Back to the Moon

More than thirty years after America’s first landed on the moon, the current President of the United States, George W. Bush, recently announced his plan of sending American astronauts back to the moon (BBC News). The President’s target is to accomplish this goal by the year 2015 (Lane, 2004). The project can be said to be merely preliminary to Bush’s more flamboyant plan, which is to prepare the exploration to Mars. Moreover, the program also intends to make up for the setbacks experienced by the United States space program, such as the Columbia shuttle disaster (BBC News).The Columbia disaster prompted Bush and a group of administration officials to develop a new plan that would use the existing space shuttles to â€Å"complete assembly of the International Space Station (ISS) by 2010† (Lane, 2004). Bush revealed his new vision for the United States human space program in a speech delivered at the National Aeronautics and Space Administration (NASA) headq uarters. He called for the retirement of the space shuttle to give way for building new space vehicles that would, in the future, allow travel to Mars (Lane, 2004).The space shuttle is expected to fly in about 13 or 14 more missions before its expected retirement in 2010 (Hunt, 2007; BBC News). Bush’s vision also calls for the use of robots and human manpower in the exploration of the moon. The ultimate aim of the vision is to prepare the moon as a living base and to develop means for explorations to Mars (BBC News). The Space Shuttle The space shuttle is a brainchild of improvements and inventions in rocketry. The craft contains three main engines that provide huge amounts of force compared to previous spacecrafts.It also boasts of a reusable engine and engines that weighs quite lightly considering their power (The History of Moon Exploration). Considering its characteristics, it is no wonder that Boeing boasts of it as the â€Å"most sophisticated human-rated launch vehicl e in the history of space flight† (Boeing). The space shuttle had its first flight in 1981, and since then it was able to aid more than a hundred missions involving hundreds of astronauts (Boeing). Boeing claims that the spacecraft still has 75 percent of its design life to spare (Boeing).The space shuttle plays a major role in sustaining the International Space Station, being the ISS’ heavy-lift cargo vehicle. The space shuttle is responsible for having lifted the now existing structure in orbit, which comprises two-thirds of the ISS (Boeing). Bush wants to retire the space shuttle by 2010 at the earliest, hoping that by then the International Space Station is already complete (Hunt, 2007; BBC News). Bush also hopes that by the said time, the Crew Exploration Vehicle already becomes operational (Hunt, 2007; BBC News).However, before such goals are realized and as long as the shuttle remains safe to carry on its tasks, it shall remain as the primary spacecraft aiding th e United States’ projects towards space (Boeing). Picture 2. The Space Shuttle. Photo retrieved March 6, 2007, from www. boeing. com/†¦ / hsfe_shuttle/what_is. html The Crew Exploration Vehicle Bush’s vision is an echo of a similar dream by his father in 1989, which did not come to fruition because the cost estimates ballooned up to $400 billion (Lane, 2004).Working on the premise that the desire to explore is part of human character, Bush said that his dream is to build space vehicles that could travel far beyond the capacity of the space shuttle, which only reaches 386 miles (Lane, 2004). Bush thus announced his plans to develop a new spacecraft called the Crew Exploration Vehicle (CEV). This vehicle would be the first to take man to outer space since the Apollo spaceships (BBC News). The CEV is expected to be a versatile crewed vehicle that could carry American teams in a mission projected to be undertaken in 2014 or 2015.The CEV is expected to begin flight tes ts by the year 2008 (Lane, 2004). The CEV’s look is designed to look similarly with the bullet-like style of the Apollo-style command module (Lane, 2004). Aside from the design, however, NASA administrator Sean O'Keefe says that no design has yet been approved regarding the way of keeping the CEV boosted in the air (Lane, 2004). Robots in Space It is believed by some that robotic exploration is more beneficial than human exploration, since the former is less expensive (The Washington Post Writers Group, 2007).Moreover, Professor Robert Park of the University of Maryland claim that robots have less physical limitations than humans, which means robots have better chances of discovering scientific finds over humans (BBC News). Even other countries that spend resources on space explorations, such as China and Russia, are encouraged to use robots in such ventures (BBC News). There are current efforts using robots in space exploration. Just recently, the United States celebrated th e successful landing of its robot rover Spirit on Mars (BBC News). Budgetary ConstraintsSince the previous space plans formulated by Bush’s father failed because of budgetary constraints (Lane, 2004), Bush is careful to get around the same drawback. Naturally, huge projects such as space explorations would cost loads of money and other resources. Thus, Bush’s ambitious new vision would entail modifications on the current budget of the NASA. The NASA currently has a five-year budget plan. However, Bush requests a $1 billion boost on this budget (Lane, 2004). This means that additional $200 million per year would be allotted for the project (Lane, 2004).This amounts to a 5% yearly increase to NASA’s current budget, which amounts to $15. 4 billion per year (BBC News). A rise of another 1% after the first three years is also requested by the U. S. President (BBC News). It is reported that Bush wants that $11 billion from the existing budget be earmarked for his new vision (Lane, 2004). The exact cost of the vision was not given (BBC News), but one thing is certain: the budget would have to be approved by Congress. (Lane, 2004). The White House, however, maintains that a â€Å"sustained focus over time† would help keep the budget for the exploration in check (Lane, 2004).There is also a need to reorient the current programs of NASA, so that NASA would not exceed its current spending, which only amounts to less than 1 percent of the federal budget, despite the additional goal (Lane, 2004). The Orion Currently, a ship has been built to carry humans to the moon. This spacecraft, called the Orion, is scheduled to debut in 2014 (Hunt, 2007). However, budgetary constraints will cause a delay of about four to six months. The Orion is now set to fly in 2015 (Hunt, 2007).NASA administrator Michael Griffin stated that Congress only approved the amount in NASA’s budget in 2006, which means that the approved budget is $545 million short of Bu sh’s request (Hunt, 2007). NASA does not welcome this lack of funding and the concomitant delay in the project, as strategic and practical concerns such as the degradation of equipment and facilities, besiege the institution (Hunt, 2007). A Brief History of Explorations to the Moon A brief review of the development of moon exploration is in order, so that a clear perspective can be had as to the propriety and utility of Bush’s proposed space exploration.Chinese astronomers were perhaps the first people to notice the Moon. For thousands of years, man has been captivated by the Moon, and man’s curiosity for it has been first assuaged by the invention of the telescope in 1609 (The History of Moon Exploration). The telescope, invented by Leppershey, made thorough observations possible despite the immense distance between the Earth and the Moon (The History of Moon Exploration). However, this invention was a double-edged sword: man developed an even more intense curi osity for the moon, leading man to dream of someday setting foot on the distant place (The History of Moon Exploration).Because of the enormous distance of the Moon from the Earth, reaching it would only be possible through flight. Unfortunately, air transportation took quite a while to be fully developed. The groundbreaking invention of the Wright brothers can be considered the first step towards space travel, because they invented the aeroplane, which allowed man to fly (The History of Moon Exploration). In 1943, another milestone in space exploration occurred with the development of rocketry by Von Braun. Braun was responsible for the A 4, which was the first successful ballistic rocket (The History of Moon Exploration).Despite the United States’ exposure to the latest technology at the time, such as the rocketry of Braun, it was Russia that made one of the most significant developments in space exploration. 1957 witnessed the launch of Sputnik I, which was the first artif icial satellite in space (The History of Moon Exploration). Russia was also the first to take pictures of the Moon. In 1959, its Luna satellites were able to obtain pictures of the far side of the Moon (The History of Moon Exploration). In 1963, the United States followed in the affair of obtaining pictures in space.Its Mariner Series satellites were able to acquire detailed pictures of Venus, and a year later, of Mars (The History of Moon Exploration). Saturn rockers were the next to be developed by the United States; these rockets were later used to power the Apollo Missions (The History of Moon Exploration). The country also ventured into designing moon landing vehicles, and was successful with Surveyor 6 and the Lunar Module, which proved that rocketry could bring man to the Moon (The History of Moon Exploration).The United States is also responsible for the Command and Service Module, a vehicle designed for the trip back to Earth from the Moon (The History of Moon Exploration). Man’s First Walk on the Moon The United States has the credit for sending the first man to walk on the Moon. On 21 July 1969, the whole world watched in awe as clips of Neil Armstrong’s first steps on the Moon were aired in international television (BBC News). The video clips were taken by television cameras installed on the Eagle landing craft (BBC News).

