House of Bernarda Alba- Elements of House

â€Å"Bernarda’s house serves on a number of levels as the central image in the play. How does Lorca use the house to convey his ideas? † In order to arrive at the central idea in Federico Garcia’s last play, â€Å"House of Bernarda Alba†, the title is the first factor to be reflected on. Lorca has not presumably named the play â€Å"Bernarda Alba†, or â€Å"Day of Bernarda Alba†. He had named the play â€Å"House of Bernarda Alba† because it will let the reader draw attention both to Bernarda’s ‘house’ in the sense of Bernarda’s family and to the physical space of house itself, which functions as the central image of the play. The play employs number of themes which are supported by the central image of house. The state of house such as colour, size, temperature, condition and props, which are nonverbal elements all link with the theme which Federico is trying to convey. These features will aid to provide the audience with information about the setting of the play and give insight to the underlying ideas such as dictatorship, purity, fate and choice, freedom, confinement, and sexual oppression. The play commences with the brief description of the house, which aid to communicate the central idea of purity, and fate and choice to the audience; â€Å"Very white inner room in Bernarda’s house. Thick walls. Arched doorways with jute curtains trimmed with black beads and ruffles. † These descriptions are the important elements of the house. Readers are able to obtain the associated idea from the play by having a general understanding of the setting. From the description, first, colour is the element to consider. The walls of the house are all painted white. Because the play is set in Spain, this is the characteristic of homes in the country, since white reflects the sunlight and prevents house from heating. Though, the â€Å"white† colour in a deeper meaning, symbolises the purity and virginity. All the daughters in the house have not married yet, and after the funeral of the second husband, they are not allowed to look at men. Therefore, â€Å"white† also represents the restriction of freedom and choice, where the restriction of choice is derived from evidence that all the rooms are coloured white. The girls have no choice; they cannot choose their destiny. Moreover, the family name ‘Alba’ means white. This colour is seen as a contrary to the black dress of the women in the mourning as they enter the house. The colour black symbolises death and have an effect of foreshadowing the death of the character Adela, a victim of Bernarda’s tyranny. The decoration, props and set of the room also aids in obtaining the idea of dictatorship and confinement. The â€Å"Thick walls† indicates difficulty for the girls to escape the confinement of Bernarda’s control, again suggesting the idea of restriction of the girl’s freedom. From the description of the house,â€Å"Arched doorways with jute curtains trimmed with black beads and ruffles. † the jute curtains are described as being tied with black beads and ruffles. The jute is used for making rope and rough fabric, which symbolises men as ropes are generally used for men’s labour. Therefore it is symbolic for male presence in the home, likely from Bernard’s husband. Though, the black beads indicate the stage of mourning the house is in due to death of Bernarda’s husband. The decoration, â€Å"Pictures of nymphs or legendary kings in improbable landscapes† depicts imaginary places, but it is an alternate reality which girls wish to escape to. In the form of picture and being hung on the white wall emphasise that the fantasy is in place where it is out of reach for the girls. The kings serve as an idea of dictatorship in the house, which in this play, Bernarda is the â€Å"king†, the ruler and the house is her castle. Through the symbolism of heat we see that Lorca makes the reader realise the tension heightening within the characters, which conveys the idea of sexual oppression. At the beginning of the play, Bernarda locks her daughters into the house, away from the outside world. â€Å"There are eighty years of mourning ahead of us. While it lasts not even the wind will get into this house. † Since Bernarda’s husband died, she does not want her daughters to be open to the outside world. Bernarda, trying to be helpful, wants her daughters to be pure and safe. But since the house is locked, no wind will come in the house and therefore heat will build up in the house. If the wind is symbolised as the men, the daughters who are not exposed to the wind (men) builds up their sexual desire. Characters who are not victim of this heat are the male characters that are shown outside the house. They are cooler in the patio or in the fields, suggesting symbolically that they do not suffer from sexual frustration. â€Å" Is the lemonade ready?†¦ Give some to the men. They’re having some on the patio. † The symbolism of what is inside the house and what is outside is also illustrate the idea of freedom and dictatorship. The doors and windows serve as a both barriers and bridges. To the daughters, the outside represents freedom, new life, and sexual fulfilment. Throughout the play, the daughters number of times runs to the window and look at the outside world: the crowd leaving the funeral, men going to work in the fields, and arrival and departure of Pepe el Romano. â€Å"Since he’ll be coming around the corner, you can see him better from the window in your room. [ The Maid exits. Adela hesitates for a moment, then she, too, rushes off towards her room. ] Bernarda strikes Angustius for looking out through the cracks of the back door, maintaining the idea of no freedom and choice for the girls. To Bernarda, the outside of the house represents threat to the reputation of her family name. She does not want her privacy to be spread in public, from her urge to protect her daughters. Bernarda’s power in the house means that sexual activity takes place outside the house as the house is completely under her control. This is evident when the Maid says, â€Å" Rot away, Antonio Maria Benavides, stiff in your woven sit and your high boots! Rot away! Never again will you lift up my skirts behind the back corral! † The back corral is outside the house, which illustrates the lack of restrictions out of the house. Another example is when Pepe and Adela meet. They do not meet at the house, but at the corral. accentuate Lorca was successful in portraying the idea of the play through the central image of house, which included; dictatorship, purity, fate and choice, freedom, confinement, and sexual oppression. Bernarda’s house thus functions as a central image in Lorca’s final play by the use of colour, symbolism and other element of scenic design. The readers are able to obtain the various ideas Lorca is trying to inform, and we also get an idea of how some households were like in Spain during the civil war time. Moreover, this play was written during the Franco’s regime of Spain, which there were fascism involved. Women were treated unfairly in the society, such as their pay. Women could not make choices of their own including marriage. This point reflects the idea of daughters not being able to marry due to commanding power by Bernarda. The fact that these nonverbal elements of the house contributing to the central idea of the play makes the reader think deeply, which let us gain true appreciation for a work Lorca has done for his final moments of life. Words: 1257

Psychology Journal Article Review Essay

Has the influence of others ever affected your decision making skills, or made you question yourself about the decision you made? In the aim to test whether or not pressure from a group of people affects a persons’ ability to conform. Psychologist Solomon E Asch decided to conduct an experiment to justify his theory. Asch gathered college students in groups of eight to ten where they were told that he was only studying visual perception. They were then given a simple line judgment task where the answer was made very obvious. The task was to decide which one of the lines on the right was identical to the line on the left. This was done over and over again for about eighteen times. However the trick in the experiment was that out of all the students in the group only one student was the one being tested. The rest of the students were instructed to provide incorrect answers to twelve out of the eighteen times they were asked about the lines. Purposely, Asch made sure that the person being experimented sat next-to-the-last person in each group to provide his answer so that he would hear most of the other incorrect answers before giving his own. They then would see if the individual would keep their choice or just conform to everybody else’s decision just because the majority of the group agreed to it. After the experiment Asch found out that thirty-seven out of fifty students that were being experimented on conformed to the majority’s decision at least once. However, fourteen of the fifty students conformed more than six times during the assessment. Asch being very bothered by these results stated â€Å"The tendency to conformity in our society is so strong that reasonably intelligent and well-meaning young people are willing to call white black. This is a matter of concern. It raises questions about our ways of education and about the values that guide our conduct. † ( McLeod, S. A. (2007) Simply Psychology [On-line] UK: Available: http://www. simplypsychology. pwp. blueyonder. co. uk/ Accessed: January 17, 2010). After the experiment when the subjects were being asked why they conformed to the answer some of them said that because they did really think that the other answers were correct. Another reason was that they just went along with everybody else’s same opinion because they did were basically afraid of being different of being thought of as dumb or unusual by the rest of his peers. Due to this Asch came to conclude that people conform for two main reasons one because the individual wants to be liked by the group or maybe because you believe that since you are doing the something different than the rest that they are better informed than you. Asch found out that the aspect that influences conformity is the size of the opposite people having the different opinion than you. He concluded that it is hard to sustain what you see versus something that nobody else sees. Pressure given by the expressed thoughts and opinions of other people can lead to change and alterations successfully making you see almost nothing. Alteration meaning changing your perception about the way the lines were being viewed in order to match with everybody else. In this assessment the independent variable were all the different students that were being tested with the same people in the room, these same students being there provided the same answers to the question sixteen out of eighteen times. The dependant variable was the test being taken and how many wrong answers were being provided for the subject of the experiment to see. In my opinion these results would have been different if we had paid more attention to the kind of people that were being analyzed. For example a person having a high self esteem versus someone having no self esteem at all which then would rapidly make them change their decision. This experiment could have been conducted better if they would have taken these factors in mind or if they would have just tested a similar group of people. Here you might have had people that will most likely listen to other people and then you have the people that are not afraid to be different . I think this experiment showed the correct by just a few people not conforming to everybody else’s choices because there are a very few people like that out in the world today . I think that these results will not really apply to other participants in other places at other experimental times because as stated before maybe not all the subject being tested might have the same mentality to change their answers that quick to be accepted by everyone else. This experiment however has a well contribution to the field of psychology explaining conformity and the different ways that pressure from people has an impact on you. In my cased I believe that everyone should read this experiment and that future edition of ext book should reference this experiment because it would be a great discussion topic and would bring up a good subject to talk about within our peers. This experiment has an impact in what our society is going thru today I believe we have a lot of individuals that are scared to be different I think this takes part greatly on the media and what he have seen growing up. Many people believe that always conforming to what everybody else is used to is always the right thing but what justifies this? Who has the right to say what is right is right and just because the majority of people believe this way it shouldn’t be the same you think. We shouldn’t have to format our minds to somebody else’s. That is the whole idea everyone is different in their own individual way which is what makes each and every one of us if not this world would be such a boring place. As reading about this experiment it’s silly but what came to mind was the show how wasn’t to be a millionaire. In that show which I believe you a bit reference on there is choices you have when you don’t know the answer to a question one of the choices is to ask the audience then the audience votes and obviously the contestant picks the answer they got the most votes. Then it is up to the individual to choose the answer that he thinks it is right nine out ten times the answer that the audience picks is correct which in this case this experiment would not justify the situation. Then we can ask is the individual doubting himself is he afraid to be different? Or in this matter is it not important whether or not they want to be different because there in money involved on the line. Different situations can alter your decision and decision making skills depending on the situation you are in and whether or not you choose to be different in that particular situation. Whether or not you choose to be different should be your decision and not a group of people. Knowing who you are plays big role in this case and if it is hard for you to find the right path then I think that it is better that you find it on your own first before asking someone else for advice and that is how you will find your true self which will then tell you apart from everybody else.

