Technology impact on the organization Research Paper

Innovation sway on the association - Research Paper Example Elements of creation incorporate the data sources required in the creation procedure so as to achieve an organization’s objective in accomplishing its ideal yield. The ideal yield might be a completed item or a help contingent upon the association. They incorporate work, capital, land and endeavor or business (Lee and Edgar, 2002). This gains mechanical ground the mover of improvement in the economy. Work in an association is named as either gifted work or incompetent work. Most associations will incline toward the utilization of incompetent work however much as could reasonably be expected since it is less expensive when contrasted with gifted work. It is additionally in numerous occasions promptly accessible. Then again, gifted work is required, particularly where innovation gets the part of robotization in preparing. Capital is the underlying measure of cash required to do association undertakings. Contingent upon the speculation focused on, an association requires variation measure of capital. An association with a robotized PC controlled procedure can't have a similar measure of speculation with one more of a similar kind. Starting expense of high innovation is high, yet this winds up getting conservative because of proficiency and high profitability in handling. This is an essential factor that manages the administration of an organization. Laborers in the administrative positions and are familiar with high evaluation innovation realize how to bring out better outcomes. This acquires the part of â€Å"Just in Time† conveyance of merchandise and ventures. One of the jobs of innovation incorporates expanded efficiency of the laborers. This is improved by the utilization of productive machines in activities, in this way making it conceivable to misuse the worker’s potential. There is ideal assets use; this incorporates space, time, process, human asset among others. When there is no loss in a procedure, ideal benefits are gotten, and making benefits is the primary objective of any business association (Montano

Continetal drift theory Essays -- essays research papers fc

Mainland Drift, the hypothesis that landmasses move gradually about the world's surface, changing their positions comparative with each other and to the posts of the earth. In the past the hypothesis has been talked about yet not for the most part acknowledged, most geologists accepting the landmasses to be fixed set up and subject just to vertical developments, for example, those saw during mountain inspire. Lately, be that as it may, a sound assemblage of proof on the side of a changed type of the float hypothesis has been found. Thoughts are getting exact and bound together, with accentuation on a moving, advancing sea depths. The new hypothesis is called plate tectonics. Not long after the Atlantic Ocean had been mapped, around 300 years prior, it was seen that the contrary coasts had comparative shapes, yet it was not until the center of the nineteenth century that precise maps were distributed showing that the two coasts could be fitted together intently. A few geologists at that point proposed that the attack of the coasts was not a mishap - that the landmasses were once joined and had in this manner floated separated. None of the proposals were paid attention to. Â Â Â Â Â In 1912, in any case, the German meteorologist Alfred Wegener explored the attack of the Atlantic drifts more cautiously than had his forerunners and assembled all the mainlands into one incredible land mass, which he called Pangaea. He guessed that the mass started to break separated around 200 million years prior. He likewise indicated that some geographical highlights on the contrary drifts could have fitted together, and that there were many striking similitudes between the fossil plants and reptiles on the contrary drifts, especially the banks of Africa and South America. On the off chance that the landmasses were pushed together, the topographical, fossil, and different lines of proof would consolidate precisely in the manner that lines of print on a torn paper would join when the paper was reassembled. Wegener additionally called attention to that old climatic zones appeared to have lain in better places from the current zones. He called attention to that where extraordinary ice sheets have dissolved in ongoing geographical occasions in Scandinavia and North America, the land is ascending as quick as a centimeter a year. This vertical elevate, he stated, requires flat inflow of issue beneath and suggests that stream and movement do happen inside the earth. Â Â Â Â Â We... ...a separated mainland. Â Â Â Â Â Although Wegener and Du Toit recommended that the crude mainlands started to separate around 200 million years prior, there is a lot of proof that float started well before at that point, and that mainland squares have gradually been moving about the world's surface all through a lot of geographical time. It appears that before the landmasses floated separated and opened up the Atlantic, they had floated together and quit for the day sooner sea. Somewhere else where mainlands appear to have found one another and accumulated mountains between them is the Himalayas, which may have been delivered when the Indian Peninsula disengaged itself from Gondwanaland and steadily floated into Asia Book reference  Daley, Robert B. 1986 An investigation of an evolving planet; CEBCO Publishing co. p.418  Bartolini, Annachiara and Larson, Roger L; 2001 Pacific microplate and the Pangea supercontinent in the Early to Middle Jurassic; Geology, Aug2001, Vol. 29 Issue 8, p735-39  Anderson, Don L 2001. Top-Down Tectonics; Science, 9/14/2001, Vol. 293 Issue 5537, p2016-18  http://www.geo.cornell.edu/topography/classes/Geo101/101week6_s01.html

