training and awareness of the limits of their role determined by the MHA (2007), such as a patient being sectioned. They will be aware of who to contact if a patient is causing danger to themselves or others and need more suitable mental health care. If the mental health nurse was an Approved Mental Health Practitioner they could even have a role in detaining patients especially if a GP within the surgery was specially trained under the MHA (2007). This would save a lot of time and distress to individuals in crisis, members of the public and staff members. There are other noticeable difference between health and social care and the  standards of care provided. Social work would traditionally take a service-led approach to care whereas nursing has become more person-centred and individualised (SCIE, 2010, online). By using a person-centred approach the specific health and social care needs of patients with mental health issues are addressed (Hall et al, 2010, pg178). The service user is the centre of focus and care and support is planned around their specific needs. This is essential when caring for an individual with mental health issues as each condition, symptom and experience is different. Enabling an individual to be fully involved in every aspect of their care and make fully informed decisions regarding their treatment and social options. Continuity of care and positive therapeutic relationships are essential when making an individual feel valued and at ease, allowing them to feel comfortable and more willing to engage with professionals. An individual with mental health issues may feel anxious about attending their GP surgery and may need motivation or encouragement to do so. Having a therapeutic relationship with a particular professional within that surgery could reduce a person’s anxiety levels (Kettles et al, 2002, pg64). The chosen service improvement would be useful for this purpose as a mental health nurse based within a GP surgery could build positive relationships with patients enabling them to develop trust and engage with services and professionals. The mental health nurse would also take into account both the health and social care needs of the patients, decreasing the GPs workload and saving the practice money in the long run. They would also ensure the needs of the individual are fully met as satisfactorily as possible within primary care services or id required could refer them to the most suitable services available to them for their condition and needs. Whether they be health or social care needs. However this service improvement would only be successful with the cooperation and collaboration from GPs within the surgery. Joint decision making would be required as well an equal partnership between GP and mental health nurse. The Personalisation Agenda (Social Care Institute for Excellence, 2010, online) (SCIE) emphasises the need for integrated working, and the need for involvement from a wide range of services, such as; health, social care, housing, transportation and leisure, to ensure service users receive a  holistic, consistent and continuous care package (SCIE, 2010, online). The service user is put first rather than the service. This creates a person-centred rather than a service-led approach. A priority of the Health and Social Care Bill (2011) is improving integration within services. The Bill strives to provide better partnership, integration and collaboration across the government and all NHS services (DoH, 2011, pg1, online). There is evidence to suggest that integrating health and social care services saves a substantial amount of money (DoH, 2011, pg2, online). However in the current government climate there are financial pressures which may cause a barrier to effective integrated working (DoH, 2011, pg1, online). All aspects of the patient journey could benefit from effective integrated working resulting in a positive experience and all needs being met. The suggested service improvement of a mental health nurse in a GP surgery supports integration as there would be a variety of professionals within one building making multi-disciplinary team meeting easier to arrange and joint decisions could be made quickly. However there are barriers to integrated working including the breakdown of communication between staff and different organisations having a detrimental effect on patients (Trevithick, 2009, pg123). However by working in partnership there is a reduced need for specialist services ultimately cutting costs and having a positive effect on many other aspects of an organisation. Such as boosting staff moral and enhancing patient experience (Erstroff, 2010). If barriers to integrated working can be overcome more adequate care can be provided overall. A dual qualified practitioner in a GP surgery would be ideal allowing both health and social care needs to be addressed working in partnership with outside agencies and with patients to gain the best results, without the need for two professionals. It has been stated that services need to detect early signs of individual distress by working closely with primary care (Norman & Ryrie, 2009, pg172-173). By integrating the skills required in a mental health nurse and a social worker a more holistic approach can be taken. The introduction of community care impacted on various professions including general practitioners, social workers and nurses (Malin et al, 1999, pg158). Nurses have become increasingly empowered over time and have become more involved in commissioning alongside GPs. Within General practice more of a  purchase/provide relationship has been established (Malin et al, 1999, pg 159). GPs now have more power and control with funding and choice in the care they provide. However social workers may have felt deskilled by the purchase/provide divide (Malin et at, 1999, pg 159). The cultures of each professional’s organisation could cause conflict among a team. Employing a dual qualified social worker and mental health nurse in a GP surgery would eliminate the chance of conflict. It would become the responsibility of the dual qualified worker and the GP to work in partnership. There is evidence to support the need for the chosen service improvement. Mental health services are improvin g and developing continuously despite government cuts to funding, reflected in No decisions about us without us (DoH, 2012, pg6, online). The document states that primary care services, specifically GPs who play a part in supporting those with mental health issues are not making a difference to the mental health of their local communities. This creates an opportunity for the role of a mental health nurse to develop. The Care Services Improvement Partnership (CSIP, 2006) suggest that nurses are capable of delivering services within primary care settings as they have acquired the specialist knowledge to do so (Norman & Ryrie, 2009, pg 651). There is a need to modernise, develop and integrate services, primary care being a target area. The suggested service improvement would be cost effective and would provide early community intervention also lowering individual and family distress. Integrated working is an essential component in developing health and social care services (Trevithick, 2009, pg109). In conclusion there remains a need for improvements in the health care provided by primary care services to those with mental health issues. Statistics show that primary care services are the first point of contact for many individuals developing a physical or psychiatric condition (DoH, 2012, pg 6, online). The introduction of a mental health nurse into a GP surgery promotes integrated practice and modernises NHS services (DoH Factsheet, 2011, pg1, online), enhancing patient experience. There is evidence to show that this is an already effective role. Primary mental health workers have been introduced in Children and Adolescent Mental Health Teams (CAMHS) supporting colleagues in primary care services providing crisis intervention and contacts to specialist services (Norman & Ryrie,  2009, pg543). Primary care mental health Graduates have also been implemented in parts of London providing a range of interventions (Norman & Ryrie, 2009, pg 457). The suggested service improvement of a mental health nurse in a GP surgery would benefit the mental health service user population enormously. If the National Service Framework mental health standards (NSF, 2012, online) are to be met mental health promotion within primary care must be a focus (Newell& Gournay, 2009, pg 257). References Barbour, A. (1995); Caring for Patients: A Critique of the Medical Model. California, Sanford University Press. Estroff, J. (2010); Effective teamwork: Practical; lessons from organisational research. London: Blackwell Publishing. Hall, A. Wren, M & Kirby, S. (2010); Care planning in mental health: Promoting recovery. Blackwell Publishing. Oxford. Kettles, A. Woods, P & Collins, M. (2002); Therapeutic interventions for forensic mental health nurses. London: Jessica Kingsley Publications. Malin, N. Manthorpe, J, Race. D & Wilmot, S. (1999); Community care for nurses and the caring professions. Philadelphia: Open University Press. Nash, M. (2010); Physical health and well-Being in mental health nursing; Clinical skills for practice. England: Open University Press. Newell, R. & Gournay, K. (2009); Mental Health Nursing; An evidence based approach. Philadelphia: Churchill Livingstone Elsevier. Norman, R. & Ryrie, I. (2009); The Art and Science of Mental Health Nursing: A textbook of principles and practice. Berkshire: Oxford University Press. Trevithick, P. (2009); Social work skills: A practice handbook. (2nd Edition). England: Oxford University Press. Wilson (1997); Cited in; Handy, C. (1993); Understanding organizations. Penguin Books Ltd. Middlesex. England. P.T.O. Online resources: Buetow, S. & Roland, M. (1999); Clinical governance: bridging the gap between managerial and clinical approaches to quality of care, Quality in Healthcare (8) 184-190 http://www.clinicalgovernance.scot.nhs.uk/documents/184.pdf Accessed on 28/01/2013 Care Service Improvement Partnership (2006); Designing Primary Care Mental Health Services: Guidebook. London: DoH. http://collections.europarchive.org/tna/20090610005017/http://dhcarenetworks.org.uk/BetterCommissioning/Commissioninge-book/ Accessed on 02/02/2013 Department of Health, (2012); National Service Framework: standards for mental health. London: DoH. http://www.eguidelines.co.uk/eguidelinesmain/external_guidelines/nsf/mentalhealth_nsf.htm#National_Milestones Accessed on 02/02/2013. Department of Health, (2012); No decisions about us without us: A guide for people who use mental health services, carers and the public, to accompany the implementation framework for the mental health strategy. London: DoH http://www.mind.org.uk/assets/0002/1266/No_decision_about_us_without_us.pdf Accessed 01/02/2013 Department of Health, (2012); No Health without Mental Health: A Guide for General Practice. London: DoH http://www.dh.gov.uk/en/Healthcare/MentalHealthStrategy/index.htm Accessed 04/01/2013 Department of Health, (2011); Health And Social Care Bill Factsheet. C3 London: DoH. http://www.dh.gov.uk/health/files/2012/02/C3-Promoting-better-integration-of-health-and-care-services.pdf Accessed on 01/02/2013 Department of Health, (2011); No Health without Mental Health: A cross government mental health outcomes strategy for people of all ages- a call to action. London: DoH. http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/documents/digitalasset/dh_123990.pdf Accessed on 31/01/2013 Department of Health, (2011); The NHS Outcomes Framework 2012/13. London: DoH http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/documents/digitalasset/dh_131723.pdf Accessed 10/01/2013 Department of Health. (2009); Response to Consultation on the Framework for Registration of Health and Adult Social Care Providers and Consultation on Draft Regulations. London: DoH. www.dh.gov.uk/en/Consultations/Liveconsultations/DH_096991 Accessed on 28/01/2013 Department of Health. (2008). The Future Regulation of Health and Adult Social Care in England: A consultation on the framework for the registration of health and adult social care providers: Partial Impact Assessment on Primary Care. London: DoH. www.dh.gov.uk/en/Consultations/Closedconsultations/DH_083625 Accessed on 28/01/2013 Department of Health. (2001); Making it Happen: A guide to delivering health promotion (Pg 54). London:DoH. http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_4058958.pdf Accessed on 31/01/2013 General Medical Council (GMC). (2009); Licensing and Revalidation. www.gmc-uk.org/about/reform/index.asp Accessed on 28/01/2013 General Medical Council (GMC). (2006); Good Medical Practice. http://www.gmc-uk.org/static/documents/content/GMP_0910.pdf Accessed 10/01/2013 Gregory, S. (2009); General Practice in England: An overview. London: The Kings Fund. http://www.kingsfund.org.uk/sites/files/kf/General-practice-in-England-an-overview-Sarah-Gregory-The-Kings-Fund-September-2009.pdf Accessed on 28/01/2013 The Health and Social Care Act (2012) http://www.legislation.gov.uk/ukpga/2012/7/contents/enacted Accessed on 01/02/2013 Knapp, M., MacDaid, D. & Parsonage, M. (2011); Mental Health Promotion and Mental Illness Prevention: The Economic case.London: DoH. http://eprints.lse.ac.uk/32311/1/Knapp_et_al__MHPP_The_Economic_Case.pdf Accessed on 12/01/2013 Lakhani, M., Baker, M & Field, S. (2007); The Future Direction of General Practice: A Roadmap. 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Sunday, September 29, 2019