A personal visit ro a court in this semester Article

A personal visit ro a court in this semester - Article Example After the search, we were allowed to walk freely into the courtroom. I approached the receptionist and explained to her that my visit was part of my coursework, after which I was to write a report. She directed me to the six courtrooms available and told me to select one. I chose the first courtroom and sat at the public gallery with other members of the public who were there to watch the proceedings. Inside the courtroom, the public gallery was a portion at the back with stadium like seats.The barristers and solicitors sat in the middle area and the Judge in a raised box at the front.On the right was the defendant’s box and on the left was the claimant’s. I sat at the back facing the judge. The case in hearing was one about a stolen car. This case involved the claimant’s car was stolen from a parking outside a supermarket. The defendant on the other hand claimed he bought the same car legally from a local dealer. The claimant was the first to give an account of the events that led to the disappearance of his vehicle. He said that he had parked his car outside the supermarket and went inside to shop. After shopping, he came out only to find his car missing. He immediately rushed to the police station to report the incident. The car was found two weeks later driven by the defendant but under different registration. Soon after the claimant had finished narrating his ordeal, the defendant claimed he was not a thief and that he had just bought the said car from a local dealer. He presented all formal registration documents to prove he was the owner of the vehicle. The claimant’s barrister insisted that the defendant was aware that the car was stolen and participated in forgery of new documents. The defendant denied that and had to answer a series of questions from the claimant’s barrister as he was cross examined. After the defendant’s

Jurisprudence (Ethics and Morality) Essay Example | Topics and Well Written Essays - 2000 words

Jurisprudence (Ethics and Morality) - Essay Example Kautilya2 an ancient Indian scholar who's Arthasastra is famous for its depiction of instructions and advices to a king clearly required the state to provide for the maintenance of childless women. In his view moral considerations were not to occupy the politics, which should simply concentrate on victory only. The magnum opus Arthasastra fulfils the requirements of twentieth century international law for the recognition of a state. In ancient Rome, pontiffs and their sons were alone empowered to deliver judgements. Only in third century BC some eminent groups like Proculians and Sabinians produced a relevant literature. In the cultural movement during Byzantine Empire in 5th century only Justinian's Corpus Juris Civilis was born.3 Feminist jurisprudence is a philosophy based on political, economic and social equality of sexes. This theory is believed to have sprung up in 1960s. Feminists strongly believe that gender is created not by biological difference but by social interpretations. Physical appearances and capacity of reproduction of women, according to them, should be considered as identity factors only. In other areas like psychological, social and moral traits, women are to be treated at par with men. Although feminists have a common ideology of women rights, they are divided among themselves in some basic thoughts. Liberal feminists are staunch in their endeavour of erasing gender-based discriminations in recognised laws against women. Cultural feminists aspire for the recognition of women's moral voice of caring and communal values. Radical feminists strongly object to simply accommodating the physiological and emotional differences of women, but they require a society to construct an equality of sex based on these differences. The practicability of feminist jurisprudence lies in accepting the fact that people live in a patriarchal society. Researchers derive at a conclusion that patriarchy emerged since the advent of agrarian societies; they are of the view that women were enjoying relatively high status in pre-agrarian societies. The role of women in this period is something more than childbearing and caring the family as they shared the production related works with males. (Patrie, 1923) Agrarian production brought importance to ploughs and consequently to males who became the breadwinners of the family and began to posses control over resources. During this era, the might of women in their family administration was tactfully recognised by men within the walls of the family making them feel 'moron' outside their family. First-wave feminism prevailed from nineteenth century up to late 1960,during when abortion and contraception were not the issues handled by the feminists, who involved in political power games behind policy making in the UK and France; they were campaigning in favour of education, employment, marital rights and rights to vote only. They began to think of contraception followed by abortion only after First World War. Feminists in France happened to realise the need for abortion after the Second World War. Technological developments in the aftermath of World War II threw light on use of contraceptives and non-surgical abortion. France still under the strong

Nokia and Motorola Case Study Example | Topics and Well Written Essays - 1750 words

Nokia and Motorola - Case Study Example The Nokia Company has emerged a market leader in the industry. The two companies are quoted in the London stock exchange and using the financial ratios and historical dividends paid we will be in a position to determine which is the best investment option. Nokia has a larger global market size than Motorola, in the second quarter of 2008 Nokia had a 40% global market share and this was a 2% increase in market share from the 2nd quarter of 2007. Motorola on the other had has a 9% market share today which is a decline from the market share in 2007 which was 18%. Therefore from the market share size it is evident that Motorola is loosing out and Nokia is expanding its market size, it is also clear that Nokia has a larger market share than Motorola and for this reason it is better to invest in the Nokia company due to the growth in the market share of the company which signify an increase in the profit levels in the near future. Nokia employs over 100,000 employees worldwide and over 30,000 of these employees are in research and development, therefore this means that the company has a large market area that requires more employees to serve consumers and that the research and development expenses incurred are ... is year, this means that the Motorola Company is facing financial problems and also that it lacks proper strategies to improve on the current situation. This also means that the Motorola company is facing stiff competition from its rivals and for this reason its only option is to cut down its production costs by laying off workers, this means that if nothing is done fast then the Motorola company may run bankrupt and shut down its operations. Regarding profits it is evident that in the Nokia company realized an 8 billion operation profit in the year 2007, this in contrast with the Motorola Company that made a 1.2 billion loss in the forth quarter of 2007, and this made the entire company to only realize a 100 million dollars profit in the forth quarter of 2007. Therefore a rational investor will invest in the Nokia Company. Divided history: In this section we analyze the divided payments by for both companies; the following chart summarizes the divided payments: The following table summarizes the dividends paid by the Nokia Company: Payable Date Amount ($) 4/17/1995 0.036 4/23/1996 0.04 15/4/97 0.043 4/10/1998 0.083 4/7/1999 0.129 4/10/2000 0.192 4/10/2001 0.248 4/16/2002 0.237 4/23/2003 0.304 4/23/2004 0.358 4/29/2005 0.43 4/26/2006 0.456 5/30/2007 0.58 5/30/2008 0.834 The values in the table can be summarized in a chart as follows: From the chart above it is evident that Nokia divideds have increased over the years, this is can be explained by the increase in profits over the years. Motorolla divideds over the years is sumarised in the table below: date Amount

Security and Loss prevention Essay Example | Topics and Well Written Essays - 250 words - 1

Security and Loss prevention - Essay Example On the same note, whoever counts the order should not sign it, but somebody else maybe from a different department should validate orders before and after packing. Surveillance cameras and mirrors should be put in place, and they must reflect all corners of the warehouse. If, by any means, employees manage to go through these traps, trucks must be properly supervised by packing them far from the warehouse, they remain closed until packing begins and they should be weighed before and after packing to confirm whether packed goods tally in weight with order particulars (Lunny 1993). According Lunny (1993), in order to prevent theft after closing the premises, the management should use several locks and entrust the keys with different personnel. The warehouse should have only one door and all cabbages must be removed and scrutinized during working hours as some employees might hide valuables there in order to retrieve them during disposal. After closing the premises, emergence doors should be closed from inside. The management should rotate security officers frequently especially during night shifts to curb any malicious collaborations. After closing, surveillance cameras should be set to record all movements to monitor suspects’

Writing Essay Example | Topics and Well Written Essays - 500 words - 4

Writing - Essay Example At the outset, the proliferation of homelessness in the target population, United Kingdom, solely propels the focus on the subject topic. Additionally, the urge to solve the existent situation after unsuccessful approaches there prior also aids in the evident spotlight on the problems facing homeless people in the United Kingdom. Following to most recent research, figures illustrate a 25% rise in the need for emergency accommodation in the United Kingdom within the past three years. This drastic rise in the need for housing directly reflects to heightened levels of homelessness, which subsequently leaves its victims suffering. Deriving from this, homelessness not only depicts a problem by itself but extensively acts as a starting point for more disparities most evident in the United Kingdom. These disparities range from, increased potential for diseases and infections, mental breakdowns, emotional as well as physical instabilities, spoilt relationships and drug addiction amongst others (Segal 1991). However, almost 70% of past attempts to curb or rather minimize the rates of homelessness in the United Kingdom have failed following to reasons such as basing solutions on insufficient research projects. In addition, improper implementation of enacted solutions backed by lack of resources such as financial resou rces act as limitations to consistent improvement in the mission of curbing homelessness in the United Kingdom (Pierson 2009). More precisely, this research puts more focus on minimizing and subsequently curbing homelessness in the United Kingdom since this automatically eliminates problems caused by homelessness (Fitzpatrick, Quilgars, & Pleace, 2009). With the intent of focusing the researches’ concentration on the problems facing homeless people in the United Kingdom and subsequently finding solutions to these disparities, the enlisted research questions aid in better