Riot Round-Up The Best Books We Read in July

Riot Round-Up The Best Books We Read in July We asked our contributors to share the best book they read this month. We’ve got fiction, nonfiction, YA, and much, much more- there are book recommendations for everyone here! Some are old, some are new, and some aren’t even out yet. Enjoy and tell us about the highlight of your reading month in the comments. Act Like It by Lucy Parker This book, man. THIS BOOK. It’s a love story set in the glamorous and wacky world of London’s West End. Elaine Graham, theatre’s new sweetheart, is bribed into pretending to date Richard Troy, a man whose antics have turned his nickname from Byron to Dickhead. She gets a sizable donation for her charity, he gets a salvaged reputation. Too bad they can’t be in each other’s presence for five minutes without insults starting to flow. I’m sure you can guess where this leads. This is an absolute delight of a novel. With a wonderfully charming heroine, a surprisingly loveable hero (in a can-I-hit-you-upside-the-head-now-please way), and the kind of witty repartee that makes me think of smoke screens, cigarette holders and 1950s Hollywood, this book is a gift. â€"Carolina Ciucci All the Ugly and Wonderful Things by Bryn Greenwood This story is about a young girl named Wavy, the daughter of a meth dealer and his addict wife, and her relationship with Kellan, an associate of Wavy’s father who provides her with a sense of stability and safety in the midst of her chaotic and sometimes violent home life. People seem to have one of two reactions to this bookâ€"either they are completely enthralled by it or they are utterly repulsed. Both reactions are warranted. Bryn Greenwood crafts beautiful characters and writes with a sensitivity that elicits empathy in situations where outrage and disgust might seem like the more appropriate response. Nevertheless, this book deals with a taboo and morally charged topic that will be a deal-breaker for many. If you decide to read it, I recommend going in blind and with an open heart. You may love it or hate it, but either way, you’re unlikely to forget it. â€"Kate Scott American Panda by Gloria Chao (Simon Pulse, February 6, 2018) I try not to read books too far in advance because it means everyone else will have to wait before they too can experience the joy I’m feeling. Gloria Chao’s American Panda is about a Taiwanese-American girl named Mei who gets into college early (MIT) and has to straddle two cultures. It’s a story about the importance of traditions but also the room for evolution. I related so much to Mei’s experience as someone who came to Canada as an infant and navigating my relationship with parents as a result of it. It’s an earnest, funny and emotional story and I recommend adding it to your to-be-read list. It brought a ray of light to my July. â€"Ardo Omer Between the World and Me by Ta-Nehisi Coates You’ve probably already seen the heaps of praise given to Coates’s memoir, written for his then-15-year-old son. It’s definitely worthy of that praise. Coates writes with passion and conviction about his life as a black man and his hopes and fears for his son’s future. Throughout, he interrogates common assumptionsâ€"including his ownâ€"about race and the fight for equity. It’s a challenging a powerful book, and although I don’t think I was necessarily part of the audience he had in mind for it, I still got a lot out of it. â€"Teresa Preston Bloodchild and Other Stories by Octavia Butler I started reading Bloodchild in June for Octavia Butler Day, in addition to her other works, and just finished it this month. The tight writing and creativity, along with the social commentary, managed to understate the realistic terrors of various situations. I admire her eye to imagine fantastic, science-based horrors that could easily come to pass. â€"Priya Sridhar Bluebird, Bluebird by Attica Locke (Mulholland Books, September 12) This story of a black Texas Ranger torn between his professional duty and his moral obligations to his brothers and sisters of color leaves so much to unpack. It’s unusual to come across a mystery where the writing is so full and, at times, lyrical. Locke is also a writer for the television series Empire, and that ability to paint a vivid picture on difficult subjects is so apparent in Bluebird, Bluebird. â€"Elizabeth Allen Careers for Women by Joanna Scott I am having a hard time trying to accurately describe this novel. It’s a fascinating story of friendship and careers and dreams, but it’s also an intricate, time-hopping mystery steeped in privilege and class. In 1950s NYC, Maggie Gleason is honored to have been chosen to work for Lee Jaffe, the most powerful public relations woman in the country; in the 1960s, Maggie is intrigued by Lee’s decision to hire Pauline, a former prostitute, as her receptionist; in the 1970s, Maggie is left caring for Pauline’s daughter when Pauline doesn’t return from her weekend away; in the 1980s, a fire rips through an aluminum factory. Woven into these plots and others is the inception and construction of the World Trade Center. The book goes back and forth through the decades at a dizzying pace that had me racing through it in one sitting! I will say that all the storylines may seem a bit overwhelming to follow at first, but I promise in the end you will be dazzled by what Scott has pulled off.   â€"Liberty Hardy City of Brass by S A Chakraborty (Harper Collins, November 14) I got to know this author because she’s a fan of NYU Press’s Library of Arabic Literature series, where I do zany medieval social media. Thus I became aware of the massive research she’s done to write this premodern djinn fantasy novel. Then two, after reading the “djinnthology” The Djinn Falls in Love, I decided I needed more djinn in my life. A lot more djinn. And this book is a sensual, fully realized world full of daeva, djinn, shafit, and other wonderful beings. Basically, if you liked Nnedi Okorafor’s Who Fears Death (and if you didn’t…!?!?!), then read this. â€"Marcia Lynx Qualey Climate of Hope: How Cities, Businesses, and Citizens Can Save the Planet by Michael Bloomberg and Carl Pope Does it depress you that our President and his minions are climate change deniers? Read this book! It shows how citizens, corporations, and cities are the real agents of effective change. Climate of Hope focuses on solving global warming, but its real-world examples can be applied to any kind of social activism. Forget Washington think global, act local. â€"James Wallace Harris A Conspiracy in Belgravia by Sherry Thomas (Lady Sherlock #2) (Berkley, September 5) Charlotte Holmes is my favorite Sherlock. If you haven’t started this series yet stop what you’re doing and go read A Study in Scarlet Women because you’re life isn’t complete until you’ve read this fantastic gender-swapped Holmes: There is something brilliant about a lady Sherlock with many of the original’s quirks but applied to a woman so that it’s more a pushback to society’s treatment of women. Charlotte is back with Mrs. Watson and there’s a rather delicate case brought to their attention involving a married woman looking to find a past loverher true love. Scandalous! Making an already delicate situation super complicated is the fact that Charlotte knows the woman’s husband AND the true love. Packed with mysteries, ladies not here for society’s rules, improper flirting, puzzles, learning to fight, and moreI loved every moment of this book! â€"Jamie Canaves Day of the Duchess by Sarah MacLean I’ll admit it, I’m a total Sarah MacLean fangirl. And her newest series, Scandal and Scoundrel, is just proving again and again why. This, the third book in the series, focuses on one of the Dangerous Daughters, Seraphina, the Duchess of Haven, and her rocky (to say the least) marriage to Malcolm, the Duke. Unlike many stereotypical romance novels, marriage and children is not the end goal; Sera and Malcolm are beyond the happily ever after and their story is one of pain and abandonment and real emotion and longing and love. It’s one of MacLean’s best yet, as full of feminist moxy as any other, and a fantastic addition to her catalog. â€"Rachel Manwill Devils in Daylight by Junichiro Tanizaki For a book originally published nearly a century ago, this novella feels surprisingly modern. Based on Edgar Allan Poe’s The Gold-Bug, it tells the story of a writer with a crazy friend who thinks he’s discovered a murder plot and is determined to witness the killing for his own entertainment. It sounds gruesomeâ€"and it is, when one thinks about itâ€"but it’s so creepy and elegantly told that it’s impossible to put the book down until the final page. While you’re reading it, you’re in it, as fixated as the characters watching a murder play out before their eyes. There’s a twist at the end that I’m still not sure how I feel about, but nevertheless I think this book does Edgar Allan Poe’s The Gold-Bug proud. Definitely recommend if you enjoy noir-style mysteries. â€"Tasha Brandstatter Dreadnought by April Daniels   When I heard “trans lesbian superhero YA,” I knew I had to pick this one up. I was expecting an escapist romp, but in that respect, I was entirely off. This is about Danielle, a trans teenager who is closeted and has suicidal thoughts. She also lives with her extremely emotionally and verbally abusive father, and the narrative doesn’t hold back on the terrible things he says to her. This isn’t an escapist fantasy. Instead, it’s about Danielle inheriting superpowers from a dying superhero and being able to shape her body into her ideal. This is a catharsis narrative: she still has to deal with abuse and transmisogyny, but she does it armed with superhuman strength and abilities. (And I haven’t even mentioned the supervillains she has to fight on top of all that!) I’m looking forward to the sequel! â€"Danika Ellis The Fact of a Body by Alexandria Marzano-Lesnevich I came to this book expecting an interesting, thought-provoking true crime story.  What I got was a gut punch of a true crime/memoir hybrid that was unlike anything I’d ever read before.  The book itself follows two main storylines that jump backwards and forwards in time: the story of Ricky Langley who was arrested in the early 90’s for the murder and sexual assault of a young child, and the author’s own childhood, where she recounts how she and her sister were regularly molested by their grandfather.  I don’t think it’ll come as a surprise that this book comes with ALL the trigger warnings, but I was astonished at the author’s candor in describing her experiences, as well as the compassion she brought to describing the experiences of a convicted murderer and pedophile.  It was an incredibly difficult, yet astonishing read that left me stunned after I closed the book. â€"Katie McLain Forest of a Thousand Lanterns by Julie C. Dao Where should I start when I talk about this book? With its world-building, rich and descriptive with an undeniable tension? With its protagonist Xifeng, focused and cruel and beautiful and lethal? With its prose, careful and pulsing like heartbeats? All of these build up Julie C. Daos debut novel, and the start of what promises to be an amazing series. True, the beginning is slow, tendrils of Xifengs life spreading across each page. Her early uncertainty and fears seem to pull her back from the danger readers will recognize surrounding her. But as her fate unfolds, they will be hard-pressed to put the book down, because maybe Xifeng wont succeed, and maybe she will. Youll have to read it to find out, and the journey is chillingly gorgeous. â€"Angel Cruz Foxglove Summer by Ben Aaronovitch I’ve been reading (actually, listening to the audiobooks) of this urban fantasy / detective series for a while and loving it. But this 5th book was the first 5/5 for me. It was really fun to get to see London city boy cop Peter Grant a bit out of his element in the countryside. Also, the mystery in this one was especially juicy, more straight-forward police procedural than some of the others, but with: Unicorns! Changelings! Fae! BEVERLY the river goddess!! And your run-of-the-mill child kidnapping. God, Beverly is the best. And so is Kobna Holdbrook-Smith, audiobook voice actor extraordinaire, who I am unashamedly in love with now.. â€"Casey Stepaniuk Glyph by Percival Everett I’m not intelligent enough for this book, but I appreciated it nonetheless. It’s a dizzying, bizarre, and startlingly original account of a mute baby genius who’s kidnapped by one ambitious lunatic after another. It’s also a satire of modern linguistics and critical theory. So it’s wonderfully highbrow and lowbrow all at once. â€"Christine Ro Hate to Want You  by Alisha Rai Believe everything theyve said about this book. Lovers with extreme personal and family dysfunction, a family history out of a soap opera, side characters with just as much development (or at least as much characterization) as the protagonists, and Alisha Rais expert touch at both feelings and sexytimes come together to make this a book youre not sure whether to devour or savor. It broke my heart and put it back together in the best of ways, even when I wanted to pull out my hair and that of everyone else. â€"Jessica Pryde Hyperbole and a Half by Allie Brosh Yes, I’m fully aware that everyone but me already read this book back in 2013, when it first came out. But back in 2013, I wasn’t really reading books with a graphic component, and now I’m playing catch-up and, well, yes, I know it’s embarrassing. But this is the book I had to choose as my favorite for July, because it blew everything else out of the water. And I read some good stuff in July. For those who don’t know what in hell I’m talking about, Hyperbole and a Half is a humor memoir that grew out of Brosh’s webcomic/blog, and it tackles tough issues such as laziness, adulting, and depression. This is a description that does not do the book justice, but just know that I couldn’t stop laughing / painfully relating the length of the whole damn thing. So much so that, after I returned it to the library, I bought my own copy. â€"Steph Auteri If Beale Street Could Talk by James Baldwin When I heard Barry Jenkins is writing and directing an adaptation of this novel, I put it on hold at the library immediately knowing I wouldnt regret it. This book feels so vibrant and relevant, so full of love and hope and fear, I can see why Jenkins has been trying to get it made for years. I always forget how great Baldwins fiction is and then he reminds me. â€"Jessica Woodbury In Sunlight or in Shadow: Stories Inspired by the Paintings of Edward Hopper, edited by Lawrence Block I’m fascinated by Edward Hopper and his penchant for painting liminal spaces lobbies, windows, train interiors, the back hallway of a movie theater. Turns out that a murderer’s row of contributors (Stephen King, Joyce Carol Oates, Megan Abbott) shares my sense of imminent story. Many of the entries come from crime or mystery writers, so there’s a fine thread of noir that connects most of these tales. â€"Megan Cavitt Italian Folktales by Italo Calvino I’ve been reading this folktale collection off and on for more than a year. But I finally finished it this month! And it was so worth it. It’s full of magic and weirdness and all kinds of things to delight fairytale readers. It contains 200 folktales, so I set up a system where after every print book I finished, I read 10 folktales. It worked so well that I’m going to start doing that all the time! I literally read the book to pieces. It fell apart in 4 different places. And it’s so good I’m purchasing another (hardback) copy. If you like the Grimms, you should read this. There are also some fantastic, smart heroines