Thursday, October 31, 2019

Retail Marketing Bachelor Essay Example | Topics and Well Written Essays - 2500 words

Retail Marketing Bachelor - Essay Example Other important applications include informing the details of the company to the sales personnel, suppliers and others so that they become aware of company's goals and achievements. Let's look at the essential elements of marketing plan for a computer-centralize system for a group of hotels. High fields Hotels comprises a group of five hotels based in Southampton and concentrates more on weeknight business clienteles. Employing proper technological applications for appropriate work solves many problems. High fields Hotels uses outdated technological applications that create more problems than solutions. High fields Hotels use standalone PCs to meet the requirements like billing, checking in and checking out of the customers etc. Using PCs is not the problem; the problem arises due to non-availability of network systems in the five hotels. They don't have any central reservation systems that can keep them updated about the different activities of the hotels all the time. Most of the work is done manually at these five hotels. All the five hotel general managers are answerable to group managing director (MD). The hotel general mangers prepare a report by extracting the required data from various systems of the hotels and create management reports using a word processing application. This report is submitted to the group-managing director that would be analysed to make any changes in the daily activities of the hotels. FEASIBILITY STUDY Feasibility study is an important phase in the software development process. It enables the developer to have an assessment of the product being developed. It refers to the feasibility study of the product in terms of outcomes of the product, operational use and technical support required for implementing it. Feasibility study should be performed on the basis of various criteria and parameters. The various feasibility studies are: Economic Feasibility Operational Feasibility Technical Feasibility Economic Feasibility: It refers to the benefits or outcomes. We are deriving from the product as compared to the total cost we are spending for developing the product. If the benefits are more or less the same as the older system, then it is not feasible to develop the product. In the present system, the development of the new product greatly enhance the accuracy of the system and cuts short the delay in the processing of Birth and Death application. The errors can be greatly reduced and at the same time providing great level of security. Hence, we do not need any additional equipment except memory of required capacity. No need of spending money on client for maintenance because the database used is web enabled database. Operational Feasibility: It refers to the feasibility of the product to be operational. Some products may work very well at design and implementation but may fall in the real time environment. It includes the study of additional human resources required and their technical expertise. Technical Feasibility: It refers to whether the software that is available in the market fully supports the present application. It studies the pros and cons of using particular software for the