Edgar Allan Poe Life Outline

Nick Arleo3/11/13 I. Introduction Edgar Allen Poe was a very dark writer of poems and short stories. His writings terrified many. His whole life and the unfortunante events that occured during it can tell a person why his writings were the way they were written. II. Body- Poe's early life, marriage, works, later years A. Early life in Boston,MA 1. Poe's family a. his father left his family early on in his life, and his mother passed away when he was 3 years of age. 2. Poe's foster family a.Poe lived with John and Frances Allan, a successful tobacco merchant and his wife in Richmond,Virginia. 3. Poe's marriage a. Poe married his 13 year old cousin Virgnia or ‘Sissy' as he called her when he was the age of 27. b. ‘Sissy' grew ill with tuberculosis and with no cure, she passed away in 1842. 4. Poe's Collegient years a. Poe started out studying at the University of Virginia. b. Poe later on transfered to the Naval acadamy at West Point and joined the military. B. Poe's works 1. Short stories: a. The Angel of the Odd† (1844) Comedy about being drunk b. â€Å"The Balloon Hoax† (1844) Newspaper story about balloon travel c. â€Å"Berenice† (1835) Horror story about teeth d. â€Å"The Black Cat† (1845) Horror story about a cat e. â€Å"The Cask of Amontillado† (1846) A story of revenge f. â€Å"A Descent Into The Maelstrom† (1845) Man vs. Nature, Adventure Story g. â€Å"Eleonora† (1850) A love story h. â€Å"The Facts in the Case of M. Valdemar† (1845) Talking with a dead man i. â€Å"The Fall of the House of Usher† (1839) An old house and its secrets 2. Poems A DreamA Dream Within A Dream A Valentine Al Aaraaf Alone An Acrostic An Enigma Annabel Lee Bridal Ballad Dreamland Dreams Eldorado Elizabeth C. Poe's Later years a. After the death of his wife, Poe became very depressed. This depression inspired most of his pieces. b. Poe began an even bigger alcoholic after years of being a heavy drinker . c. Poe also began the search for a new wife in order to restore his happieness and cure his depression. d. Poes writings at the end of his life were his most depressing. e. Poe eventually died on October 7th 1849.

Saturday, September 28, 2019

Community Health and the Local Hospital Assignment

Community Health and the Local Hospital - Assignment Example There is a separate department that handles the community health aspects which is undoubtedly something significant for the sake of the community. The budget is around US$25000 each year as it is served towards addressing the needs of the underserved. The desired audience is comprised of individuals who cannot manage to look after their health domains and need assistance medically. The in charge of the area is the municipal health director who has done his Masters in Clinical Psychology and has over 8 years’ experience overall. (2) The Department of Community Health within a hospital setting is often viewed as a "loss leader" to introduce the community to the hospital services or as a department which is necessary to substantiate the fact that a not-for-profit hospital is indeed fulfilling their responsibilities as a tax exempt organization. What are your thoughts? What part of the total hospital budget should be given to this area? One should believe that quite a significant proportion of the total hospital budget must be dedicated towards community health realms. The Department of Community Health can be seen as a loss leader within the hospital regimes but then again onus should be on achieving results more than making it tax exempted. A not-for-profit entity might not win favors if it fails to address the health needs of the people. (3) It is imperative that the Dept. of Community Health be linked to the strategic initiatives of the hospital. One of the challenges is to help other department directors and managers see the value of wellness initiatives and health promotion events and how these initiatives link to their services. What are your thoughts on how to break down these barriers? Indeed it is important that the Department of Community Health is somehow connected to the long term initiatives of the hospital. In essence, the other department directors and managers might not be able to estimate the value of health events and wellness