PP0126 Learning Arena As A Learning E Essay

Medical Assistant profession is only known in Malaysia. It is part of the medical profession creates by the Ministry of Health, Malaysia in the sixties to overcome the shortage of medical officer in the country. We need to go through three years training program conducted by our Ministry of Health in order to be a qualified as a Medical Assistant. My speciality is in Emergency and Trauma care management, with sixteen years working experiences in the Emergency Department (ETD) and currently attached to the ETD in one of the hospital located in central region. In this assignment I will discuss and explore how practice arena can assist in learning as well to identify the learning opportunity available for learners and how I integrate my professional role to develop health care profession competency. My focus will be on the factors of physical and social climate and how does it affect learning in my practice arena. Based on the theories of humanism and Androgogy compare with the concept suggested in the literature, I will come with my recommendation on how I am going to promote my practice arena into a more conducive learning environment. There are few factors or element that can affect or influence learning environment. The most important elements are physical environment, social climate and learning opportunities (Ministry of Health Malaysia, 2006) that I am focusing now. Discussing about the physical element, resources are among thing that we should considered within the placement. Ileris (2011) claimed the variety of opportunity and situation offer to learners is the most significant factors influencing the quality of practice arena as 1 learning environment. He further quotes that difference type of workplace offer different  learning environment with different learning opportunity. The emergency and trauma department or my practice arena cover one whole block and the facilities and services available encompassing a wide range of emergent trauma and non trauma condition, from the critically ill or severely injured to those with minor ailment. The scope include pre hospital care services, resuscitation and stabilisation, diagnosis and definitive care management, one stop crisis centre and medical coverage. The facilities available are dividing into zone ranging from a critical to  a non critical zone where patient management are triage according to the severity of illness. There are three main zones, one observation bay equipped with 5 beds, a procedure room for minor surgical procedures and a sterilisation unit for collecting and receiving sterile item from the central sterilisation department. Each zone or treatment areas are equipped with standard equipment for it functionalities inclusive of an emergency trolley, cardiac monitor and defibrillators, portable ventilators and airway management, radiography machine, ultra sound machine, electrocardiogram,  refrigerator and blood analyser machine. It provide a wide range of learning opportunity to learners and students to develops their skills ,knowledge and understanding of the role and function with the organisation( Evan et. al, 2006). However all these equipment needs speciality and skills to be operates and 2 learners need period of time to get familiar with the equipment. The department need to send learners for user training and courses before they can handle the machine. My practice arena is amongst the busiest place in the hospital compound. Even worse  when facing the incidence of mass casualties where every staffs busy with their own task. However it doesn’t mean that they have no time with the learner. They are actually a good role model for learner where they can work and learn at the same time. They are willing to shares their working experience, skills, knowledge and ideas with student or learners even though they are very with their tasks. In fact chaotic working environment is rich for learning because of large volume of patient of varying acuity and learner will take responsibility of their own learning, identifying gap in knowledge, seeing feedback  and working toward closing these gap. (Goldman et. al, 2009) Every zone is fully air conditioning and furnished with patient’s beds, trolleys and wheelchairs. We also have an access to internet and intranet where Learners will have the opportunity to access the heath information system, interaction between the instructors and as well among learners as it is the key point for good practice and learning expectation for each area (Severs and Pearson, 1999), (Ileris, 2011). But there are limitations as some of the equipment and facilities only can be use by professional  and expert and the use of internet has been block by the management from being access in an improper way and only involved with certain website, this may lead to frustration and conflict to extensive use in workplace learning (Ileris, 2011). We also 3 have teaching room or a seminar room with selection of books, journal and handout available which is accessible to learners. Apart from the facilities above my placement arena also have 2 unit of type A, 3 unit of type B and 5 unit of type C ambulances. They are all equipped with standard equipment and also link by the radio communication services. In order to be part of the ambulance services team, learner need to undergo basic training on the basic equipment available inside the ambulance and how to use radio communication system. They are attached with qualified personnel as a mentor who is in charge of the ambulance services. For the convenience of every staffs, student and even public, my placement arena offer excellent facilities such as rest room with television set, tea room and pantry, accessible wash room and toilet, emergency fire exit with fire extinguisher and waiting area provided with chairs and queue number system. Quinn (2007) states that this basic needs make learner feel secure and comfortable and enable them to concentrate in their learning. Nevertheless my placement area doesn’t have any skill laboratory where student can practice their skills and knowledge. However the higher management has planned to set it up in few years time for the benefit of all parties. 4 My practice arena offer a placement for student nurses, newly graduates medical assistant and medical students doing their internships and housemanship program from the nearby colleges and higher institution. In fact the facilities has been gazetted as one  of the teaching hospital by the government and the Ministry of Health Malaysia as a whole. Learners and student will need to be introduced to the new environment to get them off to a good start by establishing a sense of belonging, creating a welcoming learning environment, supplying information that will answer their question and removing any uncertainties once they reporting themselves for the placement. Gopee (2008) stated this as an essential and effective when new experience are linked to prior knowledge where it begin with familiarisation with the clinical setting, clinical specialism,  get to know with mentor and staffs and feeling that they are part of the team inorder to meet the learning needs and achievement of their practice objective. The availability of the multidisciplinary staffs ranging from the higher level management and clinician to a well trained paramedics (Goppe, 2008) form the basis of inter- professional learning and will be an advantage for the student to learned and adopted as their role model and mentors. West et. al (2007) highlight that the practice is not only the environment where services is delivered to client but also a learning area where  future and qualified practioner continually utilise the opportunity provide to them as an experience to facilitate their professional development. 5 It is an effort of every personnel to create the practice arena into an interesting and conducive place to learn. Fox (2009) describe learning environment as a place or setting where learning occur. This include physical setting, interpersonal and instructional characteristic that influence learner’s performance. The nature of learning environment is important in establishing an expansive learning area (Evan et. al, 2006)  but sometime it is difficult to achieve as to some leader it is not a priority and therefore there must be a balance against priority in order to improve learning. Hand(2006) suggest that placement should be of higher quality accompanied by improved teaching support to help student gain better practical skills. But a high standard ward with rigid task allocation, with hierarchical system exist are unlikely to meet student learning needs (Fretwell, 1980) Relationship between manager and subordinates and vice versa is another important aspect of social climate in learning environment. Hand (2006) stated that mutual respect, integrated and valued student, manager’s commitment, interactive communication, motivated employers, supportiveness and openness are among the element that contributing to a conducive learning environment. Chan (2001) highlight that inter personnel relationship between staffs are crucial in order to develop a positive learning environment. Hand (2006) described the relationship between teacher and learner must be genuine, non- threatening, lasting relationship and encourage learner to give feedback in order to promote learning and Nolan (1998) found out that learning  desire will reduce without supportive from learning arena. 6 My unit manager is very supportive and committed person, caring attitude and openness especially toward professional development, friendly, approachable and knowledgeable. He motivates the staffs by sending them for courses, workshops and seminar to upgrade their skills and knowledge, counselling and indirectly benefit student placement in the areas. I believe he is a role model in my placement areas. The success and fall of the placement as a conducive learning arena depend on the management, leadership style and the relationship which exist between the people, the  manager and the goals in the organisation (Weir et. al, 2010). Inorder to develop a positive learning environment, there must be a positive management style and interpersonal relationship among manager, staffs and learner. Fretwell (1988), Pembrey (1988) described ward manager as a key figure in the organisation in establishing and maintaining a ward atmosphere conducive learning environment and patient care environment as well. Practice area learning are mostly student centred learning where learner and student needs to participates and involve themselves in the activities design in the practice  area. Self awareness is therefore very important and Cook (1999), mention that many nurses educationist are focused on self awareness to get the learning opportunity in the practice area. In this way student are able to make judgement of their own and identify their strength and weakness in consistent to andragogy approach as self assessment which help them to develop awareness of their own standard of practice (Chambers, 1998). This can be in the form of formal and informal learning activities. In my placement area, student or learners will have the opportunity to involve themselves in  7 discussion, case presentation, in house courses and continuous medical education which is plan weekly for every qualified personnel. For pre registration student this is a good chance to get new ideas, knowledge and skills and for post registration it is professional refreshment. Spouse (2001) clarified that knowledge quickly become outdated as rapid pace of technology and to be more effective this continuous professional development should be carried out under the guidance of experience and knowledgeable colleagues with the evidence of attendances. The collaboration of one  department with other organisation and between unit and section in the department should be considered as one of the factors that influencing the provision of good experience within the placement. This is because exchange and sharing of ideas between these two different organisations happened to achieve the same goal. We have been discussed many factors influencing learning in my practice setting such as physical environment, social climate and learning opportunities available in my practice setting and this will definitely give a better output toward learning environment  in the placement arena. Although I have identified many of the learning opportunities but there are some limitation on the implementation especially on the resources. I have made some recommendation to be bringing forward to improve the placement arena in future. I believe that this can be fulfils if the higher level management, training institution, mentors as well learners themselves is really committed to make changes toward the excellence learning environment. To make the process going smoothly everybody should take parts and plays their role accordingly.

Malaysian Economy Essay

The Malaysian economy is expected to strengthen further and projected to grow at a faster rate of 4.5% to 5.5% in 2013 supported by improving exports and strong domestic demand. In the Economic Report 2012/2013 released by the Ministry of Finance (MoF) last Friday, it said the assumption was based on the global growth that will pick up especially during the second-half of 2013 (2H13). It said that it was also premised upon the expectation of an improvement in the resolution of a debt crisis in the euro-area and stronger growth in the economies of Malaysia’s major trading partners. The Economic Report 2012/2013 was released in conjunction with the national Budget 2013 that was presented by the prime minister last Friday. It said that given that the domestic economy is expected to strengthen further in 2013; inflation is estimated to increase moderately mitigated by further capacity expansion in the economy. On the supply side, growth in 2013 is expected to be broad-based supported by expansion in all sectors of the economy. Of significance, the external trade-related industries are envisaged to benefit from stronger global growth, particularly during the 2H13. It said that the services and manufacturing sectors are expected to contribute 4.2 percentage points to the gross domestic product growth. MoF said that the prospects in the services sector are expected to remain upbeat in 2013, with the accelerated implementation with major initiatives under the National Key Result Areas and continued investment in the seven services subsectors under the National Key Economic Areas. It said that these initiatives are expected to drive the wholesale and retail trade, finance and insurance, and communication subsectors, which are expected to grow 6.8%, 5.2% and 8.2% (2012 :5.7%; 4.2%; 9.3%) respectively. On the value-added of the manufacturing sector, MoF said that it is expected to grow 4.9%, (2012 :4.2%) with export oriented industries expected to  benefit from the higher growth of global trade, while domestic oriented industries expand in line with better consumer sentiment and business confidence. MoF said that the electrical and electronic (E&E) subsector is expected to grow further, driven by higher demand for electronic equipment and parts as well as semiconductors in line with recovery in advanced economies. On the agricultural sector, MoF said that it is expected to grow 2.4% (2012:0.6%) following the recovery in the output of plantation commodities. MoF said that the production of crude palm oil is envisaged to rebound 2.5% to 18.9 million tonnes (2012: -2.5%; 18.4 million tonnes) on account of expanded matured areas to 4.44 million hectares (2012: 4.38 million hectares). On the mining sector, the report said that it is expected to expand 2.7% (2012: 1.5%) on account of higher production of crude oil and natural gas. â€Å"Production of crude oil is projected to increase 3.6% to 600,000 barrels per day (bpd) (2012: 1.6%; 579,000 bpd) due to higher regional demand,† said MoF. It added that several new oil fields are expected to start production in 2013, contributing to higher production of crude oil. On the construction sector, MoF said that it is envisaged to expand strongly at 11.2% (2012: 15.5%) with all the subsectors registering steady growth. On the domestic demand, MoF said that it is expected to grow at 5.6% (2012: 9.4%) and will remain the main driver of growth in 2013 underpinned by strong private sector expenditure. The report added that private consumption is projected to expand 5.7% (2012: 7%) on account of higher disposable income arising from better employment outlook, firm commodity prices and the wealth effect from the stable performance on the stock market following strong domestic economic activities. On private investment, Malaysia is expected to post a strong growth of 13.3% in 2013 (2012: 11.7%) attributed to the ongoing implementation of the Economic Transformation Programme projects. MoF said that public investment will continue to support growth and is expected to expand 4.2% in 2013 (2012: 15.9%) driven by higher capital outlays by the non-financial public enterprises (NFPE’s) and development expenditure by the federal government. It said that capital of the NFPEs will focus on the upstream oil and gas, transport, communication and utility industries. It added that in line with the expansion in domestic economic activities, national income in current prices is expected to increase 7.8% in 2013. The report also said that gross national savings is expected to expand strongly by 11.1%, with the private sector accounting 72.3% of total savings. On the balance of payments, MoF said that it is projected to remain favourable with current account continuing to record a higher surplus of RM71.9 billion or 7.3% of the gross national income. It said that the surplus in the goods account is projected to expand RM126.5 billion. â€Å"In 2013, exports are estimated to grow 3.9% (2012: 2.4%) supported by higher commodity exports and improving global E&E demand. The MoF said that inline with increased domestic activity as as to meet increased inputs for the manufacturing sector, imports are projected to grow at a faster rate of 5.2% (2012: 6.5%). On the services account, the report said that it is expected to improve with a lower deficit of RM8.2 billion driven by large surplus in the travel account, following expectations higher tourist arrivals. MoF said that other components in the services account are expected to remain a deficit.