Reflective journal Essay Example | Topics and Well Written Essays - 2000 words

Reflective journal - Essay Example â€Å"Sustainability implies that an action can be continued indefinitely with little or manageable impact on the environment. This is important because the health of the environment is closely linked with the health of society in general. Sustainable practices ensure that the earth's resources will be available even for future generations to enjoy... Sustainability aims to balance the needs of human societies with the needs of the environment, preserving both for all creatures on earth to make use of and enjoy. Sustainability promotes biodiversity, the preservation of unique ecosystems, the health of the environment, and a high quality of life† (Wise Geek, 2012). Based on such definition, I believe that as members of the human society, we should pursue this two-pronged sustainability, which is both social and environmental, both for the present and future generations, not only for humans, but for all creatures on earth. It is in this endeavour that the activists can play a cr ucial role. Activists are involved in activism. What is activism? â€Å" Activism is a doctrine or practice that emphasizes direct vigorous action especially in support of or opposition to one side of a controversial issue† (Merriam-Webster Dictionary w.com 2012). Activists can promote social and environmental sustainability by several approaches. ... Gandhian ahimsa); 6) peace activist/peace movement; 7) political campaigning; 8) propaganda; 9) protest (demonstration, direct action, protest songs, theatre for social change); 9) strike action (work stoppage caused by the mass refusal of employees to work ); 10) youth activism (when the youth voice is engaged in community organizing for social change). I agree that activists can contribute significantly to facilitate some changes in different areas including social and environmental sustainability. Activists can focus their vast energy in changing the perspective of the businesses in favour of the environment. Some authors like Shrivastava (1995) and Welford (1997) as quoted in Sandhu (2010, p. 287) blame the current business systems for the environmental predicament. However, there is an increasing awareness among the business organizations regarding the natural environmental issues and they are taking the challenge and responding in an environmentally responsive ways ( Hart, 2007 , as quoted in Sandhu, 2010, p. 288). The response of the Timberland CEO is one example of an environmentally responsive way (Swartz, 2010). In Timberland's case, activism was in the form of 65,000 Greenpeace supporters who sent angry e-mails to the CEO, accusing Timberland of supporting slave labour, destroying Amazon rain forests and exacerbating global warming. The e-mail senders pointed out that the Brazillian cattle farmers were illegally cutting trees in the Amazon rain forests, for the pastures of grazing cattle, from which the leathers of bootmakers were obtained. Their message was one of concern, and they were strongly urging the company to work with Greenpeace to find permanent global solution to

Asssigment Essay Example | Topics and Well Written Essays - 1750 words

Asssigment - Essay Example The management regularly deducts the pension contributions from the employee’s salaries. Another pension plan version occurs when the company contributes the entire amount to a lump sum pension fund account. Consequently, the employee can select a plan that generates a higher retirement benefit return. Investing in a riskier pension fund will increase retirement benefit returns. The employee can also choose another plan where the investments are funneled into a safer fund that generates a lesser benefit return (Kieso et al., 2006). Additionally, the employee can choose to receive the retirement amount in one lump amount or the employee can decide to receive the retirement amount in equal monthly installment amounts. The second method allows the retiree to receive the monthly retirement benefits throughout one’s lifetime (Kieso et al, 2006, p. 1244). Funding principles. The fund is also classified as a plan. The fund entity is a separate agency that manages companiesâ₠¬â„¢ pension plans. The fund entity receives the money invested by the company. When the employee retires, the fund company distributes the pension and other retirement benefits. The employer contributes to the pension fund and generates earnings. The employee receives benefits as pension fund recipients. The fund agency accumulates the employers’ contributions as either contributory or noncontributory (Kieso et al., 2006, p. 1244). Defined benefit plan. The defined benefit plan includes the amount of benefits that the employees will receive when they decide or are forced to retire. The state requires that employees are mandatorily required to retire when they reach a certain age. The company allocates a regular amount for the employees’ retirement benefit plan. The benefits are based on the employee’s total pension fund contributions. Likewise, the retirement amounts are based on the salaries of the employees. Employees with higher salaries will receive higher pension retirement benefits when compared to the salaries of the lower ranking line and staff employees (Kieso et al., 2006, p. 1211). Defined contribution plans. Under this plan, the employer contributes a regular amount to the pension trust. A formula is used to decide the monthly contributions. The formula incorporates the number of years of the employee’s work, the company’s business profits, and the salary. The plan indicates the amount that the employers will contribute to the plan. However, the plan does not indicate the amount that the employees will receive as retirement benefits. An example is the 401 (k) plan (Kieso et al., 2006, p. 1244). Pension fund allocation. In terms of the formulation, different companies allocate different pension expense amounts for different pension fund budgets. During 2009, General Motor’s $98,527 pension fund required a $3,405 pension expense. During 2009, the Coca Cola Company’s $3,032 pension fund amounts require d a $218 pension expense budget. During the same accounting period, the Merck company’s $10,835 pension fund needed a $407 pension fund expense (Kieso et al., 2009, p. 1211). Components of pension expense. In terms of formulation, accounting for pension funds entails allocating the cost of the retirement funds to the appropriate accounting period. The service cost forms a part of the pension expense total. The interest on the liability should be added

Indwelling Catheter Removal Protocols Research Paper

Indwelling Catheter Removal Protocols - Research Paper Example Evidently, with these types of statistics, UTI infections occur at a much higher rate than perhaps they need to, meaning that the prevention of UTI infections in indwelling catheter payments may be easier than previously thought in some cases. Purpose Statement The purpose of this paper is to explore the nursing implications of catheter removal protocols on in-patient units and how this may lead to a decrease in the total number of UTI infections in hospitals across the country. Nursing Implications Robinson et al (2007) suggest that because of the high number of patients with an indwelling catheter who leave with a fully-developed UTI or at least one symptom of a UTI at discharge, the proper use of indwelling catheters should be a priority for clinical staff who wish to reduce the associated rates of morbidity. It was found that the duration of catheter insertion was also a major risk factor in the development of a UTI, and as such this should be a target for reducing the associated morbidity. Schnieder (2012) found that indwelling catheter usage is also problematic more specifically in hip fracture patients, and considerably increases the associated costs with their hospital stay, as well as the distress for the patient. In these patients especially, morbidity and mortality is extremely high and therefore further complications should be prevented. Overall, this suggests that indwelling catheter usage is problematic on both a general and specific scale and therefore has huge implications for the practice of nursing. One of the suggestions for targeting this type of indwelling catheter usage by much of the research is to implement specific protocol which relates to the use and removal of the catheter. It was suggested by Robinson et al (2007) that three groups of patients do not appear to benefit from indwelling catheter usage; ‘those who cannot communicate their wish to void†¦those who are incontinent†¦those who are hemodynamically stable†¦those who have urinary retention that can be managed by other means’ (p159). Evidently, the best way to reduce the number of UTIs associated with this type of catheter is to avoid giving them to those for whom it is unnecessary, which means that nurses should perhaps be made aware of the alternatives and the reasons why catheter usage may not be suitable for some patients. Schnieder (2012) also highlights the importance of educating nurses in the use and timely removal of indwelling catheters in the prevention of UTIs. This study suggests that using a variety of teaching methods and examinations may be the most appropriate for ensuring that the knowledge is properly received and used in a clinical context. Overall, the results from this suggest ‘positive results’ (p17) which again highlights the importance of nurses in the use and removal of these catheter types. Nurses themselves understand the need for a ‘validated continence assessment tool’ (Din gwall & McLafferty, 2006, p35) for the evaluation and implementation of indwelling catheters and their removal. This means that the clinical staff already has an understanding of the problems associated with indwelling cathete

Ancient Rome Essay Example for Free

Ancient Rome Essay †¢ It is not acceptable to simply say â€Å"the two civilizations were similar and different† – specify specifically how they are similar and different †¢ Possible Prompt: Analyze similarities and differences in techniques of imperial administration in TWO of the following empires. – Han China (206 B. C. E. –220 C. E. ) – Mauryan/Gupta India (320 B. C. E. –550 C. E. ) – Imperial Rome (31 B. C. E. –476 C. E. )Example †¢ The political system of Han China is similar to the Guptan Empire in that both included strict laws and stressed the importance of your role in society. A major difference between these administrations is that in Han China the king was fully in charge, even revered, while in the Mauryan/Guptan Empire priests were at the top of the hierarchy. Example †¢ The imperial administration of Han China and Imperial Rome were similar because they were both headed by an emperor. However, they differed in their treatment of the emperor. In Han China a ruler’s decisions, if detrimental to society, could be questioned. While in Rome, what the emperor decreed could not be questioned. What do I need for my thesis? †¢ You must address 1 specific similarity and 1 specific difference. †¢ i. e. Both the Empires of China and Rome were ruled by an emperor who maintained imperial control, however, the Chinese instituted a system of scholar bureaucrats that gained their position through merit, while the Romans never achieved such an elaborate bureaucracy. What is a direct comparison? †¢ This is a comparison that is not split between paragraphs or by other sentences. It must be one or two sentences that compare one subject of the comparison to another. †¢ Your comparisons should be supported by evidence to support your statement. Example Direct Comparison: While both the Roman and Han (or Gupta) Empires left behind many achievements, the Han (or Gupta) were much more technologically and culturally creative. Evidence: The Romans took much of their culture from the Greeks, such as their religion, artwork and architecture. While the Romans had aqueducts, roads and other great works, much of this was taken from others and improved upon. The Gupta on the other hand came up with the concept of zero and a base 10 number system that is still in use today. The Romans relied on slavery for their source of labor, while the Chinese relied upon free peasants. This led to technological stagnation on the part of the Romans, while the Chinese were able to (insert pieces of specific evidence here). What is analysis? †¢ This is where you explain why. †¢ You tell the reader what caused this similarity or difference to occur. †¢ This is usually a because sentence and the most difficult part of the comparison essay. †¢ The reason that the Guptan bureaucracy was never as elaborate as that of the Chinese was because†¦. View as multi-pages TOPICS IN THIS DOCUMENT China, Difference, Ancient Rome, Han Chinese, Qing Dynasty, Similarity, Roman Empire, Imperial examination RELATED DOCUMENTS China Essay From 1403 to about 1492 China participated in numerous voyages led by Zheng He, the leader of their maritime operations, including the visiting of 37 countries and traveling through the Atlantic Ocean around the tip of Africa and beyond Europe (pg 202). Countries such as Ceylon, India, and the Persian Gulf were a few of their stops along the way. These voyages proved that China was the supreme world sea power whose shipbuilding techniques and navigational 471   Words | 3   Pages READ FULL DOCUMENT Rome vs. Han China Research Paper Han China Vs. Imperial Rome The Han Dynasty and Imperial Rome were both large and powerful empires that existed during the Classical Period. The Han Dynasty and Imperial Rome had some major similarities as well as differences. The Han Dynasty had a similar government system as Imperial Rome, the empires’ governments made the same mistakes that led to similar declines; however the government’s involvement and view on 471   Words | 3   Pages READ FULL DOCUMENT Athens vs Han China Dbq Essay 10/17/12 DBQ Athens vs Han China In the 5th century BCE Sparta and Athens constantly battled for 27 years for the number one spot in Greece. Despite being at war for such a long time, Athens made their culture most memorable in our worlds history. Athens, located in Attica was rather small surprisingly, smaller then Rhode Island. Athens was known for its talent; like we know today, Pericles, Plato, Socrates and more. While Athens Greece was prospering, 471   Words | 3   Pages READ FULL DOCUMENT Religion in China Essay Chapter 12 of gamer deals solely with the topic of religion in China. Right away it is told that the Chinese do not worship any one god, diety, or force. They are very spiritual but have no set predominant religion that most people worship. The Chinese culture can be said to be a mix between polytheistic, pantheistic, and atheistic. In the past some sinologists and sociologists such as Jan De Groot and C. K. Yang have sought to fully understand China’s religious position and 471   Words | 3   Pages READ FULL DOCUMENT Essay about Introduction to China ? Introduction to China Cheng Ho Cheng Ho Cheng Ho (1371 1433) was a eunuch in the service of the Ming emperor Yung-lo and commander in chief of the Chinese expeditionary fleet to the South Seas in the early years of the 15th century. Born into a family named Ma, presumably of Mongol-Arab origin, in central Yunnan Province, Cheng Ho was selected to be 471   Words | 5   Pages READ FULL DOCUMENT Mcdonald s in China Essay McDonald’s: Is China Lovin it? Executive Summary This case studies McDonald’s’ business model as it develops to achieve success in the Chinese market. Issues addressed included how to retain McDonald’s’ image of cultural Americana, yet adapt to satisfy pallets and appeal to patrons in Chinese culture. 1. What is the purpose of conducting an external environmental analysis? What are the general environmental forces that could influence or have influenced McDonald’s 471   Words | 6   Pages READ FULL DOCUMENT China and Japan Essay China and Japan From 1500 to 1800, China and Japan tried to politically and economically established their countries in very different ways. Japan fought war after war for a century before they changed their ways. China on the other hand slowly established a government and used education as a tool to be politically and economically strong. Japan would later do the same. China was one of the most politically and economically strong 471   Words | 3   Pages READ FULL DOCUMENT China Doll Essay may be looking to China to ‘contract manufacture’ for them as the price there were very competitive. HCF is not match to China growing economy and this new development will definitely cause the downfall of HCF. Jeffrey had garnered the assistance of his senior management team to brainstorm on possible options HCF can look at. Although acknowledging that looking into China is in inevitable, the team was divided in the approach to be taken. First 471   Words | 4   Pages READ FULL DOCUMENT CITE THIS DOCUMENT APA (2012, 11). Han China. StudyMode. com. Retrieved 11, 2012, from http://www. studymode. com/essays/Han-China-1218267. html MLA MLA 7 CHICAGO.