Tuesday, October 29, 2019

Welfare Reform in the United States Essay Example for Free

Welfare Reform in the United States Essay Throughout recent years the economy of the United States of America has been going through a major recession. There have been and continue to be irresponsible fiscal policies that have led to these major problems that are at the forefront of the minds and lives of the American people. Picking just one cause or problem to our nations’ economic decay is virtually impossible, yet one of the aspects of government that is considered for reform quite often can be refined to help stimulate the economy now and in the future. History in the United States  The United States welfare program is full of a rich history that began well before the actual system of welfare was developed by President Roosevelt. The welfare ideas stemmed from a very human trait of caring for the needy. Many small programs were developed to try to help the lower class. These programs focused on â€Å"teaching a man to fish† or giving him a short term solution and education to help him have a better opportunity in his future. The programs were never designed to be a long term solution for the needs of those people who were suffering through financial difficulties. In fact few private and government retirement pensions existed in the United States before the Great Depression. The prevailing view was that individuals should save for their old age or be supported by their children. About 30 states provided some welfare aid to poor elderly persons without any source of income. Local officials generally decided who deserved old-age assistance in their community (welfare reform. 123HelpMe. com. ) ( transplant-speakers. olhblogspace. com) â€Å"†The New Deal† The emphasis during the first two years of President Franklin Roosevelts New Deal was to provide work relief for the millions of unemployed Americans. President Roosevelt’s focus on helping people become working and financially responsible was an important part to the economic relief during the great depression. The â€Å"New Deal† provided a short term solution and plan for the unemployed to become financial independent. Most federal money was given to the states pay for public works projects, which employed the jobless. Some federal aid also directly assisted needy victims of the Depression. The states, however, remained mainly responsible for taking care of the unemployables (widows, poor children, the elderly poor, and the disabled). But states and private charities, too, were unable to keep up the support of these people at a time when tax collections and personal giving were declining steeply. In his State of the Union Address before Congress on January 4, 1935, President Roosevelt said â€Å"the time has come for action by the national government to provide security against the major hazards and vicissitudes [uncertainties] of life. He went on to propose the creation of federal unemployment and old-age insurance programs. He also called for guaranteed benefits for poor single mothers and their children along with other dependent persons. By permanently expanding federal responsibility for the security of all Americans, Roosevelt believed that the necessity for government make-work employment (make-work employment refers to the government stepping in and creating work/jobs) and other forms of Depression relief would disappear. In his address before Congress, Roosevelt argued that the continuation of government relief programs was a bad thing for the country: â€Å"lessons of history, confirmed by the evidence immediately before me, show conclusively that continued dependence upon relief induces a spiritual and moral disintegration fundamentally destructive to the national fiber. To dole out relief in this way is to administer a narcotic, a subtle destroyer of the human spirit . . .. † (F D R: the words that reshaped America By Franklin Delano Roosevelt, Stamford Parker) As we reflect on these words we can see that America and her leaders have lost sight of the true purpose and plan behind the welfare program. (citizenjoe. org- Percentage of welfare spending) â€Å"The Social Security Act† A few months later, on August 18, 1935, Roosevelt signed the Social Security Act (Wikipedia. org). It set up a federal retirement program for persons over 65, which was financed by a payroll tax paid jointly by employers and their workers. FDR believed that federal old-age pensions together with employer-paid unemployment insurance (also a part of the Social Security Act) would provide the economic security people needed during both good and bad times. Not by any means was Roosevelt implying he wanted the vast minorities or majorities in age or race to become dependent on the federal or state governments. In addition to old-age pensions and unemployment insurance, the Social Security Act established a national welfare system. The federal government guaranteed one-third of the total amount spent by states for assistance to needy and dependent children under age 16 (but not their mothers). Additional federal welfare aid was provided to destitute old people, the needy blind and crippled children. Although financed partly by federal tax money, the states could still set their own eligibility requirements and benefit levels. This part of the law was pushed by Southern states so they could control the coverage made available to their African-American population. This is how welfare began as a federal government responsibility. Roosevelt and the members of Congress who wrote the welfare provisions into the Social Security Act thought that the need for federal aid to dependent children and poor old people would gradually go away as employment improved and those over 65 began to collect Social Security pensions. But many Americans, such as farm laborers and domestic servants, were never included in the Social Security old-age retirement program. Also, since 1935, increasing divorce and father desertion rates have dramatically multiplied the number of poor single mothers with dependent children. This made it much harder for the government to dole out the funds for social security. Since the Great Depression, the national welfare system expanded both in coverage and federal regulations. It has become a crutch for many of American citizens. The welfare program is not serving its original purpose. From its inception, the system drew critics. The system does not do enough to get people to work. Others simply believed the federal government should not administer a welfare system. As the system grew, so did criticism of it, especially in the 1980s and 90s. Additions to Welfare† In 1992, Democratic candidate, Bill Clinton, ran for president promising to end welfare as we know it. Yet a complete mend to a federal and state entity that provided support and stability to thousands would cripple the economy and leave all those in the system to fend for themselves after being on a system that did everything for them. Then in 1996, a Republican Congress passed and President Clinton signed a reform law that returned most control of welfare back to the states, thus ending 61 years of federal esponsibility (â€Å"Constitutional Rights Foundation† http://www. crf-usa. org/bill-of-rights-in-action/bria-14-3-a-how-welfare-began-in-the-united-states. html ). When the federal Aid to Families with Dependent Children (AFDC) program began in 1936, it provided cash aid to about 500,000 children and parents. By 1969, the number had grown to nearly 7 million. Over the years, Congress added new programs. President Lyndon B. Johnsons War on Poverty provided major non-cash benefits to AFDC recipients as well as to other needy persons. In 1964, Congress approved a food stamp program for all low-income households. The next year, Congress created Medicaid, a federal and state funded health-care system for the destitute elderly, disabled persons, and AFDC families. In 1974, during the Nixon presidency, Congress established the Supplemental Security Income (SSI) program to provide aid to the needy elderly, blind, and disabled. This program made up the last major component of the federal welfare system. By 1994, more of the nations needy families, elderly, and disabled received federal welfare than ever before. Aid to Families with Dependent Children alone supported more than 14 million children and their parents. By the 1990s, AFDC supported 15 percent of all U. S. children. In most cases, these children lived at home and were cared for by a single parent, usually the mother, who did not work. In August 1996, after 18 months of debate, Congress passed and President Clinton signed into law the Personal Responsibility and Work Opportunity Act. This welfare reform law ended 61 years of AFDC guaranteed cash assistance to every eligible poor family with children. The new law turned over to the states the authority to design their own welfare programs and to move recipients to work. Under the new law, the Temporary Assistance for Needy Families (TANF) program, funded by federal block grants and state money, replaced AFDC. States are given wide discretion in determining eligibility and the conditions under which families may receive public aid. But Congress tied a number of strict work requirements to the federal block grants: †¢ Adults receiving family cash-aid benefits must go to work within two years.  States may exempt a parent with a child under 1 for no more than 12 months. States had to have 25 percent of their welfare caseloads at work in 1997 and 50 percent of their caseloads at work by 2002. States who fail to meet these requirements will lose 5 percent of their federal block grants (http://www. welfareinfo. org/history/). Each adult is limited to no more than five years of cash assistance during his or her lifetime. But states may exempt up to 20 percent of their caseloads from this limit. A 1995 study by the Cato Institute revealed that the value of the total benefit package received by a typical welfare recipient averaged more than $17,000, ranging from a high of over $36,000 in Hawaii to a low of $11,500 in Mississippi. In 9 states welfare pays more than the average first-year salary for a teacher. In 29 states welfare pays more than the average starting salary for a secretary. In 47 states welfare pays more than a janitor makes. In the 6 states benefits exceed the entry-level salary for a computer programmer (http://www. heritage. org/ and www. cato. org). America can be on her way to economic stability and growth once again if we obtain a complete understanding of the rich history of the public welfare system. We can come closer to helping our citizens be financially independent, we can become a more cultured and sophisticated society. When we embrace the true purpose behind the original establishment of welfare programs and provide people with an opportunity to live within their means when they need assistance, and teach them how to provide for their future, then we will be able to further help our country and our economy. We will once again become the world’s leading economic power and our citizens will be the force behind that great power. PROPOSAL A Plan for Modern Reform One of the greatest ways we can help America regain the great power it once had is by electing a leader who can help us solve some of the financial issues we face, specifically welfare. Republican Presidential candidate Mitt Romney is that person. Regarding the current welfare problem he stated, â€Å"â€Å"Fundamentally, this is a debate about the best way to help someone lead a fulfilling life. We know that the best system isn’t about a handout but a hand up. † –Source: press release on welfare reform (July 2005) â€Å"People want a chance to work so they can build self-sustaining lives instead of relying on a welfare check that will keep them trapped in poverty. By providing support services and incentives where necessary, we want to give welfare recipients the opportunity to achieve independent and fulfilling lives. † –Source: press release on welfare reform (January 2005) We must not allow people to abuse the welfare system. We need to establish and follow strict guidelines and laws for receiving welfare. We must also develop a system to help people get off of the program and stop abusing the system. Mitt Romney has offered a full-fledged detailed economic plan when he announced a 59-point job and economic proposal during a speech at the McCandless International Trucks dealership in Nevada, Las Vegas on September 6, 2011. Called Day One, Job One, the plans main objective would be to restore America to the path of robust economic growth necessary to create jobs. .