in many of these tales. â€"Margaret Kingsbury Jane, Unlimited by Kristin Cashore (Penguin Random House, September 2017) This book was unlike anything Ive ever read. Without saying too much that will give it away, Cashore has created a fantastic magical realism gem of a book, with multiple possibilities and well fleshed-out characters, in spite of the chosen form. I devoured this in two sittings (I had to sleep). â€"Jaime Herndon Jasmine Toguchi, Mochi Queen by Debbi Michiko Florence This chapter book series reminded me of the fun, free-spirited characters of Clementine, Dory Fantasmagory by Abby Hanlon, and Cilla Lee-Jenkins, Author Extraordinaire by Susan Tan. In this first book of the series, Jasmine and her family are preparing for the new year, a time when her extended family gathers to make mochi balls. Her sister is old enough to help, but Jasmine is too young to join in… and besides, Jasmine doesn’t want to roll the mochi. She wants to pound the rice into mochi (which she has been informed is a boy’s job). This was such a sweet story about growing up and having the courage to challenge traditions. â€"Karina Glaser The Lights of Pointe-Noire: A Memoir by Alain Mabanckou, translated by Helen Stevenson Perhaps his most personal work, for fans of Mabanckou this memoir of a visit home after a 20 year absence is key to understanding his body of  writing. It contains dozens of small details which can be connected back animal doubles, the real-life fates of specific characters, even a reference to the Société des Ambianceurs et des Personnes Élégantes to the fictional novels. But even if you’re new to Mabanckou you’ll still enjoy The Lights of Pointe-Noire because at it’s core it is a portrait of home, family and our relationship to both. All written in a narrative voice that alternates between playful and introspective, joy and regret. â€"Tara Cheesman Love and Trouble: A Midlife Reckoning by Claire Dederer   Claire Dederer is a middle-aged wife and mom living with her family in the Pacific Northwest and that is something she’s still trying to understand. Love and Trouble is sort of about sex, a little about growing up, but mostly about identity and the experience of recognizing yourself in all the people you’ve been. The essays are funny/gross/hot/sad/bitter/sweet, and I’m obsessed. â€"Hannah Engler My Heart Hemmed In by Marie NDiaye, translated by Jordan Stump Marie NDiaye’s novels are deeply unsettling. In this one, published in France in 2007 and recently released in English by Two Lines Press, the main character Nadia begins to realize that her world has completely changed: for no reason she can understand people now despise and avoid her, the city around her feels sinister and dangerous, the streets are filled with never-ending fog, and a mysterious wound appears in her husband’s stomach. It’s a nightmare and she has no idea how to escape. NDiaye knows how to make us live that nightmare with her, but she also knows how to make us want to keep reading. This is one of the most gripping and psychologically astute novels I’ve read in awhile. â€"Rebecca Hussey My Life with Bob: Flawed Heroine Keeps Book of Books, Plot Ensues by Pamela Paul The editor of the New York Times Book Review keeps a book listing the books shes read since she was 16. She watches the trajectory of her life through her books and how theyve influenced her life, from high school to college to traveling the world to getting married to having kids. Because books have a special power. They change you. They make you better and smarter and more empathetic (usually). I love this book so much. I read it slowly over a few months so I could enjoy it for as long as possible. And, of course, I bought a nice notebook for myself to start keeping my own book of books. â€"Ashley Holstrom The Nix by Nathan Hill I’m super late for this party but so glad I showed up. I’d heard vague things about how great this book was but I was unprepared for how much it swept me right up in its arms. My paperback copy was 700+ pages, and with a book that long I just assume that there will be moments, or chapters, that start to lose my interest. It’s just the law of averages. But that did not happen in this book, which was about a million different things, but mostly about mothers and their relationships with their children, and wanting what we can’t have, and building things up in our minds, and romanticizing things we only have vague memories of and all the consequences of those things. Oh, and also the politics of the ‘60s and True Love and just a billion other things. I’m in the middle of two books that I love but I miss The Nix so much. â€"Tracy Shapley One Day We’ll All Be Dead and None of This Will Matter by Scaachi Koul I was somewhat obsessed with the title Scaachi Koul chose for her memoir since I first heard about this book months ago. Soon after, I read a Buzzfeed piece by her which made me cry actual tears. I’ve been waiting to get my hands on her memoir since, and let out an audible scream when I heard that Penguin India was printing a paperback edition. And let me tell you, it is truly phenomenal. I read it in under 3 hours, at one stretchsomething I haven’t done in a while. The writing flows effortlessly, and it’s the first memoir I’ve read with settings, characters and scenarios I could relate to this closely. Representation matters, and if you ever read this, Scaachi, I love you! â€"Deepali Agarwal The Party by Elizabeth Day (Little, Brown, 15th August) The novel opens with Martin being questioned in a police station. We soon find out that something happened at his upper-class best friend Ben’s fortieth birthday party, and as the book goes on we follow the trajectory of the party and look back over Martin’s life, providing the context and background to help us understand the significance of the events. The writing is gorgeous, I enjoyed the scenes at Cambridge, and it has some searing commentary on the British establishment. â€"Claire Handscombe Rain Falls on Everyone by Clár Ní Chonghaile (Legend Press, July 2017) Theo came to Dublin after escaping the Rwandan genocide as a young boy. When he gets caught up in the underground drug world of Dublin, his current horrors seem to tie in to the traumas of his past. Theo’s story is one that weaves together two very unlikely countries, with two vastly different histories. Written evocatively, the book ties together various different elements including the Rwandan genocide, the Irish recession, and what it’s like to live as a person of colour in a white majority Dublin. â€"Adiba Jaigirdar Ramona and Her Father by Beverly Cleary One of my projects for the summer was to reread the “Ramona” books by Beverly Cleary and it’s been such a great, refreshing reread. Of all the books, though, the one with her father stands out to me as a favorite. The complexity of the adults in this book, the struggles they face with dad’s job challenges, and the fact that the Quimbys are a lower middle class working family struggling to make ends meet resonates today. In this particular book, we see Ramona’s father lose his job in a layoff, her mother go back to working full time, the family figuring out how to juggle transportation with a single car, and then a father who finds a job in which he’s exceptionally unhappy. It’s a book about transitions, and we see it not just in the family itself, but we’re treated to it through each member of the family. Cleary delineates Ramona, Beezus, Mom, Dad, AND Picky-picky (the cat) with such love and care. These books absolutely hold up, and with this one in particular, it f eels like some of the topics are covered better here than in more contemporary reads. â€"Kelly Jensen The Reader by Traci Chee I apparently slept on this one when it came out, but I’m glad I finally picked it up after seeing the cover reveal for the sequel, The Speaker, making the rounds. It’s about a world where reading is a lost art and literally opens up a whole world of magic and possibility. The book is brutal and beautiful and full of both betrayal and loyalty from all sides of Sefia’s relationships. â€"Sarah Nicolas A Sociedade Dos Sonhadores Involuntários by José Eduardo Agualusa (Quetzal, June 2017) The action of the book takes place in Angola. A man seems to appear in the dreams of those who surround him, even when they are complete strangers. An artist stages and photographs her own dreams, and a neuroscientist wants to turn people’s dreams into motion-pictures. The man who ties all of these characters together is the journalist Daniel Benchimol, who dreams with people that he eventually gets acquainted with. With a starting point on the influence that dreams have in his life and in his writing, and backed up by a real story of a revolution lead by a young group of people against the totalitarian government in Angola, Agualusa delights us once more with a beautiful narrative, an out of the ordinary tale, and characters that will visit us in dreams, way after we close the book. (This book hasn’t got an english edition yet, although many of his books have already been translated, so it’s just a matter of time for this one.) â€"Carina Pereira   The Speechwriter: A Brief Education in Politics by Barton Swaim   In his short memoir, Barton Swaim consider his brief time working as a writer for South Carolina Governor Mark Sanford, a deeply flawed man whose extramarital affair destroyed his career, at least for a little while (Sanford is now a Republican congressman). I appreciated Swaim’s story, especially because it isn’t a conventional tell-all political memoir, but instead a reflection on Swaim’s education as a writer. When Swaim first arrives in his position, which he fell into for extra money, not a deep-seated love for politics, he has all the eloquent style and polished prose of a highly educated, skilled author. Working for Sanford meant humbling Swaim’s ego; Swaim initially was resentful of Sanford’s hokey, folksy and unpretentious style. But eventually he learned how some of the best writing is actually the worst writing, and that sometimes ideas are best communicated not through eloquent prose, but through clear language people can relate to on all levels. This valuable l esson is one that all professional writers have to learn. Swaim’s honest, insightful, and critical look at his journey as a writer is even more fascinating than working that close to glory. â€"Sarah S. Davis Starfish by Akemi Dawn Bowman (September 2017, Simon Pulse) Due to her half-Japanese heritage, Kiko Himura has never quite felt like she fits in. The situation isn’t helped by her narcissistic mother, who constantly makes her feel less than, and a smattering of racist comments from classmates. After her dream to attend her dream art school is shattered, Kiko starts a journey of self-acceptance and finding her true self. As an Asian American who grew up in the mostly white Midwest, this book truly touched me. I don’t know if I’ve ever connected with a character more. Ever. I was crying within the first few pages and I didn’t stop for the next 300. This book is a gem. â€"Kate Krug Thanks, Obama: My Hopey-Changey White House Years by David Litt (September 2017, Harper Collins) Two years out of college, after working the campaign trail and catching total Obama fever, David Litt got hired as a speechwriter for the Obama White House. And what follows is documented here, in Thanks, Obama, Litt’s memoir about his time working for Obama’s administration. Litt’s writing is smart, funny, self-deprecating, and has a cool behind-the-scenes vibe to it, letting us peek into what life is really like in there. This book is full of laugh-out-loud moments and oddities of White House life, while also being tempered with things that are kind of a bummer:  Congressional gridlock, the 2016 election, Mitch McConnell. While Litt takes us on a trip down memory lane and while that trip is hard to take these days I had a hard time putting the book down, and I enjoyed watching Litt’s development as a writer, as a citizen, and as a twenty-something. â€"Dana Staves There Are Things More Beautiful than Beyoncé  by Morgan Parker As a Beyoncé enthusiast, I didn’t exactly know how to interpret this title. It reached out and grabbed me, demanding I read the poems inside this small but mighty volume. Thank goodness. These words were beautiful, provocative, and thought-provoking. They pushed me to examine the experience of black womanhood in America and consider my own privilege as a white woman. They also touched on experiences that seemed deeply relatable, like having everyone in a friend group feel lonely at the same time. Combining lyrical personal recollections with astute cultural criticism, reading Parker’s poems was a beautiful experience. Highly recommend! â€"Alison Doherty Trouble is a Friend of Mine by Stephanie Tromly Zoe is new to town when she’s befriended (against her will) by Digby, a suit-wearing and mildly obnoxious guy who promptly enlists her help in his investigation into a missing local girl. This book has everything you could possibly want in an offbeat, quirky YA novel: marvelous banter, delightful sarcasm, shenanigans galore, and a whole lot of trouble. I read it in one sitting. â€"Tirzah Price The Truth of Right Now by Kara Lee Corthron  I read this book closer to the beginning of the month, and it has been staying with me. Two high school seniors with totally different challenges have a strong connection in New York City. This story titillates the senses and pulls on the readers heartstrings. Seventeen-year-old Lily is recovering from a suicide attempt and Dari, also 17, is trying to get from under his abusive and oppressive father.  This story confronts race, mental illness, bullying, and parental boundaries with realness, complexity, and empathy. Truly a dazzling debut that left me anticipating the author’s next book. â€"Christina Vortia Want by Cindy Pon This was my first experience with the writing of Cindy Pon, and I have really been missing out. The story is set in the near future, one in which Taipei is so polluted that merely being on the street is a danger to one’s health. The ultrarich walk around in custom-made suits that protect them from the world around them, allowing them to live in their own little bubbles of purified air. It’s made the divide between the haves and have nots more clearly defined and harder to cross than ever before. A group of young adults (late teens, early 20s) are determined to make a difference. To do so, they carry off a major con with major consequences.  If you like a good heist, especially one packed with social commentary, then this is the book for you. â€"Cassandra Neace Where the Past Begins by Amy Tan (October  17, HarperLuxe) Amy Tan’s memoir of writing, of remembering, and of many, many other things is incredible. I kept thinking, while reading it, that I wanted to write. I wanted to write and write and write like there was nothing else in the world. It’s not many author’s memoirs that feel so incredibly inspirational in a physical way, but this one did. I’m sure everyone who loves Amy Tan will love to read about her memories and the way she thinks about imagination and writing but this book will be especially valuable to writers who want or need a kick in the butt. â€"Ilana Masad The White City By Karolina Ramqvist (Grove Press) I didn’t know exactly what I was getting into when I started reading this but I’m glad I did. It is a delicate and insightful story of a new mother who is trying to get back to her old life while still reeling from the death of her criminal boyfriend, John. The White City is a nuanced and unsparingly observed novella about motherhood and courage.   â€"Rabeea Saleem