Friday, September 27, 2019

Strategic Mangment Essay Example | Topics and Well Written Essays - 4500 words

Strategic Mangment - Essay Example Every member had performed their tasks carefully and honestly. Meeting had been organised whenever required and all members had attended those meetings. The team development procedures had been accomplished by three phases. At the initial phase, every member had met with the other members and learnt about the challenges of the project work. Every member had agreed on shared objectives and embarked upon the designated responsibilities. Members had acted quite individually at the initial phase and were very attentive. In the second stage, there was certain disagreement among the members regarding different ideas and approaches that would be taken in completion of the project. In order to deal with the conflict issue, I had taken the part of leader in the team and judged the opinion of majority of team members. In the third phase, the team had been harmonised with the overall objective of the project and become a successful operative group. During the meeting there was certain confusion about the role that will be played by the members throughout the project. I had allocated the tasks to the members and specified the time for completion. Finally, the presentation was completed appropriately with commendable contribution of every member. As a leader, I had the task to observe the writing of each member and check if they are moving on the right path or not. Other members had parts to analyze, write, and edit the papers appropriately. I used to merge the tasks of others into single entity. One of the main challenges faced by the team was related to finding appropriate materials from valid sources. Every team member including me worked hard to search for appropriate materials which can be used to analyse the subject. Nevertheless, there was lack of understanding between team members and if there was enhanced communication between them the working process would have been improved significantly. Presentation Strengths and Weaknesses An excellent strategic management pre sentation requires five aspects. Firstly, understanding about the topic is vital. If the research is inadequate and the fundamental knowledge cannot be gained, then the presentation will also be imperfect. Therefore, in our project we had done vast research on the topic so that every member understands all aspects regarding the subject. A good presentation comprises of using vital phrases which is important for describing the topic. The significant points of the project need to be carefully identified and presented with bullet points but the number should not exceed a certain limit. Meanwhile, in our project we had incorporated adequate bullet points to describe vital factors of the subject. In order to develop an excellent presentation a team must avoid unnecessary writing on the slides. We had used very limited writing in our presentation and used modest words to describe every point and image. The slide show is intended for conveying verbal performance. The number of slides is vi tal for making an admirable strategic management presentation. Using huge number of slides can develop hastening situation to jump into other slide quickly. During our observation in presentation rehearsal, we had understood the disadvantage of using large number of slides and thus we had limited our presentation slides to thirteen only. For an effective strategic management presentation the design is very important. Thus, in our presentatio

Thursday, September 26, 2019

Fluvial Geomorphology Essay Example | Topics and Well Written Essays - 2000 words

Fluvial Geomorphology - Essay Example The basic concepts in fluvial geomorphology are Equilibrium, Regime Theory and Channel Geometry, Geomorphic Thresholds and Scale. Equilibrium state is one in which the input of mass and energy to a specific system equals the outputs from the same system. In fluvial geomorphology it is this equilibrium state that the stream channels tend to achieve Regime theory is grounded on the propensity of a stream system to obtain an equilibrium state under constant environmental conditions. The Regime Theory has a set of empirical equations relating channel shape to discharge, bank resistance and sediment load. It laid the foundation for a large body of work in Fluvial Geomorphology poring on the geometric properties of equilibrium alluvial channels and their adjustments to discharge and sediment transport regimes. Many of the concepts in fluvial geomorphology can be traced to European origins; however, "Classical" American geomorphology as expressed by W.M. Davis has its roots in the Surveys of the Western United States conducted by the U.S. Geological and Geographical Survey following the Civil War. The leading figures in this period of exploration were John Wesley Powell, Gore Karl Gilbert, and Clarence E. Dutton. Others of note during this time frame were Ferdinand V. Hayden, Lt. George N. Wheeler, and Archibald R. Marvine. As the west was being explored and the landforms analyzed, these individuals formulated several key ideas about geomorphology. Clarence Dutton made contributions by creating an awareness of isostatic adjustments and descriptions of landforms. lie also discussed the "Great Denudation," a period of extensive erosion which he felt created the Colorado Plateau. His writings also contained several references to the idea of parallel retreat of slopes. This concept is based upon a belief that hillsides maintain their angle of slope and form as erosion occurs. The first fluvial geomorphic model was the fluvial geographical cycle or the cycle of erosion, developed by William Morris Davis between 1884 and 1899. The cycle was inspired by theories of evolution, and was depicted as a sequence by which a river would cut a valley more and more deeply, but then erosion of side valleys would eventually flatten out the terrain again, now at a lower elevation. The cycle could be started over by uplift of the terrain. The model is today considered too much of a simplification to be especially useful in practice. The Geographical Cycle, as envisioned by Davis, starts with the rapid uplifting of a plain and the beginning of fluvial erosion. Erosion of this initial stage soon produces the second stage, youth. This stage is characterized by low relief and poor drainage with road flat water divides. As the erosion process continues, relief increases until the mature stage is reached. At this time, narrow ridges form water divides and very little flat terrain remains. Additional erosion leads to the old age stage in which relief in slight and low flat plains art dominant. The "almost featureless" plain resulting from the Geographical Cycle was termed a peneplain by Davis. Among suggested examples of peneplains are the Rocky Mountain Peneplain in the Colorado

Wednesday, September 25, 2019

Singapore Tourism Profile Research Paper Example | Topics and Well Written Essays - 1750 words

Singapore Tourism Profile - Research Paper Example This tourism profile will examine certain aspects of Singaporean culture and life that have a direct impact on tourism in Singapore and throughout the region. Role and Significance of Major Cities Singapore is quite unique in that it is a city-state. By definition, this means that it is a one-city country, similar to Vatican City. The only geographical distinction in Singapore is that, over time, they have named a few small town and villages in the remote parts such as Tao Payoh, Ang Mo Kio, and Bedok. The major city of Singapore is the economic hub of Southeast Asia and is one of the prosperous and most expensive cities to live in globally (Henderson 124). Cultural Factors Through the years, Singapore has become a mix of Chinese, Malay, Indian, and British influence. This has created a rich and diverse culture that has evolved over the years into what it is today. Modern day Singapore began largely as a large fishing village under the auspices of the British Empire. The unique aspec t of the Singaporean culture is that many different ethnicities have coexisted alongside each other for so many years that there is little separation along racial lines today (Phua, Berkowitz, & Gagermeir 1255). While there is certainly a class struggle taking place, as in most first world countries, the country is not divided by ethnicity. When visiting Singapore, tourists would be interested know that the family structure is extremely strong. For the most part, Singaporean families are quite small, averaging only one or two children. The exception would be ethnic Malays, who tend to have more children (Phua, Berkowitz, & Gagermeir 1255). The cost of raising a family is extremely expensive on the island, likely accounting for the small family size. Because of this, the family unit is central to the culture. Because of the focus on education, young people are delaying getting married, particularly women, limiting their childbearing years. This has created a potential problem in term s of under population, already represented in the amount of foreign labor that the country depends on to keep advancing. The population growth in Singapore is one of the lowest in the world. While it is difficult to say that any country has truly achieved gender equality, Singapore certainly appears to be headed in that direction, if they have not already arrived. Women currently hold high positions in both the government and private business sectors. Women and men alike have the same rights when it comes to politics, employment, and education (Heng & Low 249). In addition, both men and women have rights to maternity leave, making this a unique part of Asian culture and similar to many countries in the rest. As tourists prepare to travel to the Republic of Singapore, they should note that the many residents are bilingual. Most Singaporeans speak English as their main language, although people from the West will note some variations in word choice and accent. In addition to English, many people will speak Mandarin Chinese, Malay, or Tamil. The educational system in Singapore it structured in English, with a child’s second language being taught as their foreign language. Climate and Topography Singapore itself is only 269 square miles in total. An interesting fact is that this makes the land size only four times bigger than the District of Columbia in the United States. The island is located just to the south of the Malaysian Peninsula, which,

Tuesday, September 24, 2019

Conflict in Macedonia Case Study Example | Topics and Well Written Essays - 2000 words