Saturday, October 26, 2019

Example Answers For Questions On Evidence Based Practice Nursing Essay

Example Answers For Questions On Evidence Based Practice Nursing Essay Introduction In this assignment I shall discuss the concepts of Evidence Based Practice (EBP), and briefly outline its importance to my professional practice. I shall select a relevant aspect of my practice in relation to my professional discipline. I will provide a rationale for selecting my aspect of professional discipline, which will be within the context of (EBP). I will discuss the extent to which my selected aspect of professional practice is informed by various types of evidence. In relation my chosen aspect of professional practice, I shall then identify factors that may facilitate and hinder the implementation of (EBP). Q1 Evidence based practice (EBP) is to demonstrate the best practice, which has been supported, with a clear rationale to back it up. Whilst using (EBP), this also acknowledges the patient/clients best interest. (EBP) is the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patient/clients (Sackett et al, 1996). In this definition Sackett facilitates an understanding between (EBP) and decisions we make in everyday practice. This demonstrates the strong connection between both aspects. Here, Sackett emphasises the importance of decisions we make as healthcare professionals, and how clearly they should be stated. This shows that decisions are well thought-out, which demonstrates that the use of evidence is used sensibly and carefully, which means that any care or support we deliver must be evidence based. It shows that Sackett understands that if care or support we provide has a rationale, then this enables us to deliver it with a meaningful purpose. According to the Nursing and Midwifery Council (NMC) we as healthcare professionals must deliver care on the best evidence or best practice (2008). The code of conduct clearly states that any advice we give must be evidence based. If we fail to adhere to the code, then this may result in disciplinary action by the (NMC) (2008). As healthcare professionals I feel any care we deliver should have a rational to justify anything we carry out. I believe that as healthcare professionals we are expected to understand why we are caring for patient/clients, whereby a rationale is provided for the care that we provide. (EBP) helps us as healthcare professionals keep updated with policies and procedures (ref). It is fundamental that we keep our skills and knowledge current, which enables us to provide effective care. (EBP) in its earlier days of evidence based medicine, which provides a suitable way in producing efficient clinical decisions, avoiding routinely work practice, which increases clinical performance (Evidence Based Medicine Working Group 1992, Davidoff et al ,1995). In the above statement it demonstrates that (EBP) contributes to significant clinical decisions, which may subsequently develop It is important that we adhere to policies and procedures for the best practice available, which may prevent us from making any errors. As practitioners we are accountable for our actions. Justifying what we do is vital, which must have a rationale behind it. Failure to adhere to (NMC) may result in professional misconduct (2008). Q2 Here I shall formulate the question according the (PICO) method, which is population, intervention, comparison intervention, and outcome. This was devised by Sackett et al, which is a useful method in order to make questions more purposeful (1997). My selected aspect of professional practice is the Treatment of Depression and its Effectiveness in Adults with Cancer. I personally feel there is a high prevalence of depression in cancer patients. In my experience, I have found that there are many cancer patients, which may be suffering from depression. According to Barraclough (1994) states that depression is the most common psychiatric illness in patients with terminal cancer. The high prevalence of depression in cancer patient has influenced me carry out my own research, which will effectively enhance my knowledge. Personally, I feel that by developing my knowledge on my chosen topic will help enable me to have a greater understanding, t in my future practice. Hinton (1963) found that 24% of patients dying in an acute hospital were depressed. It has been found by Casey that patients suffering with depression may be assessed by asking them if they have symptoms such as ; loss of pleasure in activities, feelings of guilt and worthlessness, or thoughts of self harm, which may help in recognizing a diagnosis in depression (1994). Q3 The objective of a qualitative research is to describe, explore, and give explanation to the phenomenon what is being studied (Marshall Rossman, 2006. (Morse Richards 2002) established that there many techniques used in the collection of data involved in the production of a qualitative study, but the commonly used are observing and interviewing partakers. A meta-analysis is within a qualitative study, whereby the findings of qualitative are carefully examined, the methods and theories from different studies, to form an overview or conclusive ways of thinking about phenomena Thorne et al (2004). In my experience I have found that many patients whom have cancer have been low in mood, but often go left untreated. Maguire found that up to 80% of psychological and psychiatric morbidity, which develops in cancer patients often goes unrecognised and untreated (1985). It speaks about how patients are non-compliant in discussing symptoms unreservedly with nursing and medical staff. It mentions that in the United Kingdom (U.K) clinical nurse specialists play an important role in assessing the symptoms and providing advice to cancer patient with highly developed and metastatic cancer (Gray et al,1999). This qualitative study was purposely carried to deter how clinical nurse specialist manage, assess, and perceive depression in such patients, in both hospital and community settings. Atkin et al (1993) found that 43.4% of nurses reported that early recognition of, signs of anxiety and depression was part of their role. It shows the difficulty nurses are faced with in convincing medical staff to follow up assessment or prescribe antidepressant medication. I shall now critique the study. Firstly, none of the nurses had any form of mental health training. Therefore, I feel their lack of knowledge may have falsified the findings of the study. Lastly, the demographic area may have been expanded further afield, which subsequently makes the findings minimalistic. The view proposed by Long (1995, p94) that the most problematic characteristic of the hierarchy of evidence model, is that it completely lacks recognition of qualitative study methods. According to Sackett et al (1996) a qualitative is in the ranking of research evidence at the base. Here, it shows that a qualitative study has inadequate efficacy, whereby it lacks randomization, it also has scarce before and after studies. However, it does give emphasis to the fact that open ended question were asked in a qualitative study, which demonstrates its feasibility. An open ended question can have many answers, whereby it can be answered in many ways than one. If in depth answers are obtained, then this may enable the researchers to capture a greater insight of the situation. Nevertheless, it has been discovered that identifying the findings in a qualitative study can be complex, this may due the style of reports, or they may be perceived wrongly (Sandelowski Barroso 2004). Systematic reviews were first defined as concise of the best available evidence that address sharply defined clinical questions (Murlow et al 1997). Here, it states that a systematic review involves gathering quality information, which is then analysed, whereby it is then summarised. A systematic review is a vital source of evidence-informed policy and practice movement, which connects research in decision-making (Chalmers, 2003). Secondly, this systematic review provides us with evidence on cancer patients receiving interventions such as drug therapy, and their efficacy. In this systematic review it found that depression is the most common in cancer patients, which often goes undiscovered and untreated (Lloyd-Williams, (2000); Bailey et al,(2005). It also shows that cancer patients survival rate may be decline if their immune response is impaired. (Andersen et al, 1998; Newport and Nemeroff, 1998; Reiche et al, 2004) and poorer survival (Buccheri, 1998; Faller et al, 1999; Watson et al, 1999; Faller and Bulzebruck 2002; Herjl et al, 2003; Goodwin et al, 2004). It is known that in previous systematic reviews and meta-analyses of the effectiveness of interventions for cancer patients whom are suffering from depression have been unsuccessful in differentiating between depression/depressive symptoms. Dale and Williams (2005) refers to the findings from this review, which demonstrate that there little trial data on the effectiveness of antidepressants, which are prescribed to reduce major