Compensation trends in the United States Essay Example for Free

Compensation trends in the United States Essay The current trend of globalization, technical revolution and competition, has had dynamic impact on the compensation trends worldwide, as well as within United States. The whole ladder of compensation from agriculture to Information technology has seen an upsurge in compensation. The economic conditions, the political support and the globalization have played an important role in setting the curve for this trend. There is greater awareness, increased skill, enhanced efficiency and wider range of choices. The human resource has become a more valued, competitive and specialized force affecting the future of economy and industry. They have the bargaining power, and capacity to mould the pattern of growth in every arena of service, research, education, health and industry. â€Å"The RAND Corporation, in a report prepared at the request of the U. S. Department of Labor, says three trends will shape the labor force and employment relationships in the coming years: a slowing in the growth rate of the workforce, an acceleration in technological advances, and continued globalization. † (RAND, 2004) â€Å"The Emerging Trends in Human Resources† looks into many trends which would affect the future compensation package for people in United States. He categorizes them in workplace trends which would affect the employers and employees with better technology, higher health insurance, outsourcing, aging and other factors. Demographic factors like growth, retirement and aging. The organizations will need to respond with more strategy to retain and recruit new employees as well as train and upscale them. The political emphasis on economy, growth and outsourcing will guide the future trend dramatically. The trends of the society will dictate the nature of the work force and the balance of the compensation. International trends like expansion of businesses globally, rise of Asian market and emerging off shoring giants like India, china, Philippines and others add more to the competitive edge. (Greene, 2006-2007) Most companies have turned to total rewards and pay-for-performance programs as a vehicle for maximizing return on investment and employee potential. Variable pay is now a major part of compensation design for nearly 80% of U. S. companies, according to our Salary Increase Survey. Having the best people is more important than ever, especially in a business environment focused on value creation. In fact, many experts believe that attracting, motivating, and retaining the best talent is one of the greatest obstacles to growth over the next decade. Smart companies are finding ways to get the most from their investment in compensation and rewards without sacrificing the ability to compete for talent. (Hewitt, 2007) According to the report, titled, The 21st Century at Work: Forces Shaping the Future Workforce and Workplace in the United States. (RAND,2004) These trends have important implications for vital aspects of the future workplace and workforce and for the U. S. economy. These trends will affect the size, makeup, and skills of the labor force, the kinds of work and its settings, and worker compensation. Understanding these trends will help workers, employers, educators and policymakers make informed decisions that reflect changing realities. (RAND,2004) There is tremendous promise in the rise of competitive compensation package in most fields with better opportunities for growth in Unites States. The demand for skilled human resource will pave the way for next decade in business, healthcare, services, engineering, IT, and many other fields. This is the period of strategic planning, wide range compensation and timely rewards. Work Cited (2-23-2004). RAND Report Predicts Trends in Labor Force. Retrieved February 23, 2007, from BLR Compensation BLR. com Web site: compensation. blr.com/display. cfm/id/153659 Greene, Keith J. (2006-2007). HR SPHR. Retrieved February 23, 2007, from SHRM Web site: www. fmi. org/humanresources/Emerging_Trends_Presentation. pdf Rothberg, Deborah (29-AUG-2006). Study: Skills Shortage Boosts Salaries. Retrieved February 23, 2007, from e WEEK Careers Web site: www. careers. eweek. com/article/Study+Skills+Shortage+Boosts+Salaries/18739 _1. aspx (2007 ). Compensation Rewards. Retrieved February 23, 2007, from Hewitt Web site: www. hewittassociates. com/Intl/NA/en US/OurServices/ServiceHRC. aspx? cid=2402

