Count Of Monte Cristo Essays (600 words) - Literature, Fiction

Count Of Monte Cristo Fernand Mondego was a simple fisherman who led a dull, monotonous life and was not very important in the social status. If he had just been content in all of his circumstances, his life might have been better. However, from the very beginning of the book, Fernand's goal in life was to obtain things he could not obtain. He desired power, fame, fortune-- and Mercedes. Most of these could be obtained in time, but Mercedes was one thing that Fernand knew he would never get unless Edmond Dantes disappeared for good. He set out with revenge against him and used a devious plan to fulfill his desires. His character traits were all built on one thing: greed. He had many other traits, such as jealousy, selfishness, and slyness, which were important in accomplishing his goals. Perhaps the most important was jealousy. Fernand had a jealous temperament. In Chapter Three, Fernand asked Mercedes to marry him with these words, "Listen Mercedes, it's almost Easter again-- a good time for a wedding. Give me an answer!" Fernand burned with rage when Mercedes answered his plea with, "I love you like a brother, but never ask anything more of me because my heart belongs to someone else." This someone else just happened to be Edmond Dantes, the new captain of the Pharoan. From that point on, Fernand was very envious of Dantes. Fernand had done every thing in his power to capture Mercedes' heart and yet the one who held it was Edmond Dantes. This made him very jealous and discontented. Another trait Fernand possessed was selfishness. Fernand was extremely selfish and self-centered. Everything that he did revolved around him. After learning that Mercedes refused to marry him, she showed up clinging to Dantes. The book describes Mercedes trying to introduce them in this way, "Keeping her" (Mercedes') "hand clasped in his, Edmond held out his other hand to Fernand. But Fernand remained as motionless and still as a statue. Edmond looked inquiringly at Mercedes, who was trembling and upset, then at Fernand, who scowled threateningly." If Fernand really loved Mercedes, he would think of her feelings and be happy for her. The only thoughts that buzzed around in his head, however, were his own feelings of resentment toward Edmond, so he refused to shake his hand. These feelings of hatred led to a sly plan that Fernand concocted along with Danglers. Being very sly and clever were some other character traits that Fernand possessed. Because of his selfishly jealous nature towards Dantes, he plotted revenge. Fernand figured that the only way to obtain Mercedes would be to get Edmond Dantes out of the way. Teaming up with Danglers, he wrote a letter accusing Edmond of carrying a letter from Elba to the Bonapartist committee in Paris. Fernand delivered the letter to carry out their conniving plan. The commissary came to the betrothal feast and said, "'Which one of you gentlemen is Edmond Dantes?'" Edmond replied, "'I'm Edmond Dantes, sir. What do you want with me?'" The commissary said, "'Edmond Dantes, you are under arrest.'" This confirms the fact that the evil plan worked and Dantes was put into jail for fourteen long years. Fernand's character traits were important. They added to the story and showed why Dantes got revenge on him. He could have done many things with his life and could have been used in many ways, but he did not. Because all of his desires were self-seeking, he did not go anywhere in life. His jealous nature was part of what destroyed him. Contentedness was definitely not a strong point in Fernand's character. He was egotistical and had many selfish desires as well. These traits combined with his shrewdness and conniving nature eventually led him to destruction.

social pariahs Essay

social pariahs Essay social pariahs Essay Olivia Niemann American studies 3rd September 30, 2013 Social pariahs In this day in age social pariahs are all around us in many different ways. A social pariah is someone who is considered an outcast or â€Å"shunned† from a certain group for an undesirable reason or choice he or she has made. With social media and societies standards there will always be a person or group of people that is ostracized for the decisions and choices they have made. Some ways people have been seen as â€Å"social pariahs† or ostracized from the group are for scandalous reasons, race, political views, religious beliefs, and being bold. One example I found was of Tiger Woods who was the number one ranked golf player in the word. In 2009 Tiger woods openly announced to the public about cheating on his wife for 32 months with a cocktail waitress. This was a very devastating social blow to one of the world’s most popular athletes who was considered a marketable family man with two kids and his unblemished social life until the accident. With all the tal k about Woods affair scandal he lost over 25 million dollars in endorsements with companies. His affair caused a very terse life style for Tiger while he was trying to make up for his mistake. Woods scandal was all over the news for many months and was a very hot topic. He was ostracized and shunned from the golf world. Many hyperboles were made before the real facts of the scandal came out, and for a while no one knew what the truth was. He lost many peoples respect for him not only as an athlete but also as a father figure and husband. His loss I endorsements cost him millions. His affair with this woman not only cost him extreme amounts of money and time but the respect and loyalty of his devoted fans and fellow esteemed golf members. Tiger Woods was the center of many lampoons for a while before the scandal died down and blew over. I agree that with fame comes a certain standard you are held to since you are always in the public eye. You’re in a fishbowl world where eve ryone finds out your mistakes and now with social media they spread much faster. I don’t approve of what Tiger Woods did because he broke his promise to his wife and family and with that he had to accept the consequences that came along with his decisions. His consequences were much