Cultural analysis Essay Example | Topics and Well Written Essays - 750 words

Cultural analysis - Essay Example Drawn from three different clusters according to the GLOBE culture clusters, the research will involve interviews on three cultural dimensions as discussed by both Hofstede and GLOBE cluster. The three clusters include Latin American, the Middle East and the Sub-Saharan Africa clusters. Evidence from the interviews conducted on the two clusters indicates that people acquire their cultural traits as they grow up. Regardless of the number of years they have been away from their places of birth, culture abandonment is unlikely. Results from the interviews revealed significant similarities and differences from the three cluster communities. Respondents in the interviews had been in the United States for over two years, which means they had adopted the American lifestyles. However, to determine whether the responses from the interviews were true, I will make a comparison with the cultural dimensions discussed by Hosftede and GLOBE. Finally, I will draw conclusions with references from the study findings. Individualism â€Å"Geert-Hofstede.Com† (web) defines individualism as the degree of interdependence that a society maintains among its members. Both respondents saw signi8ficant differences between the level of socialization in the United States and their places of origin. ... He associated this separation with the capitalism in the United States. According to the Middle East respondent, people in the United States are too busy to consider social lives, or take part in any form of social events. According to him, the American society, being too individualistic, people tend to indulge in other people’s lives. For him, this is opposite in their culture, especially whenever involved in any form, of religious groupings. These two tend to regroup with people of their origin even in the United States, as they cannot avoid having a belonging, which are people of their culture. Hofstede and GLOBE agrees with these responses. According to Hofstede, there is a higher level of individualism in the United States, than in the Middle East. However, the Sub-Saharan African countries score low in the level of individualism. United States rank at 91 on the level of individualism, while Middle East scores 25 and Sub-Saharan Africa scores 20. Power distance Hofstede d efines power distance as the extent to which less power people in the society’s institutions and organizations expect and accept unequal distribution of power Geert-(â€Å"Hofstede.Com† web). Power distance argues that both the followers and leaders endorse inequality. There is a higher level of power separation between leaders and subordinates in the Middle East than in Africa and United States. According to my interview with the Middle East respondent, they accord high respect to their leaders, and treat them, with respect and humbleness. To them, leadership is divine and religious. He agrees that there is a huge difference between the rich and the poor, with the rich being the most respectable people in the society. Although Africans share similar sentiment, he points

Company Assessment Research Paper Example | Topics and Well Written Essays - 2500 words

Company Assessment - Research Paper Example So the parent company through its various subsidiaries provides various marketing and communication services across the world. Mission- WPP nurtures and manages new talent and applies the same for the client benefits across the world. The company facilitates the accessibility of the clients with the companies with required communication skills & marketing and companies with distinctive and strong cultures. WPP complements the functions of these companies in various ways. WPP saves the companies from administrative related work. There is a central co-ordination in financial matters like budgeting, planning, reporting, treasury, control, tax, acquisitions, mergers and investor relations. This enables WPP companies to pursue professional excellence. Besides WPP encourages the joint functioning of its companies belonging to various disciplines (WPP-a, â€Å"Our mission†). Internal Analysis of strengths and weaknesses WPP is the global leader in â€Å"marketing communications serv ices†. The leading company composition of the group includes media investment, advertising, consumer insight, public relations, branding, promotion etc. ... The big clients look out for parent companies with a group of subsidiaries companies that can provide integrated solutions to fulfil their marketing needs. WPP has a list of subsidiaries with each specialising in a discipline. By virtue of this the companies of varying disciplines work together to satisfy the marketing needs of the clients. This works to the advantage of WPP. Awards & recognitions- WPP is a member of FTSE100, FTSE4Good Index, Forbes Global 2000 and Euro FT300. In the year 2009 the company won â€Å"Building Public Trust Awards† for excellence in the area of corporate reporting. In the same year the website of the company received â€Å"Best of Industry for Outstanding Achievement in Web Development†. In International ARC awards 2009 the company won ‘Gold’ for â€Å"Best Online Annual Report in Class And Honours for Best Annual Report across All countries†. The global newspaper of the group â€Å"The WRE† ranked number one out of 400, for straight two years in â€Å"2008 LACP Inspire Awards†. The corporate responsibility section of the company consists of information on the ratings of WPP bys socially responsible investors (WPP-d, â€Å"WPP at a glance†). The Group comprises 150 companies with each company having a distinctive brand. Each company has a distinct identity, commands loyalty, highly committed and has a specialist expertise. This highlights the individual strength of each of these companies. The companies under the group are associated with 354 Fortune Global 500 companies; 28 companies out of Dow Jones 30; more than half of NASDAQ 100 companies and nearly three-fourth of the Fortune-e 50 companies. The clients get additional advantages from the combined working of the

The Impact of Tourism on Indigenous Communities Essay

The Impact of Tourism on Indigenous Communities - Essay Example However in the mass tourism trade, large hotels are built, theme parks are developed, etc, all of which can impact the people who usually live in the areas, this can increase or decrease employment, and they can affect the development of the land. For example, as according to the Austrian Preparatory Conference for the International Year of Ecotourism (APCIYE), 2001, the development of national parks, such as the Lake Rara National Park in Nepal. This resulted in the replacement of four hundred villagers, the Chhetri people, from their native land. This movement was fueled by tourism and the people who are the land’s natural inhabitants did not have right to say no. However, in Ecuador, the Tambopata reserve integrates the people who inhabit the forests and the forest area itself for outsiders to observe. The main problems of this type of commercial tourism, by creating the national park, this creates new incentives for individuals to move into the areas, cut down more of the land, or claim status to live. Furthermore, creating a park creates a dilemma of what should and should not be included as concluded by APCIYE, 2001. The impact of tourism on indigenous communities can often be destructive because tribal and minority groups in developing countries are often targeted as objects to be looked at instead of people (Neale 1999). For example, according to WTO, 2005, for the people in Masai in Kenya, who live near safari parks, the natives themselves have not benefited from the tourists themselves. The Masai were presented as part of the â€Å"safari’ package and tourists were invited to observe their lifestyle, which many anthropologists refer to as â€Å"staged authenticity,† where people expect to see the exotic, remote, and new, given they have travelled a long distance (Forsyth 2002). Though it doesn’t necessarily mean that the people visiting are causing harm to the natives, however, it can increase the barriers between the minority and majority groups who live in the country as a whole.  Ã‚  

Success in Marketing Essay Example | Topics and Well Written Essays - 750 words

Success in Marketing - Essay Example A brochure consists of basic information of something, which has quick summary about the subject. It is the fastest way people find information about the subject hence due to the busy lifestyle, there is less research, attention, and interest of readers is grabbed. If there is any one secret of success, it lies in the ability to get the other person’s point of view and see things from his or her angle as well as from your own (Kevin 23). Persuasion is the aptitude to encourage beliefs and principles in other people by influencing their mode of thoughts and dealings through precise strategies. Marketing taken as course, there will be excellent advantages to a person due to the outcome in the world of market. A wide variety of activities are involved which make sure that one is continuing to meet needs of consumers and get appropriate value in return. Marketing is the unique, the distinctive function of business. In this sense, marketing has a major function to play in setting a firm’s strategic trend. For marketing to be successful, deep comprehension of customers, collaborators, and competitors and great proficiency are deployed for an organization’s capability to improve so as to serve clientele profitably (Kevin 67). Marketing thus defined, is broad-spectrum management accountability, not just a function delegated to specialists. Marketing skills and insight are significant to anyone with career interests hence lead to the setting and implementation of the approach of an organization, regardless of its type or size. Persuasion of someone to study marketing, brings forth best outcome hence there is no regret whatsoever in the study. The entire concept of persuasion leads to motivation towards pleasure and/ or away from pain. Almost all of our behavior comes down to choosing or responding to various forms of stimulus that take us toward our goals or move us away from our fears (Kevin 20). Marketing is an enjoyable exercise that enables one to integrate information into ones subconscious. Knowledge is only authority when it is applied. The ability to influence the behavior of another person or group of people has been a necessary element in human culture since the beginning of time. This article provides the foundation on which to embark on developing insights and skills appropriate in a wide variety of circumstances. These situations include business-to-consumer and business-to-business settings, the old financial system as well as in the latest and in both manufacturing and services sectors. An analyses of marketing shows that a focus on gaining insights into customers’ needs and behaviors, which should direct a company’s breakdown of its marketing opportunities and outline the basis of any possible marketing strategy (Bob 45). Marketing has grown past its roots in conventional mail order to embrace a multitude of new technologies, consumer relationship-building techniques, and routine measures that set the bar for the outlook of marketing communications. Therefore, marketing being a course of study has more of advantages than disadvantages. One does not need to have ability but to make an impact in ones field and understand the skills of great communicators. Surprisingly, with practice, it is easy to learn them. To conclude, there is certainly a very great significance to the power of persuasion. The sword of