depression and depressive symptoms in those suffering with cancer. Nevertheless, previous reviews which have failed to identify the dissimilarity between both depression and depressive symptoms. It shows little data from clinical trials, which demonstrate psychotherapeutic interventions, which may effective in reducing depression in cancer patients. A number of small-scale trials showed that psychotherapeutic interventions, more so Cognitive Behavioural Therapy (CBT), which may be effective in treating cancer patient whom have depressive symptoms. In conclusion, this review shows that there is a hard-pressed need for a more rigorous process in the examination of the effectiveness and consequences regarding approaches towards in managing depression in cancer patients, and providing them with appropriate healthcare services. In respect to the hierarchy of evidence chart Sackett (1996) states that systematic reviews are at the peak of the chart, which demonstrates this, a strong piece of evidence. The results of a systematic reviews are produced in such a way, whereby a thorough examination of evidence is processed (Murlow,1987; Cook et al.,1998). Sackett and Straus (1998) found that systematic reviews of (RCTs) are ranked as the best evidence in making clinical decisions in relation to a patients care. Within this study a systematic review of randomised controlled trials (RCT) of pharmacological and psychotherapeutic implementation for cancer patients with depression/depressive symptoms. This study had a specific criterion for the selection of (RCTs) of the pharmacology and psychotherapeutic interventions. Partakers were either adult cancer patients with depression, or depressive symptoms receiving interventions such as pharmacology and psychotherapeutic. This source of evidence fits into the hierarchy of evidence at the apex of the chart. It is known that a singular RCT or Several RCTs are well thought-out as the uppermost level of evidence, and anything below this is classed as a lower level of evidence, which may be classed as an inadequate source of information (Ellis 2000, Lake 2006, Morse 2006b, Rolfe Gardner 2006). Evidence shows that (RCTs) are considered highly effective sources of information (Muir Gray, 1997;Mulrow Oxman, 1997; Sackett et al.,1997). It would be highly unethical to use these findings as a prejudice against patients with cancer who wish receive treatment for depression and depressive symptoms, because of the limited data on effectiveness. However, traditional or unsystematic reviews can be apparent and suitable to attain, which can also be deceptive at times, above all they are scientific Murlow(1987). None of these studies make mention of persons centred planning (PCP), which is slightly concerning. Professionals may have four ways in which they can contribute towards (PCP): introducing, contributing, safeguarding, and implementing/integrating (PCP) (Kilbane and Sanderson ,2004). Q4. Although, there may be an accumulating body of knowledge about the efficacy of immeasurable nursing practises, which leaves gap between what is in fact known and what is actually practised (Grol and Grimshaw, 2003). People whom have been in the profession for a long time may not approve or wish to adhere to the implementation of (EBP). This may be due to a number of reasons such as; culture, age, learning ability, or even attitudes towards changes within an organisation. It is known that there may be barriers which may cause complications in applying (EBP) in nursing practise, this has been established in extensive literature reports (Estabrooks et al 2004). If a nurses workload is too big, then this may influence their ability to adapt to changes in practise. A significant source of implementing (EBP) is; student nurses or newly qualified nurse. I have found that student nurses and newly qualified nurses are an important source in the utilisation of (EBP). If for example; they have carried out research at university for an assignment, then they may be able to apply and demonstrate this in practise, and also influence fellow colleagues. Conclusion In writing this assignment I have found depression in cancer patients is significantly high. I am now able to say that on the completion of this I am now able to acknowledge the complexities of depression in cancer patient. This will enhance my future practice as a nurse, which will enable me to apply the knowledge I have gained from this assignment into practise. I am now able understand the importance of (EBP), and its relation to my future practise. This has helped assist me in developing my academic skills. On the completion of this assignment I have developed my analysis skills immensely, which will help assist me in my future practise. References Atkin K., Lunt N., Parker G. Hirst M. (1993) Nurses Count: A National Census of Practice Nurses. Social Policy Research Unit, University of York, York. Barraclough J, (1994), Cancer and emotion. Chichester UK:Wiley Casey P. Depression in the dying- disorder or distress. Progr Palliat Care 1994; 2: 1-3. Davidoff F, Haynes B, Sackett D Smith R, (1993) Evidence-based medicine: a new journal to help doctors identify the information they need. British Medical Journal 310, 1085-1085. Ellis J (2000) Sharing the evidence: clinical practice benchmarking to improve continuously the quality of care. Journal of Advanced Nursing 32, 215-225. Preston, Lancashire Estabrooks CA, Winther C, Derkson L. Mapping he feild: a bibliometric analysis of the research utilization literature in nursing. Nurs Res 2004; 53:293-303 EVANS D, Journal of Clinical Nursing 2003; 12: 77-84, Hierarchy of evidence: a framework for ranking evidence evaluating healthcare interventions Evidence-Based Medicine Working Group (1992) Evidence based medicine: a new approach to teaching the practice of medicine. JAMA 268,2420-2425. Gray R, Parr A, Plummer S, Sanford T, Ritter S, Mundtleach B, Goldberg D, Gournay K. A national survey of practice involvement in mental health interventions. J Adv Nurs 1999; 30: 901-906 Grol, R, Grimshaw J. From best evidence to best practice: effective implementation of change in patients care. Lancet 2003;362:1225-30 Hinton J, The physical and mental distress of dying. Q J Med (1963); 32: 1-21 Kilbane J Sanderson H (2004) What and how:understanding professional involvement in person centred planning styles and approaches. Journal of Learning Disabilities. Long, A.F.(1995) Health services research a radical approach to cross the research and development divide, in Baker, M, Kirk, S(ed.) Reasearch and development for the NHS, evidence, evaluation and effectiveness. Oxford: pp. 94 MANTZOUKAS S (2008) Journal of Clinical Nursing 17, 214-223 London, A review of evidence-based practice, nursing research and reflection: levelling the hierarchy Maguire P. Improving the detection of psychiatric problems in cancer patients. Soc Sci Med 1985; 20 :819-23 Morse JM, Richards L. READ ME FIRST for a users guide to Qualitative Methods. Thousand Oaks: Sage, 2002. Morse MJ (2006b) the politics of evidence. Qualitative Health Research 16, 395-404. Canada. Muir Gray J.A. (1997) Evidence-Based Healthcare. Churchill Livingstone, New York. Murlow CD, Cook DJ and Davidoff F (1997) Systematic Reviews. Critical links in the great chain of evidence. Annals of Internal Medicine 126(5):389-91 Mulrow C.D. Oxman A.D. (1997) Cochrane Collaboration Handbook (database on disk and CDROM). The Cochrane Library, The Cochrane Collaboration, Oxford, Updated Software. NMC REF 2008 Rolfe G Gardner L (2006) Towards a geology of evidence-based practice: a discussion paper. International Journal of Nursing Studies 43, 903-913. Swansea, Sackett D.L., Richardson W.S., Rosenberg W. Haynes R.B.(1997) Evidence Based Medicine: How to Practice and Teach EBM. Churchill Livingstone, New York. Sackett DL, Richardson WS, Rosenberg W, Haynes RB, (1997) Evidence based medicine: how to practice and teach EBM, London: Churchill Livingstone Sackett DL, Rosenberg WMC, Muir GrayJ.A, Haynes R.B and Richardson WS (1996) Evidence based medicine. What it is and what isnt,British Medical Journal 312:71-2 Sackett DL, Straus S, Richardson WS, Rosenberg W and Haynes RB (2000) Evidence-Based Medicine: how to practice and teach EBM (2e). Churchill Livingstone, Edinburgh Sandelowski M, Barroso J: Finding the findings in qualitative studies. J Nurs Scholarsh 2002, 34:213-219. Open Access Silva, Carlos Nunes (2008). Review: Catherine Marshall Gretchen B. Rossman (2006). Designing Qualitative Research [20 paragraphs]. Forum Qualitative Sozialforschung / Forum: Qualitative Social Research, 9(3), Art. 13, Are you Ipad Lover If not Become One! http://www.facebook.com/l.php?u=http%3A%2F%2Fon.fb.me%2FdUg8mah=80efb Are you Ipad Lover If not Become One! http://www.facebook.com/l.php?u=http%3A%2F%2Fon.fb.me%2FdUg8mah=80efb S Williams1 and J Dale1 Br J Cancer. 2006 Coventry Cancer Research UK Thorne S, Jensen L, Kearney MH, Noblit G, Sandelowski M. Qualitative meta-synthesis: reflections on methodological orientation and ideological agenda .Qual Health Res 2004;14:1342-65

