Pablo Neruda

Pablo Neruda was a communist poet. The Chilean won the Nobel Prize in Literature 1971. He wrote The Captain’s Verses in 1952 while he was in exile with his secret lover Matilde Urrutia on the island of Capri. The Captain’s Verses was a collection of his Love Poems that expresses Pablo’s different emotions to his love and the beautiful nature. From the book, we can see how Plabo treasured the time living with Matlide in the adorable exotic place. We can feel his passion, his pain, and his rage. His love poems were permeated with dense patriotism and his homesickness for Chile. Matilde was a singer. Her life was changed after she fell in love with Pablo, the most important person in her life. It would never be easy to stay with a communist. With her faith of love, she had gone through a lot of danger with Pablo and she was also Pablo’s good helper. They had countless sweet and unforgettable moments. Pablo was dead in soon after the military coup of Chile in 1973. They were separated forever since then. The military government treated Maltide as an influential figure in the country because she was the widow of a communist. She had a choice to leave this Chile but she decided to keep on going Pablo’s path and stay in Pablo’s home. Finally, she was able to publish Pablo’s work and write her own memoir. In her memoir, she told her legendary love with Pablo and the struggles she had faced. We can see their love on both Pablo’s poem and Maltide’s memoir. We can see their own perspective in their work. The memoir is a compliment to the poem that everything written by Pablo did happen to Maltide. She gave response and opinion to these experiences. In this essay, I’m going to analyze â€Å"The Soldier’s Love† in The Captain’s Verses from Plabo’s perspective and the view of Maltide’s memoir My Life with PABLO NERUDA. The Soldier’s Love â€Å"was written to Maltide. It is in free verse and there are ten stanzas. The tone of this poem is passionate and it sounds like Pablo is talking to Maltide directly. He used a lot of â€Å"You† to raise the momentum. â€Å"You’ll wear out your shoes/ but you’ll grow on the march/ You have to walk on thorns† (17-19) It sounds powerful and it makes Maltide become confident and dedicated. There are some words that are stressed at the end of the sentence such as â€Å" fire†, â€Å"death†, â€Å"march†, â€Å"blood†, they all stand out in the poem because they accentuate the danger of their future. The poem is well organized: From the second stanza to the fifth stanza, they are all three sentences long. From the sixth to eighth stanza, they are two sentences long. This splits the poem into two parts. The three sentences structure is talking about Maltide’s life before she met Pablo while the two sentences structure is talking about the life she is going to spend with him. The first stanza â€Å"in the midst of war life led you to be the soldier’s love† (1-2) is the introduction. Then the last stanza ends the poem with two equal sentences â€Å" Kiss me again, beloved/ Clean that gun, comrade (21-22) The whole structure of this poem looks very clear. The final stanza is strong to encourage Maltide with their faith of love and the word â€Å"beloved† and â€Å"comrade† shows Pablo’s tremendous passion. Pablo wanted to use this poem to let Maltide understand that her life had come to a turning point and also encourage her to be ready for the challenges coming up in their life. The introduction of the poem indicates that she no longer could enjoy a normal life. In the midst of war life led you to be the soldier’s love† (1-2) Pablo was the soldier fighting for the communist party. Everything would be different when she became a communist’s love. Pablo seemed disapproval of her past because he used â€Å"vagabond† to address her in the poem. He thought Maltide was political ignorant. â€Å"You didn’t know where you were going/ you were the dancing partner/ you had no Party, no country†(9-11) What she had done before was not meaningful at all. She didn’t belong to anyone and anywhere. It was time to abandon her past and fight with him from now on. Now you can’t dance any more/ with your silk dress in the ballroom/ You’ll wear out your shoes/ but you’ll grow on the march† (15-18) Although she couldn’t have the comfortable life like before and she would be suffering a lot, she would learn a different dimension of life joining the fight for the fellow people. The fight of the communist is a long march that it will be full of sufferings. â€Å" You’ll have to walk on thorns/ leaving little drops of blood† (19-20) Maltide should be prepared for any hurt or even death on the way. At last, Pablo encouraged Maltide to be dedicated to their love. Kiss me again, beloved† (21) He urged her to put the focus on their love, then they would not scare any situation coming up. Their faith of love is the best thing to console Maltide and keep her marching. Plabo thought Maltide was ready to fight with him. â€Å"Clean that gun, comrade† (22) She was not only his lover but also his â€Å"comrade†. Maltide was his counterpart who would share any problem with him and fight till the end. In Maltide’s memoir My Life With Pablo Neruda, she retold her terrible experiences that she had never encounter in her life. She had spent an agonizing night on the boat and almost swallowed by the sea. In the hotel, she was treated as a criminal in the hotel. Then she left for Naples with fourteen suitcases. She had been followed by the undercover police from city to city during her journey. Maltide was very angry to these experiences at first. Then Pablo told her about his own experience. She realized everything just happened to her had already occurred on him many times. She got to know why Plabo became a communist. â€Å"He explained how, after his terrible experiences in that civil war, he returned to Chile and kept on fighting, writing about what he had witnessed in Spain. He was already considered the biggest communist of all and figured that â€Å"if protesting and denouncing injustice means being a communist, well alright then,† and he joined the party. He was always a communist, because the suffering of others hut him too much. While he was alive, he put his pen and his life in the service of the people. † (115) After the Maltide learned the reason why Plabo being a communist. She appreciated what he was doing. She admired his passion of helping all the people. Now she could accept being a communist and understand its fight. These experiences deepened Plabo and Maltide’s love because they could know each other even more. However, Pablo’s heart was painful for dragging Maltide into his own sufferings. â€Å" Pablo laughed until he cried as I told him about the Italian police, especially since Pablo had considered me the most politically ignorant woman he ever knew. But I was his love, and from that moment forward, I would take on all that he did and face all the difficulties in his life with him. † (155) Maltide was happy to see Pablo blaming himself for not being able to protect her. They both consider each other very much. Therefore, Maltide made up her mind to dedicate herself to follow Pablo’s path and fight with him together. She didn’t care how dangerous it would be as she was so strong in her love. The poem addressed the changes of Maltide’s life and Pablo encouraged her to take the challenges with their faith of love. In the memoir, Maltide’s talked about her experiences and her own feeling. She started to learn about the adversities of being a soldier’s love. She would stay with Plabo all they way and fight with him. She would use action to respond his poem.