Motivation Analysis Essay Example | Topics and Well Written Essays - 1500 words

Motivation Analysis - Essay Example Google expects its employees to be determined and innovative. With a casual environment in Googolplex, the organization expects employees to deliver its best and work effectively. Google Inc was founded in the year 1998 by Sergey Brin and Larry Page, which focuses on delivering the best search experience on WWW, the World Wide Web. Google with its technology and series of innovation helps its users to find information about any possible thing that the users search for with accuracy, ease and relevancy. Google offers search in multi language and offers new products and services such as advertising and web application. The products and services offered by Google include services such as Google Ad words editor which is a desktop application which is used to handle accounts of Google ad words. Google chrome a web browser and can be run in Windows XP, Vista, 7, Linux, Gun and OS X. Google Desktop, Google earth, Gmail, Google Picasa, Google photo screen saver, Google sketch, Google calendar, Google maps and others (Google-a, n.d). Google founder Sergey Brin and Larry Page had bought Google into life in 1998 and since then the company has grown immensely and today it has about 20,000 employees worldwide and its management team which represents the most experienced professionals (Google-b, n.d). The observable components of Google’s motivational strategy and methods that influences the effort and quality of work of employees are compensation which includes pay, bonuses, raises, company expenses accounts and other incentives. Google has been regarded as the best company by employees to work for and this because Google tends to offers all the compensation to its employees. Google provides a decent pay package for its employees and as per reports Google has increased salary by 10% and $1000 cash bonus as a part of its competitive compensation plan (Dorian, 2011). Google has come up with new incentives to reward employees who perform outstandingly. The award to be

Why reality television is so popular Essay Example | Topics and Well Written Essays - 500 words

Why reality television is so popular - Essay Example The intrigues and richness in presentations of reality television is facilitated by the existence of subgenres within the programming. Such subgenres include documentaries, game shows, social experiments, hidden cameras, makeover shows among others. Popularity of reality television is known to hit an all-time high following the airing of Big Brother and Survivor shows, which lie within the reality genre. As such, reality television has received global recognition with a massive following upsurge associated with the success of presentations put forth. There are various reasons that explain increased popularity of reality television, which will be highlighted in this paper. The popularity of any reality television show is directly linked to the level audience involvement, and as such the audience should be in a position to relate to the participants. The main catalyst for reality television popularity is money, which is pumped into the industry to produce a rich feature. Reality producers are known to offer large sums of money to participants who essentially may lack career skills, and transform them into productive members of the society (Soong, 2003). This is evidenced in games shows where participants are expected to indulge in define activities and are rewarded according to their proficiency. The promise of money and the associated excitement have heavily contributed to the unrelenting popularity of rewarding reality shows. In addition, instant fame often associated with participation in reality television shows contributes to popularity of the genre. The production of reality features is known to entail placing ordinary people in unique situations and gauging their reactions. This works to the advantage of individuals seeking to prove themselves by enduring set tasks in the show. Moreover, reality shows that offer no monetary rewards such as the MTV’s The Real World, receive thousands of

BSBMKG501A Evaluate Marketing Opportunities Essay

BSBMKG501A Evaluate Marketing Opportunities - Essay Example In any organization, there are some tangible and intangible assets, which are used as resources, when company is searching and evaluating various opportunities. Basically marketing activity focuses on assessing and satisfying customer needs, with in the organization; management is responsible for establishing these goals. These are certain resources i. e., key people groups, forces outside the organizations, channels, brand values, relationship, partnership, suppliers, buyers etc. apart from physical resources like technology. In search of opportunities skill of the people working with in the organization always play's a crucial role, opportunities lies in best marketing research to know about innovative product requirements its time and cost well in advance and to exploit these requirements. Best marketing research need more strong financial background and personal skills. Shortage and delay in adopting, technologies plays crucial role in searching opportunities. Intangible like bra nd plays major role in exploring opportunities. When a particular brand already exists in the market and it launches some product in the market, needs lesser advertisement and hence needs less cost investment, but if brand is new and it is to be launched, needs more expensive and exhaustive promotional campaign. In present era, where consumer needs are changing continuously and fastly meeting consumer needs and preferences always cost heavily on the company. Firms spend billions of dollars annually in search of new opportunities on marketing and technical research to add to brand value and product improvement. For example, Hot Pockets, especially formulated meat and cheese, microwavable sandwiches and more than 20 varieties have been introduced but in 2002, after Nestle acquire chef America, it has added its marketing muscle to promote the brand, ability to invest in technologies, training to enhance skills of its employees, upgrading the skill of an employee are few of the resource s which could limit the search for the opportunities by the company. In any company search of opportunities needs financial resources, skill of its employees, its brand value, its technologies adoption, its organizational capabilities, and its ability to conduct market research as nearer to actual. Now as a marketing manager, one has been assigned a vital job is that of recognizing the nature of competition, the potential threats competitors may represent and development of opportunities response strategies. Michael Porter (1980) has proposed that competitive threats can be classified into five major steps: The threat of other producer firms already operating within the market sector (Kotler, 2003). The threats of customer moving up stream to also become producers and / or using their purchasing power to dominate terms and condition for purchase. The threat of supplier moving downstream to become a producer or using their control over critical resources to dominate terms and condition of sale. The threat of a substitute entering the market always been seen carefully. Finally the threat for new entrant who was not previously a major player in the market has to be analyzed properly. To avoid head on competition with competitors, Marketing manager has to opt certain initiatives, w hich must be strategic, cross functional and bottom-line oriented. Marketing manager