Friday, October 25, 2019

Where Have You Gone, Joshua Chamberlain? :: Free Essays Online

Where Have You Gone, Joshua Chamberlain? To some, it may be considered a minor inconvenience. To others, a drawn-out ordeal with annoying aspects, but one they realize will be completed shortly. Yet to some, to a select, elite group of young, paranoid, and, let’s face it, broke, lot of people known as college students, it’s a travesty. An impossibility. An object traveling deep into the Void, never to be seen again. This trip into the parallel universe to which some objects traverse without return is known as: The Loss of a Package Sent by your Parents. It wasn’t a package of cookies -- oh no, it couldn’t be something sweet, simple, and purely meant as a tasty surprise. Nor was it a warm, knit blanket, something to keep me toasty warm during long, cold nights of studying in my fairly-heated dorm room. Mail accidentally sent to my home address instead of my brand-new, thoroughly unfamiliar college address it was not. It was a package of books, hand-picked by my dad, for my first college presentation, discussing the life of a Civil War general, Joshua Lawrence Chamberlain. My father is somewhat of a self-taught expert on the subject. A man who has been that annoying voice in the back of a group tour, constantly asking questions and making comments (this â€Å"he-usually-makes-fun-of-this-person† day took place at the Joshua Chamberlain Museum in Brunswick, Maine). A man who has scoured every remote bookstore location in Maine, searching, praying, for another addition to his collection of scores of books concerning the late, great Joshua Chamberlain and the 20th Maine. This past summer, he hit the jackpot. While walking in Freeport, Maine, land of the wondrous L.L. Bean store, my father stumbled upon a small shanty of a store with a meager painted sign which read: â€Å"BOOKS: 20TH MAINE.† With bated breath, my dad entered the store. And there, among rows of Civil War memorabilia, regiment flags and extremely overpriced bronze replicas of battles such as Little Round Top, Dan Beaulieu found heaven. To this day, I wonder if he breathed once in that store, for fear that a puff of air might blow away his Holy Grail of bookstores. After a very exciting hour of buying T-shirts with inspiring quotes