The War Novel The Sun Also Rises - Free Essay Example

Sample details Pages: 6 Words: 1769 Downloads: 6 Date added: 2019/08/16 Category Literature Essay Level High school Tags: The Sun Also Rises Essay Did you like this example? The Sun Also Rises is a war novel published in 1926 by Ernest Hemingway. This book is inspired by a true story, and is one of the works that made him very famous in the nineteen-twenties. The Sun Also Rises is narrated in the first person from the limited perspective of Jakes Barnes, the center of the story. Don’t waste time! Our writers will create an original "The War Novel The Sun Also Rises" essay for you Create order This book tells the story of a group of American and British tourists in Paris, France. He and his friends are writers and artists for during World War I. They pass all their days sitting around in bars and cafes, drinking large amounts of alcohol. They took a trip in Pamplona, Spain, and decided to go there because they wanted to travel, fish, and see the running of the bulls. Many dramatic events happen during this trip because of some affairof love that the characters have between each other. This novel discusses many themes that writers use to write their books. In this book the major themes are masculinity, romanticism (love), disillusionment, power, and escapism. Every theme in this novel is assimilated to different characters, especially the main characters. Jakes narration is insensible and detached. He tells the story as a journalist and explains every situation with many details. He never leaves the reader uninterested. But for our studies, this paper will discuss the persp ective of love point of view presented by Hemingway. The theme of love is very interesting in this novel because its hard to identify when someone is really in love with someone, and when they are not. Im writing this paper on this topic because the theme of love is the one who conduct the reader to be more focus.The Possibility of True Love in the View of Ernest Hemingway The romantic partners in The Sun Also Rises have a habit of exhibiting personality changes often. Despite the fact that marriage is sometimes mentioned, it is always a disastrous and unhappy affair for characters such as Cohn. Robert Cohn has divorced his wife, whom he was married to for five years and had three children. Some time later, he thinks he has found love and gets in a relationship with a young woman named Frances Coyne, a woman who is a possessive and manipulative social climber. But some time later he decides to leave her to have an affair with another important character in the novel named Brett, better known as Lady Brett Ashley. Most of the time in no vels, the beginnings of the real love scenes come in many forms, from beautiful landscape frames, to restaurants, to romantic outlets etc. But here, the characters do not establish a domestic life for themselves. Nocturnal drinking and long meals in public places are the main domestic activity in the novel. The occupations and movements of the characters are aimless and agitated. Ernest Hemingway presents two characters with the possibility of representing true love, these two characters are Jakes Barnes and Lady Brett Ashley. Brett is even revealed to aspire to love with Jake. In several chapters of the novel, the author shows the reader that Jake and Brett share a true love, and could be a real couple. To have a better understanding of their characters, its impossible to analyse their relationship without a good and deep reflection on their characters. Jake and Brett have common traits and, on the other hand, they can hardly be compared to each other. In their common traits both characters participated in the First World War. He was veteran of this war, and Brett was a nurse during the war. While they were in service of their countries, and something very unfortunate happened to both of them. Jake was in a very serious accident that does not let him lead a normal life, and Brett lost her beloved, who was her first real love. After that she married a man who abused her but at the beginning of the novel she is divorced. All of these events shape the topic of love because it brings a dramatic side to their love stories. Thats why we see two people physically and mentally, or better, psychologically damaged. By their common points, they see that they are alike and want them and try to be closer to each other by seeking mutual understanding and relief from their suffering. The two characters are very appreciative. In Chapter 4, Book 1, Jakes tries to kiss Brett but she refuses. But soon after this act, she admits that she loves him but doesnt want to go through that hell again . He tries to make her happy, make her laugh, and so on, but that will not be enough to change her mind. She prefers to go from man to man and not pursue a romantic relationship with Jake.The Weakness and Failures From Forming RelationshipsAs stated before, The Sun Also Rises is a story about a group of disillusioned expatriates who are engaged in romances during the whole novel. The theme of love is not the big center here but it helps us to have a better understanding on why those people dont try to open their heart to women or open their heart to each other. Love dont only take place in relationship between two opposite sex or same sex but it also happens in those relationship with your friends, family, etc.. The women and men are intermingled in the novel. All the men in the story are in love with one woman named Lady Brett Ashley. The group represents the lost generation of the First World War because they were considered as disillusioned with the world and everything around them. Many during this war have been destroyed in their morality and religion. All of the characters turned to carnal desires as food, sex, alcohol to full the void inside. World War I left Jake, Cohn, Mike, Bill and Count Mippipopolous insecure about their masculinity. For example, Jakes injury during the war does not allow him to be able to physically partner with Brett or anyone else. Jakes friends try to hide their insecurities and hurt their egos by drinking a lot, chasing sex and watching violent sports such as bullfighting. Each of them are weak in their own way. Mike is broke and Cohn has a lack of love. They are all weak because of the war, including Brett. Brett was destroyed from the World War I when she lost her first true love. To live her life, she drinks all the time. She is always in a romantic situation with many different guys in the novel such as Jake, Mike, Cohn, and Romero. Also the theme of sex is considered as a weakness that proves to be a devastating force in The Sun Also Rises that prevent the main characters from forming loving relati onship. Sexual weakness is explored entirely through Bretts relationship. Everybody know that love began always by a flirt, but with her character we can see that relationship is not always about love but about a game with her partners. She flirted with every man and always made them lose something. She left Cohn a broken heart, she lost her friendship with Jake, and destroyed Romeros career. After the weaknesses there is the failures. The failures come from all of the characters. The major failures in this novel is the communication between every character. Conversations are rarely direct or honest. They hide real feelings behind a mask of civility. The moments of honesty and authenticity in communication generally only occur when the characters are feeling very badly. Whenever a man tries to talk to Brett about a real serious relationship, this is a failure. Whenever an event is supposed to happen, a problem this product or a dispute broke out as for example in Pamplona. The characters in the story that demonstrate the capacity for true love are Brett and Jake. They love each other, lost something from the war, and had a huge friendship. They tried to build a relationship together even if Brett was afraid to suff er again from another relationship. Jake was ready to give her anything even if he had his injury from the war. But at the end, we know that nothing will ever happen between them because Jakes realizes the game of Lady Brett Ashley. Yes, isnt it pretty to think so? This line is the last sentence in The Sun Also Rises that shows us that Brett and Jakes love is only a pretty illusion.CONCLUSION:In conclusion, love is a very confusing feeling especially when it touches people who are morally broken mentally or physically. The love presented here by Ernest Hemingway is circular, everyone loves the same person who is Brett and she plays with all of them to cure the wounds from the past. The life that each character leads does not allow them to have a real loving relationship. The memories of the war, the sex, the alcohol, the insecurity of each character allow them to flourish in their daily and sentimental lives. The more their weaknesses take over, the more failures follow each other. The theme of love in the novel is represented in a very vague and very complicated way. Here, the theme of love is mostly inaccessible for the characters because they afraid to love again or also they want to enjoy their lives and not be stable in their relationship. Even though Lady Brett Ashley and Jake Barnes demonstrate the capacity for true love, one realizes that their love is represented in the form of illusions. They love each other but can live their love plainly because they life dont allow them to be happy. Even if they live a life with no specific goal they cant stay away from each other. Jake is always there for Lady Brett Ashley . Brett, who is considered a distinct individual character, comp herself a lot with Jake on her side. We can only understand the true meaning if we start to see Brett as Hemingway wanted to show it to us, that is, the element that needs to grow through the character of Jake. Brett, who has a multitude of affair with people who represent different ideologies and beliefs, can not believe in any of them for a long time. Because the important character she really loves, Jake is helpless. Whenever Brett begins to believe in something, she becomes invariably disillusioned and returns to Jake, the man who knows her better than any other. Love is not always about feelings in this novel but about the experience that you had in your life.