Analysis of Liver Disease in Europe

Analysis of Liver Disease in Europe To what extent does alcohol contribute to liver disease in Europe? Alcoholic liver disease is the major complication of chronic alcohol abuse, with cirrhosis (with or without portal hypertension), being the most common end-point of the spectrum of complications. This association is seen throughout virtually all populations, demographic groups and clinical sub-sets. (Walsh K et al. 2000) It is notable that the incidence of the disease process is changing on a world-wide consideration, with countries such as India and Japan recently seeing a rapid escalation in numbers of cases of cirrhosis, from their traditionally low baseline of prevalence of the disease. This essay however, will primarily consider the situation in Europe. Considerations of safe limits to alcohol consumption have to be prefaced with the comments that they are controversial, and that there is no common agreement on a minimum safe level. In the UK, the Royal College of Physicians suggest a weekly limit of 21 units (210 g) of alcohol in men and 14 units in women as being the upper limit of â€Å"safe† use. This has to be seen in the context that the Office of Population Censuses and Surveys General Household Survey found that 27% of men and 13% of women in the UK were found to be exceeding these limits in 2004 (OPCS 2004) This can be contrasted with the findings of an Italian study (Bellentani S et al. 1997) which suggested that the â€Å"significant risk threshold† for the subsequent development of alcoholic liver disease in an Italian population was only 30g of ethanol per day and that the risk escalated with progressively higher levels of intake. The authors also noted that, for a given level of intake, women had a significantly higher risk of developing alcoholic liver disease than did age-matched men. On a critical note, one must concede that this was a prospective non-randomised study with a moderate (6,500) entry cohort. This can be compared with a larger Danish study (13,000 entry cohort) which demonstrated a statistically significant increase in the risk of alcoholic liver disease at levels of intake above 14 27 units per week in males and 7 13 units in females. (Becker U et al. 1996) One cannot conclude, from this data, that different European populations have different susceptibility to alcoholic liver disease. One of the major practical difficulties in mounting a major prospective study of this nature is the control of the huge number of variables that may influence the outcome, not least of which is the fact that no individual person drinks a uniform quantity of alcohol per day over many years. There are also considerations of the possibility of variation of effect of different proprietary brands of alcohol-containing drinks as well as the (largely under researched) area of the long term effect of binge drinking. Virtually all studies however, demonstrate a steep dose dependent increase in alcoholic liver disease above a threshold level of alcohol intake with women having a greater incidence of the disease than men at a given age range and level of intake. The reasons for this sex difference is not completely clear with Kwo et al. demonstrating that if one adjusts for body mass and liver size, then both men and women have equivalent biological rates of alcohol degradation. (Kwo P Y et al. 1998) A number of authorities (viz. Teli M R et al. 2005) suggest that these gender differences in susceptibility to alcoholic liver disease may be due to primarily to pharmacokinetic reasons including differences in the rates of ethanol absorption or alternatively, differences in the degree of response of the liver to alcohol induced injury such as that caused by oxidative by-products of ethanol metabolism in the liver. If one accepts the difficulties inherent in trying to define the lower margins of â€Å"safe† levels of alcohol drinking, then it is also appropriate to consider the problem from the other end of the spectrum. There are many studies in the literature which have considered the incidence and natural history of alcoholic liver disease in a population of heavy drinkers who, by definition, will show a much higher prevalence of the disease process. A comparatively old study by La Vecchia et al. showed a Europe-wide reducing trend in alcoholic liver disease in the recent past (La Vecchia, C et al. 1994) and this should be compared with data which shows that the deaths from alcoholic liver disease are actually increasing in the UK (CMO 2001). More specific recent data shows that this increase is disproportionately represented by the young adult and middle aged population in the UK showing an 8-fold rise since the 1970s (Leon, D. A et al. 2006) There is a general perception that end-stage alcoholic liver disease (in the form of cirrhosis) is only seen in those patients who demonstrate alcohol dependence syndrome (viz. Smith et al. 2004 and Luca A et al. 2007). There is a growing body of evidence which suggests that this may not actually be the case. If one considers one of the landmark papers on alcohol dependence and related disease processes, one could cite the classification of Jellinek who categorised five â€Å"sub-species† of alcoholism in his authoritative work in the area. (Jellinek, E. M. 1960 A). The current significance of his initial classification is that he identified two specific types of â€Å"alcoholics†, the ‘ß alcoholics’ who are not alcohol dependant, but who have a disproportionately high incidence of alcohol-related diseases, such as cirrhosis and contrasted this to the gamma alcoholics who were typically highly physically dependent, demonstrated frequent behavioural problems and had a high incidence of sociological complications. Jellinek made deductions about why these groups had different drinking patterns suggesting that the tendency towards heavy drinking in the ß alcoholic group was related to the customs and peer pressures within their social group, whereas gamma alcoholism was characterised, in part, by drinking to relieve a psychological craving and a physical addiction. (Jellinek, E. M. 1960 B). In the context of this examination, one can intuitively suggest that the customs, peer pressures and social groupings may be one of the more salient causes of different patterns of alcohol use across the various national cultures of Europe. There is a further difficulty in that, a brief overview of the literature on the subject of alcoholic liver disease shows that, in the context of Jellinek’s theoretical framework, which describes the population of drinkers who present to healthcare professionals with liver disease as a distinctly separate (although overlapping) population from those who present with alcohol dependence, there is a comparative paucity of studies which look at the drinking patterns, social factors and attitudes in patients with alcoholic liver disease when one compares it with the wealth of literature on alcohol dependence. This may seem to be an academic inference, but one can cite the authority of the often quoted Wodak study which identified significant differences between the population of typical patients with alcoholic liver disease and a population of patients who were recruited from an alcohol treatment centre for dependence, presenting evidence that only 18% of patients who had clinical alcoholic liver disease were severely dependent on alcohol and this contrasted with 56% of the attendees at the alcohol treatment centres. The authors also found that 63% of the patients who were found to have alcoholic liver disease had only a mild or moderate dependence on alcohol. (Wodak, A. D. et al. 1983). If one looks beyond the confines of Europe, one can cite the authority of an Indian study (Sarin, S. K et al. 1998) which found broadly similar results. More recent studies using liver transplant patients (viz. Burra, P. et al. 2000) have also produced similar results, although there is an obvious source of potential selection bias in such studies in the desire of certain patients to be accepted onto a transplant programme and this bias will (intuitively) vary between the different patterns of medical care provided across Europe. The problem confronting many researchers is the difficulty in clinically defining alcoholic liver disease. Many patients may be unaware that they are developing significant problems until the time of presentation. The first presentation may be with acute upper gastrointestinal tract haemorrhage or with alcoholic hepatitis. Both conditions frequently present in the absence of warning signs of a developing alcohol dependence. (Vorobioff J et al. 1996). The Harry et al. study reporting that the first presentation of alcoholic liver disease may actually be fatal with uncontrollable bleeding oesophageal varices carrying an immediate 25% mortality rate, (Harry, R. et al. 2002), a finding also found in the Brett study. (Brett, B. T. et al. 2001). Mathurin suggests that in patients who present with severe alcoholic hepatitis, over 50% may die. (Mathurin, P et al. 1996) If one considers data from other European centres, the Italian Loguercio study considered the pattern of drinking in indigenous Italians who had Hepatitis C. (Loguercio C et al. 2000). This is particularly significant in the Italian population as their prevalence of Hepatitis C is the highest in Europe. (De Bac, C. et al. 2004). It is well known that Hepatitis C infection is associated with a higher incidence of hepatocellular carcinoma, but it is not know the extent to which subsequent alcohol intake influences the natural progression of the disease process. The Loguercio study sought to explore this feature and makes the observation that only 4 5% of all manuscripts submitted to â€Å"Hepatology† deal with alcohol-related liver disease, which exemplifies the point made earlier. In direct consideration of the thrust of this examination, the extent to which alcohol contributes to liver disease is modified by the presence of complicating factors such as Hepatitis B and C. Loguercio et al. suggest that there is a direct interaction between alcohol and the viruses, other authorities (viz. Ostapowicz, G et al. 1998) suggest that an additional mechanism of disease modification is that the presence of alcohol affects the response to interferon therapy (IFN). The latter belief has a poor evidence base as Mabee points to the fact that, without exception, none of the controlled trials published thus far on the efficacy of IFN treatment of Hepatitis C-related liver disease have determined the alcohol intake levels prior to therapy. ((Mabee, C. L. et al. 2008) Lieberman has shown that chronic alcohol intake levels correlate well with gamma-glutamyl transpeptidase (GT) levels. (Lieberman, M. W. et al. 1995) and these levels have been shown by Camps to be extremely predictive of treatment (Camps, J. et al. 1993). In this way it is possible to make the direct connection that alcohol intake clearly directly influences the rate of progression of hepatic pathology, a claim that has been further strengthened by the large retrospective analysis by Pol et al. who examined and correlated the rate of progression of the disease process (in Hepatitis C and HIV/AIDS hepatitis, with the overall intake of alcohol. (Pol, S. et al. 1998). The authors demonstrated that alcohol intake of the patient directly influences their gamma-glutamyl transpeptidase (GT) plasma levels and the rate of progression of the disease process. There is further evidence of the degree to which alcohol influences liver disease, at a histological level, in the form of the Scheuer paper. (Scheuer, P. J. et al. 2001). In congruence with the thrust of this segment of the paper, we can cite the authority of Scheuer who correlated the degree of fibrosis and steatosis with the average levels of alcohol intake and Pessione who noted that the degree of fibrosis in patients with Hepatitis C chronic hepatitis was related to the history of alcohol intake. (Pessione, F. et al. 1998) To return to the Loguercio study, the authors comment that the Italian cohort was typical for the country, (but atypical for Europe) as there is known to be a high alcohol intake per head of the population in Italy, even after making allowances for the fact that alcohol intake has fallen in the last decade (SPE 2004). In an attempt to evaluate the effects of alcohol on the population with alcoholic liver disease the study considered three important markers namely : (1) To estimate how many subjects in our country misused alcohol before and after being diagnosed as having HCV-related chronic liver disease (2) To determine if their drinking habits affected the principal aspects of this disease: routine laboratory data (particularly GT plasma levels), histological pattern (particularly liver steatosis and fibrosis), HCV RNA levels, and response to IFN therapy; (3) To compare results from this and a previous study (Aricà ² et al., 1994) to determine if CLD subjects have modified their drinking habits since a decrease was observed in the general population. (Loguercio C et al. 2000). The study is both long and complex, with rigorous statistical analysis. In essence, the authors were able to