Wednesday, October 23, 2019

Othello Betryal

betryal othello Question:Examine the role of love and betrayal in the play? Othello is one of the many brilliant plays, which capture hearts of a wide audience, written by the great author William Shakespeare. This play is considered to be one of Shakespeare’s excellent pieces of writing based on tragedies, up to date. The play unfolds with themes such as romance, love which eventually ends in betrayal, tragedy, agony, which makes the Othello a wonderful play to discuss. What is love?How Shakespeare illustrates delicately the qualities of love as tolerance, compassion, kindness, sensitiveness, happiness and sadness within different characters in the play. What is betrayal? How Shakespeare portrays the theme of betrayal by changing the love into mistrust and misunderstanding which finally leads to hatred and untimely death of compassionate lovers. It is interesting to know how both themes together create a brilliant play of tragedy. With in all the themes blended in the play â €Å"Othello†, Love is a theme that is very much evident to the wide audience of Shakespeare plays.Like in other stories of Shakespeare, â€Å"Othello† speaks of love by using main characters to influence the audience with the idea of love. Greatest love of all characters is shown by Desdemona the honest and truthful wife of Othello. Desdemona, because of the love and trust she has on Othello chooses to leave her dad, to lead a happy life with the love of her life. â€Å"I do perceive here a divided duty. To you I am bound for life and education; My life and education both do learn me How to respect you. You are the lord of duty; I am hitherto your daughter.But here’s my husband, And so much duty as my mother showed To you, preferring you before her father, So much I challenge, that I may profess due to the Moor my lord† (758). The love Desdemona has for her husband makes her hide the truth about her missing handkerchief because she was well aware that Oth ello will be hurt to know the truth. Love and passion Othello has towards Desdemona are shown in many parts of the play. Overflowing love that Othello has towards Desdemona creates jealousy and in return causes the death of Desdemona.Unconditional love that Othello has for Desdemona is clearly shown when he kills himself after the death of his lover. â€Å"I kissed thee ere I killed thee. No way but this, Killing myself, to die upon a kiss† (858). The love Desdemona has for Othello was not shaken till her last breath even though Othello’s love for Desdemona is corrupted by jealousy. Roderigo another brilliant character who is enticed by the emotion of love goes to an extent of killing others because of the love he has towards Desdemona.One other relationship of love and friendship is seen between Emilia and Desdemona. Emilia stands up for Desdemona, her innocent mistress, to prove her innocence by bringing her husband’s bad deeds to the sight of Othello. Even th ough Emilia steals her mistress’s handkerchief because of her love towards her husband, she ends up standing up for her loving mistress. Iago uses love as a source of advantage to gain success in revenge. He fakes love as a friend to Cassio, Rodrigo, as a husband to Emilia for his own benefit.Iago’s idea of love is control. â€Å"It is merely a lust of the blood and a permission of the will. † (763). He uses people’s affections towards love as a weapon to create a friction between characters which eventually leads to betrayal. One element that is often pointed out by Shakespeare in the play is betrayal. Iago a well known character plays the center role in most betrayals that’s taking place in the play. The character Iago is addressed as honest Iago. â€Å"Iago is most honest† (Shakespeare 2. 3. 777).Even though he is known to be honest he uses everyone’s trust against them and plants fake ideas which crate conflicts. Iago, jealous of Cassio who is second in command to Othello, gets Cassio drunk and brings shame on him in the presence of Othello. Roderigo is a person who can be tricked easily; this fact gives Iago a chance to create hatred between Roderigo and Othello. Iago is convinced that Roderigo is in love Desdemona so he creates friction between Roderigo and Othello with the idea of Othello mistreating Desdemona.Above all Othello is being betrayed by Iago in numerous parts of the play. Iago’s jealousy towards Othello’s position as a great general, Iago develops rude intentions of getting revenge by running Othello’s reputation, then creating doubts in Othello’s heart about his dear wife Desdemona. Othello being fooled and manipulated by Iago, convinced Desdemona’s love is fake, end up murdering his innocent wife. â€Å"I follow him to serve my turn upon him† (Shakespeare 1. 1. 44:742).However, even though Iago plays an important part in the play, all the other chara cters play a role of betrayal at some point or the other. Emalia who is playing the character of Iago’s wife betrays her husband by telling Othello that she stole the handkerchief for her husband, which eventually leads to the death of both Emalia and Iago. â€Å"O thou dull Moor! That handkerchief thou speak’st of I found by fortune and did give my husband; For often, with a solemn earnestness, More than indeed belonged to such a trifle, He begged of me to steal ‘t† (853).The character Desdemona who is known to be innocent, sweet wife of Othello betrays her husband by hiding the fact that she lost the handkerchief, making her husband suspect her more on the fact that she is having an affair with Cassio. â€Å"It is not lost; but what an if it were? † (Shakespeare 3. 4. 809). â€Å"Fetch me the handkerchief! My mind misgives† (Shakespeare 3. 4. 