Conflict in Macedonia - Case Study Example However, after the passage of time, the Macedonian government began engaging in corrupt practices. Reports indicated that this government was linked to high profile Albanian criminals who engaged in smuggling as their specialty. Consequently, this government allowed illegal activities to go on without taking any action against the perpetrators. On top of that, the government was not able to make reforms yet these were needed urgently in the economic and social sectors. As a result, the latter government was eliminated in the 1998 national election. At that point, a coalition government got into power. This was the government that would then be responsible for the 2001 Macedonian conflict. The 2001 conflict occurred as result of mounting tension between the ethnic Albanian minorities and the other Macedonian ethnic groups. These tensions began as early as when the first government took power. At that time, the Albanians felt that they were not well represented in the parliament, armed forces and in the civil service. Consequently, they demanded for their rights. As if that was not enough, economic pressures took a toll on the inter-ethnic tensions. Smugglers from both sides' i.e. Albanian and Macedonian majorities were going about their activities and drugging the economy of the land. The situation was further aggravated by the fact that a neighbouring country; Kosovo was undergoing its own civil conflicts. Kosovo's civil conflict was between the Albanians and the Serbs. The overall result of this conflict was the creation of a quarter of a million Albanian refugees who found their way into Macedonia. Furthermore, the Kosovo Liberation Army set up base in Macedonia where they would send supplies into Yugoslavia. The overall outcome of this upon the local Albanian was the formation of militias. The latter had ammunition that would enable them to protect themselves against any potential attacks from the local ethnic Macedonian authorities. All these issues led to increased availability of weapons within Macedonia. (The BBC, 2001, news.bbc.co.uk) Weapons were also highly available owing to the fact that the prior government allowed gun smugglers into the country. Even actual government officials were responsible for that too. Some affected parties from Kosovo decided to use the Macedonian border as their storage area. On top of that, the smugglers were bribing government official in order for them to stay quite about what they saw. Due to increased corruption in the government, any individuals who voiced their complaints about this illegal trade were eliminated automatically. This availability of weapons and the mounting tensions between the two groups created a highly volatile situation. All that was needed was a small reason and a civil war would begin. (Wood, 2001b, p 12) A group known as the NLA (National Liberation Army) was largely responsible for these attacks. This was brought about by the fact they spread a lot of propaganda against the government of Macedonia. Besides that, the group was also responsible for lodging attacks against the police and the army. Their attacks were also spread out to public facilities that included railway lines and others. (Jovanovska, 2002, p 310) The main and direct participants in the conflict In early 2001, the ethnic minorities began taking over some villages in the areas near the Macedonian bo

Monday, September 23, 2019

Explanation of Berkeley's Critique of the Lockean Notion of Substratum Essay

Explanation of Berkeley's Critique of the Lockean Notion of Substratum - Essay Example their molecular configuration or structure. Observing thus the mind was naturally led to the conception of a material substratum as something which 'underlay' and 'supported' the sensory qualities which were now perceived and known: 'the supposed, but unknown support of those qualities one found existing, which one could not imagined to exist sine re substante' ( Locke, Essay).Thus Locke agreed to the view that material substances were the ontological correlates of logical subjects - they are the things which possess qualities, such as space, shape and motion. On the other hand Locke himself had agreed that if an attempt was made to abstract from our ideas of these qualities, one was left with only an indeterminate notion of a substratum. Yet Locke insisted that this substratum alone unified and integrated the qualities instantiated in it. Moreover, he also held that the 'real essences' of objects, incapable of being comprehended by the human mind, determine the structure of all comp lexes of qualities and are 'situated' in the indeterminate substratum. They could only be understood by a being with adequate, superhuman faculties. Lockean view held that normal humans comprehend things as they systematically appear to them, conditioned by their perceptions; things as they actually are intrinsically lie beyond the confines of normal human intellect.Berkeley thought Lockean viewpoint offered much scope for skepticism. He understood clearly that once the real goes beyond the reach of all possible experience then skepticism began. The concept of material substance precisely left one skeptic. Berkeley instead put forward a metaphysical analysis of what it meant to state that a physical object existed. This analysis was an alternative Locke's skeptic concept of the 'material substratum'. Berkeley's theory also doubled up as a neo-phenomenalist reduction of physical objects into complexes of ideas, which Berkeley believed ran along side the common sense perception of the nature of the physical world. Berkeley took an anti-skeptical stance that the real world is directly encountered in perception, and that our knowledge of this world is direct and non-inferential. However if what one perceives directly is the real and objective world, and we immediately perceive only our own ideas, then it follows logically that our ideas are constitutive of reality, and are not, as was Lockean stance, merely representative of reality. It is important to see that both Locke and Berkeley believed that our entire conceptual framework was derived entirely from experience, however Berkeley argued if Lockean material substance is indeterminate and metaphenomenal, then there can be no concept of material substance, and the assertion that such a substance or substratum exists becomes, empirically meaningless.Berkely further argued that objective world of physical objects is very real. Physical objects cannot be analyzed in Lockean terms as complexes of qualities 'supported by' an underlying substratum they are rather composites of the simple ideas acquired in their perception. In short, for

Sunday, September 22, 2019

Propsal Essay Example | Topics and Well Written Essays - 4000 words

Propsal - Essay Example The most recent advent of distance learning constitutes the most enticing of these. The aim of this research is to find out the influence of distance training on raising the motives of teachers to participate in training programmes. It will substantially consider the case of Saudi Arabia and will specifically explore teachers' viewpoints there, regarding the potentials distance training has that make it more favourable and encouraging as opposed to those of the traditional face-to-face approach. The research, in the process, will uncover different aspects related to teachers' training programmes. This will then be correlated to assess how teachers' motivations towards training can be increased. There has been a wide recognition that training plays an important role in upgrading and improving teachers' abilities to elevate teaching outcomes toward highly accomplished educational goals. It is to be noted that an ongoing training system has been developed in Saudi Arabia in this regard. However, the beneficial consequence of the system cannot be apparently felt and there are signs that teachers are not all that interested in participating. Several reasons might be enumerated to be behind this. However, many believe that it is the approach that relies mainly on the conventional face-to-face training that is not sufficiently motivating teachers to take place. It is assumed that applying distance training approach as an alternative would be more encouraging. Although distance training is becoming widely employed nowadays and proved to be very sufficient to gain interest, the link between distance training and motivation is not sufficiently covered by research yet. This research will try to explore this sort of link and find out how significant distance training is considered as a motivating medium. Moreover, the research will assess the extent to which conventional face-to-face approach fulfils teachers' training purposes and highlights the major obstacle facing this system. On the other hand, it will also research the opportunities of applying distance training among teachers in Saudi Arabia. It will try to build a good understanding of the available information technology infrastructure and reveal whether teachers have the basic skills to facilitate information technology tools and thus get the full benefit of distance training. The research will look at how confident teachers are with distance training and find out any sort of relation between satisfaction and motivation with distance training including other factors related to working and personal conditions such as subject and level of teaching. Strategy: The proposed research will take on a quantitative approach. It will mainly depend on gathering and analyzing quantitative secondary and primary data gathered from available literature documents and by means of social surveys. This will be supported with appropriate qualitative data and analysis to provide clarification and confidence. The research will be mostly deductive in a sense that it works from the more general to the more specific and builds up its conclusion upon initial scientific hypotheses. It ought to ascertain a preliminary assumption and generates inferences about associations among selected variables. The research will try to answer the following questions : 1-To what extent do teachers in Saudi