demonstrate that the majority of patients with Hepatitis C liver disease still regularly drank significant amounts of alcohol. Patients with hepatitis were more likely to drink alcohol than those with cirrhosis. They were also able to confirm that there were significantly higher levels of gamma-glutamyl transpeptidase (GT) and greater levels of fibrosis associated with higher levels of alcohol in male subjects. Interestingly, women had higher levels of fibrosis than men even if they were total abstainers or less than 40 g/daily of alcohol, but their gamma-glutamyl transpeptidase (GT) levels did reflect the overall alcohol intake. This is very supportive of the hypothesis that women appear to have lower levels of defence against the oxidative insult produced by alcohol intake and may therefore develop a more marked fibrotic infiltration. We know, from other evidence that clinic ally, women appear to have more severe and rapidly progressive hepatitic disease processes than men. (Watson, R. R. ed. 2001) To consider a more general overview of the Europe-wide situation, one can consider the Rehm review paper which considers the implications of alcohol usage and mortality rates across the European continent. (Rehm J et al. 2007). The review itself is in commendable depth and provides an excellent evidence base for the area of investigation. The main points presented can be summarised. There is still a general all-cause mortality gradient from west to east across Europe which is more pronounced in males. (Zatonski W et al. 2000). In statistical terms, the western (old EU) countries (Austria, Belgium, Denmark, Finland, France, Germany, Greece, Ireland, Italy, Luxembourg, Netherlands, Portugal, Spain, Sweden and UK) had a male life expectancy of 75.7 yrs and a female life expectancy of 81.5 yrs. In the central European countries (Czech Republic, Hungary, Poland, Slovakia, and Slovenia) these expectancy figures have fallen to 70.9 and 78.7 respectively. In the new Baltic states (Estonia, L atvia, and Lithuania) it is 65.3 and 76.8 yrs respectively and in the Russian Federation it was 58.3 for men and 71.8 for women. It can be seen from these figures that the life expectancy for men varies by 17.4 years and 9.7 yrs for women. It should be noted that a later, but less exhaustive, study by Vagero demonstrated that by 2005, while life expectancies were slightly higher, the overall gradient and pattern of mortality remained unchanged. (Vagero D 2007). A number of authorities (viz. Men T et al. 2003 and McKee M et al. 2001) have highlighted the levels of alcohol consumption, in addition to smoking and poor nutrition, as being the main determinants of this gradient. Rhem has also identified alcohol as being the prime determinant of premature mortality in the Russian federation. (Rehm J et al. 2003 A) Rhem presents a systematic analysis of alcohol-attributable mortality and disease burden by country, and considers two major aspects in each case namely, both the level of consumption and the patterns of drinking, the latter mainly referring to irregular heavy drinking occasions. (Rehm J et al. 2007). These two aspects are not straightforward, as an illustrative example of France and Sweden demonstrates. France has a traditional wine drinking culture with overall high levels of alcohol consumption but a relatively low proportion of people drinking to intoxication, Sweden, by contrast, has an increasing, but still relatively low level of overall alcohol consumption but a social tradition of irregular heavy drinking. The study highlights Hungary as being notable for having the highest mortality rates in the EU for several alcohol-related pathologies such as liver cirrhosis, together with malignant neoplasms of lip, oral cavity and pharynx. It is reported that for the age range 20 64 yrs, alcohol plays a part in premature deaths of 25% of the population of Hungary. Cirrhosis is particularly high in Hungary and it is postulated that the high consumption of home made spirits may be a relevant factor. (Szucs S et al. 2005). It is also recognised that the culturally acceptable pattern of drinking in Hungary to a high level of alcohol intake with many heavy drinking occasions. The study gives a graphic breakdown of alcohol-related indices across the continent thus: New EU member states Old EU member states Czech Republic Hungary Lithuania Poland France Sweden UK Russia Adult per capita in l pure alcohol 17.0 14.9 17.2 11.7 14.5 9.9 13.4 15.5 Recorded in l pure alcohol 16.0 11.9 12.3 8.7 13.5 6.9 11.4 10.6 Unrecorded in l pure alcohol 1.0 3.0 4.9 3.0 1.0 3.0 2.0 4.9 Patterns of drinkinga 2 3 3 3 1 3 3 4 Preferred beverage beer wine/beer/spirits beer/spirits spirits/beer wine beer beer spirits Men % abstention/very light drinking 9.0 12.0 10.0 16.4 7.3 10.0 9.2 13.8 % >40 g/dayb 59.4 47.0 41.0 38.5 50.8 18.3 38.6 53.1 Women % abstention/very light drinking 19.1 27.0 28.0 34.3 11.1 16.0 14.3 27.5 % >40 g/day 7.0 16.0 8.0 9.0 7.0 3.8 10.3 8.4 aEstimated average pattern of drinking (1–4 with 4 being the most detrimental pattern; see text for more explanation and13 for the full algorithm used). b>40 g/day on average correspond to more than 3–4 drinks on average per day (1 drink is one can of beers of 0.33 l or one small glass of wine or one shot of spirits). (After Rehm J et al. 2007). There is considerable discussion surrounding the issue of alcohol-attributable mortality and death rates in the various European regions with Russia yielding the highest figures (29.0/10,000 person-years). An unexplained anomaly was found in that France and the UK show consistently higher rates of alcohol-attributable mortality in women than the general trend in the other countries when compared to the equivalent male rates. The overall alcohol-attributable mortality is greater in the male population with the ratio difference being much greater in the new EU member states, where the culture dictates that a smaller proportion of the alcohol produced is consumed by women Alcohol has been defined as only one of the causes of premature mortality (see above). Rehm suggests that alcohol is the major factor as, if the alcohol-related mortality is removed and the mortality figures adjusted, then the premature mortality rates between the highest and lowest rated countries become much more similar. Premature alcohol-attributable deaths in eight European countries by sex and age groups as proportions (in %) of all deaths, for the year 2002 New EU member states Old EU member states Age group Czech Republic Hungary Lithuania Poland France Sweden UK Russiab Men 20–44 28.5 39.4 38.4 26.0 22.9 19.2 22.2 30.7 45–64 14.0 22.2 16.4 10.2 16.6 7.1 7.6 11.9 20–64 16.3 25.2 22.8 13.6 18.0 9.3 10.7 17.9 Women 20–44 14.2 19.5 21.4 10.7 10.9 6.9 12.5 19.9 45–64 4.5 12.7 10.1 2.1 9.6 2.2 4.6 4.9 20–64 5.8 13.7 12.4 3.6 9.9 2.9 6.0 8.5 The estimates for Russia are underestimates, as several disease categories could not be included because of the different classification system of diseases (After Rehm J et al. 2007). It has to be acknowledged that with all of the papers cited in this examination, there are a number of potential shortcomings as data from different countries is inevitably subject to different categorisations and different modes of collection. Equally, differential rates of confounding factors such as Hepatitis C, HIV/AIDS, smoking and nutritional differences, all of which impact on the clinical presentation of the alcoholic liver disease process are difficult to completely isolate and account for. An additional complicating factor is that it has long been recognised that small amounts of alcohol have a cardio protective effect (Rehm J et al. 2003 B), irregular heavy drinking occasions (binge drinking) adding up to the same average volume of drinking over a period of time are associated with increased risk of vascular events. This increased risk is hard to separate from the increased risk of mortality from alcoholic liver disease. This is particularly the case with the Russian experience where drinking typically follows irregular heavy drinking patterns and the cardioprotective effect is probably negligible on a population-wide assessment. (Nicholson A et al. 2005) In overview, one can conclude that alcohol plays a substantial, and geographically variable role in premature adult mortality across Europe with 15% of all deaths in the 20 64 yr age range being attributable to this risk with men comprising a higher proportion than women in this total. (Rehm J et al. 2006). References Aricà ², S., Galatola, G., Tabone, M. and Corrao, G. (1994) Amount and duration of alcohol intake in patients with chronic liver disease. An Italian Multicentric Study. Italian Journal of Gastroenterology 26, 59 – 65. Becker U, Deis A, Sorensen T I A, et al. (1996) Prediction of risk of liver disease by alcohol intake, sex and age : a prospective population study. Hepatology 1996; 23 : 1025 1029 Bellentani S, Saccoccio G, Costa G, et al. (1997) Drinking habits as cofactors of risk for alcohol induced liver damage. Gut 1997; 41 : 845 850 Brett, B. T., Hayes, P. C. and Jalan, R. (2001) Primary prophylaxis of variceal bleeding in cirrhosis. European Journal of Gastroenterology and Hepatology 13, 349 – 358 Burra, P., Mioni, D., Cillo, U. et al. (2000) Long-term medical and psycho-social evaluation of patients undergoing orthotopic liver transplantation for alcoholic liver disease. Transplant International 13, S 174 – S 178 Camps, J., Crisostomo, S., Garcia-Granero, M., Riezu-Boj, J. I., Civeira, M. P. and Prieto, J. (1993) Prediction of the response of chronic hepatitis C to interferon alfa: a statistical analysis of pretreatment variables. Gut 34, 1714 – 1717 CMO (2001) Chief Medical Officer. On the State of the Public Health: Chief Medical Officers Annual Report 2001. Department of Health, HMSO : London; De Bac, C., Stroffolini, T., Gaeta, G. B., Taliani, G. and Giusti, G. (2004) Pathogenetic factors in cirrhosis with and without hepatocellular carcinoma: a multicenter Italian study. Hepatology 20, 1225 – 1230 Harry, R. and Wendon, J. (2002) Management of variceal bleeding. Current Opinions in Critical Care 8, 164 – 170. Loguercio C, Di Pierro M, Di Marino M P, Federico A, Disalvo D,, Cradta E, Tuccillo C, Baldi F, Del Vecchio Blanco C (2000) Drinking habits of subjects with Hepatitis C virus related chronic liver disease : Prevalence and effect on clinical, virological and pathological aspects. Alcohol and Alcoholism Vol. 35, No. 3, pp. 296 301, 2000 Jellinek, E. M. (1960a) Alcoholism, a genus and some of its species. Canadian Medical Association Journal 83, 1341–1345 Jellinek, E. M. (1960b) The Disease Concept of Alcoholism, pp. 36 – 41. Hillhouse Press, New Haven, CT. Kwo P Y, Ramchandani V A, OConnor S, et al. (1998) Gender differences in alcohol metabolism: relationship to liver volume and effect of adjusting for body mass. Gastroenterology 1998; 115 : 1552 1557 La Vecchia, C., Levi, F., Lucchini, F. et al. (1994) Worldwide patterns and trends in mortality from liver cirrhosis, 1955 to 1990. Annals of Epidemiology 4, 480 – 486. Leon, D. A. and McCambridge, J. (2006) Liver cirrhosis mortality rates in Britain from 1950 to 2002: an analysis of routine data. Lancet 367, 52 – 56 Lieberman, M. W., Barrios, R. and Carter, B. Z. (1995)Gamma -Glutamyl transpeptidase. What does the organization and expression of a multipromoter gene tell us about its functions? American Journal of Pathology 147, 1175 – 1185. Luca A, Carles Garcia-Pagan J, Bosch J, et al. (2007) Effects of ethanol consumption on hepatic hemodynamics in patients with alcoholic cirrhosis. Gastroenterology 2007; 112 : 1284 1289 Nicholson A, Bobak M, Murphy M, Rose R, Marmot M. Alcohol consumption and increased mortality in Russian men and women: a cohort study based on the mortality of relatives. Bulletin of the WHO (2005) 83 : 803 Mabee, C. L., Crippin, J. S. and Lee, W. M. (2008) Review article : interferon and hepatitis C-factors predicting therapeutic outcome. Alimentary Pharmacology and Therapeutics 12, 509 – 518. Mathurin, P., Duchatelle, V., Ramond, M. J. et al. (1996) Survival and prognostic factors in patients with severe alcoholic hepatitis treated with prednisolone. Gastroenterology 110, 1847 – 1853 McKee M, Shkolnikov V. (2001) Understanding the toll of premature death among men in eastern europe. Br Med J (2001) 323 : 1051 – 55 Men T, Brennan P, Boffetta P, Zaridze D. (2003) Russian mortality trends for 1991 – 2001 : analysis by cause and region. Br Med J (2003) 327 : 964. OPCS (2004) Office of Population Censuses and Surveys General Household Survey : HMSO London 2004 Ostapowicz, G., Watson, J. R., Locarnini, S. A. and Desmond, P. V. (1998) Role of alcohol in the progression of liver disease caused by hepatitis C virus infection. Hepatology 27, 1730 – 1735 Pessione, F., Degos, F. and Marcellin, P. (1998) Effect of alcohol consumption on serum hepatitis C virus RNA and histological lesions in chronic hepatitis C. Hepatology 27, 1717 – 1722 Pol, S., Lamorthe, B. and Trinh Thi, N. (1998) Retrospective analysis of the impact of HIV infection and alcohol use on chronic hepatitis C in a large cohort of drug users. Journal of Hepatology 28, 945 – 950 Rehm J, Room R, Monteiro M, et al