809). The biggest betrayal is somehow caused by Othello by blindly trusting evil Iago and not liste ning to his loving, truthful wife, which causes most of the deaths in the play.Trusting the wrong person and reacting to certain situations without thinking can lead to great tragedy which Shakespeare the great writer has depicted in the play â€Å"Othello†. As mentioned in the introduction the theme love is a combination of various different factors. At the beginning Shakespeare leaves a question mark within the audience as to what love is. After a throw analysis, Desdemona and Othello’s love seems as innocent, romantic love fails because of the lack of a strong foundation of trust, communication which causes romantic love eventually turns into a love of profane. Othello Betryal betryal othello Question:Examine the role of love and betrayal in the play? Othello is one of the many brilliant plays, which capture hearts of a wide audience, written by the great author William Shakespeare. This play is considered to be one of Shakespeare’s excellent pieces of writing based on tragedies, up to date. The play unfolds with themes such as romance, love which eventually ends in betrayal, tragedy, agony, which makes the Othello a wonderful play to discuss. What is love?How Shakespeare illustrates delicately the qualities of love as tolerance, compassion, kindness, sensitiveness, happiness and sadness within different characters in the play. What is betrayal? How Shakespeare portrays the theme of betrayal by changing the love into mistrust and misunderstanding which finally leads to hatred and untimely death of compassionate lovers. It is interesting to know how both themes together create a brilliant play of tragedy. With in all the themes blended in the play â €Å"Othello†, Love is a theme that is very much evident to the wide audience of Shakespeare plays.Like in other stories of Shakespeare, â€Å"Othello† speaks of love by using main characters to influence the audience with the idea of love. Greatest love of all characters is shown by Desdemona the honest and truthful wife of Othello. Desdemona, because of the love and trust she has on Othello chooses to leave her dad, to lead a happy life with the love of her life. â€Å"I do perceive here a divided duty. To you I am bound for life and education; My life and education both do learn me How to respect you. You are the lord of duty; I am hitherto your daughter.But here’s my husband, And so much duty as my mother showed To you, preferring you before her father, So much I challenge, that I may profess due to the Moor my lord† (758). The love Desdemona has for her husband makes her hide the truth about her missing handkerchief because she was well aware that Oth ello will be hurt to know the truth. Love and passion Othello has towards Desdemona are shown in many parts of the play. Overflowing love that Othello has towards Desdemona creates jealousy and in return causes the death of Desdemona.Unconditional love that Othello has for Desdemona is clearly shown when he kills himself after the death of his lover. â€Å"I kissed thee ere I killed thee. No way but this, Killing myself, to die upon a kiss† (858). The love Desdemona has for Othello was not shaken till her last breath even though Othello’s love for Desdemona is corrupted by jealousy. Roderigo another brilliant character who is enticed by the emotion of love goes to an extent of killing others because of the love he has towards Desdemona.One other relationship of love and friendship is seen between Emilia and Desdemona. Emilia stands up for Desdemona, her innocent mistress, to prove her innocence by bringing her husband’s bad deeds to the sight of Othello. Even th ough Emilia steals her mistress’s handkerchief because of her love towards her husband, she ends up standing up for her loving mistress. Iago uses love as a source of advantage to gain success in revenge. He fakes love as a friend to Cassio, Rodrigo, as a husband to Emilia for his own benefit.Iago’s idea of love is control. â€Å"It is merely a lust of the blood and a permission of the will. † (763). He uses people’s affections towards love as a weapon to create a friction between characters which eventually leads to betrayal. One element that is often pointed out by Shakespeare in the play is betrayal. Iago a well known character plays the center role in most betrayals that’s taking place in the play. The character Iago is addressed as honest Iago. â€Å"Iago is most honest† (Shakespeare 2. 3. 777).Even though he is known to be honest he uses everyone’s trust against them and plants fake ideas which crate conflicts. Iago, jealous of Cassio who is second in command to Othello, gets Cassio drunk and brings shame on him in the presence of Othello. Roderigo is a person who can be tricked easily; this fact gives Iago a chance to create hatred between Roderigo and Othello. Iago is convinced that Roderigo is in love Desdemona so he creates friction between Roderigo and Othello with the idea of Othello mistreating Desdemona.Above all Othello is being betrayed by Iago in numerous parts of the play. Iago’s jealousy towards Othello’s position as a great general, Iago develops rude intentions of getting revenge by running Othello’s reputation, then creating doubts in Othello’s heart about his dear wife Desdemona. Othello being fooled and manipulated by Iago, convinced Desdemona’s love is fake, end up murdering his innocent wife. â€Å"I follow him to serve my turn upon him† (Shakespeare 1. 1. 44:742).However, even though Iago plays an important part in the play, all the other chara cters play a role of betrayal at some point or the other. Emalia who is playing the character of Iago’s wife betrays her husband by telling Othello that she stole the handkerchief for her husband, which eventually leads to the death of both Emalia and Iago. â€Å"O thou dull Moor! That handkerchief thou speak’st of I found by fortune and did give my husband; For often, with a solemn earnestness, More than indeed belonged to such a trifle, He begged of me to steal ‘t† (853).The character Desdemona who is known to be innocent, sweet wife of Othello betrays her husband by hiding the fact that she lost the handkerchief, making her husband suspect her more on the fact that she is having an affair with Cassio. â€Å"It is not lost; but what an if it were? † (Shakespeare 3. 4. 809). â€Å"Fetch me the handkerchief! My mind misgives† (Shakespeare 3. 4. 809). The biggest betrayal is somehow caused by Othello by blindly trusting evil Iago and not liste ning to his loving, truthful wife, which causes most of the deaths in the play.Trusting the wrong person and reacting to certain situations without thinking can lead to great tragedy which Shakespeare the great writer has depicted in the play â€Å"Othello†. As mentioned in the introduction the theme love is a combination of various different factors. At the beginning Shakespeare leaves a question mark within the audience as to what love is. After a throw analysis, Desdemona and Othello’s love seems as innocent, romantic love fails because of the lack of a strong foundation of trust, communication which causes romantic love eventually turns into a love of profane.