Saturday, September 21, 2019

Types of Constitution Essay Example for Free

Types of Constitution Essay * Written and Unwritten Most constitutions are enacted or codified, either in a single document or series of documents. Many countries have followed the models of the US or French constitutions. The UK constitution is considered to be unwritten, despite key documents such as the Human Rights Act 1998 which could be viewed as constitutional documents there is no systematic code. The only other states not to have entirely written constitutions are New Zealand and Israel. * Rigid and Flexible The ease with which a constitution can be altered is a factor. Some are classed as rigid if they require a special process before they can be changed. This process is usually more onerous and so restricts the ability to change a constitution compared to other laws. To amend the Bill of Rights in the US Constitution requires a two thirds majority of both Houses of Congress and ratification by three quarters of State legislatures. In the Republic of Ireland amendments must be passed by the legislature and then approved by a majority in a referendum. The UK constitution is described as flexible as it requires only the normal procedure to pass on Act of Parliament, essentially a majority in both the Houses, to change any written law elements. The UK constitution also includes non legal rules which can be changed without any formal procedure. * Supreme and Subordinate A supreme constitution is not subject to any external superior force. A subordinate constitution is drafted and introduced in a country by an external sovereign power, so could be amended by that external power. At the core of the distinction is whether the constitution provides the highest form of law in the land. For example subordinate constitutions can be found in federal systems and in countries which have gained partial independence but are a limited government. The UK constitution is viewed as supreme. Although, the constitutional impact of UK membership of the European Union (EU) is debated. It can be argued that UK sovereignty is limited by EU treaties but it can be seen this limitation is voluntary, under an Act of Parliament European Communities Act 1972 and therefore does not alter supremacy. * Federal and Unitary The internal division of power within a state is an important aspect. In a unitary state only the central government has primary law making powers, powers may be delegated to lower tiers only. In a federal state, both the central government and the individual territories comprising the federation have primary powers. For example, in US the individual States have autonomy to legislate on some matters. Despite devolution, the UK remains a unitary state, with Parliament having the ultimate law making power over all the constituent nations. * Republican and Monarchical In republics, there is no monarchy and there will normally be a President, who is a directly elected Head of State, such as in the US. In some republics the President can be restricted to a more formal role of a figurehead, such as Italy or Germany. The UK remains monarchical, with the Queen as Head of State. The monarch continues to hold formal powers under the royal prerogative, although in practice these are exercised by the elected Government.