Originality Of Philosophy :: essays research papers fc

Originality of Philosophy Feb.25.1997   Ã‚  Ã‚  Ã‚  Ã‚  What is philosophy? What does a philosopher really do? Questions like these can be answered in a review of Philosophy Now. What can possibly be answered.....questions which have them. And what is it that philosophers study? Generally, most philosophers study questions in which there is no rational or justifiable answer. And the type of articles in the magazine are very interesting because they elighten the reader to question the answers. Some of the articles in this issue are â€Å"Bakunin: Anarchist or Antichrist?†, â€Å" Practical Solipsism†, â€Å"Introduction to Ontology†, â€Å"Orwell and Philosophy†, some other brief articles, an Internet page, and even some classifieds. The overall view of this magazine was very intellectual and professional because it did not contain any advertising throughout the magazine. The articles are more in the manner meant for either philosophers or someone in school studying Philosophy, or even anyone interested in a very different approach to society.   Ã‚  Ã‚  Ã‚  Ã‚  An idea in the article â€Å"Practical Solipsism† reads: â€Å"Solipsism - the idea that only I exist and that you, and all other material things in the world are mere figments of my imagination - is one of those peculiar notions that make everybody realize just how barmy philosophers truly are.† Philosophy is often translated as the love of wisdom or the love of truth. One way to get a vague idea as to what philosophy is about is to dissect the subject and investigate its skeleton. there are many branches in philosophy. Metaphysics is†(after- physics, after Aristotle's book of physics.)†, and has questions about the nature of time, categories of existence, including god. Epistemology asks what is knowledge? what is the difference between knowledge, belief and opinion? Can we really know anything? How could we know that we did? Logic questions the truth and even now employs a sort of algebra which is used to crunch logical problems. There is Philosophy of mind, which asks questions about the human mind, how it thinks, and how is it related to the body. Ethics is like how are we living, what is good and bad, what is unethical, and what is happiness. Aesthetics asks mostly about beauty and how to define it. In particular though, there is political philosophy, and it asks questions like What would Utopia be like? Is Utopia possible? How should social life be organized? In my opinion this philosophy is not one related to our government but is very interesting to me. As I was reading, many questions arose about our society and what I thought should be changed. Another Article that I went over was called â€Å"Ontology for

Essay --

Tara J. Yosso’s book Critical Race Counterstories along the Chicana/ Chicano Educational Pipeline uses a unique set of critical race counterstories focused on teachers and students in the Chicana / Chicano community. It reveals a great deficiency in appropriate U.S. education and investment but demonstrates the richness of the culture of minorities and interest in innovative approaches to education. This innovative work, in comparison to works published by many leading researchers, uses critical race theory to give stories along the educational pipeline from primary school to university. It is an absorptive work giving voices to the largest minority in the United States, presenting the latest demographic research on the status of Chicana / Chicano students’ education at the time of its publication in 2006. Within the first chapter, we are presented with the foundation for this research and the sad reality of Chicana/ Chicano education within the United States. In the U.S. the group with the lowest educational progress is the fastest growing racial / ethnic minority population – in o...

Biochemistry :: essays research papers

  Ã‚  Ã‚  Ã‚  Ã‚  Biochemistry   Ã‚  Ã‚  Ã‚  Ã‚  What is Biochemistry? Biochemistry is everything from the elements to dehydration synthesis. What is an element? An element in a pure substance that can be broken down in to smaller units called protons neutrons and electrons. There are over 100 elements on our planet. Did you know that DNA is a nucleotide because of it basic structural units which contains sugars joined together to form what looks like a winding ladder?   Ã‚  Ã‚  Ã‚  Ã‚  Elements can be bonded either by covalent bond, ionic bond, peptide bond or hydrogen bond.. Each bond is a chemical attraction between electrons. Once an chemical has bonded and it is written on paper the written bond is knew as a chemical formula. Another written bond is called a structural formula which is an expanded molecular formula showing the same thing as a chemical formula. In order for there to be a brand new chemical formed there must be some from of oxidation which is the transfer of electrons or reduction which is the subtraction of electrons. Sometime a element forms an organic compound which is a compound that includes Carbon. There are many more compounds such as monomer which is a chemical compound that can undergo polymerization or polymer which can be either a mixture or a compound formed but polymerization and consisting essentially of repeating structural units such as a glucose molecule. Also an isotope is any of two or more species of atoms with the same atomic number and a similar chemical behavior but with a different atomic mass   Ã‚  Ã‚  Ã‚  Ã‚  Biochemistry isn’t just about the elements it’s also about foods. There are many saturated and unsaturated fats in foods. Many most people don’t know about them. Amino acids are acids synthesized by living cells or obtained as essential components of a diet. In other words they are the fats in food. Much like a phospholipid which are numerous lipids in which phosphoric acid as well as fatty acids. A lot of food carry glucose which is the chemical word for sugar. Starch is a white odorless and tasteless powdery complex carbohydrate. Another type of carbohydrate is glycogen which is a white amorphous tasteless polysaccharide that is the principal form in which carbohydrates are stored. Steroid is any of numerous compounds containing a 17 carbon 4 ring system the includes various hormones. In order to make all these acids used in food useable the must be denature which means to deprive of natural qualities.

Rfid in Walmart Essay

In June 2003 Wal-Mart first announced its plan to implement RFID technology in its supply chain by January 2005; this caught many of the suppliers unawares. Though the plans envisaged compliance from the top 100 suppliers, around 129 suppliers jumped into the fray, afraid of being left behind in the race. RFID technology was invented in 1969 and patented in 1973; after thirty long years WalMart has demanded its implementation. Expectations are high, unfortunately RFID technology is still in its infant stage. In November 2003, Wal-Mart once again asserted its requirements. The following were explicitly spelt out: 1. What the EPC (Electronic Product Code) would be, 2. What class of chips they would accept, and 3. Which distribution centres would start accepting RFID deliveries. Much has happened since then. To its suppliers, Wal-Mart has spelt the requirement of 96-bit EPC with a Global Trade Identification number, which is an international standard. The tags are expected to operate in UHF spectrum (868 MHz to 956 MHz). The plan is to standardize the Class 1 Version 2 of the EPC specification [RFIDJournal. Com]. The EPC global, a joint venture between Uniform Code Council and EAN (European Article Number) International, is developing this particular standard. This tag will carry the 96-bit serial number and will be field-programmable. This will enable the suppliers to write serial numbers to the tags, when they apply the tags to the products. The EPC-compliant tags in UHF band consists of 1. EPC data format on 2. One of the existing communication protocols, Class1 or Class0 two main the parts: chip Note: Class0 and Class1 specifications differ. Class0 is a factory programmable tag while Class1 permits the end users to write a serial number on it. They are not interoperable. A multi-protocol reader is required to read both tags. The Class1 Version2 that is being pursued is expected to incorporate both specifications of Class0 and Class1. This Version2 will be a globally accepted protocol. As of now Wal-Mart is already tracking pallets and cases from suppliers coming to one distribution centre. The plan is to expand to other suppliers soon and roll out the technology regionally across the US . By the end of this year, the intention is to track all pallets, and cases of all products from the top 100 US suppliers, and by late 2006, from all US suppliers. Wal-Mart will then begin rolling the technology out internationally. The increased demand has already set Manhattan Associates working on new software that will allow companies to plug RFID technology to warehouse management system, on all platforms. Wal-Mart dreams of achieving a great RFID enabled, fool proof, error free, transparent supply chain. To this end, RFID readers are being installed at distribution centres and stores and buying equipment for printing tags. The expense of investments in new technology every year will be covered in the normal capital budget Why WalMart is adopting RFID? The application of RFID deeper into retail operations than case or pallet-level tracking is not really an Asset Protection driven proposal. The ability to better track SKU level items, smooth out merchandise flow, and prevent out-of-stocks while eliminating non-productive, profit-draining overstock situations is a main tenant of retail. The better Walmart, or anyone can get at doing that, the more control they have in their merchandise investment and the more profit can be squeezed from each dollar invested. With improved profit to investment ratios along with cost-controlling measures such as improved productivity for store level associates, a company can use the gain to pass on in savings to their customers, which is the real secret to success. Asset protection will benefit from the improved operations as well. Shrink is unaccounted for invested dollars. A retailer invests in merchandise to sell and somewhere along the trail from factory to store it is lost, sometimes physically, sometimes in the handling and accounting process. The ability to quickly verify actual quantities of items in a store not only enables the retailer to replenish the stock at the right rate of sale, it also eliminates countless hours of searching for the products in backrooms, overstock boxes, risers and any number of other places merchandise finds to hide in a store. When the count is exact as the product is received, matches the invoice with precision, and is then accurately tracked until it is sold, shrink can theoretically become just a bad memory. There is still theft to consider, however RFID offers some improvements in that respect as well. The key is real-time knowledge of the status of key merchandise. Associates can react to missing one item, instead of hundreds or thousands of dollars worth, before they know there is a problem. Concerns have been expressed over privacy and tags could be used to identify concealed items, but that is not the path to success. If you wait to react to a theft, you still must deal with the situation and there are several pitfalls in apprehending shoplifters and processing internal theft situations. So the bottom line is that it is about immediately identifying loss and taking active measures to prevent further loss. To those expressing concern over the proliferation of technology like RFID in retail, the challenge is to keep the concerns on a productive level. Retailers are not motivated by big brother-like intentions. They are striving to become as efficient as possible in their operation to shave off every non-productive penny invested. It is how they can beat their competition in pricing giving the consumer the benefit of lower prices and the shareholders the benefit of improved profits. There are real concerns relative to unintended consequences of the misuse of technology. Creating a â€Å"personalized customer profile† is a tempting marketing strategy. Imagine knowing exactly what every customer who comes in the doors wants to buy, maybe even before they do. Questions of privacy must be addressed openly and a retailer must make efforts to prevent the misuse of data. This new era is where the professional retail LP leader can make a significant contribution. One day, cash registers may be obsolete. Currency could be exchanged virtually and attached directly to people through some kind of biometric authorization. The role of the LP professional will look much different when that day arrives. Getting from where we are to that point will be an interesting ride. WalMart and RFID: The Test Phase From initial experiences of roll out of EPC in select distribution warehouses and stores, there is confidence that the concept will be a long-term success. Experiments with various tag types and tag placements are underway to see how they impact readability on various products in a non-laboratory environment. Goods shipped to the stores with RFID tags are recorded once at their arrival . By simply waving the scanner at the boxes they are able to know what is inside without having to open anything. Even before the arrival it is possible to know where everything is, which helps to reduce loss during shipment. The tags are read again before they are brought to the sales floor , no reader is installed at the sales point, though. They are read finally at a box crusher after all the items in the case have been put on the store shelves. Their software monitors the different items sold to the customers and the number of cases brought to the sales floor. This generates the information – which items will soon be depleted from the shelves? Automatically, almost instantly, a list is generated of items that need to be picked from the backroom to replenish the store shelves. To reduce the amount of time spent at the backroom Wal-Mart has developed a handheld RFID reader. This acts as a kind of Geiger counter that beeps when a worker gets close to the item he or she needs to pick. It is intended to initially provide this in the original seven stores and then deploy them in rest of the 140 stores in a phased manner during the year. Wal-Mart has also established a retail link extranet with all its suppliers. This enables them to share data from all RFID read points with their suppliers. When a case is brought out to the sales floor, the status reads ~Q being put on the shelves’ , when at the trash compactor the status changes to ~Q on shelf’ . Thus within 30 minutes the suppliers get updated on the movement and location of their goods. Suppliers are also learning how to match tags with products and where to place tags for optimum readability. This initial experience will keep them ahead of their competitors.