HUM310_LU5 Essay Example | Topics and Well Written Essays - 500 words - 1

HUM310_LU5 - Essay Example Modern art experimented with different textures and figurative images designed to provoke artistic thought rather than idealizing age-old concepts such as feminine beauty or simplistic artistic expression. What impressed me most was how human thought was able to be expressed on canvas using styles not previously seen in most historical pieces of artwork. Picasso’s â€Å"The Weeping Woman† uses geometric abstraction that is superimposed over the image of a woman who is obviously in distress. This oil on canvas piece shows her anguish as though her tears are literally stripping her face of its vibrancy. This is obvious by the graying areas around her mouth while the rest of her face explodes in vivid colors. It is the use of color distinctions to show her terrible emotional state and the impact that it has on the soul. The gray tones around her mouth seem to indicate that she has cried so much that she is actually turning to ice and her mouth looks to be spitting out frost from having had her heart broken so many times. It was the story behind the painting that made me examine it more closely. Picasso was attempting to use his real-life mistress, Dora Maar, as a model for the picture who he thought cried far too often. He met her in a cafà © where she was busy dropping a penknife between her fingers on the cafà © table, missing and creating small drops of blood while she continued the activity (Button). Picasso was very abstract and it seems this woman was also, which made the story of their romance more intriguing because she was a perfect match for his creative and eccentric personality. This work is representative of most abstract painters, but does not necessarily have the same themes and use of materials that other modern art pieces do. It is unique to a very creative mind that is able to present hidden psychological

Critically discuss the view that capital markets created the Essay

Critically discuss the view that capital markets created the conditions that led to the new economy bubble and the banking crisis - Essay Example While the bailouts were seen to greatly help in preventing the financial depression from spiraling out of hand, the economic recovery is seen to be quite feeble as compared to the other previous post-war upturns. By using different concepts and theories, this paper will show how the capital markets were responsible for creating both the conditions that led to the â€Å"new economy† bubble and the banking crisis. A record is seen to have been set by the Dow Jones when it closed at 14,047 on October 9, 2007, however, just one year later, the Dow Jones was seen to be just above 8,000, after it happened to drop by a staggering 21% in the first nine day of October 2008. Across the world, most major stock companies had also experienced huge plunges alongside the Dow Jones. Numerous companies began to start laying off their workers in droves as they were force to put off any capital investments that they might have had. Credit markets became nearly paralyzed as individual consumers in the United States were systematically denied loans for college tuition and mortgages. The effects of this crisis are still being felt in most rich countries and especially so in those located in Europe, where the financial crisis eventually evolved into the euro crisis. The 2007-09 global financial crisis is viewed to have been a very powerful reminder of the fact that crises can often have a multifaceted nature. The recent global financial crisis is perceived to have been triggered as a result of a combination of various complex factors that included relatively easy credit conditions seen in the period ranging between 2002 through to 2008. These conditions are seen to have encouraged a large number of high risk borrowing and lending practices without the capital markets first assessing factors such as international trade imbalances, default risk, government revenues and expenses fiscal policies and real-estate bubbles among other factors. New

Negative Effects of Illegal Immigration in the U.S Term Paper

Negative Effects of Illegal Immigration in the U.S - Term Paper Example Legal immigration benefits the U.S. each year; however, it’s illegal counterpart does not. Illegal immigration in the Unites States creates big problems for many businesses. "Three hundred thousand illegal immigrants enter the Unites States each year" (Green 4). Every year many illegal immigrants sneak across the U.S. borders, or forge the right papers. Many businesses in rural areas hire illegal immigrants knowingly for outrageously low prices. This hiring is not only degrading to the appearance of the US, but is unfair to other businesses that hire U.S. citizens. Illegal immigrants create greater competition between businesses, but for the ones that don't hire them it unbalances their earnings. Since illegal immigrants can be hired for much less than minimum wage, companies can maximize their profit by buying products cheaply, and cutting costs in staffing their facilities. The United States government has tried to enforce laws about the employment of illegal aliens, but has given up time and time again. Some employers may have even employed an illegal immigrant without even knowing it. Some immigrants obtain the papers for a citizenship, but instead of getting them signed by officials, they forge them and end up getting away with it. â€Å"Politicians, scholars, and citizens alike pronounce the immigration policy â€Å"broken,† as the number of illegal immigrants has reached an estimated 11 million.† (Papademetriou 2005). The issues of both immigration and naturalization are currently extremely sensitive and important issues facing the United States. The Immigration and Naturalization Act of 1952 clearly asserts that no illegal aliens are allowed into the United States. â€Å"In 2008 alone, 1,305 bills related to illegal immigration were introduced in the United States; 206 laws and resolutions were passed in 41 states.† (National Conference of State Legislatures 2009). Immigration and naturalization laws must be enforced in the U nited States, and without it America would become overpopulated and immigration would be out of control. The INS was organized in 1952 for the sole purpose of controlling immigration in to the United States. There are two ways of becoming a citizen of a country, which are by birth and naturalization. Naturalization is a process by which people become citizens from one country or region to another. Some countries do not allow naturalization or immigration due to over population circumstances. (Levey. 67). Illegal immigrants are breaking the federal law when they do not follow this process. Regardless of their reasons, they need to be held accountable for their actions. On February 7, 2003 the Immigration and Naturalization Service (INS) released its latest estimate for the size and growth of the illegal alien population in the United States. "The INS estimates that there were five million illegal aliens living in the United States, with the number growing by 275,000 each year."(Kobac h) New numbers are for the long term, illegal population is those who have been in the United States for at least one year. Many people question exactly how many illegal immigrants are really in the country. â€Å"In 2009 the Department of Homeland Security estimated that there were 1.68 million undocumented immigrants living in Texas. (The nation as a whole is said to have 10.8 million, according to the DHS; Texas has the second highest number of

The Han Dynasty and Rome Essay Example for Free

The Han Dynasty and Rome Essay From 206 B.C.E. 220 C.E., the Han dynasty, in China, accumulated many political control methods, as did Imperial Rome reigning from 31 B.C.E. – 476 C.E. However, there were more differences than similarities between the two empires/dynasties. Two main differences were China and Rome’s territorial expansion and their political philosophies (mandate of heaven and monarchy). A similarity between these two empires would be their centralized government adopting bureaucracy. China put their trust in the mandate of heaven, which is a Chinese political theory that gave those in power the right to rule from a divine authority. Imperial Rome relied on a monarchy system, which put Augustus Caesar (Julius Caesar’s son) into power. Another factor that differentiated Han China and Imperial Rome was their territorial expansion. Imperial Rome expanded from Italy to Spain, Gaul, Macedonia, Asia Minor, Egypt, Greece and Britannia. However, although Han China expands throughout Asia, they felt they did not need to expand much to sustain their power. Nonetheless, what allowed Han China and Imperial Rome to resemble each other, was there centralized bureaucracies. This is a government system in which all of the important decisions are made by one or a few authorities in a region. Rowland 2 Han China (206 B.C.E. 220 C.E.) and Imperial Rome (31 B.C.E. – 476 C.E.) discriminate more with their political methods, than relate to one another. Two distinctions would be their political philosophies, mandate of heaven and monarchy, and their territorial expansion concepts. One aspect that helped them relate to one another was that they shared the ideal of a centralized bureaucracy.