Friday, September 20, 2019

Unethical Marketing Research Practices

Unethical Marketing Research Practices Practices in relation to proposals constitute a breach of professionalism, courtesy and ethics, research managers should understand that, Examples of common faults: Added consulting services prior to winning the assignment, expecting the research company to provide value Developing research instruments and special exercises and providing customized local market information. These may include project design, However, it is wrong to make this an expectation., the research company may wish to supply some of these services to place themselves in a better competitive position; In order to place the second in a better competitive position, disclosing details of one Research Companys proposal to another Company information and pricing structure the research companys approach should be treated as proprietary and confidential. Research managers should not use another company as a lever or check on a regular supplier, seeking comparison bids without charge Evaluating Research The process of vendor selection can sometimes become derailed by individual egos and political dynamics which are harmful to successful study execution and should be avoided, the research manager typically must review them with senior research, brand and marketing management. The consultants personal qualities including their level of enthusiasm, poise and professionalism as well as the skills and professional capabilities offered by the research company, primary criteria that should be applied in the selection process are the fit between the projects substantive requirements and the research manager should be certain that the proposals offered are equivalent in all respects, particularly in terms of specifications and possible hidden costs not apparent in the quotation Unethical Practices in Marketing RESEARCH SUPPLIERS Low-ball pricing Underpaying field services Lack of objectivity Abuse of respondents Selling unnecessary research Violating client confidentiality Research Clients Issuing bid requests when a supplier has been predetermined Obtaining free advice and methodology via bid requests Making false promises Unauthorized requests for proposals Field Services Law-ball Pricing What Is Low Balling the Price When Buying Car? Car dealers are often stereotyped as tricky and dishonest, and the car buying experience is viewed as an adversarial contest between the customer and salesperson. While its not always that way, there are some dishonest dealerships and salespeople who will use unethical practices to sell their cars. One of these practices is known as lowball. Not every dealer will use it, but you should be aware of it in case someone tries it. If they do, you should know how to handle it. Lowball the price of a car means offering to sell it at an unrealistically low price. For example, a car dealer might offer you a vehicle for $27,000 even though it normally sells for a minimum of $30,000. Unfortunately, the dealer has no intention of actually selling the car at that price. Its an underhanded tactic to get you through the door. There are two purposes for giving you a lowball offer. If you are shopping around, Roosevelt Gist of Auto Network says a salesperson will give a lowball price to ensure that you will come back. He knows that no other dealer will be able to meet the offer, so he wants to guarantee your return. He wont give you anything in writing, and when you return he wont honor the price. Youll get an excuse like you misunderstood or the sales manager wouldnt approve it or the car has been sold. Instead, youll find yourself back in negotiations. The second purpose is to get you into the dealership if you have not been there yet. If you are shopping via email or over the phone, the dealer may call you with a price that sounds too good to be true. When you arrive, he wont honor the price. It may seem that lowball would turn off buyers, but some dealers get good results with this tactic. If youre shopping over the phone or via email and he can get you through the door, he hopes that you wont want to be bothered shopping around at other dealers. If he can get you to do a test drive and engage you in negotiations, he hopes to make a sale. If youre already at the dealership after shopping around, he is counting on the fact that you are tired and will give in to the higher price. The best reaction when you have been lowballs to simply walk out the door. Once you see the dealer has no intention of honoring the price, youll also see that he is not above using dishonest tactics. Its better to spending more time shopping around than to deal with an unethical business. You can prevent lowball by asking the salesperson to put his offer in writing if it sounds unusually low. If he makes the offer over the phone, ask him to send you an email or fax you a written confirmation before you visit the dealership. If he refuses to do this, dont bother going to the dealership. Youve probably gotten a lowball offer that will not be honored when you arrive. Lake of Objectivity How to Avoid Unethical Behaviors and Dirty Tricks of Realtors Since the commissions of the Real Estate Agent are being paid by the seller of the house a buyer cannot relay on his objectivity or impartial conduct, like in many professions and occupations there are honest and ethical people and there are some who arent exactly as since without a buyer there is no deal, the seller can expect the agent to exert pressure to lower the selling price. Therefore he would do anything in his power to make the buyer pay more than he wanted and on the other hand (the good hand :-), push the seller to settle for less than he hoped to be paid for his property. In short, the agents main interest is to make sure that there would be a sale, so he would be able to get his commission , what we would concentrate here though, is the unethical dirty tricks and manipulations some of the Real Estate agents are using in order to achieve it. In general it make sense to bring both sides to agree on realistic price that can cut a deal Misconduct of Agents to Seller The sellers are the biggest losers from the real estate agents tricks Home owners are often duped into paying money to agents before their homes are sold. If their home does not sell, or it sells for less than the consumer was led to believe, this money, which often amounts to thousands of dollars, is lost. Purpose of advertising is NOT to sell homes, but to raise the profile of agents; this is at the direct expense of home sellers. Home sellers are being convinced by a rational that the price goes up at auctions but the reason the price goes up at auction is because it starts at a very low price. The truth is that auctions get lower prices more often than they get higher prices. Among agents, an auction is considered the fastest and best conditioning method. Home Owners lose millions through having their homes undersold at auctions.. It is a common deceit. At other times, home sellers are given totally fictitious offers in order to convince them to lower prices, many agents submit offers to sellers which are lower than the offer actually made by the buyers. This reckless disregard for the personal safety of home-owners is a serious ethical concern. Open Inspections, Almost anyone can walk through a family home without identification. Agents will say that there has been lots of activity and, if no one has bought, the price must be lowered. But agents do not say that the people who looked were not qualified Also, the more lookers who can be attracted to an open inspection the easier it is to persuade the owner to reduce the price. Abuse of Respondents Often, an association and its members will have already heard rumors or seen patterns of wrongdoing before a crisis becomes public. By choosing to do nothing then-or even after a scandal breaks-associations have failed their professions and industries. Leadership and quick action to shore up public trust is needed. I am convinced that many associations have failed their professions and industries in times of scandal and crisis. But what should an association do when one or more of its members is waist-deep in a public scandal? Here are a few suggestions: Condemn the sin, not the sinner. Public confidence in a profession or industry demands that the profession always be ready to draw clear lines between acceptable and unacceptable behavior. It is possible to make a strong and timely statement on the ethics of a specific behavior without judging whether the particular behavior has occurred in this case or whether a specific executive is guilty. The first response of an association must be to label the unethical behavior for what it is Ask the accused to step aside. It should be an unwritten law of associations and professional societies that accused individuals step aside temporarily until charges are resolved. The credibility of any association depends on the integrity of its leaders. This does not admit guilt, but simply respects the special role of the association. Pull the trigger if guilt is established. If the guilt of an individual or member firm is established, then the association must act to force the resignation or withdraw the membership of the guilty. Cases where guilt is never proven, but the stench of scandal is strong, present harder choices. Associations must be in the business of building public trust. Quiet action to force the resignation of an association board member may be called for. If an association today does not have a process for throwing out a member, it had better create one. Define and advocate best ethical practices, not just minimum behaviors. Association codes designed to define and advocate exemplary rather than minimal behaviors. In todays ethical climate, restoring trust will require a focus on best practices and exemplary behavior If only the lower boundary is established, those inclined to wrongdoing will always be probing how low is low, most association and industry codes of ethical conduct are least common denominators, a list of provisions that virtually every member can agree to because the standards are so low Keep your ethics current with the changing nature of your profession or industry. Ethical norms codified by the firms and their associations in the past addressed problems of a simpler time. Only through visionary action and timely debate on new ethical issues facing the profession or industry will public credibility and trust be sustained The ethical failures in the accounting, financial services, health care, and telecommunications industries can in part be attributed to the rapidly changing structure and altered characteristics of those industries Selling unnecessary Research Admittedly, people assume different approaches to managing their visibility. On the contrary, years of BSRP research finds that in our culture, if you want to get paid what youre worth, its essential. Doing whatever you can to direct attention to the competencies you have, and contributions you make, is not inherently wrong or evil. Some are narcissistic and vain but not necessarily unethical. However, there are some people who plainly do not subscribe to conventional rule of conduct. To them, for example, the rhetoric of principles, values and integrity only serves as an additional device which can be used to scam others. Their unrestrained behavior taints ethical self-projection for everyone. They may be tedious and boring, but they are not necessarily unethical. The result is a catalog of twenty-two behavioral tools unethical self-promoters tend to use. How many have you experienced? Well intended people are content to practice appropriate self-presentation, when they can, moderated by a sense of honor, respect for the truth and prudent regard for the feelings of others For 30 years we have been observing those devices in use, especially as they are used by salespeople, managers, executives, ex-clergy, consultants, psychologists, and others. Violating Client Confidentiality Temptation grows stronger when were tired, afraid, under pressure, or in conflict all of us face the human temptation to duck important ethical responsibilities. By making what we know or suspect is unethical seem perfectly ethical. Common cognitive strategies can fool us They can spin the most questionable behaviors into ethical ideals. The most common ethical fallacies rely on twisted judgment, appealing fallacies, and juggled language. To restate a major theme of this book: We believe that the overwhelming majority of psychologists are conscientious, caring individuals, committed to ethical behavior. We also believe that all of us are fallible, no one is perfect in all areas at all times, and we all share vulnerabilities at one time or another to at least a few of these ethical justifications. What sorts of cognitive maneuvers can transform unethical behavior into the ethical ideal? Many of the justifications below appeared in previous editions of this book, and some were added when the list appeared in Here are a few. We encourage readers to expand the list. Unethical not as long as a managed care administrator or insurance case reviewer required or suggested it. Unethical not what sorts of cognitive maneuvers can transform unethical behavior into the ethical ideal? if the American Psychological Association or similar organization allows it. Unethical not if an ethics code never mentions the concept, term, or act Unethical not as long as any law was broken. If someone discovers that our c.v. is full of degrees we never earned, positions we never held, and awards we never received, all we need do is non defensively acknowledge that mistakes were made and its time to move on Its not unethical as long as we can name others who do the same thing. unethical not if we can use the passive voice and look ahead. Its not unethical as long as we didnt mean to hurt anyone. unethical not even if our acts have caused harm as long as the person we harmed had it coming, provoked us, deserved it, was really asking for it, or practically forced us to do it or, failing that, has not behaved perfectly, is in some way unlikable, or is acting unreasonably. without any doubt whatsoever that exactly what we did was the necessary and sufficient proximate cause of harm to the client and that the client would otherwise be free of all physical and psychological problems. Its not unethical as long as there is no body of universally accepted, methodologically perfect (i.e., without any flaws, weaknesses, or limitations) studies showing -, difficulties, or challenges. Its not unethical if we could not (or did not) anticipate the unintended consequences of our acts. For example, it may seem as if a therapist who has submitted hundreds of thousands of dollars worth of bogus insurance claims for patients he never saw might have behaved unethically. Its not unethical if we acknowledge the importance of judgment, consistency, and context. : It was simply an error in judgment, completely inconsistent with the high ethics manifest in every other part of the persons life, and insignificant in the context of the unbelievable good that this person does. However, as attorneys and others representing such professionals often point out Use of professional Respondents Unethical Behavior Its Impact on Todays Workplace Such unethical behaviors include a wide variety of different activities. Among the most common unethical business behaviors of employees are making long-distance calls on business lines, duplicating software for use at home, falsifying the number of hours worked, or much more serious and illegal practices, such as embezzling money from the business, or falsifying business records. Though there is sometimes a difference between behaviors that are unethical and activities that are actually illegal, it is up to the business itself to decide how it deals with unethical behavior legal or not. It is a sad truth that the employees of just about every business, in every business, will occasionally encounter team members who are taking part in unethical behaviors. After all, unethical behavior that is not illegal frequently falls in a grey area between right and wrong that make it difficult to decide what to do when it is encountered. Many employees find that discovering unethical behavior among co-workers actually tests their own values and ethical behaviors. For example, some people feel that it is alright to tell a little white lie, or to make one long distance call on the companys nickel, as long as they can justify it in their mind. Furthermore, different people have different views regarding what is ethical and what is unethical. Employee needs to consider how s/he feels about that particular activity, as well as informing about that activity, or turning a blind eye. When employees discover other employees doing something that they know is wrong by the companys standards, their own sense of what is right and what is wrong instantly comes into question The first step is to create a company policy, in writing, that is read and signed by each employee. This erases most feelings of ambiguity when it comes to deciding what to do after witnessing an unethical behavior Should the employee speak to the individual directly, or should the employee head directly to a company supervisor? Even by deciding to do something about it, the employee who has discovered the unethical behavior is presented with a number of difficult choices. To make this decision a bit easier, many companies have adopted several techniques that allow for the management of unethical activities. With clear instructions, there will be less hesitation in reporting unethical activities, and then they can be dealt with quickly and relatively easily, before they develop into overwhelming issues the second is to give a clear outline of what is expected of the person who has discovered the unethical behavior. It should include the person who should be contacted, and how to go about doing it. Furthermore, the repercussions of unethical behaviors should be clearly stated. both the person doing the activity, and the witness to the activity will be well aware of the way that things will be dealt with, and there wont be any risk of someone not reporting unethical behavior because theyre afraid that the culprit will be unfairly treated. Communication is key in the proper management of unethical behavior in todays workplace. RESOURCES Hagan, F. (2000). Research Methods in Criminal Justice and Criminology. Boston: Allyn Bacon. Lasley, J. (1999). Essentials of Criminal Justice and Criminological Research. NJ: Prentice Hall Neuman, L. B. Wiegand. (2000). Criminal Justice Research Methods. Boston: Allyn Bacon. Reynolds, P. (1982). Ethics and Social Science Research. Englewood Cliffs, NJ: Prentice Hall. Senese, J. (1997). Applied Research Methods in Criminal Justice. Chicago: Nelson Hall. Not an official webpage of APSU, copyright restrictions apply, see Megalinks in Criminal Justice OConnor, T. (Date of Last Update at bottom of page). In Part of web cited (Windows name for file at top of browser), MegaLinks in Criminal Justice. Retrieved from http://www.apsu.edu/oconnort/rest of URL accessed on todays date.