Patient Safety in Healthcare

Patient Safety in Healthcare Introduction and background Patient safety has always been the heart of healthcare practice and nursing through the history of medicine. However, all through the world occasional non-deliberate accidental harm occurs to patients looking for care. Such unfavourable incidents can occur at all levels of healthcare whether clinical or managerial, curative or preventive, and in general healthcare, or private. It may occur at any stage of management (radiology, laboratory, operating room, ward, or ICU). The WHO, at the meeting held on July 2006, in New Delhi, India, identified an adverse event as a separate unconnected incident associated with health care, which results in in-deliberate injury, illness, or death. Such incidents can be preventable as with contaminated injections. Published surveys on patient safety show that in industrialized advanced countries, more than half of these adverse events are preventable and occur because of a shortage in system or organization design or operation rather than because of poor performance of healthcare providing staff (WHO report, 2006). Harvard Medical Centre study in 1991 (after WHO report, 2006) was the first to draw the attention to the volume of patient safety problem. Based on medical records review, the rate of adverse event in three US medical centres ranged between 3.2 to 5.4 percent. In UK, the rate was 11.7 percent and in Denmark, the rate was 9 percent (WHO report, 2002). Results of recent studies suggest the rate is between 3.2 and 16.6 percent (per 100 hospital admissions). The situation in the less well-documented health care centres in the developing countries is more serious (WHO report, 2006). The cost of adverse events that endanger patient safety can be very high, considering all the aspects. It includes, loss of confidence and credibility and reputation of health care institutions, loss of enthusiasm and job gratification among the working staff. In addition, the cost includes damage to the patients and their relatives especially when taking defensive attitudes and keeping information hidden from patients families. Other added costs are those of prolonged hospital stay and increased medical expenses and those of lawsuit demands (WHO report, 2006). Objective The objective of this paper is to review, in brief, the problem of patient safety with particular attention to patient safety in the ICU being one of the essential patient care systems in a health care organization. Besides, the vulnerability of ICU patients augments the importance of patient safety concept. Methodology This thesis is a literature review study. The researcher performed an article search using the following internet databases: National Centre for Biotechnology – National Library of Medicine – National Institutes for Health (NCBI), at  http://www.ncbi.nlm.nih.gov Medscape database, at  http://www.medscape.com Amedeo: The Medical Literature Guide, at  http://www.amedeo.com British Medical Journals, at  http://group.bml.com/products/journals World health organization – Publications, at  http://www.who.int/en/publications Yahoo and Google scholar general databases, site of .org, .gov and.edu only considered. Terms of search were patient safety, basics, and principles of patient safety, review of patient safety, patient safety in the ICU and the critically ill patient safety. Findings Patient safety event is a wide term; it does not only mean a medical error during the course of medical management and nursing. The Department of Health and Human Services, 2008, defined a patient safety event as an incident, which takes place during providing a health care service. It causes or may have caused a harmful outcome to the patient. It includes errors of not doing (omission) or errors of doing (commission), it also includes faults and mistakes of the patient care processes (involving drugs and equipments) or the environment where these processes are carried out. The phrase, one cannot manage what cannot be measured hold true for patient safety. One of the reasons of the lack of effective patient safety strategies is the need for a measurement tool to provide measures, consequently, reduce medical errors and improve patient safety. The Agency for Healthcare Research and Quality (AHRQ) developed an array of Patient Safety Indicators planned to screen administrative data for events related to patient safety. This list of indicators includes 16 situations where a threat to patient safety may occur during the course of healthcare delivery. Using this measurement tool shows that patient safety incident of highest rates are failure to rescue, decubitus ulcers and postoperative wound infection (which is specifically increased by 35% during the period 2002-2006) (Health Grades Inc, 2006). Infection control: An important part of patient safety Bruke, 2006, has provided a comprehensive review of infection control as an important aspect in patient safety strategy. Based on many studies, hospital acquired infection; in this context, alternatively called health care associated infection, is one the most frequent risks for patient safety in patients admitted to hospitals. The answer to the question of why it is an important aspect for patient safety lies in the fact that 5-10 percent of patients admitted to acute care hospitals acquire one or more nosocomial infection. In the US, 2 million patients acquire hospital infection every year with 90.000 deaths. This adds a cost of 4.5 to 5.7 billion US $ to the health care cost (Bruke, 2006). There are four types of hospital-acquired infections, which account for 80% of the total rate. These are infection associated with urinary catheterization, blood borne infection (usually with vascular invasive procedures), surgical wounds infections, and pneumonia (usually associated with the use of ventilators). Therefore, it is understandable that 25 per cent of these infections occur in the ICU (Bruke, 2006). The increased awareness of patient safety resulted in reorganizing the concepts of infection control and placing it in the domain of public health with consequent increased surveillance and epidemiological studies. It is true that recognizing risk factors allows clarification of what is adjustable and what is not, however modification of some terms is advisable. Instead of saying avoiding the use of catheters, we should recommend reducing the duration of