Two Gentlemen of Verona Essay Example for Free

Two Gentlemen of Verona Essay William Shakespeare is an interesting character that just happened to be one of the best play writes of not only his time, but even today. He was born in the year 1564 and died in 1616. Though there are not many records of his personal life, from what there is, he lived a sort of scandalize life. Moving to London and leaving his wife, Anne Hathaway, behind to write plays, act, and, it is said, have affairs with men and women. He is often called Englands national poet and the Bard of Avon. Some people say that his earlier works were not so well written as his later plays, but he wrote about 38 plays in total and is said to have changed not only theater by his influences in other authors, but the English language as well. Though he wrote many good plays, one of his earlier plays, â€Å"Two Gentlemen of Verona† will be discussed in greater detail in this essay. Shakespeare, did many things for the first time in theater and his plays that no other other had done before him. One of his most obvious achievements include language. It is said that he had created about over 1700 of our common words by changing nouns into verbs, changing verbs into adjectives, connecting words never before used together, adding prefixes and suffixes, and making up words that are completely original. Language is a big part of theater. In many plays, as well as life, people play with worlds and sentence structures to portray many different types of emotions. In Two Gentlemen of Verona, many scenes were funnier because of the wordplay they used. For example, in Act III scene i. Speed, the servant of the main character Valentine, had asked Launce, the servant of Proteus, â€Å"How now Signior Launce, what news with your mastership? † Launce replied with, â€Å"With my mastership? Why, it is at sea. † Like many other parts in the book, this dialogue shows Shakespeare creativeness and wordplay. When Valentine asks about the â€Å"mastership† what he really is talking about is Proteus because he is Launces â€Å"master†. Proteus is â€Å"set out to see† because he left Verona, but it is also referring to the â€Å"ship† that Speed was joking about. Many other examples of this are in all of William Shakespeares plays; because it is in old English, it can sometimes be seen when acted easier than just read. In addition, all plays must have a character that has inner conflicts; Shakespeare figured out how to make soliloquies explore a characters inner motivations and conflict. Up until Shakespeare, soliloquies were often used by playwrights to introduce (characters), convey information, provide an exposition or reveal plans. This can probably be more more apparent in plays such as Hamlet, hi the big, and famous â€Å"To be, or not to be† soliloquy. Though, in Act I scene ii Julia, Proteus first love, has a soliloquy where shes does just that. It occurs right after she receives a love letter from her servant that Proteus had sent with his servant, Speed. Right before her soliloquy she had tared up the letter into pieces and kicked her servant out of the room. The first line in her soliloquy, â€Å"Oh hateful hands, to tear such loving words! † demonstrates how Shakespeares characters can show their inner motivations within their soliloquies. Though she had destroyed the letter, and acted as though she was annoyed by it and by her servant, her true motives, and inner feelings are revealed. Another influence William Shakespeare had in the culture of theater is the way that Shakespeare mixed tragedy and comedy together to create a new romantic tragedy genre. Before Shakespeare, romance had not been considered a worthy topic for tragedy. While this can be more easily seen in a play like Romeo and Juliet. Two Gentlemen of Verona is also a comedy that involves some romanticism and tragic events. For example, Proteus, character almost like Romeo, in Romeo and Juliet, is young and falls in love too easily. Like Romeo, Proteus falls in and out of love by the beauty of a woman versus her intellect, or thoughts. Though it is a comedy, some traumatic events occur towards the end cause by love and the betrayal. Proteus falls out of love with Julia, and in love with Sylvia. The flip to this story is that Sylvia was supposed to get married to Valentine, which is Proteus best friend. Proteus betrays Valentine and gets him kicked out of the city. He then attempts to rape Sylvia because she refused to give in to someone that will betray their own best friend by in such a way. The play, Two Gentlemen of Verona, has a shocking ending that seems like it could have many different meanings. The scene begins with Valentine sitting alone in a bush where he hears that Proteus, Sylvia, and Julia (disguised as Sebastian) enter the forest scene. Proteus tells Sylvia that she should be thankful that he had saved her from the â€Å"outlaws†, but Sylvias love for Valentine and hatred for Proteus to betray his friend is too strong. When Proteus is about to rape Julia, Valentine jumps out and stops him. In the end, Julia reveals who she is and the Thurio, the man who was supposed to marry Sylvia from the beginning, enters the scene saying that he will not marry Sylvia because he never really loved her. When Proteus decides he does loves Julia after all, the Duke, Sylvias father, says both men will get married on the same day to both women. This scene proves Federico Garcia Lorcas view that â€Å"the theater is a school of pain and laughter, a free tribunal where we can question norms that are outmoded or mistaken and explain with living examples the eternal norms of the human heart. The whole play involves pain and laughter, in this comedy, we as the audience laugh at Proteus thinking that he loves any girl that is beautiful. Though we laugh at it, there are other mixtures of pain and laughter. It is comical that Valentine, such a noble man, is hiding in the bushes waiting for his best friend to do something bad to his girlfriend; Julia is dressed as a man and no one can see it, but at the same time she is in pain because the love of her life is about to rape someone else; and there is more pain and laughter irony in this one scene. It is definitely a â€Å"tribunal where we can question norms that are outmoded† because the Duke comes into the scene unexpectedly and lets the two men get married without asking the women. This is an outmoded norm that men are superior to women, and men do not need to ask the women permission or what they would like. What if Julia no longer wanted to marry Proteus after all she saw? What if Sylvia did not want to get married on the same day of the man who tried to rape her. The norms can also be â€Å"mistaken† because there is a line where Valentine forgives Proteus for almost raping his lover and he concludes by saying, â€Å"All that was mine in Sylvia I give thee† (Act V, Scene iiii). This line, among many others, is up to interpretation. The line could mean that Valentine decided to give away Sylvia to Valentine in the end, or it could mean something completely different and the audience could be â€Å"mistaking† Shakespeares meaning of what is said. The finale, everyone getting married, shows â€Å"the eternal norms of the human heart†, even in Shakespeare’s time a happy ending is seems more complete. The audience in that time, and today would rather hear that everything resolved in the end for these characters. Although some people may argue that Shakespeares plays were not so well writen in the beginning of his career, there can be much said about his earlier plays like The Two Gentlemen of Verona. It is also clear that Shakespeare has changed and influenced theater greatly. He had changed various things like the English language, characters development within soliloquies, and even created new genres. There can be so much to be said about all his novels, in one scene, like the one above there can be much to debate, laugh, and feel pain about. In this on scene proved Federico Garcia Lorcas quote about theater to be true. If analyzing another scene, the same could be said.

Analysing The Film Saving Private Ryan Film Studies Essay

Analysing The Film Saving Private Ryan Film Studies Essay Saving Private Ryan is an award-winning film directed by Stephen Spielberg. He is particularly remembered for directing films such as Jaws, Jurassic park and Indiana Jones. The phenomenal directors first film he created himself was a war film, which shows he was fascinated from a young age. The film stars famous actors such as Tom Hanks and Matt Damon; it hit the public by storm in the summer of 1998 and is significantly remembered for its epic and horrific 27 minute opening sequence. This scene is very emotional as we witness countless soldiers being slaughtered. The film was awarded five academy awards, including one for best sound and one for best screenplay to name a few. Stephen also won best director for directing the film. Saving Private Ryan had tremendously satisfying reviews that resulted in comments including Spielberg spares the viewer nothing of the horrors of battle and an important film that deconstructs war machines into separate, frightened men as it so likely was. S pielberg wanted to show us what war was really like, he wanted to put chaos on the screen , which is different to many other war films, for example, Inglourious Basterds, which focuses on a fictional storyline that does not include non-fictional happenings and does not show the horrors of the war itself. Spielberg wanted his audience to feel like those green recruits. As a result, the vast majority of the shot were at eye level and he made a great deal of use of handheld cameras throughout the film. The resulting images are shaking and chaotic resulting in an audience feeling like they were there, many audiences even said that while watching the battle scenes they felt queasy. The de-saturated colour emphasised the blood in the second scene which was to depict the fact that a devastating amount of men died in the battle, and it was a particularly scarring experience for them all. The first scene of the film starts off with a low-angle close-up shot of a de-saturated coloured American flag flapping in the wind to show respect for those that fought in the war, age and the victory of the outcome. There is non-diagetic sound playing in the background of military drums, so we know right from the beginning this is an active war film. Subsequent to this we see the future Ryan (although we do not know this yet) walking hastily to a grave in a war cemetery, he is cut off from his family, showing he is cut off from the world, because this was his own personal experience, he is limping which shows he was injured in some way or it is just because he is so old, the camera recognises this through a range of medium shots and long shots of Ryan and his family as he walks in front of them. When Ryan gets to a certain grave, we know there is significance as he breaks down and cries, this shows hes remembering what happened to these men and is emotional about it, the war must h ave had an impact on him because of the chaos and horrors that occurred during it. The camera then makes an extreme close up into his eyes which then links to his thoughts which is the sound of shooting and fighting, this then fades in as we smoothly progress into the first war scene. As we think the elderly man is thinking this, we believe throughout the film that he is truly Captain Miller, when he is actually not. Overall, this introductory scene gets the audience ready for the shock they will experience later. This is effective from the camera angles and Spielberg chose the quiet and tranquil sounds in the scene to contrast the loud sounds of the scenes to come. Merged from the scene with the elderly man, in the next scene we see a landing craft with many frightened soldiers waiting to be told to go and fight. We feel like we are there with them on the craft as Spielberg used the camera effect of panning to go around all the soldiers. We see soldiers being sick, soldiers kissing lucky charms and soldiers shivering. The panning then stops and a close up is made at a man drinking from his water bottle. His hands are shaking to show fear of what is about to happen. The man looks up to reveal he is a captain, we later hear he is Captain John Miller, this depicts the fact that everybody was scared, it didnt matter how high up you were. The use of panning was effective because the viewer feels like they are really there and experiencing what is going on, this helps the viewer to feel empathy for the soldiers in the landing craft. The tension rises as the men continue to look pale and frightened until the landing crafts barrier opens. As soon as th e landing craft opens, we are moved to behind the craft, as though we are watching over the men. The chaos starts immediately, this show an obvious contrast to waiting for battle bits of flesh are flying everywhere and the fear erupts at once, screaming occurs. Spielberg also shows chaos through handheld cameras during this scene, we feel as though we are there and the fighting takes over all other emotions, the hand held cameras also show that this film is from the soldiers prospective. There is also a long shot of the men running to their target point from the Germans prospective. It shows us just how much of a slaughter this battle was as the Germans have a clear view of the whole beach, they are bound to kill many. We see hundreds of soldiers already injured and one stands out from the rest as he is screaming for his mum. This distinguishes just how young some of these soldiers were, some were even as young as 15, which is the same age as me, I feel empathy for the boys who died in this scene as if I was there I would feel really sick and terrified, I know this as when I watched the scene I truthfully felt like I was there. Many soldiers try and get away from the chaos by going underwater, underwater it is slow, muffled and quite, which is a contrast to outside which is fast and extremely loud. We then see bullets coming into the water and killed soldiers there and then. This portrays the fact that there is no way of getting away from the chaos of the war, there is always a big chance you will be killed. Miller having entered the water leaves, there are many reverse angle shots to show what he is seeing on the beach. There is a jerky close up of Miller in slow motion when he goes into a state of shock because of a shell going off right next to him. Because of this he takes his helmet off and hears muffled sounds, he goes into a dream. As soon as Miller puts his helmet back on, reality hits him and the shocks and horrors resume. In the next scene we find many low angled shots of injured men being treated, the true horrors of war a proclaimed by the fact that the Germans are still shooting at the dying men, and the medics trying to save them, the audience sees that the war was not all victory and triumph, but instead ended millions of peoples lives from brutal attacks, like the one in this film. The attacks are so brutal because of the fact that the soldiers on the beach were so vulnerable, there are many low angled shots of the beach to emphasise this. We see Captain Miller on a sandbank with many other soldiers as he finds out he is the last surviving captain of the mission and so he is in charge. As he is being told this a man is shot in the helmet but luckily the helmet saves this, he removes the helmet in amazement and is then shot again and dies. The audience feel for this man as it was so unlucky how he died; it showed how unlucky soldiers were in this battle as so many were slaughtered cold heartedly. This shocks the audience as they get to understand how devastating the war was. In this scene we see Miller with P. Daniel Jackson, Jackson is a Sniper and when the Germans were winning, Miller sent him on a death trail to try and get to a sniper to kill the Germans shooting at where they were. He runs it and I know from many of my classmates as well that we all felt triumph for him. He had risked his life for his fellow soldiers which was an honourable thing to do. When he begins to aim with his sniper, he zones out of everything and the sound becomes muffled, this is because he is concentrating on getting the enemy and has learnt over his training how to do this. The muffled tone makes the scene more realistic and helps the audience to understand his concentration. In the last few scenes of the fighting sequences we see many happenings; one was when there was a reverse angle close up shot of Miller and two soldiers who had killed two surrendering Germans. At first Miller finds what they are doing wrong, but you can see understanding in his facial expressions as the horrors of the fight they had just witnessed and made their hate for the Germans greater. When I watched this I understood what they felt when they saw opposing soldiers, they were the ones who killed their friends and were out to kill them. After the fighting has stopped and everything is calm, the soldiers have mixed reactions. The Sniper began to pray to God, one man broke down a cried, while other soldiers joked with each other, and this showed they were all different but got through the horrors of battle together. The second in command puts soil into a pot and labels it France, we then see from his bag hes been to Africa and many other places, this indicates he is very experienc ed and thats why hes been more calm than most of the others. After this we see millers shaking hand shaking while he took a gulp of his water as he did at the start of the fight scene, this indicates the end of the battle. We then see a long shot of the beach; this shows the red sea and all the dead bodies. This had the most impact on me because there was a lot of blood and a lot of bodies, more than I had imagined, the de saturated colour emphasised the blood as it did throughout the battle scene. To conclude I found the opening scene equipped me well for the rest of the film as Spielberg had flung me right into the deep end, I knew after this scene that there were more scenes like this and knew the blood and gore that would come from it. I found the whole of the sequence very realistic and shocking, the gore was amazing because it looked so real and the men dying gave me a great insight into what war was like for all the soldiers that fought in great battles. Spielberg certainly did succeed in putting chaos on the screen as I definitely found the whole of the war scene chaotic and horrific, the realism contributed to the chaos created on the screen. Spielberg definitely put me off every wanting to go to war as well! Overall I think the film was a great success, it wasnt all heroic like some of the war films are, Spielberg showed war as it was, and for that he deserves the respect he got for a spectacular film.He ha