Article Review On “Evidence Based Management(EBM), The Very Idea” Essay

Introduction at that place has been a recent trend in commending leaven- ground approaches for focusing and insurance policy making termination in the public sector. establish base counsel(EBM) is an construction that has been heavily developed and relied on in certain utilizes much(prenominal)(prenominal) as differentiate- found policy and say- found medical specialty. These forms of approaches utilize recent ruff turn up in decision making and management. tell found management(EBM) involves managerial based decisions and organisational lend oneselfs that ar informed by the outgo and avail suitable scientific depict with the best show up in this sheath creation the norms of natural knowledges. programmeate based approaches permit gained fame over the years. The alike has non been without its ups and down.This has seen try out based management generate palisade with writers such(prenominal)(prenominal)(prenominal)(prenominal) as Learmouth & Harding (2 007) opposing the in truth idea of utilizing the widely acclaimed testify based approach in fields such as wellness c atomic number 18. The document reviews the(Learmouth & Harding (2007) denomination with a look at the evidence provided by the dickens in sign of their opposition to the function of evidence based management (EBM) in health care. The positives and negatives of their arguments testament be reviewed. Evidence of the said(prenominal) impart be based on the Learmouth & Harding (2007) term as well as belles-lettres from related articles.DiscussionThe evidence based management as analyzed by Learmouth & Harding (2007) article presents a strong suit that shows that in that respect is causation to believe and control the look for bothwriters ca aim accomplished to shame the character of this approach especially in health care. Both Learmouth & Harding (2007) raise a good debate on the information of evidence based approaches to management and formation. The queryers all the way raise the issues they feel plague the theatrical role of evidence based management(EBM) in health care and in every former(a) setting.To Learmouth & Harding (2007), this is an approach that is a misguided diorama with the unpredictable nature of evidence in the management discipline. Also, Learmouth & Hardin (2007) lay down the take that evidence based management is non thither to help the public service and bequeath non at the end ease up anything meaningful to the foundiveness in organizations (Axelsson, 1998). This is in spite of other systems such as evidence based medicament beinghailed as the best method of reducing perplexity in clinical practice.Learmouth & Harding (2007) opposition to the use of evidence based management(EBM) in organisational setting raises and opens the readers look to a major(ip) issue in their debate-arriving at an agreement on evidence. peerlessness is made to agree with Learmouth & Harding (2007) debate that it i s one thing to reach a consensus in medicine and other fields and a nonher(prenominal) in reaching the same in mixer sciences so as to ease off the appropriateness of the use of evidence based management(EBM) in health care. Such techniques as the use of the evidence based medicine has worked well but this should not be the assumption in all the studys as highlighted by Learmouth & Harding (2007). The event that the two lookers in any case disapprove of generalizations in the different approaches is a positive font in the research.The reasons the two give is valid in that the own and effect connections that are thither in organizational research are not in any way readily subject to controlled experiments such as those in medicine. However, there is an oversight and thus a disadvantage in Learmouth & Harding (2007) debate.One scum bag counter their opposition to the generalization stop on the use of evidence based management(EBM)in that where the presence of clear necess itates the establishment of decision making rules which the scientific community is able to endorse. Learmouth & Harding (2007) would want their readers to believe that a etymon to finding a cause and effect connection in organizational settings does not exist but this is not the case (Parker, 2001).This is a side that is missing in their debate in that over the years, there has been the establishment of consensus around the use of creative reviews and meta-analysis in order to identify the focused findings in the organizational research and the point of accumulation conditions.Learmouth & Harding (2007) do not leave any option to the reader to see a happen in the establishment of a movement towards evidence based management which would even be capable of training great attention to the convergent findings and their implications to practice and science. One feels that Learmouth & Harding (2007) are advocating and supporting the go on fragmentation and novelty in the circulat ing(prenominal) organizational research. By focusing on the high consensus areas, there bequeath be a chance for EBM (evidence based management) to form efforts directed towards accounting for divergence and mutual exclusiveness in the areas of limited convergence in organizational research(Linstead & Grafton-Small, 1992).Managerialism is withal another major issue that Learmouth & Harding (2007) raise with the use of Evidence Based prudence (EBM). The researchers support the opposition to the use of the same in such systems as organizations. According to Learmouth & Harding (2007), the use of EBM supports and reinforces Managerialism. The evidence based approaches are used to reinforce the managerial power with some forms of legitimized forms of evidence while they obscure non-managerial ways of sagacity organizational life.One can henchman with such an argument in that the evidence given by Learmouth & Harding (2007) is that there puzzle been long standing workplace ethno graphies which collect stood to benefit organizations by such acts as exposing power, inequality and conflicts in the organizations (Kovner et al., 2000). Thus elements such as Managerialism have no chance of prospering in such an environment. This greatly benefits the organization.However, there is a downside to the evaluation of lone(prenominal) one side of the effect of EBM as far as Managerialism is concerned. The evidence by Learmouth & Harding (2007) is hinged on prepossession on whether there has been enough inquiry to the effective ways of organizing and managing based on less non-traditional and class-conscious view of workers, governance and employment (Ferlie et al., 2001). It is not justifiable to brush off EBM on managerialism foot since the same would serve as a counterforce to the self- serving and arbitrariness bias observed in the form firms are managed and organized nowadays (Parker, 2001). Any foot can be considered in that it can be misused. Evidence of su ch is the presence of a regulation in the use of evidence based medicine in the UK National health Service. However, the use of EBM can act as the basis to develop effective organizational and schoolmaster competencies (Harris, 1998).Learmouth & Harding (2007) are alert of the role that EBM whitethorn come to acquire in terms of power. The two are skeptic of the fact that EBM may become an avenue that serves interests. This shows how Learmouth & Harding (2007) have put a great plentifulness of effort into all the aspects that may impede the smooth operation of such programs as EBM in health care.As researchers, they have succeeded in evaluating all the angles of a research issue. Learmouth & Harding (2007) show that it would be nave to not think of politics as the same are pervasive and historical. Such an aspect as the development and implementation of EBM to organization and management can affect such issues as how authenticity, funding and influence is allocated to such gr oups as practitioners, teachers and scholars. Management is free of such aspects such as social and semipolitical interests as well as righteous considerations. However, true as this may be and a correct inference by Learmouth & Harding (2007), power and politics cannot be avoided.The real problem that Learmouth & Harding (2007) bet to be wary of is that qualitative research may not be able to meet the evidentiary standards that EBM may incorporate and employ (Linstead & Grafton-Small, 1992). Also, Learmouth & Harding (2007) seem to be wary that qualitative research may be devalued which will result in the decline of legitimacy as well as its funding. Evidence cannot be said to be of extra measure or method social science uses.As opposed to Learmouth & Harding (2007) indecision with unobstructed power in the use of EBM, this may not be the case as qualitative research is a sure way of identifying the areas in science that are not clear. Qualitative research is capable of being put into practice to identify the meanings underlying the observed patterns and also in helping to translate the evidence into practice through exploration of the politics, subjectiveness and the conflicts that are involved in the changes to organizational practice (Carter, 2000).ConclusionThe implementation and the design of the EBM is not an aspect that should be generalized and opposed without full evaluation. The implementation as well as the design of EBM should be subject to critical inquiry. The critique by Learmouth & Harding (2007) evades some aspects and in doing so demoralize the audience. There is no denying that EBM may affect all the management aspects but the same should not be a reason to abandon the approach. There should and will be movements towards EBM which involve many of the community that are interested in the design of the same. There will be development, implementation, learning and plan over time. Fear of loss should not hinder the focus for the opport unity on constructive change.ReferencesAxelsson , R . 1998 . Towards an Evidence-based wellness awe Management , International Journal of health Planning and Management , 13 , 307 17 .Ferlie , E . , J . Gabbay , L . Fitzgerald , et al . 2001 . Evidence-based medicinal drug and Organisational Change an Overview of Some new-fangled Qualitative Research , in L . Ashburner ( ed .), Organisational Behaviour and Organisational Studies in Health Care Refl ections on the Future . Basingstoke Palgrave Macmillan, pp . 18 42 .Carter , J . 2000 . New unrestricted Management and Equal Opportunities in the NHS , captious Social Policy , 20 , 61 83 .Harrison , S . 1998 . The Politics of Evidence-based Medicine , Policy and Politics , 26 , 15 31 .Kovner , A . R . , J . J . Elton and J . Billings . 2000 . Evidence-based Management , Frontiers of Health Services Management , 16 , 3 24 .Linstead , S . and R . Grafton-Small . 1992 . On Reading make-upal Culture , Organi zation Studies , 13 , 331 55 .Parker , M . 2002 . Against Management Organization in the Age of Managerialism . Cambridge order PressLearmouth, M., & Harding, N. (April 01, 2007). Evidence-based management The very idea. intelligent Public Administration Abstracts,34,1.)