Thursday, September 19, 2019

Emerging Technologies Essays -- Digital Gadgets, Personal Information

During the 21st century the world has witnessed massive developments in technology. Almost every person is familiar with the use of digital gadgets for communication, socialization and data storage among other services (Freedman 02). The inventions of electronic devices that can be used to store, send, receive and access any information are results of advancements in technology. These developments belong to the information and communications category. Many people in today’s world make the mistake of thinking that the technological advancements that are happening right now are the only technologic advancements evolving in the world. However when it comes down to it, people have been experiencing technological advancements as early as the Neolithic period, impacting almost every aspect of life. These ancient technologies have come to be overtaken by time, as there are new ones which seem to be more efficient in accomplishing similar tasks. Emerging technologies can be said to be innovations and advancements that can be witnessed in different sectors of technology (Zelkowitz 6). Most up-coming technologies have brought synchronization of the previous developments, making them work together in achieving a similar goal. A good example of this is how video, data and telephonic technologies have now been made to work together in achieving the same goal of effective communication (Zelkowitz 12). All of these technologies used to exist completely by them self, but not anymore. Scientists developed different social services that connect people together in a form of social media. Examples of these applications include; Twitter; Facebook, Vine, and Instagram among many others. As much as these new technologies have brought efficiency and a... ...ormation, and we cannot just do away with emerging technologies just because of critics. We need to accept that everything has its share of merits and demerits, and move on. All we need is looking for means of preserving our cultures and history as well as basic education whether there are emerging technologies or not. Works cited Freedman, C. D. The Extension of the Criminal Law to Protecting Confidential Commercial Information: Comments on the Issues and the Cyber-Context. (August 01, 2013). International Review of Law, Computers & Technology, 13, 2, 147-162. http://www.tandfonline.com/doi/abs/10.1080/13600869955116#.UdhxNezkU1I Gopnik, Adam. â€Å"The Information: A Critic at Large.† The New Yorker 14 Feb. 2011: 124+. ProQuest. Web. 31 October 2011. Zelkowitz, Marvin V..Vol.73 Advances in Technology: Emerging Technologies. Amsterdam [u.a.: Elsevier, 2013. Print.

Wednesday, September 18, 2019

john w booth Essay -- essays research papers

A History of John Wilkes Booth   The name of John Wilkes Booth conjures up a picture of America's most infamous assassin, the killer of perhaps the greatest president of the United States. However, J. Wilkes Booth (as he was known professionally) led a very prominent life as an actor in the years preceding the assassination of Abraham Lincoln. This period of his life is often forgotten or overlooked. The Booth family name in the nineteenth century was strongly identified with the American theater scene; there was no greater name among American actors at this time. Junius Brutus Booth, Sr. came to the United States from England in 1821 and established the Booth name upon the American stage. He left his legacy to be carried by his sons Edwin, John Wilkes, and Junius Brutus, Jr. All of the Booth children but one, were born out of wedlock. John Wilkes Booth was born on May 10, 1838 in a log house. The family home was on property near Bel Air, Maryland, twenty-five miles south of the Mason-Dixon line. Elder brother Edwin supervised his younger brother's upbringing. Later Edwin and older sister Asia would write about their eccentric brother's behavior. Francis Wilson, who wrote a biography of Booth in 1929, stated that Booth opened his stage career in 1855 at the Charles Street Theatre in Baltimore and began performing on a regular basis two years later. Once Booth embarked upon his acting career, he wanted the comparisons between himself and his late father to cease. It was a common practice of theater companies to retain actors who would complement a touring, star figure. Booth eventually became one the these star figures, with stock companies for one and two week engagements. Often a different play was performed each night, requiring Booth to stay up studying his new role until dawn, when he would rise and make his way to the theater for rehearsal. Booth began his stock theater appearances in 1857 in Weatley's Arch Street Theatre in Philadelphia (the center for theater in this country at the time). According to one biographer, Booth studied intently in Philadelphia, but author Gordon Samples writes that Booth's lack of confidence did not help his theatrical career. William S. Fredericks, the acting and stage manager at the Arch Street Theatre, said the new actor did not show promise as a great actor. This negative opinion was also held by other Philadelp... ... putting together an operation, purportedly with Dr. Mudd and others, to capture the President and transport him to Richmond. By capturing Lincoln they expected to force the federal government to return Confederate prisoners of war who were confined in Union prisons and then return them to fight Union forces. After nearly five months of intense planning, the attempt to capture the president took place on March 17, 1865. Mr. Lincoln, however, disappointed the would-be captors by changing his plans. Instead of visiting a hospital outside of Washington, President Lincoln attended a luncheon at the National Hotel. This was the hotel Booth used as his temporary home while in Washington, DC. Two weeks later, the long Union siege of the Confederate capital of Richmond, Virginia ended. The Union Army marched in and Confederate forces under General Lee moved west. One week later, on April 9, 1865 General Lee was forced by General Grant to surrender. These Confederate failures, along with the failure of Booth's capture plot, apparently gave Booth the incentive to carry out his final fatal plan. Five days after General Lee's surrender, Booth assassinated Mr. Lincoln inside Ford's Theatre.

Tuesday, September 17, 2019

The Families of Flowering Plants :: essays research papers

Asphodelaceae (Aloe Family) CLASSIFICATION Dahlgren et al. (1985) divided the Monocotyledons into several superorders of which the Liliiflorae is the largest. The order Asparagales is the largest of the five orders within Liliiflorea. One of the families within Asparagales recognized by Dahlgren and his co-workers was Asphodelaceae (Chase et al. (2000). Asphodelaceae consists of the sub-families, the Asphodeloideae and the Alooideae. The Alooideae consists of six genera of which Aloe is the largest. The sub-family Alooideae are noted for their spectacular secondary growth, a characteristic used to define the Alooideae as monophyletic. On the other hand, some workers within the taxa have considered the above two subfamilies were for sometime, considered to be separate families, the Asphodelaceae and Alooideae (Dagne and Yenesaw 1994). Determining the proper phylogeny was difficult because some authors have argued that Aspodeloideae is not a monophyletic group. Also, the Aspodeloideae are more varied and share a great deal of m orphological similarities between other groups (Chase et al. 2000). The latest generation of chemical information on species belonging to these two groups is believed to reveal the relationships among the various taxa and to assist in establishing taxonomic classifications at various levels (Dagne and Yenesaw 1994). However, there is still not strong enough evidence suggesting both sub-families should not be included in a single family, the Asphodelaceae (Bisrata 2000). MORPHOLOGY Asphodelaceae is a distinct family from other liliod monocot groups by a combination of several morphological and reproductive features: simultaneous microsporogensis, atypical ovular structure, lacking steroidal saponins, producing seeds with arils, and the general presence of anthraquinones. Basic morphological features of genera within the Asphodelaceae consist of mostly herbs, shrubs, and sometimes arborescent, which grows into woody forms with trunks that can grow up to several meters high. The leaves are arrangement is alternate, spiral or 2-ranked that usually form rosettes at base or ends of the branches. The leaves are often thick and succulent with parallel venation. The succulent aloes vary in size and morphology from the dwarf rosettes (Adams et al. 2000). Vascular bundles are arranged in rings around mucilaginous parenchyma tissue, the bundles have parenchymatous aloin cells in inner bundle sheath near the phloem poles. The association of aloin cells and central gelatino us zones are synapomorphic for species with Alooideae (Judd et al. 1999). The perianth is usually bisexual and showy, with 6 distinct to strongly connate, non-spotted tepals. Reproductive flower parts have 6 distinct stamens and 3 connate carpels and a superior ovary that contain nectaries in septa.