use of catheters. Many other terms as use antibiotics intelligently, and training and staff education are hazy and indistinct, accordingly, tricky to employ (Bruke, 2006). Nursing practice and patient safety The report of the Institute of Medicine, 2004 (after Armstrong and Laschinger, 2006) recognized nursing role as pivotal to patient safety. The report suggests the degree of activity of hospital nurses and the extent of giving them authority to take part in decisions, directly affects the quality and perception of patient safety. The results of Armstrong and Laschinger, 2006 supported this assumption; they recommended that nurses should enjoy better communication and participation in decision-making. The responsibility of nurse managers, at the unit level, is even greater. They take part to establish nursing practices, which support patient safety culture, they also sustain professional nursing practices, and they should listen carefully to nurses relevant affairs. If nursing managers achieve their direct responsibilities, then they work with others in the healthcare establishment to make the organizational process better as regards limiting the nurses competence towards better patient care. The result of Armstrong and Laschinger, 2006 suggested that nurse managers (nurse leaders) have the capability of developing patient safety in healthcare organizations. Medication management and patient safety Duthie and colleagues, 2004, analyzed the 108 reports submitted to the New York State Department of Health investigating the medical errors in New York State healthcare organizations. From quantitative viewpoint, their results suggested that nursing the first discipline to be involved in such errors and they provided the explanation that nurses are the end dispenser since they give the medications to patients directly. In addition, they showed that patients over 65 years are the most vulnerable to these errors, perhaps because of the increased number of medications prescribed at this age. From a qualitative viewpoint, they suggested that what may endanger patient safety is dispensing system malfunction, failure to rescue situations and working space limitations. They suggested the need to educational initiatives and pointing out possible dispensing system malfunctions. Adamski, 2005, suggested the following precautions to minimize medication errors: Monitoring how patients respond to medications as long as it is dispensed in the healthcare organization. Diagnosis and indication for a particular medication should be available in the patients progress notes, history or examination sheets. Clear order forms to dispense medications in order to ensure clear and mutual understanding among the prescribing physician, pharmacist, and thenurse who administers the medication. Davis and colleagues, 2006, examined the patient role in medication errors. They suggested that low literacy patients (up to 6th  grade level) are more liable to misunderstand medications label instructions. However, they suggested that lower reading and writing skills and high number of medications prescriptions link separately to misunderstanding of instructions on medications labels. Hospital design and device purchase in patient safety strategies Reiling, 2005, suggested that building a hospital (whether new or relocated) around the principles of patient safety would have two important impacts on return of investment. First, it combines safety and efficiency, second, it reduces the costs of adverse effect and hospital stay therefore; reduces the patients cost on discharge. To achieve a safety cantered hospital design, Reiling, 2005, suggested that architects, engineers, contractors, heads of departments and executive managers should participate in discussions around what they need. There is no specific design but contributions of the whole team from the perspectives of patient safety culture are mandatory. Johnson and colleagues, 2004, examined the patient safety in purchasing equipment. They analysed purchasing decisions taken at three different healthcare centres. Johnson and other, 2004, assumed there were points of strengths and others of weaknesses. The points of weaknesses draw the attention to the necessity of having guidelines to help healthcare providers to assess issues of patient safety when purchasing medical devices. Patient safety in the ICU There are many reasons that make the ICU a special unit to look at specifically as regards patient safety. Of these reason, the patients are critically ill, which renders them vulnerable to the adverse effect of medical errors. Second, the great effort performed by nurses and internists with sometimes exhaustive shift work, which may result in sleep deprivation and possibly lack of concentration. Third, the diverse use of equipment (ventilators, catheters, monitors etc) and the invasive procedures sometimes adopted (emergency tracheotomy, central venous pressure or arterial-venous cannulation) which add to the risk of hospital-acquired infection or increase the incidence of adverse effects (Rothschild and others, 2005). Rothschild and colleagues, 2005 conducted a one-year prospective observation study as a part of Harvard Hours and Health Study (2002-2003). They designed their study as a multidisciplinary epidemiological study to portray both frequency and types of adverse effects in the ICU. The result were informative, there were 120 adverse events reported (80.5 per 1000 patient-day). Of the patients who suffered adverse effects, 13.8% suffered one adverse effect, and there were 16 life-threatening adverse effects. The commonest were respiratory, infection, and cardiovascular system (19%, 15%, and 12% respectively). The incidence of serious medical errors was 149.7 per 1000 patient-day of which, 11% were life threatening. Incident discovery was by direct observation in 62% of the cases and the patients nurses discovered 36 % of the cases. In 74.8% of cases, errors occurred during the course of treatment or a procedure. An intern failure to wash hands after attending a patient formed 51% of sterility hazards related to procedures. Although their results cannot be applied to all ICU units, yet it draws the attention to how frequent and how serious patient safety can be compromised in ICU units. At the same time, their result show how results of treatment in the ICU would improve, despite the hard work, if teams stick to unit protocols and