Hamlet: Contrast Plays A Major Role :: Shakespeare Hamlet Essays

Hamlet: Contrast Plays A Major Role In William Shakespeare's Hamlet, contrast plays a major role. Characters have foils, scenes and ideas contrast each other, sometimes within the same soliloquy. One such contrast occurs in Act Five, Scene One, in the graveyard. Here, the relatively light mood in the first half is offset by the grave and somber mood in the second half. The scene opens with two "clowns", who function as a sort of comic relief. This is necessary, after the tension of Ophelia's breakdown (and subsequent death), and after the ever-increasing complexities of the plot. Previously, Polonious provided some humour, but since he is dead, a new source must be found - the gravediggers. Their banter becomes the calm before the storm of the duel, and the play's resolution. There is also a juxtaposition of the clowns and the graveyard here, which further intensifies the effect. The clowns chatter about their work in a carefree manner, even going so far as to play with a riddle ( " What is he that builds stronger ... carpenter" V,1,41-42). Shakespeare even went so far as to include his puns in this grave scene (V,1,120). Hamlet himself experiences a temporary lightening of mood from listening to the gravediggers' conversation. Their carefree treatment of death singing while digging graves, not to mention tossing skulls in the air) is a parallel to Hamlet's newfound attitude. After having committed himself to his cause in Act IV, he is no longer bothered by the paradox of good and evil, and (seemingly) is untroubled by his previous misgivings. Hamlet's musings on the equality of all men in death serve as a transition into the darker second half of the scene. His contemplations on death reflect Act IV, Scene 3, when Hamlet gives voice to a humorous notion concerning " how a king may progress through the guts of a beggar " (IV,3,27-28). Hamlet expands on this idea with his thoughts on how even Alexander the Great or " Imperious Caesar " may descend to such base uses as stopping a beer barrel, or stopping " a hole to keep the wind away " (V,1,207) The entrance of Ophelia's funeral procession marks the beginning of the second half, which balances the humor of the previous portion. The graveyard now takes on its more traditional role, as a place of grief, rather than a place of drollery. Laertes's words, understandably, contain references to Hell, and also hold no particular benevolence for Hamlet. The tension of the scene is further heightened by the confrontation which

The Quantum Of Continuity :: essays research papers

<a href="http://philosophos.tripod.com">http://philosophos.tripod.com The problem of continuum versus discreteness seems to be related to the issue of infinity and finiteness. The number of points in a line served as the logical floodgate which led to the development of Set Theory by Cantor at the end of the 19th century. It took almost another century to demonstrate the problematic nature of some of Cantor's thinking (Cohen completed Godel's work in 1963). But continuity can be finite and the connection is, most times, misleading rather than illuminating. Intuition tells us that the world is continuous and contiguous. This seems to be a state of things which is devoid of characteristics other than its very existence. And yet, whenever we direct the microscope of scientific discipline at the world, we encounter quantized, segregated, distinct and discrete pictures. This atomization seems to be the natural state of things - why did evolution resort to the false perception of continuum? And how can a machine which is bound to be discrete by virtue of its "naturalness" - the brain - perceive a continuum? The continuum is an external, mental category which is imposed by us on our observations and on the resulting data. It serves as an idealized approximation of reality, a model which is asymptotic to the Universe "as it is". It gives rise to the concepts of quality, emergence, function, derivation, influence (force), interaction, fields, (quantum) measurement, processes and a host of other holistic ways of relating to our environment. The other pole, the quantized model of the world conveniently gives rise to the complementary set of concepts : quantity, causality, observation, (classic) measurement, language, events, quants, units and so on. The private, macroscopic, low velocity instances of our physical descriptions of the universe (theories) tend to be continuous. Newtonian time is equated to a river. Space is a yarn. Einstein was the last classicist (relativity just means that no classical observer has any preference over another in formulating the laws of physics and in performing measurements). His space-time is a four dimensional continuum. What commenced as a matter of mathematical convenience was transformed into a hallowed doctrine : homogeneity, isotropy, symmetry became enshrined as the cornerstones of an almost religious outlook ("God does not play dice"). These were assumed to be "objective", "observer independent" qualities of the Universe. There was supposed to be no preferred direction, no clustering of mass or of energy, no time, charge, or parity asymmetry in elementary particles.

Coal and Iron and the Unification of Germany in 1871 Essay -- Blood an

Coal and Iron and the Unification of Germany in 1871 In 1862, Bismarck said that ‘the great questions of the day will be settled by blood and iron.’ Although there is undoubtedly some degree of accuracy in this statement, the most important reason for the unification of Germany, which ended ‘the great questions of the day,’ was ‘coal and iron.’ This is a quote from British economist John Maynard Keynes, who argued that the industrial and economic preparation before the wars, which united Germany, were more important. This is because the economic strength created by the rapid industrialisation enabled the creation of a powerful Prussia. It was under this powerful Prussia, with some skilful diplomacy and opportunism, that Germany was successfully united in the wars of German Unification. Without such economic development and prosperity, it is questionable whether Germany would have been united by 1871. The main reason for the unification of Germany by 1871 was ‘coal and iron.’ This includes important factors such as the presence of raw materials in Prussia, the development of the railways and the Zollverein in Germany, and the industrialisation, which took place in Prussia, particularly in the 1850s. This economic strength, stems back to the Congress of Vienna, where Prussia was given mineral rich land. It gave Prussia the coal and iron producing areas of the Rhineland, and the mineral rich Ruhr and Saar. The availability of such natural resources created an economic take off in Prussia in the 1850s. As a result, Germany became Europe’s largest producer of key industrial commodities, such as coal and iron. New mines and iron works w... ...d, stable financial environment. This enabled a strong and successful Prussia to emerge. Prussia was then able to progress to unite Germany. This was because the strong economy permitted the establishment of a strong military force. This strong military force was then able to go forward and unite Germany by ‘blood and iron.’ This process was undoubtedly assisted by the skilful negotiation and opportunism of Bismarck. The longer-term factors – the economic and industrial factors – enabled the shorter-term reasons for unification to occur. Without a strong financial backdrop, Prussia would not have had such a powerful and efficient army, which was clearly important in the unification of Germany. It was ‘iron and coal’ that enabled the new German Reich to be proclaimed in the Hall of Mirrors, Versailles on 18th June 1871.