Health Care Systems The Uk, Canada, And The United States

The purpose of this paper is to compare health care systems in three western industrialized democratic societies: The UK, Canada, and the United States. Each nation’s health care system is a reflection of it’s history, politics, economy, and national values (Reid, 2009). Although there are local varations of health care systems, they all tend to follow the same general pattern. In some models, government is both the provider of health care and the payer. In others, doctors and hospitals are in the private sector but government pays the bills. While in other coutries both the providers and the payers are private (Reid, 2009). The UK (British) Health Care System The British health care system was forged around this key principal; a modern state must provide medical care to everybody, sick or well, young or old, rich or poor (Reid, 2009). The British National Health Service uses the Beveridge Model which was establised by William Beveridge sixty years ago. The system is dedicatied to the proposition thst nobody should ever have to pay a medicial bill (Reid, 2009). After reading this information, immediely I thought how is such a system possible. In the Beveridge system, health care is provded and finacied by the govenement, through tax payments. Eventually the National Health System ran into some budgetting problems. To offset the cost of health care a nonimal fee would be applied to prescriptions. But the fee is wavied for children, anyone over sixty, pregnant women, and theShow MoreRelatedHow Does Economics Affect Global Health Care739 Words   |  3 Pages Impact of Economics on Global Health Care Tatyana Kislyak University of Providence Impact of Economics on Global Health Care United States of America (USA) is a leader in healthcare spending (Holtz, 2013). The cost of the healthcare per capital is the highest in the world. The USA pays about $5267 per person annually for healthcare (Holtz, 2013). 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Fever And Headache Case Study Health And Social Care Essay Free Essays

Prior to parturiency, the client chows balanced repasts daily. He takes Multivitamins. He drinks 8-12 spectacless of H2O daily. We will write a custom essay sample on Fever And Headache Case Study Health And Social Care Essay or any similar topic only for you Order Now He does n’t hold any nutrient allergic reactions. His lesions heal fast. Complete set of dentitions, does n’t utilize dental plates. The client is DAT ( diet as tolerated ) diet with no dark colored nutrients. Elimination Pattern The client does n’t hold trouble extinguishing. He does n’t utilize laxatives. His stool is formed. He defecates one time or twice daily. No jobs experienced when urinating. His piss is normal in colour and sum. Upon parturiency, the client defecates one time day-to-day. Still no trouble urinating. Activity and Exercise The client has sufficient energy to make the day-to-day activities he desired. He jogs around their small town sometimes. He likes to read books during his trim clip. He can to the full take attention of himself. While in the infirmary, the client walks around his room. He feels weak most of the clip, because he is merely lying down. He watches telecasting while in the infirmary. Cognitive-Perceptual The client does n’t hold hearing troubles and does n’t utilize hearing AIDSs. He does n’t have on reading spectacless. He normally decides for himself but seeks advice from his older sister. Sleep/Rest Before parturiency, the client does n’t hold trouble kiping. He makes certain to acquire adequate remainder for the following twenty-four hours ‘s activities. He does n’t see incubuss. Now, the client said that he was non able to kip good because he is really concerned about his wellness. He sleeps a small late and wakes up early the following twenty-four hours. Self-perception The client describes himself as simple and determined. He feels good about himself. He does n’t let petty jobs to acquire the best of him. Role-Relationship The client lives with his sister and her household. They portion with the family disbursals. Whenever they encounter jobs, they sit down and discourse them. Sexuality-Reproductive The client is sexually active but refuses to speak about his sexual life. Coping/Stress Tolerance When stressed, the client tries to loosen up himself foremost before confronting the job because he might do determinations he will repent. He talks to his sister or close friends whenever he has jobs. He does n’t take any medicines or drugs. He handles jobs maturely. Values/Beliefs The client is spiritual. He prays frequently, though seldom attends mass. He has programs for himself in the hereafter and he says he will make his best to accomplish them. Family Assessment Name Relation Age Sexual activity Occupation Educational Attainment C.G Wife 31 F Gross saless Manager College Graduate Heredo Maternal: None Paternal: None Developmental History Theorist Age Task/Stage Patient Description Erikson 36 y/o Generativity vs. Stagnation The patient is concerned about others. He makes the most out of his clip. Freud 36 y/o Genital Phase The patient is sexually active. Piaget 36 y/o Formal Operationss The patient thinks about how to cover and work out jobs encountered. Kohlberg 36 y/o Post Conventional The patient is concerned about his single rights. Fowler 36 y/o Conjunctive Faith The patient is cognizant of the truth and takes the enterprise to detect it. Physical Examination Height: 5’5 Weight: 70 kilogram Volt BP: 130/90 mmHg RR: 26 cpm PR: 72 beats per minute Skin Light brown in colour Birthmark on upper part of arm Uniform temperature in custodies and pess Skin turgor lt ; 2 secs No lentigos Nails Pink nail beds Integral tegument environing the nails Blanch trial or capillary refill lt ; 4secs Head and Face Head is round in form Symmetric facial characteristics Symmetric facial motions No facial hair No tangible multitudes, lesions, cicatrixs Eyess Eyebrows symmetrical and equally distributed, equal motions Eyelashs equally distributed Eyelids are integral, no stains ; symmetrical motion Students are every bit circular and reactive to illume Ears Color same as facial tegument, symmetrical Pinna recoils after it is folded No discharge Nose External olfactory organ is symmetric, unvarying in colour, non tender, no lesions, no discharges Nasal septum integral Maxillary and frontal fistulas non tender Mouth and Pharynx Outer lips symmetric, unvarying in colour, can purse lips Inner lips are pink No losing dentition, pinkish gums Tongue is in the centre, pink in colour, moves freely Neck Muscles are equal, caput centered Can travel cervix with no uncomfortableness No tangible multitudes Spinal column Spine is straight, shoulders and hips are at same tallness Thorax/Lungs Skin intact, no tenderness, no tangible multitudes ( + ) wheezes Cardiovascular/Heart Jugular venas non seeable Symmetrical pulsing on peripheral pulsations Capillary refill trial: lt ; 4secs Breast Symmetrical Abdomens Skin uniform in colour Symmetrical motions caused by respiration Audible intestine sounds No tenderness Extremities Uniform in colour, symmetric Symmetrical pulsing of peripheral pulsations Capillary refill: lt ; 4 secs Genitalias REFUSED Rectum and Anus REFUSED Personal/Social History Habits: He likes to read and travel to the promenade Frailties: Drinks on occasion Life style: Active Client ‘s usual twenty-four hours like: After acquiring off from work, he finds clip to rest and read a book. Rank in the household: 2nd kid Travel: Went to Bacolod for 10 yearss Educational Attainment: College Graduate III. Environmental History The client lives in a private subdivision in Malabon, Manila with his sister and her household. He describes their small town as quiet and peaceable. Few autos pass by their street. They segregate their refuse and maintain their milieus clean. IV. Pathophysiology A. Theoretical Based Dengue Hemorrhagic Fever Predisposing Factor: – Age – Sexual activity -Immunodeficiency Precipitating Factor – Aedes aegypti mosquito Bite of a virus transporting mosquito Mosquito injects fluid into victim ‘s tegument Virus enters in the host ‘s blood watercourse Infects cells and replicate in sufficient sum Platelet will supply a shield for the virus from exposure and binding to neutralize preexistent antibody. Novices immune system response Stimulates release of cytokines Activation of memory T-cell response during re-exposure Macrophages or monocytes engulfed the virus holding a thrombocyte ( phagocytosis ) Virus-antibody composite Cytokines destroy cell membrane and cell wall Cytolysis Complement activation system Fluid switching ICF to ECF Coagulopathy ( PT, PTT ) Thrombocytopenia Vasculopathy ( plasma escape ) Vascular endothelian cell activation High Fever, organic structure failing, concern, sickness A ; purging, abdominal hurting, petechial roseola in countries of the organic structure, bloody stool ( sometimes ) B. Client Based Dengue Hemorrhagic Fever Non-modifiable Factors: – Age: 36 y/o – Sexual activity: Male Modifiable Factors: -Immunodeficiency Poor Environmental Sanitation Aedis Aegypti Mosquito bites Creates multiple lesions in the blood watercourse Increase phagocytic activity Virus multiply in blood stream After 2-3 yearss incubation, febrility appears Paracetamol given Excessive ingestion of thrombocytes Scheduled BT For replacing Hematologic studies reveal that patient has low home base count Dengue Titer Test Done ( + ) Which states that patient has grade 1 DHF with marks and symptoms manifested V. Laboratory Results Urinalysis ( 7/14/10 ) Examination Consequence Interpretation Color Yellow Yellow in colour may bespeak concentration in urine Transparency Slightly Cloudy – pH 6.0 pH and specific gravitation is within normal bounds Specific Gravity 1.010 Glucose Negative – Protein ++ Transeunt lift due to infection Blood Negative – Ketone ++ More fats are being used for energy alternatively of glucose Nitrite Negative – Bilirubin Negative – Blood ( 7/14/10 ) Examination Normal Value Consequence Interpretation Hemoglobin 140-175 g/L 141 Normal Hematrocrit 0.42-0.50 0.44 Normal RBC Count 4.50-5.90 Ten 10^12/L 4.92 Normal WBC Count 4.00-1.050 Ten 10^9/L 4.40 Normal Basophil 0.00-0.01 – – Eisonophil 0.01-0.04 – – Pang 0.02-0.05 0.01 Normal Neutrophil 0.36-0.66 0.69 Normal Lymphocyte 0.24-0.44 0.16 The patient is compromised because of immunodeficiency. Monocyte 0.02-0.12 0.14 Normal Platelet Count 150.00-450.00X10^9/L 125 The patient ‘s thrombocyte count is below normal scope which means that there no equal coagulating map. Blood ( 7/19/10 ) Examination Normal Value Consequence Interpretation Hemoglobin 140-175 g/L 140 Normal Hematrocrit 0.42-0.50 0.43 Normal RBC Count 4.50-5.90 Ten 10^12/L 4.84 Normal WBC Count 4.00-1.050 Ten 10^9/L 7.37 Normal Basophil 0.00-0.01 – – Eisonophil 0.01-0.04 0.04 Normal Pang 0.02 0.02-0.05 Normal Neutrophil 0.36-0.66 0.53 Normal Lymphocyte 0.24-0.44 0.30 Normal Monocyte 0.02-0.12 0.11 Normal Platelet Count 150.00-450.00X10^9/L 215 Normal Potassium ( 7/17/10 ) Examination Normal Value Consequence Interpretation Potassium 3.50-5.50mg/dL 3.7 Normal Curdling and Hemostasis ( 7/18/10 ) Examination Normal Value Consequence Interpretation Activated Partial Thromboplastin- Patient 22.60-35.00 secs 32.6 Normal Activated Partial Thromboplastin- Control 22.60-35.00 secs 30.2 Normal Ultrasound Result ( 7/17/10 ) Examination Consequence Doppler Scrotal/Testes The testicles are normal in size, echopatterns and constellation with no focal lesions noted. The right steps about 4.4 tens 2.6 s2.1 centimeter ( LWH ) . While the left steps about 4.0 tens 2.8 ten 2.1 centimeter ( LWH ) . No extratesticular mass lesion is noted. The epididumes are non unusual. Free fluid aggregation is seen within the left scrotal pouch. Impression: Left Hydrocoele. Normal Testiss and epididymes No grounds of varicocoele VIII. List of Priority Problem 1. Hyperthermia related to desiccation secondary to DHF phase 1 2. Deficient Fluid volume related to active fluid volume secondary bleeding 3. Activity Intolerance related to generalise failing secondary to DHF phase 1 IX. Ongoing Appraisal 7/14/10 – On DAT ( Diet as Tolerated ) with NDCF ( No Dark Colored Foods ) – Proctor VS q4, rigorous I A ; O – Dx process: CBC, Platelet count, Potassium, Urinalysis – Dengue Titers – Master of educations: Aeknil 1 A IV q4 Nafarin 1 check TID Azithromycin 500 milligram OD 7/15/10 – Addition unwritten fluid intake – Dx process: Blood Typing ( Result: Bachelor of arts ) 7/16/10 – Facilitate station BT as ordered – Give antamin 1 amp 30 min prior to BT 7/17/10 – Warm compress over scrotal are TID 7/18/10 – WOF marks of shed blooding 7/19/10 – Cold compress 10 min BOD and displacement to warm compress 10 Command – Scrotal Support 7/20/10 – May travel place Ten. Discharge Plan Medicine: Celebrex 200 milligram 1 check 2x a twenty-four hours PRN for hurting Exercise: Avoid strenuous exercisings Treatment: Patient must take medicines for hurting as needed. Bed remainder. Increase unwritten fluid intake Health Education: Promote patient to hold a healthy life style. Practice good hygiene. Diet: Diet as tolerated. Eat balanced repasts daily, nutrients high in fibre. How to cite Fever And Headache Case Study Health And Social Care Essay, Free Case study samples