principle of patient safety (Rothschild and others, 2005). Kho and others, 2005, used the Safety Climate Survey (a tool approved by the Institute of Health Care Improvement) to measure patient safety in four ICU units, 56.9% of those responded to the survey were nurses. Based on their results, they assumed that Safety climate survey and Safety culture scales are reliable tools to measure patient safety in ICU. Chang and other, 2005, suggest that reform of patient safety in the ICU should start by establishing physician and nurse leadership, once this is achieved, carrying out patient safety protocols becomes a matter of team effort and commitment to the concept. Identifying a specific group of patients to start with (as an example, patients on ventilators), planning carefully the procedures, and opening a communication channel among the staff should reach the best results. Following evaluation of what progress made, the next move is for another group of patients. At the end, this should provide synchronization among the staff that makes decision making in shortage of time easier and provides better training and education to the newly coming staff. Obstacles facing the implementation of patient safety Cook and colleagues, 2000, considered the complexity of healthcare as an overwhelming obstacle to achieve desired patient safety levels. Technical work in healthcare needs appropriate and quick decision making, critical to the patients safety at times, moreover, it is risky by nature. It is true that health practitioners whether physicians, nurse, technicians or other staff are trying to cope with this complexity, however this complexity creates a disparity in healthcare practice and nursing (they called it gap). Cook and colleagues assumed the means of improving patient safety is by supporting practitioners ability to perceive and cross these disparities, rather than making changes in authority or different roles with possible division of professional work force. The search and detection of these disparities or gaps as a research goal should make the breakthrough in patient safety achievements. During this research pursuit, disparities indicate areas of weaknesses and susceptibility and may elicit the means complexity flows through health care systems to patients (Cook and colleagues, 2000). Amalberti and colleagues, 2005, identified five system barriers to even safer healthcare; the first is regulations, which significantly limit the risk allowed, thus, limiting maximum performance of healthcare givers. There is a real need for proper balance between the industrial notions to get a high productivity whatever it takes, and the concepts of patient safety culture. Doing that, researchers should take into consideration the economic troubles of the healthcare system and the spontaneous drive of productivity among healthcare workers. Second, other important issues need dealing with before or in conjunction with the issue of patient safety, an important example to these issues is the need for standardization of healthcare practice and nursing. Third, the core of healthcare work is synchronization among practitioners, therefore recommendations should stress on teamwork and opening communication channels among the healthcare staff, instead of trying to reach optimal performance of each organizational level separately. The fourth obstacle is the need for system-level mediation to improve patient safety planning. References WHO Regional Office for South-East Asia (2006). Working Paper: Promoting Patient Safety At Healthcare Institutions. Retrieved 28/04/2008, from WHO Secretariat report (2002). Quality of care: patient safety. Retrieved 30/04/2008, from Department of Health and Human Services. (2008). Patient Safety and Quality Improvement. Washington DC: Federal Register. Vol.73 (29): 8112-8183. Health Grades Inc. (2006). Third Annual Patient Safety in American Hospital Study. Golden, Colorado. Bruke, J. P. (2006). Infection Control A Problem for Patient Safety. The New England Journal of Medicine, 348 (7), 651-656. Armstrong. K J. and Laschinger H (2006). Structural Empowerment, Magnet Hospital Characteristics, and Patient Safety Culture: Making the Link. J Nurs Care Qual, 21 (2), 124-132. Duthie E, Favreau B, Ruperto A et al. (2004). Quantitative and Qualitative Analysis of Medication Errors: The New York Experience. Advances in Patient Safety, Vol. 1, 131-144. Adamski P (2005). Medication Management: A patient safety priority. Nurs Manag, 36 (10), 14. Davis T C. Wolf M S. Bass P F. et al (2006). Literacy and Misunderstanding Prescription Drug Labels. Annals of Internal Medicine, 145 (12), 887-894. Reiling J G. (2005). Creating a Culture of Patient Safety through Innovative Hospital Design. Advances in Patient Safety, Vol. 2, 425-439 Johnson T R., Zhang J., Patel V L. et al (2004). The Role of Patient Safety in the Device Purchasing Process. Advances in Patient Safety, Vol. 1, 341-352. Rothschild J M., Landrigan, C P., Cornin J W. et al (2005). The Critical Care Safety Study: The Incidence and Nature of Adverse Events and Serious Medical Errors in Intensive Care. Crit Care Med, 33 (8), 1694-1700. Kho M E, Carbone J M, Lucas J and Cook D J (2005). Safety Climate Survey: reliability of results from a multicenter ICU survey. Quality and Safety in Health Care, 14, 273-278. Chang, S.Y., Multz, A. S. and Hall, J. B (2005). Critical Care Organization. Critical Care Clinics. Vol. 21 (5), 43-53 Cook R I. Render M. and Woods D. D (2000). Gaps in the continuity of care and progress on patient safety. BMJ, 320 (7237), 791-794. Amalberti, A, Auroy, Y, Berwick, D and Barach, P (2005). Five System Barriers to Achieving Ultrasfe Health care. Annals of Internal Medicine. Vol. 142 (9), 756-764 Wilson, A R., Dowd, B E. and Kralweski, J E. (2005). Patient Safety Research in Medical Group Practices: Measurement and Data Challenges. Advances in Patient Safety, Vol. 2, 51-62 Woolf, S H. (2004). Patient Safety Is Not Enough: Targeting Quality Improvements To Optimize the Health of the Population. Ann Inter Med, Vol. 140, 33-36 Baxter, S K and Brumfitt, SM (2008). Benefits and Losses: a qualitative study exploring healthcare staff perception of teamworking. Quality and Safety in Health Care, Vol.17, 127-130 Pstay, B M. and Bruke, S P. (2006). Protecting the Health of the Public: Institute of Medicine Recommendations on Drug Safety. The New England Journal of Medicine, Vol. 355, 1753-1755