Drug Violence Essay

According to the article, â€Å"The Drugs/Violence Nexus: A Tripartite Conceptual Framework†, author Paul Goldstein argues that there are three ways in which drugs and violence are related. Goldstein’s models for the relationship between drugs and violence are the psychopharmacological model, economic compulsive model, and the systemic violence model. The psychopharmacological model, â€Å"suggests that some individuals, as a result of short or long term ingestion of specific substances, may become excitable, irrational, and may exhibit violent behavior† (pg. 278). In this model, violence occurs due to a withdrawal or the lack of availability of the preferred drug. The economic compulsive model argues that crime occurs due to the necessity to continue a prolonged addiction of a particular dug. Paul Goldstein states that, â€Å"Economically compulsive actors are not primarily motivated by impulses to act out violently †¦ rather, their primary motivation is to obtain money to purchase drugs† (pg. 279). The final model regarding systemic violence â€Å"refers to the traditionally aggressive patterns of interaction within the system of drug distribution and use† (pg. 280). In this model, individuals within the system or hierarchy are prone to violence in the form of disputes, robberies, and punishments due to the illegality of the drug. In my own opinion, I see drug violence occurring due to the simple processes of an industry or market. Due to the fact that drugs are illegal and in such high demand, the market itself works to create tension and violence. I agree with Goldstein and his economic compulsive model, but argue that the prices and availability are so high due to such a large demand of illegal substances. Without the demand, prices would drop, availability would rise, and the amount of violence would be reduced as well. There are many costs related to the close relationship between drugs and violence. For one, the drug consumption and distribution from gangs is becoming more violent and increasingly prevalent. Due the illegality and potential profit, gangs became systemically involved in the distribution of drugs and the violence that comes along with it (pg. 267). Within the system of drug distribution, gangs have both financial and personnel costs. The financial costs arise from competition and all the resources used to gain the upper hand. The personnel costs mainly come about due to gang wars and the enforcement of the law. One final cost comes at the expense of the community, where neighborhoods involved with drug distribution are more likely to be surrounded by illicit activities and violence. According to Paul Goldstein, â€Å"Previous research indicates that the most common victims of this form of drug related violence are people residing in the same neighborhoods as the offender† (pg. 279). As I stated before, there many reasons responsible for the violence and crime associated with drugs. The first and most obvious is the fact that drug use and the distribution of drugs are illegal. The second aspect of violence comes from the prohibition and interest groups that continue to inflict harsh penalties on drug use. The third and final reason is that both drugs and crime share common causes (O’Brien Lecture). This final reason is the most important because it points to the fact that the U.S has turned into a drug culture, not for one particular reason, but rather the relationship between drugs and violence. Although drugs and violence have been increasingly prevalent in U.S society lately, there are a few solutions or steps we can take to reduce the amount. In a perfect world, I would suggest a reduced role of politico-moral entrepreneurs in order to lessen the prohibition measures, which create so much of the tension. But unfortunately we do not live in a perfect world, so instead I suggest changing the drug laws to reduce the amount of trafficking and availability of the drug. Once again, with less restrictions and more availability the gangs and drug lords would have much less of a demand; and thus less violence. According to the article, â€Å"The Social Construction of Drug Scares†, author Craig Reinarman states that there are three main elements to a drug scare. They are the kernel of truth, media magnification, and politico-moral entrepreneurs (pg. 43). A kernel of truth refers to the fact that, â€Å"in virtually all cultures and historical epochs, there has been sufficient ingestion of consciousness-altering chemicals† (pg. 43). That is, the kernel of truth looks at the big picture and views drug use as a natural occurrence through out history. Media magnification argues that, â€Å"The media dramatize drug problems, as they do other problems, in the course of their routine news-generating and sales-promoting procedures† (pg. 43). This points to how the mass media takes small cases of re-occurring drug use and turns it into an ‘epidemic’ or drug scare. The media thus acts as a promoter for the inflation of the kernel of truth and how it should be interpreted. The final element to a drug scare are the politico-moral entrepreneurs, who’s personal interests outweigh societies’ when it comes to the regulation of drugs. According to Craig Reinarman, â€Å"political elites typically find [that] drugs †¦ allow them to deflect attention from other more systematic sources of public problems† (pg. 44). In this case, politico-moral entrepreneurs have the power to alter the thought process of an entire culture in relation to drugs (ex. Ronald Regan). When it comes to the public reaction of drug scares, the mass media and politico-moral entrepreneurs are the most influential (pg. 45). They shape the public ideals and beliefs about drugs, as well as, advocate towards a temperance culture. The media tries to present conscious-altering chemicals as a ‘loss of self-self control’. Because the U.S. developed from a temperance culture, â€Å"self-control was both central to religious world views and a characterological necessity for economic survival and success in the capitalist market† (pg. 45). Thus, the general public essentially responds to drug scares however the media portrays it to be. A good example of the media’s bias and influential impact on drug scares can be seen in the case of salvia divinorium in the United States. Although many medical researchers believe that salvia can be used as a medicinal substance, the government is in the process of banning the drug for all social/recreational use (O’Brien Lecture). In this case, the media’s magnification of salvia as a drug scare has led to an ‘all or nothing’ attitude regarding the drug. Instead of regulating and suppressing the negative attributes of the drug, we have been led to believe that the drug is pure evil (O’Brien Lecture). In order to reduce the frequency of drug scares in our culture, we must first reduce the factual/selection bias of the mass media.

Qualitative Research or Quantitative Research Essay

Both qualitative and quantitative research methods have their specific qualities which make them useful to a researcher, however in the course of this short essay I will explain why, for several reasons, qualitative research is better. As both methods operate within different assumptions, it is important to stem criticism for each method’s respective theoretical base in order to adequately judge them. In the course of this essay I will highlight each method’s theoretical assumptions and then I will assess each method by pointing out their positive and negative factors. The underlying assumption behind qualitative research is that the entire subject needs to be examined in order to understand the phenomenon. Quantitative research however, places importance in collecting and analyzing data from parts of a trend and in so doing, can miss important aspects which could lead to a complete understanding of the whole phenomenon. ‘There’s no such thing as qualitative data. Everything is either 1 or 0†²(Fred Kerlinger: 1999)Unlike quantitative research, there is no overarching framework for how qualitative research should be conducted; rather each type of qualitative research is guided by the particular philosophical stances that are taken in relation by the research to each phenomenon (Miles & Huberman: 1994, p. 40) This enables qualitative research to be more involved with the subject at hand whereas quantitative research has the same rules which it applies to every subject matter, thus making it easier to overlook important evidence. As the researcher using qualitative methods becomes entirely immersed in the data collection phase of the project, he himself actually becoming the data collection tool as opposed to the questionnaires and equipment used by quantitative researchers, it allows him to gain a better understanding of the subject matter as a whole and observe the subject in its own environment:Human behaviour is significantly influenced by the setting in which it occurs; thus one must study that behaviour in situations. The physical setting  ¬e.g., schedules, space, pay, and rewards  ¬and the internalized notions of norms, traditions, roles, and values are crucial contextual variables. Research must be conducted in the setting where all  the contextual variables are operating. (Marshall & Rossman: 1980)Quantitative research disregards these valuable contextual variables as most of the work is done in a laboratory with the researcher using the principles of impartiality and an objective portrayal of the subject. In conclusion, qualitative research is better than quantitative research because it places emphasis upon the subject itself by studying it in an in-depth manner and becoming involved with it on a personal level. Quantitative research keeps a level of impartiality with the subject matter thus making it neglect important contextual factors crucial to the research itself. 1.Using British Election Study data for example, why is it problematic to do quantitative research on ethnic minorities?It is problematic to do quantitative research on ethnic minorities because the standard deviation is so small, thus the observations are spread out over a very small sample which would not accurately represent the entire ethnic group. There is such a small valid percent that subjects would need to be targeted as they are unlikely to be caught during random sampling. 2.Providing either hypothetical and/or published examples, how accurate is it to label content analysis as a quantitative method?It is quite accurate to label content analysis as a quantitative method for several reasons. The comparisons of their theoretical patterns are numerous and therefore it has more in common with quantitative than qualitative methods. In the course of this short essay I will explain why it is accurate to label content analysis as a quantitative method by using an example of research employing content analysis and pointing out the similarities between the two. Content analysis has been described as:’Any technique for making inferences by objectively and systematically identifying specified characteristics of messages’ (Holsti: 1969 p. 14)Compare this with a definition of quantitative research:’The aim is to classify features, count them, and construct statistical models in an attempt to explain what is observed. It is objective – seeks precise measurement & analysis of target concepts.’ (Miles  & Huberman: 1994, p. 40)Both of these definitions contain the term objective, which shows that both of the methods share the core aspect of non-interference with subjects:’Content analysis is often referred to as an unobtrusive method'(Bryman: 2008, p. 289)This key concept lies at the heart of both content analysis and quantitative research methods, it is an obvious similarity. In Shephard’s study of the dynamics between the party, candidates and constituencies he used content analysis on party leaflets to spot recurring trends. His method (content analysis) bears a striking resemblance to quantitative research, for example both methods begin with hypotheses and theories, Shephard choosing to ask whether emphasis in leaflets matches the profile of the constituents. He then made two hypotheses stating that -the higher the unemployment rate the higher the emphasis on jobs and job creation and the higher the home ownership, the higher the emphasis on interest rates and mortgages. Quantitative research methods also start off with hypotheses and theories; therefore it is clear to see that content analysis could be labelled quantitative due to this fact. Furthermore, both methods of research have a high level of transparency because they are both highly structured and systematic in their approach. Shephard stated that to conduct his analysis ‘objectively and systematically’ (two quantitative features) that he had to identify his sample, sample period, text/images and what words and images to count. This shows that both content analysis and quantitative research share ‘epistemologically grounded beliefs about what constitutes acceptable knowledge’ (Bryman: 2008, p. 155)In conclusion, it is accurate to label content analysis as a quantitative method due to the fact that it shares many features in common with quantitative research. These include, maintaining objectivity during the study, transparency and a systematic approach to research. These features indicate that content analysis is grounded in the same theoretical processes and philosophy as quantitative research. 3.Providing examples of focus group research from the literature, discuss the advantages and disadvantages of focus groups. Focus groups are a highly useful method of data collection but they have many advantages and disadvantages. I will discuss the advantages and disadvantages of focus groups in this essay and also consider real-life examples of focus group research to illustrate this. Focus groups can provide an insight into the way in which people organize and interpret knowledge as well as how people construe information. This is especially useful in the study of audience reception- how audiences receive different kinds of television and radio programmes, etc. Such a study was conducted by Morley in 1980 into how Nationwide, a popular television programme at the time, was received by specific groups of people. He noticed that different groups had different interpretations of the programmes which they had watched, which indicated that the meaning of the programme was based in the way it was watched and interpreted not in the programme itself. (Bryman: 2008, 475) This provides more information that a simple interview because the interviewee has the choice to respond to fellow participants and argue with them, leading the researcher to gain a greater insight into why they hold such beliefs and how strongly they feel about them. Another advantage of focus groups is that they can provide a more open environment to respond to questions by the way in which they are selected prior to the event. For example, Kitzinger notes in her research on HIV that any attempts at discussions about risks for gay men were blocked out by strong homophobic clamouring amongst homophobic men. (Kitzinger: 1994b in Bloor, et al: 2001, p. 20) Therefore focus groups consisting of specific groups such as male prostitutes, retirement club members, etc, provided a more relaxed environment in which views could be openly discussed without fear of being criticised for one’s beliefs. In addition to this, organising groups consisting of only HIV positive people meant that disclosure of a potentially stigmatising status could be overcome. (Bloor: 2001 p. 23)However focus groups also have their disadvantages, the most prominent one being the role of the researcher within the discussion- the way in which the focus group is designed, the pa rticipants selected to take part, where the meeting takes place, how the questions are worded and delivered and who the instigator is may affect the responses which are obtained. This raises  the question over the validity of the results as the researcher has less control over a focus group than he would over a one on one interview with respondents possibly talking amongst themselves on irrelevant issues, or the simple fact that they may get bored or have personality issues with other members of the group. (Walvis: 2003 p. 405)Another disadvantage of focus groups is the tendency of researchers to (either consciously or subconsciously) pick groups so that they align with pre-determined beliefs about a subject. One famous example of this was when Coca-Cola launched ‘New Coke’ in 1985 despite the fact that the focus groups had made it explicit that they would not like to see the traditional coke removed from the shelves. (Pendergast: 1993 and Greising: 1998) The taste-tests however had proved positive, but they had not been asked the vital question about how they would feel if traditional coke was removed from the shelves, this positive response was more in line with how the CEO of Coca-Cola felt about the product and it was launched based on the back of poorly conducted focus groups. The subsequent product was a massive failure and lost Coca-Cola a large share of the market; it was obvious that Coca-Cola had spent too much time and money on the plan to dismiss it on the results from focus group research at the last minute. One final disadvantage of focus groups is their limited spread of views; Morgan (1998) suggests that the average size of a group should be around six to ten people. This clearly cannot be representative of the population as a whole- Stephen Fisher and Robert Andersen (2005) state that in order to have a representative sample for one million people you would need, with a margin of error of 5%, 384 participants. Bibliography †¢Bloor, M. et al. (2001) Focus Groups in Social Research (London: Sage). †¢Bryman, A. (2008) Social Research Methods (2nd Ed.) (Oxford: Oxford University Press). †¢Greising, D. (1998) I’d Like the World to Buy a Coke: The Life and Leadership of Robert Goizueta (New York: Wiley)†¢Holsti, O.R (1969) Content Analysis for the Social Sciences and Humanities (Reading, Mass.: Addison-Wesley)†¢Kerlinger, F. Foundations of Behavioural Research (Nova York: Holt, Rinehart and Winston 1965)†¢Marshall, C., & Rossman, G. (1980). Designing qualitative research. Newbury Park, CA: Sage. †¢Miles & Huberman (1994, p. 40). Qualitative Data Analysis†¢Pendergast, M. (1993) For God, Country and Coca-Cola: The Unauthorised history of the World’s Most Popular Soft Drink (London: Weidenfeld & Nicholson)†¢Shephard, M. (2007) ‘Multiple Audiences, Multiple Messages? An Exploration of the Dynamics between the Party, the Candidates and the Various Constituencies’, Journal of Elections, Public Opinion and Parties†¢Walvis, T.H (2003), â€Å"Avoiding advertising research disaster: Advertising and the uncertainty principle†, Journal of Brand Management, Vol. 10, No. 6