Stand Up by Everyday Sunday free essay sample

Here it is, ladies and gentlemen, the album that started it all! Stand Up, the 2002 debut album from energetic rockers Everyday Sunday. Would You Leave starts the album off with their signature, happy, energetic sound with an awesome guitar as its base. Mess with Your Mind is a little edgier than the previous track but still brings in that uplifting sound that were used to hearing from these guys. Wait keeps up the happy edginess that Everyday Sunday fans arent exactly used to hearing. A rap-inspired chorus brings another unforseen twist to the song and the overall album as their very thoughtful, signature lyrics make this a welcome treat for all fans. Stand Up, the title track, slows things down a little, taking us back to the sound that we all know and love from these guys as they create a soft rock beat that shows off a greatly done, heart grabbing bridge accompanied by an ending of the same quality. We will write a custom essay sample on Stand Up by Everyday Sunday or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Live for You Tonight brings up the energy with a techno-ish background to make a chorus that you can totally rock out to with your buds. Hanging On is an awesome power ballad with high-flying vocals and unforgettable lyrics. A beautiful orchestra accompanies their normal rock sound about mid-way to the end of the song which creates a wonderful ending. Lose it Again pumps up the energy as a rockin guitar solo starts off this track, and great, sing-a-long lyrics run alongside the happy, up-tempo beat thats filled with out-of-this-world guitar licks. Just a Story shares a story through creative lyrics that talk about going through a drive-thru backwards and living for God as he ventures through life. Sleeper starts with an acoustic feel that branches out into an eletric guitar lick that brings us into another song with a soft rock beat that gets energized in the chorus with some great high-flying vocals. This Time starts off with a different sound that just cant be described in words a s it traces the guys usual sound with awesomely creative lyrics and a fun bridge to boot. Dont Leave mixes an acoustic guitar with a beautiful string section. These sounds branch out to meet a regular beat of electric guitars and drums with clear, story-telling lyrics. Stand Up (Remix) brings this album to a close with a beautiful remix of the title song as new, interesting sounds are added to the track. Bottom line: this is a great album for anyones musical collection, even if youre new to the sounds of Everyday Sunday. Not only is this a great C.D. for any Everyday Sunday fan, but it also really shows that theyre not afraid of trying out different sounds while still sticking to their same old rock sound that weve grown to know and love. Because of all of the different styles and sounds that they venture into in this album, this would be a great gift for anyone no matter what type of music theyre into. Enjoy!

The Status of Women in Pakistan Essays

The Status of Women in Pakistan Essays The Status of Women in Pakistan Essay The Status of Women in Pakistan Essay The other dark side of the women empowerment advocacy figures (males) and personalities is that while thinking, speaking, and initiating women empowerment they always feel that women are put on a high scale than the male instead of having an equal status as per of the male; from the very deep down from their hearts and minds. Thus in a wider national consensus about the issues these males do have a very supporting role to the offenders of women at social, political, religious, and legal justice levels. Considering the present condition of Pakistani women do not even have the right to own their bodies, being exposed to the traditional male control over every aspect of their bodies, speech and behavior with stoicism, as part of their kismet (fate). Defiance of any sort translates into undermining male honor and ultimately family and community honor. Our exposure and working witness severe reported punishments for; bringing food late, for answering back, or for undertaking forbidden trips, etc. (Thanks to Sajida, a journalist in Larkana. ) Bragging about their feats The role of media in Pakistan has also been lethargic in terms of improving the status of women. Pakistan television (PTV) plays have a crosscutting viewership, especially among women. However, plays mostly revolve around formula-based story lines, which cast women in either submissive roles or at the other extreme as westernized glamour girls. According to the survey conducted by United Nations Development Programme on â€Å"Portrayal of Women in Media† indicates that the viewers’preferences are now tilting in favor of more gender-balanced portraying of women. The respondents of the survey feel that the negative stereotypical images of highly emotional and suppressed women should be reduced and downplayed. This is a sure sign of improvement in women’s status, as it would leave a positive impact on the male members of our society regarding the productive role of women and who might then stop considering them as mere vegetables who have no say of their own. Recommendations: Thus, 1. A change in male’s thinking pattern is required to change the existing notion of their egos; bragging about their feats; authority; monopoly, and power;

50 Words or Less

50 Words or Less 50 Words or Less 50 Words or Less By Maeve Maddox In a recent post I have the following sentence: Conveying a coherent report in 50 words or less is quite a feat, and the writers in my paper usually do an amazingly good job of it. Several readers wrote to ask if I shouldn’t have written â€Å"50 words or fewer.† I appreciate readers who gently point out my errors so that I can have them corrected before too many more people see them. In the case of â€Å"50 words or less,† however, I’m on solid ground. The distinction between less and fewer when used to qualify nouns was codified in the 18th century. Fewer is used to qualify countable nouns: Channel 10 runs fewer commercials than Channel 5. Fewer people are in touch with Nature these days. Less is used to qualify uncountable nouns: She loves her new job, but she is earning less money. With the new standards, children may read less literature in school. There are exceptions to this rule. Less is used to describe units, such as time, money, and distance: I’ve spent less than two hours on my homework today. We owe less than $1,000 on the car. Our new house is located less than three miles from the school. When the relevant â€Å"items† (e.g., hours, dollars, miles) are seen as a unit and not as individual items, less is the word to use. A few years ago the UK store chain TESCO, overwhelmed by grammar sticklers, changed its express lane signs from â€Å"10 items or less† to â€Å"Up to 10 items.† According to Pocket Fowler’s Modern English Usage (Oxford, 2008), they needn’t have done so: Supermarket checkouts are correct when the signs they display read 5 items or less (which refers to a total amount), and are misguidedly pedantic when they read 5 items or fewer (which emphasizes individuality, surely not the intention). The usage â€Å"50 words or less† falls into the same category as the check-out sign. Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the Grammar category, check our popular posts, or choose a related post below:Math or Maths?Homogeneous vs. Heterogeneous7 Proofreading Steps

Assignment 6 Example | Topics and Well Written Essays - 250 words - 8

6 - Assignment Example In this particular case, the plaintiff was able to sue her employer for the simple reason that the employer relieved her of her duties on the basis of her age. Following this, the plaintiff went ahead to request for a jury trial although the district court failed to grant her this favour. However, the Supreme Court finally received an appeal concerning the case in order to give a clear statement on whether the jury was justified to give a verdict on the issues brought up by the plaintiff in accordance to ADEA despite the fact that these issues were considered to be private (Bible 163). According to the Supreme Court, such a violation is equivalent to the violation of the Fair Labour standards and if the case went through taking the available evidence into consideration, it would imply that the plaintiff deserved monetary compensation. A simple fact of the matter is that the plaintiff in this situation is presented with an option of approaching the Secretary of Labor who would try to solve the issue without too much involvement of the law. If the secretary spends more than sixty days without starting up a relevant follow up, the plaintiff was expected to sue the defendant. On the contrary, if the secretary started actions towards compensation of the plaintiff by the defendant, then the right to sue the defendant would be denied. Realizing that he was wrong as long as the ADEA was being used to deal with this case, the complainant had no any other option other than wait and listen to the Supreme Court’s final verdict (Bible 164) An interviewer, who eliminates a candidate just because of medical condition of low vision capability can be sued since given some reasonable accommodation, the candidate can still perform as much as the normal humans would perform. Similarly, an employer who rejects a candidate with AIDS is liable to being sued since this is discrimination based on employee’s state of