Relationship Between Moby Dick and Ahabs Wife :: Moby Dick Essays

Examining the Relationship Between Literary Works: Moby Dick and Ahab's Wife Literature changes. One story creates a niche for another story to come into existence, or be written. What is a literary niche and how exactly does an evolutionary text fill it? Who gets to decide? This question is easiest to answer by first establishing what a text cannot do: it does not fill in all the missing gaps. Moby Dick created a niche for another book to come into being: Ahab's Wife. In examining the relationship between the two books, one might say that Ahab's Wife functions in filling in all the missing pieces that Moby Dick left. For example, take the opening lines of the two books: In Moby Dick, "Call me Ishmael." (18) In Ahab's Wife, "Ahab was neither my first husband, nor my last." (1) The first sets up a premise; the second could be seen as offering, in response, another story to pick up where the other leaves off. However, upon closer analysis it becomes clear that trying to fill in all the places where Moby Dick leaves off would be impossible; such a feat could not be imagined in one text. This is because Moby Dick opens up so many niches to be filled, not only responses to its specific text or story such as Ahab's Wife but also places in the succession of literary tradition. For example, it was evolutionary in assigning heroic qualities to characters traditionally seen as renegades. The picture becomes clearer if one regards Moby Dick not as the premise but coming from an evolutionary line itself, responding to the treatment of characters in texts such as the Bible and Shakespearean plays. When one thinks of how Ahab's Wife works in relation to this line, it is difficult to say whether it actually is an evolutionary text. It does not seem to evolve from Moby Dick at all; it is simply the same story. The reader may not realize this until near the very end of the book, when Una addresses Ishmael: Do you mind we write the same book? (663) To come to any conclusions about what kinds of niches a text might fill it helps to look at other lines through which texts have evolved. John Gardner, a modern academic novelist, wrote a book, Grendel, which complicates the monstrous villain from Beowulf. In discussing evolutionary literature, Beowulf is interesting because it is the first known recorded work in English.