Tuesday, October 22, 2019

LAN Topology Design and Cabling Specifications

LAN Topology Design and Cabling Specifications Free Online Research Papers In networking terms, topology refers to the virtual design of network. It tells us how the computers will be connected to each other using cables. To create an office LAN (Local Area Network), we can consider following one of the LAN topologies: Bus Ring Star Tree Bus Topology: Simplest of all LAN topologies, which have single cable to connect multiple computers in a network. If this cable fails, the entire network crashes. Ring Topology: All communication amongst computers travel through a ring in same direction. If any of the cable fails, the look breaks and thus make network unusable. Star Topology: Require more cable than Bus topology. Failure in one cable only makes one cable inaccessible and not the entire LAN. Tree Topology: Tree topology is nothing but multiple star topologies. Requires a lot more cables than star topology but is extra safe when one of the cables fails. After considering the vulnerability and cost of network it is recommended that star topology is selected for the office LAN. This choice for the network is made based on requests that physical aspects of the network are easy to manage. The star topology uses a hub as a central point of connection for the computers or other devices on the Local Area Network (LAN). These devices that are connected to the network are connected to the hub with their own separate cable. The star topology allows the network to be expanded without difficulty. This depends on how many ports are on the hub that is being used. â€Å"If more ports are needed on the hub, two hubs can be linked together to provide more connectivity (Habraken, Joe, 2004)†. Adding additional computers to the network will be easy. This is done by simply connecting the desired computer or computers to the port on the hub. This is an advantage of the star topology because it allows you to expand the network with out interfering with the other devices. This topology relies on a lot of cabling that can sometimes result in cost issues but if planned correctly it can fit within any reasonable budget. Cables Specification Cables are most important part of any network, if not wireless. It is always advisable to consider factors like cost, durability and speed before selecting cable for the network. Following are common types of cable which includes twisted-pair cable, coaxial cable, and fiber-optic cable. Twisted-pair cables: Twisted pair cables are most common types of cables which are used in telephone communications and also in almost all modern Ethernet networks. Twisted pair cables are made of pair of wires and are twisted to provide protection against crosstalk – When electric signals flow through the wire it makes a small circular magnetic field around the wire, and thus twisted pair cables are made in such a way to minimize this disturbance. There are basically two typed of twisted-pair cables: 1.) Unshielded twisted pair (UTP) 2.) Shielded twisted pair. (STP) Unshielded twisted-pair (UTP) cable are composed of pairs of wires, and has eight individual copper wires which are covered by insulating material to reduce ‘disturbance’. The twisted wires pairs in UTP reduce signal degradation caused by electromagnetic interferences. UTP cables have inexpensive, and has small diameter which makes it easy during installation. And as it’s easily available and can be used with major networking architecture, UTP put forth itself to be a strong contender when choosing cables for networks. Characteristics of UTP Speed and throughput- 10 to 1000 Mbps Average cost per node- Least expensive Media and connector size- Small Maximum cable length- 100 m (short) Shielded twisted-pair (STP) has four pairs of wires. Each pair is wrapped in metallic foil, and this four pair is again wrapped in metallic braid or fail. STP cables are designed to decrease electrical disturbance within the cable and/or external. STP cables prevents disturbance better than UTP cables but are more expensive and difficult to install. Because of its cost and difficulty in installation, STP cables are generally not preferred. Characteristics of STP Speed and throughput- 10 to 100 Mbps Average cost per node- Moderately expensive Media and connector size- Medium to large Maximum cable length- 100 m (short) Coaxial Cable: Coaxial cables has hollow outer cylindrical conductor that surrounds a single inner wire made of two conducting elements. One of the elements (metal) is located in center of cable and is generally copper which again has a layer of flexible insulation. There is a woven copper braid or a metallic foil which acts as shield to reduce outside interference or a second wire if primary wire is defected. Coaxial cable can be used over longer distance than twisted-pair cables but are more expensive than UTP. As coaxial cables can transmit through longer distance, it decreases the number of repeaters to be installed within a broader network which helps bring down the cost. But because of the thickness of coaxial cables, it is difficult to install in some situations, and difficultly in installation means expensive to install Characteristics of Coaxial Cable: Speed and throughput- 10 to 100 Mbps Average cost per node- Inexpensive Media and connector size- Medium Maximum cable length- 500 m (medium) Below is a short table which can be referred to while choosing the type of cables in any network topology. Media Type Maximum Segment Length Speed Cost Advantages Disadvantages UTP 100 m 10 Mbps to 1000 Mbps Least expensive Easy to install; widely available and widely used Susceptible to interference; can cover only a limited distance STP 100 m 10 Mbps to 100 Mbps More expensive than UTP Reduced crosstalk; more resistant to EMI than Thinnet or UTP Difficult to work with; can cover only a limited distance Coaxial 500 m (Thicknet) 185 m (Thinnet) 10 Mbps to 100 Mbps Relatively inexpensive, but more costly than UTP Less susceptible to EMI interference than other types of copper media Difficult to work with (Thicknet); limited bandwidth; limited application (Thinnet); damage to cable can bring down entire network Fiber-Optic 10 km and farther (single-mode) 2 km and farther (multimode) 100 Mbps to 100 Gbps (single mode) 100 Mbps to 9.92 Gbps (multimode) Expensive Cannot be tapped, so security is better; can be used over great distances; is not susceptible to EMI; has a higher data rate than coaxial and twisted-pair cable Difficult to terminate Although, fiber optics and wireless network can be used for networking, we are not considering it in this paper as fiber optics is too expensive to implement it practically in office generally, while wireless network is too slow and vulnerable to implement either. References: http://compnetworking.about.com/od/networkdesign/a/topologies.htm ciscopress.com/articles/article.asp?p=31276seqNum=1 Research Papers on LAN Topology Design and Cabling SpecificationsBionic Assembly System: A New Concept of SelfThe Project Managment Office SystemOpen Architechture a white paperRiordan Manufacturing Production PlanEffects of Television Violence on ChildrenIncorporating Risk and Uncertainty Factor in CapitalAnalysis of Ebay Expanding into AsiaInfluences of Socio-Economic Status of Married MalesUnreasonable Searches and SeizuresHip-Hop is Art