Marketing Research Paper Example | Topics and Well Written Essays - 1000 words

Marketing - Research Paper Example The customer oriented approach has won her many laurels and once the customer enters her store, they keep coming every 7-10 days to purchase more products. Her success lies in offering what customer needs. Growth is a way of life and Kudler too wants to expand suitably selecting right product mix and targeting potential customers. Currently, markets and the demographics of the region are rapidly changing due to movement of the people across the states and nations. Though Kudler offers a great promise as a discerning gourmet store in the California region; nevertheless, it becomes essential for the firm to conduct some essential market research before putting its scarce and valuable resources on the business expansion. Identifying and Defining Marketing Issues In order to expand, Kudler needs to identify places where it can open new gourmet stores. After a setback from Del Mar location, the company is quite conscious of finding the most lucrative locations in California. Del Mar was a small town with not enough population to support its store. Through the market intelligence, the company has already identified some of the promising locations such as San Diego, San Francisco, Santa Barbara, and Palm Springs but before starting its store at any of these locations, the company must ensure through a proper market research that its decision to expand will not backfire. Carlsbad is one such site that shows enormous potential and once store at Carlsbad gets steam, Del Mar store may be gradually phased out. Marketing Research for Finding Potential Locations The company is well aware of the fact that the most specialty gourmet stores are located in the eastern half of the US and they do a roaring business there. In the last few years or so a sizeable population has moved from Philadelphia, New York, and New Jersey to the west coast due to job prospects in technology sector and these populations are well aware about the concept of gourmet stores. In view of the various al ternatives, the major issue is to find the most promising locations where residents of the area are aware about the concept and would always be eager to patronize such stores if they find one in their area. Before taking a final plunge, the company needs to conduct a survey in the towns of Palm Springs, Santa Barbara, San Diego, and San Francisco. The survey will involve asking a set of questions through a skillfully prepared questionnaire to the randomly selected but representative target customers to explore the real potential in the area. The questionnaire needs to be designed skillfully so that the real objective of the survey to find the most potential location is fulfilled. This is crucial because once the store is opened making huge investments on infrastructures there is no way out to go back. Marketing Research for Choosing Appropriate Product-Mix Moreover, the company has been thinking to open Asian Specialty Produce Department at San Francisco area to meet the needs of As ian population – especially the fresh herbs, and spices. The idea is to serve a special group of Asian customers who can not only afford the special product offerings but always eager to patronize the store quite often. That simply means that before opening a shop at this area, it would be advisable to do some market research that will decide about the core Asian community group such as Japanese, Chinese, Korean or Indian subcontinent region that the company wants to target at. These Asian groups differ in their taste and