How Sports Influenced Me

Fit For Life How Sports Influenced Me Winning athletes and top students share many of the same qualities. They are both hardworking, dedicated, and have the desire to be successful. But a student-athlete has all of these characteristics plus numerous others. Throughout high school, I played multiple sports and they each taught me something different, influenced my life, and helped shape me into the person I am today. A few things I learned include how important teamwork is and how critical it is to have a good work ethic.Playing high school level sports was an amazing experience, unmatched by any other. I will carry all the attributes I learned through my life. One of the most important things I learned as a high school athlete was how to work well with others. Teamwork creates a sense of unity within a group of people that leads to having a successful team. Playing a myriad of sports during high school made me understand that when a team works together, as one, they get the greatest results.Teamwork is also important in the classroom. I discovered that working side by side with my classmates not only allowed me to excel academically but I could also help my peers reach their greatest potential as well. The first thing athletes are taught is to always try their best, no matter what. If a team is down by 20 points, a dedicated athlete will give everything he/she has and never quit. If just one player quits, either mentally or physically, the rest of team gets dragged down too.Athletes are told to be players who always hold their heads high and never accept defeat. This is how I became a leader and developed an exceptional work ethic. These are both important qualities for any person to possess. After high school I will pursue a Master of Education degree with a focus on elementary education. I hope that when I become a teacher I am able to teach my students to live by the same virtues. How Sports Influenced Me Fit For Life How Sports Influenced Me Winning athletes and top students share many of the same qualities. They are both hardworking, dedicated, and have the desire to be successful. But a student-athlete has all of these characteristics plus numerous others. Throughout high school, I played multiple sports and they each taught me something different, influenced my life, and helped shape me into the person I am today. A few things I learned include how important teamwork is and how critical it is to have a good work ethic.Playing high school level sports was an amazing experience, unmatched by any other. I will carry all the attributes I learned through my life. One of the most important things I learned as a high school athlete was how to work well with others. Teamwork creates a sense of unity within a group of people that leads to having a successful team. Playing a myriad of sports during high school made me understand that when a team works together, as one, they get the greatest results.Teamwork is also important in the classroom. I discovered that working side by side with my classmates not only allowed me to excel academically but I could also help my peers reach their greatest potential as well. The first thing athletes are taught is to always try their best, no matter what. If a team is down by 20 points, a dedicated athlete will give everything he/she has and never quit. If just one player quits, either mentally or physically, the rest of team gets dragged down too.Athletes are told to be players who always hold their heads high and never accept defeat. This is how I became a leader and developed an exceptional work ethic. These are both important qualities for any person to possess. After high school I will pursue a Master of Education degree with a focus on elementary education. I hope that when I become a teacher I am able to teach my students to live by the same virtues.

The Giant Panda essays

The Giant Panda essays In the Earth ¡Ã‚ ¯s ecosystem, many species of animals live with mutual cooperation and influence on each other. For example, mankind benefits as much 2.9 trillion dollars from biological diversity. Despite this benefit, however, because of the paucity of awareness of environmental importance, many species are endangered. According to the statistics, the problems of the ecosystem are serious; three species per hour and 20-40 thousands species per year become endangered. China, well known for its variety of climate conditions and its abundant topography, is also faced with the problem of endangered species. Especially, in the case of the giant panda, the emblem of China, China makes an effort to protect pandas. For many reasons, the panda is endangered. First of all, the most important problem of the panda is its copulation habit. Actually, the female and male panda have a different estrous cycle. The female panda ruts from April to May; however, the male panda ruts two or three months later. Therefore, pandas have low ability to copulate. In addition, the panda usually reproduces its kind with two babies per three years. Second, the other important problem is the reduction and destruction of the panda ¡Ã‚ ¯s habitat. The panda lives in a forest and marshy place. However, the panda ¡Ã‚ ¯s habitats fall behind in quality due to the large scale forest clearing and the inordinate grazing. For example, Hyenam, one of the panda ¡Ã‚ ¯s habitats in China, showed the decline of the panda ¡Ã‚ ¯s habitat from 25.7% to 7.2% during 27 years. Indeed, the environmental pollution of land, water, and air makes the panda leave its habitat to find its new suitable places for living. Finally, excessive capturing caused by man is also a big problem of the panda. In Asia, the blood of some animals is well known as a good tonic. So many rich men want to have it, even though they pay lots of money; the panda has this blood. I ...