Sepsis: Blood and Fluid Resuscitation

Sepsis; pathophysiology, etiology and treatment Abstract To define the disease known as sepsis, briefly discuss its pathophysiology, etiology, signs, symptoms, and treatments. Outline protocols for sepsis screening, early directed goal therapy, and to establish the nurse’s role in the process. Sepsis is a complex disease, or response to a disease process that can lead to patient mortality rates up to 60%. Gram negative infectious organisms invade the blood stream, and activate a systemic response.This systemic response exacerbates the problem, leading to disproportionate blood flow, alterations in tissue perfusion, and eventually multiple organ failure. Sepsis screening begins in the ER, signs and symptoms that are indicative of sepsis, or early indications of infection that can eventually lead to sepsis should be identified quickly. Since the majority of these patients are already compromised, it is imperative to have proper screening and initiate early goal directed therapy. Following standard protocols has proven to reduce mortality rates by as much as 25%. Sepsis; pathophysiology, etiology and treatmentSepsis has been defined as a suspected or proven infection that has entered the blood stream, and has the clinical manifestations of what has been termed the systemic inflammatory response (e. g. , fever, tachycardia, hypotension, and elevated white blood cell count termed leukocytosis) (Dellacroce, 2009, p. 17). Sepsis can be a result of any infection in the body that has triggered this systemic inflammatory response. Often times especially in the elderly it might be a result of an untreated urinary tract infection, or some other unknown infection that enters into the blood stream.When the invading organism or antigen enters the bloodstream, it releases endotoxins, a toxic substance usually associated with gram negative bacteria, such as Escherichia coli, Klebsiella pneumoniae, Serratia, Enterobactor, and Pseudomonas. In the patient who is ill already this invasion into the blood stream stimulates the release of too much immunodulators, causing an exaggerated response. Vasodilation is the body’s way of increasing blood flow to the attested area, thereby transporting more white blood cells, such as macrophages, to control the original infection.However, vasodilation, without a proportionate increase in blood volume leads to hypotension, increased capillary permeability which allows fluid to leak out of the blood stream and into the surrounding tissue causing edema. Concurrently, fibrinolysis is impaired leading to a decrease in clot breakdown. This is thought to be the body’s attempt to confine the antigen. However, the formation of fibrin clots leads to micro thrombi, causing hypoperfusion of tissues, tissue necrosis and eventually organ failure (Dellacroce, 2009, p. 17).Consequently severe sepsis is evidenced by sepsis-induced organ dysfunction or tissue hypoxia, hypotension, oliguria, metabolic acidosis, thromboc ytopenia, hypotension being a late sign of sepsis. Septic shock is defined as severe sepsis with hypotension, despite fluid resuscitation. Sepsis and septic shock are the most common form of vasodilatory shock, associated with the systemic response to severe infection. Sepsis and septic shock are very common in critically ill patients, elderly, and is accompanied by a high mortality rate.In many cases as high as 30 percent of patients die within the first month of diagnosis, and 50% of patients die within 6 months (Gerber, 2010, p. 141). The growing incidence has been attributed to enhanced awareness of the diagnosis, increased number of resistant organisms, and growing number of immunocompromised patients, and the increase in the elderly population. The early goal is direct therapy interventions and better treatment methods which have resulted in a decreased mortality rate; however the number of deaths has increased, because of the increased prevalence. Porth, 2011, p. 505) The pat hogenesis of sepsis involves a complex process in which the immune system releases a number of proinflammatory and anti-inflammatory mediators. In doing so, the body reacts by generating a fever, tachycardia, lactic acidosis, and ventilation-perfusion abnormalities occur. Hypotension is caused by arterial and venous dilatations, plus leakage of plasma into the interstitial spaces, abrupt changes in level of consciousness and cognition, are a result of decreased cerebral blood flow.Regardless of the underlying cause of sepsis, fever and increased leukocytosis are present. Elevation in lactic acid levels may not always be immediate, but generally a lactic acid level that is above 3. 2 would trigger the sepsis screening and cause initiation of early goal directed therapy. Our role as the nurse is to recognize the signs of sepsis, and or infection that could lead to it, and make the Doctor aware of any abnormal values or signs. Sepsis screening should be done on any patient that present s to ER with symptoms that would indicate infection, or early sepsis.Sepsis should be ruled out by using the screening protocols, and standard blood work, including two sets of blood cultures, (should be from two separate sites fifteen minutes apart) (Dellacroce, 2009). If the patient has passed the sepsis screening, sepsis protocols for early goal directed therapy should be initiated. The sepsis screening for a patient should take a systematic approach. Does the patient have a suspected infection as evidenced by, white blood cells (WBC) in urine, cerebral spinal flood, or other normally sterile body fluid, cellulitis or other skin infection, new pulmonary infiltrate on chest x-ray consistent with pneumonia?Does the patient have systemic inflammatory response syndrome (sirs) as evidenced by, WBC’s greater than 12,000 or less than 4,000, temperature greater than 38C, heart rate greater than 90 beats per minute, respiratory rate greater than 20 breaths per minute, PaCO2 less th an 32, or on a ventilator? Does this patient have organ system failure as evidence by, respiratory on ventilator, vasopressors, and metabolic serum greater than 3. 2, urine output of less than 0. 5 ml/kg/hr or greater than 0. 5 ml/kg/hr above baseline, or platelets less than 100,000?Does this patient have serious condition that indicates septic shock as evidenced by, receiving vasopressors after fluid resuscitation or lactate greater than 3. 9? (EGDT, 2011) Early goal directed therapy or implementation of sepsis bundle, should be priority, after cultures and all blood work has been completed. Antibiotics should be initiated within 3 hours of admission to emergency room, with initial round of antibiotic started within one hour of diagnosis. Central line access should be established for vasopressors.Arterial line should be established to measure central venous pressure (CVP). Fluid resuscitation to maintain CVP of greater than 8, 12-15 for ventilated patients (Soo Hoo, Muehlberg, Ferr aro, & Jumaoas, 2009). Rapid fluid resuscitation is required with these patients it is recommended they receive up to 3 liters of fluid. Mean arterial pressure (MAP) should be maintained via vasopressors to achieve MAP above 65. One of the more recent advances in treatment of sepsis is the administration of recombinant human activated protein c (rhAPC). rhAPC is a naturally occurring nticoagulant factor that acts by inactivating coagulation factor Va and VIII. RhAPC has direct anticoagulant properties, including inhibiting the production of cytokines (Porth, 2011, p. 506). Sepsis is a complex disease that takes a multi-disciplinary team to detect and treat. It is vital for the patients that diagnosis and early treatment begun immediately. This disease process is accompanied by a high mortality rate, so vigilance on the part of the health care team is a must. Screening and early goal directed therapy protocols are vital tools in the treatment of septic patients.The implementation of these tools has been shown to reduce mortality as much as 25%. The health care professional must pay attention to the signs that may be subtle, such as a slight increase in temperature; this is especially tricky in elderly patients whose baseline core temperature may be hypothermic. Nurses should watch pulse rates from baseline, urine output, any changes in mental status. References Dellacroce, H. (2009, July). Surviving sepsis: The role of the nurse. RN, 16-21. Gerber, K. (2010). Surviving sepsis: a trust-wide approach.A Multi-disciplinary team approach to implementing evidence-based guidelines. British Association of Critical Care Nurses, Nursing in Critical Care 2010, 15, 141-151. Porth, C. M. (2011). Essentials of Pathophysiology (3rd ed. ). Philadephia, PA: Lippincott Williams & Wilkins. Severe Sepsis/Septic Shock Screening Checklist for Early Goal Directed Therapy [Protocol]. (2011). LRMC Soo Hoo, W. F. , Muehlberg, K. , Ferraro, R. , & Jumaoas, M. C. (2009, July 4). Successes and Lessons Learned Implementing the Sepsis Bundle. Journal of Healthcare Quality, 31(9-15).