Private Hospitals for Undergraduate Medical Training

Private Hospitals for Undergraduate Medical Training Private Hospitals for undergraduate medical training an untapped resource in Ireland. Introduction Undergraduate medical education and training is a subject of considerable importance in relation to the quality of learning and teaching opportunities for students, and the ability of the learning environments to support the development of clinical skills and knowledge, professional practice and patient-focused high quality care delivery. The Irish context presents a particular challenge due to changes in the organisation and delivery of medical care into two distinct sectors, private or public, which alters the opportunities offered for medical student experience and focuses services in different ways. While the acute care sector (public) is the one in which most medical students train, it is apparent that there are opportunities to be gained from utilising private hospital and medical locations as well, in order to expose medical students to the widest possible and available medical expertise. However, the quality of the experience in such locations may be questionable, and the ran ge of experiences available may be severely limited A review of the literature pertaining to the title will demonstrate some of the key issues around this topic, drawing on literature from the UK and internationally, due to the commonalities in medical education structure, form and pedagogy that are found globally, and in particular, referring to the UK model as being the one which dominates still even in the Irish medical education sector. Discussion Due to changes in the healthcare structure in Ireland private, there has been a split in the way that doctors provide acute medical and surgical care services. Within Ireland in the healthcare model which has evolved, there are now public only or private only contracts for consultants, meaning that consultants cannot work across both sectors. Prior to this change, a doctor could work across both sectors, meaning that while they could engage in the public sector work that is the meat and drink of medicine and surgery, most consultants made their money in private hospitals, leaving their NCHD team to do their public work. However, the challenges this change poses for the way in which medical education is delivered in Ireland have not really been picked up on in the literature, and so an exploration of pertinent literature, in the light of the author’s contextual knowledge, is important, to explore this impact and to appreciate the scope and opportunities inherent within the new structure. There is some evidence that the changes to medical education, whilst global, are very real in the Irish context. The issues affecting medical education include â€Å"increasing service demands on clinical teachers, the need for shared teaching among different health-related disciplines, the need to incorporate modern educational principles and technologies, adapting to changing societal views of health and disease and the demand for health professionals to be more accountable.†[1] Issues such as professionalism and widening understanding of diversity are inherent in these issues. What this suggests, among other things, is that in order to make best use of the existing resources, areas still untapped need to be accessed, and at the same time, the way that medical ‘education’ is delivered needs to evolve.[2] Up until the present day, the private hospitals have not really been involved in med education. However, now they are currently making associations with universities who are eager to tap this resource, in order to make use of the private hospital setting for clinical experiences for medical students (and other healthcare students). It could be posited that these hospital present a hitherto untapped resource, full of opportunities, but also as a point of great scope for development of new ways of thinking about and providing more appropriate forms of education. As a public private system becomes more defined we need to start using the private sector to teach medical students. This is particularly important as there have been, recently, significant increases in the numbers of medical students[3], with public sector hospitals overwhelmed by medical student numbers, exacerbated by graduate entry into medicine adding to the larger and more diverse pool.[4] This may be affecting the qualit y of their learning, and also the quality of care provision.[5] There are, however, challenges, because as an unused resource, and an untested learning environemtn, there are not the internal resources, skills, systems and the like already in existence to support the influx of medical students. Similarly, there are lots of new private hospitals opening that are not used for teaching, and these hospitals are not equipped for teaching. This is something to bear in mind, and there is a need to identify the requirements of a hospital being equipped for medical student teaching and learning. Basic needs would be structural, such as the provision of a student centre, student accessible IT services, student support, changing rooms, training laboratories, and the like. Some of the major concerns are that private hospitals not equipped and did not make considerations for medical student education at the design phase, meaning that making them primary locations for medical student clinical experience could be very challenging and costly. There is also the issue private patients may not welcome students, particularly as they have paid for their care and so want complete control over it. This may mean students being excluded from key experiences. However, all patients in public sector healthcare have the option to not have students present, so this may not be insurmountable, but it would require rewriting protocols, mission statements, and the like to include an educational component. Another concern is the fact that private hospitals have not yet got to the same level of provision or range of clinical disciplines as public ones. For example, very few have intensive care departments, full time 24/7 consultant cover, emergency departments or major trauma units. Therefore the casemix of patients is elective, and limited, and students if only placed in private hospitals, will not be exposed to emergency. However, the contrary is also true as public teaching hospitals are now getting less elective patients for routine surgeries such as cholecystectomies and hernias. There is evidence to suggest that the relevance of the training medical students receive is of some importance to the quality of their experience and their future skills.[6] There could, therefore, be an argument for cross-sector placements, on rotation, with students doing different placements in different hospitals. This may have the advantage of exposing students to a wider socio-cultural mix of patient s as well as a wider pool of medical expertise, both of which may be of significance in the requirements of medical staff in the current climate.[7] Certainly, there is an emergence of a need to develop more creative approaches to clinical medical education which address the social and societal issues affecting health and illness as well as the medical knowledge itself.[8] This is evident in the emergence of debate around professionalism and professionalisation/socialisation of medical students into their profession, but also into the wider healthcare workforce. While traditionally, medicine has enjoyed a hegemonic position with near godlike autonomy[9], things have changed and new ways of viewing the medical profession have emerged. This has included a demand for more transparent, ethical practice, for doctors to view patients as individuals within their personal, social context, and the need for doctors to demonstrate respect for others, teamworking skills, and more self-awareness and increased awareness of social responsibility.[10] It also includes the reflexivity and awareness required to underpin the development of clinical decision making and problem solving skills, in general, and in application to particular disciplines and cases.[11] These notions of professionalism and reducing the divide between physician and patient are deemed important fo r the profession, as long as professional standards are also maintained.[12] This is where the challenge seems to reside, in providing medical students in Ireland with the scope to develop their professional knowledge and skills, along with the development of themselves, and their professional role, across two radically different healthcare provision domains.[13] Yet the research shows that it is the quality of the clinical or practical experience that medical students have which affects both aspects of their development, their clinical skills and their professionalism.[14] Medical education has moved away from the didactic forms that have characterised it for centuries towards a more interactive, student-centred type of training, although not as far as the other healthcare professions have.[15] Therefore, developing the private sector provision could serve a number of purposes, not just providing a useful place for the runoff of extra students currently flooding the public sector h ospitals. It could provide the opportunities for students to be assessed in skills and attributes relevant to each sector, as well as each individual case they are addressing. This would represent a more individualised approach to medical education.[16] There is a high likelihood of a considerable amount of resistance to such a reorientation, however, because the traditional, hierarchical and hegemonic structures of the medical profession will not be easily overcome.[17] What changes there are may not be fully bedded down within the Irish healthcare sector.[18] There is also the challenge of ensuring that there are adequate clinical educators available or even employed within this sector.[19] However, it would also be important to consider the impact of a large amount of private sector clinical experience on the professional development and socialisation of medical students, because much of this occurs within the institutional setting and is affecting by that setting, by the organisational culture, and by the behaviours of others within that setting.[20] Therefore, if students are modelling themselves primarily on what they are seeing within the private sector, this exposure could be detrimental, in the long run, to their professionalism, their awareness, and the ways that the work with others.[21] The nature of medical education itself is one which may need to change, to reorient itself to a different model of teaching and learning which is more appropriate to modern day medicine[22]. â€Å"Continued efforts are needed to reduce the factual load of the curriculum.†[23] It is apparent that in the current climate, with rapid developments in science and technology applied to medicine, and the increasing speed of these developments, that delivering a didactic curriculum is not practical, and instead, medical schools need to be able to â€Å"equip students with the skills and attitudes needed to cope with rapid change and lifelong learning.†[24] This includes students learning how to learn in a self-directed, more autonomous way,[25] which would then help to overcome the differences between the sectors and support students in cross-sector working and identifying the learning and development opportunities specific to each. However, the literature shows that in Ireland (as in many other places), the nature of medical education remains quite didactic and offers only limited opportunities for students to work in alternative ways. Yet the requirement for personal and professional development has already begun to be realised in the UK and Ireland, and as such the groundwork has already been laid.[26] Similarly, literature shows that medical student learning differs depending on the clinical environment,[27] which may be related to the culture of the environment and the purpose of the medical provision,[28] and if this is the case, then a great deal of research will be needed, along with ongoing evaluation, in order to assess the impact of the use of private sector hospitals within Ireland. The literature demonstrates that new ways of learning can be developed and implemented, based on more social, interactive, collaborative models[29], such as the development of communities of practice.[30] In this case, such communities would need to span the different sectors effectively, and overcome the differences between them, but these could expand to make better use of and collaborate more effectively with the training of interprofessional colleages[31]. This raises the question of whether there are the skills, capacity and even inclination to develop medical education along such lines, a lthough the ongoing benefits of communities of practice would be exponential.[32],[33]. The need for medical students to emerge as knowledgeable professionalss with the requisite understanding and skills must not be overlooked.[34],[35] Conclusion It would appear that there is a great untapped potential in the use of private sector hospitals in the Republic of Ireland to supplement medical student education by providing clinical locations for practice-based learning. However, this learning may need to be located in a different paradigm to the traditional medical apprenticeship model that has dominated this sector to date. The private sector hospitals would need to be come part of the partnership teams with universities and public sector hospitals. They would need to develop the facilities and infrastructure to support medical students. Medical students would gain a lot from such placements, but it would appear to be best that these form part of a cross-sector rotation of placements, rather than a private setting constituting their dominant clinical learning setting. The ways in which medical students are ‘taught’ would also need to change, to become more focused on personal and professional development, self-directed learning, and on all the elements of being professional in relation to current definitions of the word, and the social expectations placed upon healthcare professionals. Research is required into how private sector hospitals can be used, how medical education is changed by this and will change the nature of these locations, and how different approaches to new pedagogies will benefit medical students overall. The impact of these changes on professionalism, and the resistance from the profession, will also need to be considered. Ultimately, private hospitals can support the current provision, but the nature of the healthcare provision in Ireland would have to be considered also in the light of international models and how it intersects with these. Anything which improves student development and the skills and capabilities of newly qualified doctors must be a positive move, but research is needed to demonstrate that this would be so. References Arnold, L. (2002) Assessing professional behaviour: yesterday, today and tomorrow. Acad Med 77 (6) 58-70. Bligh, J. (2004) More medical students, more stress in the medical education system. Medical Education 38 460-462. Chastonay, P., Brenner, F., Peel, S. and Guilbert, J-J. (1996) The need for more efficiency and relevance in medical education. Medical Education 30 235-248. Cruess, R., Cruess, S. and Johnston, S.E. (1999) Renewing professionalism: an opportunity for medicine. Acad Med 74. (8) 878-884. Currie, G. and Suhomlinova, O. (2006) The impact of institutional forces upon knowledge sharing in the UK NHS: the triumph of professional power and the inconsistency of policy. Public Administration 84 (1) 1-30. Department of Health (2004) Medical Schools: Delivering the Doctors of the Future London: Department of Health. Dogra, N., Conning, S., and Gill, P. (2005) Teaching of cultural diversity in medical schools in the United Kingdom and Republic of Ireland: cross sectional questionnaire survey. BMJ 330 403-404. Dowton, S.B., Stokes, M-L., Rawstrong, E.J. et al (2005) Postgraduate medical education: rethinking and integrating a complex landscape. MJA 182 177-180. Dornan, T., Hadfield, J., Brown, M. et al (2005) How can medical students learn in a self-directed way in the clinical environment? Design-based research. Medical Education 39 356-364. Epstein, R.M. and Hundert, E.M. (2002) 287 (2) 226-235. Defining and assessing professional competence. JAMA 287 (2) 226-235. Finucane, P. and Kellet, J. (2007) A new direction for medical education in Ireland? European Journal of Internal Medicine 18 101-103. General Medical Council (2002) Tomorrow’s doctors: recommendations on undergraduate medical education. London: GMC. Gordon, J. (2003) Fostering students’ personal and professional development in medicine: a new framework for PPD. Medical Education 37 (4) 341-349. Hilton, S.R. and Slotnick, H.B. (2005) Proto-professionalism: how professionalisation occurs across the continuum of medical education. Medical Education 29 58-65. Howe, A., Campion, P., Searle, J. and Smith, H. (2004) New perspectives approaches to medical education at four new UK medical schools. BMJ 329 327-331. Irvine, D. (1999) The performance of doctors: new professionalism. Lancet 353 1174-1177. Littlewood, S., Ypinazar, V., Margolis, S.A. et al (2005) Early practical experience and the social responsiveness of clinical education: systematic review. BMJ331 387-391. Lloyd Jones, M. (2005) Role development and effective practice in specialist and advanced practice roles in acute hospital settings: systematic review and meta-synthesis. Journal of Advanced Nursing 49 (2) 191-209. McMahon, T. (2005) Teaching medicine and allied disciplines in the 21st century lessons for Ireland on the continuing need for reform. Radiography 11 61-65. Medical Council (2001) Review of medical schools in Ireland Dublin: Medical Council. Moercje, A.M. and Elika, B. (2002) What are the clinical skills levels of newly graduated physicians? Self-assessment study of an intended curriculum identified by a Delphi process. Medical Education 36 472-478. Norman, G. (2002) Research in medical education: three decades of progress. BMJ 324 1560-1562. Nuffield Trust (2000) University Clinical Partnership: Harnessing Clinical and Academic Resources London: Nuffield Trust Working Group on NHS/University Relations. Ostler, D.T., (2005) Flexner, apprenticeship and ‘the new medical education.’ Journal of the Royal Society of Medicine 98 91-95. Perkins, G.D., Barrett, H., Bullock, I. et al (2005) The Acute Care Undergraduate Teaching (ACUTE) Initiative: consensus development of core competencies in acute care for undergraduates in the United Kingdom. Intensive Care Medicine 31 1627-1633. Rogers, J.C., Swee, D.E. and Ullian, J.A. (1991) Teaching medical decision making and students’ clinical problem solving skills. Medical Teacher 13 157-164. Satran, L., Harris, I.B., Allen, S. et al (1993) Hospital-based versus community-based clinical education: comparing performances and course evaluations by students in their second-year pediatrics rotation. Acad Med 68 380-382. Sinclair, S. (1997) Making doctors: an institutional apprenticeship Oxford: Berg. Smith, T. and Sime, P. (2001) A survey of clinical academic staffing levels in UK medical and dental schools: a report to the Council for Heads of Medical Schools London: Council for Heads of Medical Schools. Stewart, J., O’Halloran, C., Harrigan, P. et al (1999) Identifying appropriate tasks for the preregistration year: modified Delphi technique. BMJ 224-229. Swick, H. (2000) towards a normative definition of medical professionalism. Acad Med. 75 (6) 77-81. Thakore, H. and McMahon, T. (2006) Sink or swim: the future of medical education in Ireland. The Clinical Teacher 3 129-132. Wenger, E.C. and Snyder, W.M. (2000) Communities of practice: the organisational frontier. Harvard Business Review 78 (1) 139-147. Williams, G. and Lau, A. (2004) Reform of undergraduate medical teaching in the United Kingdom: a triumph of evangelism over common sense. BMJ 329 92-94. Worley, P., Esterman, A. and Prideaux, D. (2004) Cohort study of examination performance of undergraduate medical students learning in community settings. BMJ 328 207-209. Footnotes [1] Finucane, P. and Kellet, J. (2007) [2] Thakore, H. and McMahon, T. (2006) [3] Bligh, J. (2004) [4] Thakore, H. and McMahon, T. (2006) [5] Bligh, J. (2004) [6] Chastonay, P., Brenner, F., Peel, S. and Guilbert, J-J. (1996) [7] Dogra, N., Conning, S., and Gill, P. (2005) [8] Department of Health (2004) [9] Hilton, S.R. and Slotnick, H.B. (2005) [10] Hilton, S.R. and Slotnick, H.B. (2005) [11] Rogers, J.C., Swee, D.E. and Ullian, J.A. (1991) [12] General Medical Council (2002) [13] Arnold, L. (2002) [14] Littlewood, S., Ypinazar, V., Margolis, S.A. et al (2005 [15] Norman, G. (2002) [16] Ostler, D.T., (2005 [17] Williams, G. and Lau, A. (2004) [18] Currie, G. and Suhomlinova, O. (2006) [19] Smith, T. and Sime, P. (2001) [20] Sinclair, S. (1997) [21] Swick, H. (2000) [22] Howe, A., Campion, P., Searle, J. and Smith, H. (2004) [23] Medical Council (2001) [24] Medical Council (ibid) [25] Dornan, T., Hadfield, J., Brown, M. et al (2005) [26] Gordon, J. (2003) [27] Worley, P., Esterman, A. and Prideaux, D. (2004) [28] Satran, L., Harris, I.B., Allen, S. et al (1993) [29] Perkins, G.D., Barrett, H., Bullock, I. et al (2005) [30] Wenger, E.C. and Snyder, W.M. (2000) [31] Lloyd Jones, M. (2005) [32] Wenger, E.C. and Snyder, W.M. (2000) [33] Nuffield Trust (2000) [34] Moercje, A.M. and Elika, B. (2002) [35] Irvine, D. (1999)