Free Essays on Renault & Nissan Joint Venture

Since the 1980's, and even more now in the late nineties, it has become a growing trend for companies, both large and small, domestic and foreign, to form strategic alliances within their particular industries. There are many specific goals that companies may be looking to achieve by dong this, but the main underlying reason is to guarantee the long-term sustained achievement of "fast profitable growth" for their business. They have to keep up with a rapidly increasing diversified global market and increased competition. Renault and Nissan join forces to achieve profitable growth for both companies†¦ On Saturday, March 27th, it was announced that Renault, a French car manufacturer, would be teaming up with Nissan Motor Corporation in a $5.4 billion deal that created the world's fourth largest automaker. This deal gives Renault a 36.8% stake in Nissan, a company that has been struggling financially for the past few years. "The $5.4 billion deal between Renault and Nissan hands over effective control to the French automaker in exchange for badly needed cash" (Wwodruf). There are other agreements within the contract, but they will not be discussed in much detail at this time. Both of these corporations plan on benefiting from the merger. This alliance will resolve Nissans very substantial financial problems. Renault will be given the opportunity to join the automotive big leagues at a time of global expansion in the auto industry (Marks). Market expansion will be possible because Nissan is strong i n Japan, Taiwan, Thailand and North America- markets where Renault has no presence. On the other hand, Renault is one of the top marketers in Europe, while Nissan is just a small player. Nissan is strong in trucks and luxury cars, and Renault is strong in small, mass-market cars. Even though the deal sounds great, it does not come risk-free. Many skeptics believe that the teaming up of two struggling automakers will not result in profitabilit... Free Essays on Renault & Nissan Joint Venture Free Essays on Renault & Nissan Joint Venture Since the 1980's, and even more now in the late nineties, it has become a growing trend for companies, both large and small, domestic and foreign, to form strategic alliances within their particular industries. There are many specific goals that companies may be looking to achieve by dong this, but the main underlying reason is to guarantee the long-term sustained achievement of "fast profitable growth" for their business. They have to keep up with a rapidly increasing diversified global market and increased competition. Renault and Nissan join forces to achieve profitable growth for both companies†¦ On Saturday, March 27th, it was announced that Renault, a French car manufacturer, would be teaming up with Nissan Motor Corporation in a $5.4 billion deal that created the world's fourth largest automaker. This deal gives Renault a 36.8% stake in Nissan, a company that has been struggling financially for the past few years. "The $5.4 billion deal between Renault and Nissan hands over effective control to the French automaker in exchange for badly needed cash" (Wwodruf). There are other agreements within the contract, but they will not be discussed in much detail at this time. Both of these corporations plan on benefiting from the merger. This alliance will resolve Nissans very substantial financial problems. Renault will be given the opportunity to join the automotive big leagues at a time of global expansion in the auto industry (Marks). Market expansion will be possible because Nissan is strong i n Japan, Taiwan, Thailand and North America- markets where Renault has no presence. On the other hand, Renault is one of the top marketers in Europe, while Nissan is just a small player. Nissan is strong in trucks and luxury cars, and Renault is strong in small, mass-market cars. Even though the deal sounds great, it does not come risk-free. Many skeptics believe that the teaming up of two struggling automakers will not result in profitabilit...

Criminal Evidence 9 Essay Example | Topics and Well Written Essays - 250 words

Criminal Evidence 9 - Essay Example The search and seizure laws are prescribed under the Reasonable Expectation of privacy. The right of the passenger was violated, and anything found cannot be used as evidence against the passenger (Creamer, 1980). In essence, I absolutely agree with the Supreme Court. According to the ruling held by the Court of Appeals, the search of a locked counsel of the automobile was unreasonable since the driver had allowed the officer to search only the inside of the vehicle. The court based its decision on the test held by the Florida Supreme court in the case between the state verses Wells 539 So. 2D 464, in which the court held that, an individual has two exceptional interests that must be safeguarded (Florida v. wells, 1990). In this case, it was held that, the locked console in the drivers car was an illustration that the contents were private, and if the officers wanted to access the locked counsel, they would have requested for the key or even use force to open it. Similarly, in our case scenario, it was impartially rational for the police officers to believe the driver’s consent to search only the inside of the vehicle and access everything inside the case, since they were not limited to search. Therefore, they had the consent to search even the brown paper bag. The evidence found should therefore be used against the defendant because the drugs were found inside the car with the drivers consent (Creamer,

Endometriosis Case Study Example | Topics and Well Written Essays - 500 words

Endometriosis - Case Study Example However, the growth is less likely to be found in other areas such as the lungs. The misplaced tissues develop into growths that respond to the menstrual periods in a similar way as the uterine lining. Consequently, this allows blood to flow from these endometrial growths but cannot leave the body. Such an aspect subjects the person to internal bleeding, tissue breakdown and inflammations that can even cause infertility and bowel problems (Watson, 2007). Endometriosis differs from endometritis in various ways ranging from its causal effect, and the pathophysiology and its presentation on the affected organs. For instance, endometritis is an infection that occurs in the endometrium lining that may occur during a prolonged labor pains, uterine instrumentation or even a C-Section. It can be also be caused by sexually transmitted diseases such as gonorrhoea, chlamydia or a mix of the vaginal bacteria. These aspects make it differ from endometriosis that occurs as a response to hormones for tissue growth on the peritoneal cavity (Burrage and BSMO, 2013). The causal factor of endometriosis has remained unknown, however, for the endometritis it is caused by infections on the uterus. An individual with endometriosis may feel pain in their intestines, pelvic or even at their lower back. Additionally, they may experience pain during and after sexual play at the inner vaginal walls that may appear swollen. On the other hand, they may experience heavy menstrual cycles, or bleeding or spot between periods. This differs from endometritis in that the individual experiences abnormal vaginal discharges, with discomfort, swelling of their abdomen and pain in the pelvic region (Burrage and BSMO, 2013). While there is cure for endometritis that is subjected to antibiotics, endometriosis has no cure but there different treatments. The treatment for this female victim depends on the age and the intense of the pain associated with the endometriosis. If the patient