Monday, September 16, 2019

Paleolithic life

Paleolithic rock art: People left their hunting records, drawings of their culture and experiences on cave walls with bright colors, some of which have been preserved up to today. Also, Paleolithic people made small statues or carvings out of stone, of figures such as Venus figures. In addition, although It may seem Like art to modern world, they used stone tools to hunt and gather. 1.Venus figurines : In places all over the world, from Europe to Russia, figurines of women have been found, They were carved out of stone, antlers, and deferent trials, but similar in shape, a figure of a women with exaggerated figures. They suggest ancient societies having or worshipping a women goddess, as well as indicating that there may have been communication across lands. 1. Dermatome: In Paleolithic Australia, there were aboriginal people called the Dermatome. They had complex and developed stories on the world, as well as rituals which included their people got to their current location.Their ou tlook on life was based on historical events that took place; all nature was a sense of mirror image to their past events. Also, they had communication with various other groups/isosceles over a large area of land, exchanging tools, drugs, cultures, and ornaments. 1. Clevis culture: The Clevis people were bands of people scattered all over North America. They were considered one of the first people of America, mostly killing large animals such as bison and mammoth, living along mostly water. Some artifacts suggest that although they were distributed far apart, they may have had some form of communication between the people. . Managerial extinction: It was the extinction of large animals, such as the mammoth, some species of horses, and camels. Many experts' theory is that the extinction was caused by change in climate; when the Ice Age ended, temperatures rose and humidity fell. Others say that the Clevis people might have hunted the animals down to extinction, which eventually lead to the wipe out of themselves. 1. Stationeries migrations: The migrations of the Stationeries speaking people were one of the last migrations to take place In the human history. As It was mostly migrating along the pacific ocean, they used canoes for transportation.The result was migration to the Philippines, Madagascar, Hawaii and etc. Contrast to the other gyrations, since it was waterborne and hunting – gathering would not be available on the Journey, these people were already living In an agricultural environment before they migrated. 1. â€Å"The original affluent society: Because many of the Paleolithic people were living basic necessities. Different to what we think today, Paleolithic societies seldom had more freedom and leisure time as they worked less than the hours required for farming and maintaining a flock of sheep. . Shamans: Paleolithic people had cultures where they had ‘ceremonial' spaces, connecting them , or separating them from their ordinary life . These ceremonies/ rituals were usually held in deep caves. Although there were no full time religious leaders of specialists, there were shamans who were believed to be skilled with dealing the spirit world. 1. Paleolithic settling down: Changes begun? Began? To take place mostly as the ice age began to end. Tools became smaller and more precise, people began to collect wild grains which led to surplus in food.Also, some tribes/societies settled down and started to store and preserve goods, which led to even more surplus in food. As food abundance occurred, populations rose and villages grew as well. Up until then, most truckers in society had been fair and equal, but the surplus and diversion of Jobs led to inequality. 1 . End of the last Ice Age: As Ice Age came to an end and climates warmed, Paleolithic life changed to Neolithic life ( meaning new stone age). Populations grew, villages settled down, and humans began to change nature, selecting what they needed.Coincided with th e migration of homo sapiens, this eventually led to the Agricultural Revolution. 2. â€Å"Broad spectrum diet†: Living as hunter gatherers for thousands of years, people eventually gained knowledge about the nutrition they needed in order to survive healthily. Somewhat similar to modern times, people learned to eat both big and small animals, the various uses of plants, and so on. Although the â€Å"broad spectrum diet† was not particularly developed in the Neolithic era, it became useful for future reference.Furthermore, researchers suspect that this led to the gender roles, as women were more of the gatherers, they had more knowledge about diets and nutrition, which led them to farm in an agriculture society. 1. Fertile Crescent : The fertile crescent is modern day southwest Asia (Iraq, Syria, Israel, Palestine, Turkey). The land had abundance in the species of plants and animals, which were mostly easy to domesticate. A period of dry and cold weather led to hardship in farming/gathering plants, which eventually was the turning point to agriculture when people started to domesticate animals.Although the fertile crescent was a packed area at first, later people began to scatter as population increased and soil erosion occurred due to over farming. 1 . Testing : Testing is a pre- genetically modified ancestor of corn ( with a lot less cob than we know it), it is a form of mountain grass that was grown in the Americas. Testing was like the cereals of the fertile crescent, except it had less nutrients. Therefore, it became more altered by humans to provide all the protein. Theory that gradually, through plants and animals' migrations, farming spread out to other areas.Opposing to the other theory where humans were the main cause for the expansion of agriculture, diffusion suggested that it was more of an indirect act. 1 . Bantu migration: The Bantu speaking people migrated east and south within Africa. Along with themselves, they migrated with the act of agriculture, their cattle, ironwork, and culture such as languages. Because they were one of the primary Neolithic people, with their migration came diseases to those who had never been in intact with domesticated animals, driving out natives, and killing them. A similar migration would be the Australians'. . Peoples of Australia : Not everyone was keen on the change in lifestyles, Australia went back to hunting- gathering after being introduced to agriculture. Some reasons for that might have been the fact that the area was simply not suitable for agriculture, or that the land was naturally plentiful agriculture would actually be less beneficial. 1 . Banjo: In China, there was an agricultural organization settlement called Banjo. They grew rice, pigs, and dogs. Also, they lived in houses, had storage for surplus food, kept an area for either social or military activity.They revealed to modern researchers the use of pots and textiles; the remains shows that they produced dish es, pots, cloth and textiles. 1 . â€Å"Secondary products revolution† : As people became familiar with domestication, they found more uses for 1 . Pastoral societies: In regions where farming was less beneficial than herding or domesticating animals, societies relied on pasturing/herding/or nomads to sustain their lives. Areas such as the arctic tundra, grasslands and deserts were lands where people were more dependent on the animals, which differed by the region.Although not all of the pastoral societies were against the agricultural people, there are references, like the bible, which indicate conflict between the two. 1 . â€Å"Catafalque† : Catalytically is an early civilization in southern Turkey. People lived in dirt houses, which were stacked on top of the dead. There were no roads in this village, instead people tended to walk on roofs, and entered the houses through them. Unlike most Neolithic villages where some form of discrimination or social statuses exist ed, Catafalque barely had any, and had less gender roles than others.Although women were more related to agriculture and men to hunting. 1 . â€Å"Stateless societies†: Stateless societies were cultures or societies that were familiar with formal organizations, however, they chose not to select politics. However, they were in contact with neighboring societies, including their religious practices amongst the ruling. Inherited, however, they could rarely dictate over the village. Instead, they trusted their followers [villagers. They also held a religious status, leading important rituals and ceremonies. Organizing the village, the chief maintained his status.