Kinetic Chemistry

The name of the course: Kinetic Chemistry The student name : Wejdan Mohammed Al-Otaibi Teacher name :Razan SnariGroup namber :1The year : 2017/2018Spectrophotometry: is a device to measure the amount of light in the material used. This device consists of two parts: the first is the light source, and the second is the photometer . the work principle of this device : the liquid or material that we want to measure the elements inside is placed in a tub, this tube is then placed between the light source and the photometer . so that the amount of light passing through the sample is measured by photometer. When a photometer is exposed to light, it acquires or generates an electrical signal that changes with the amount of light absorbed by the liquid . this change in light absorption depends on the change in the concentration of the substance. the way work this device: this device it measures the absorption of light by liquid materials at different wavelengths, and thus can identify a number of unknown substances or calculate known concentrations of materials . 22288507372350 Stepped flow Technique:is a rapid mixing device, to study the kinetics of quick chemical reactions in solutions . this device contains two reactants which are kept in separate reservoirs and are prevented from flowing freely . the interaction starts by installing the reactants in the device. these materials are then released to the mixing chamber, which mixes these interacting materials , the reaction is then monitored by observing the change in the absorption of the reaction solution . When the reaction progresses, it fills the â€Å"stop syringe† that expands until it reaches the point at which the interaction reaches a continuous flow , thus stopping flow or interaction27527257162800Sodium reacts strongly and quickly with water and produces a solution of sodium hydroxide and hydrogen gas, a colorless solution. During the reaction sodium can be heated and It may ignite and burn with an orange flame . Hydrogen gas released during the combustion process reacts with oxygen in the air . the resulting solution is basic because of the melting of sodium in the water. this interaction between sodium and water is an exothermic reaction. sodium reaction with water is the closest to explosion. Na +2 H2O ?2 NaOH + H2. This search used this interaction and because it is fast, it uses the stepped-flow techniques method to control it Rate=-d[Na]dt=-12d[H2O]dt=12d[NaOH]dt+d[H2]dt Reverences:Physical chemistry for the life sciences –Thomas EngelCompendium of Chemical TerminologyPhysical chemistry for the life sciences-Peter Atkins , Julio De PaulaAdvances in standards and methodology in spectrophotometry ,K.D.Mielen

The Effects of Social Norms on Society

Dr. Kenneth Hoffman Sociology 200-302 2 January 2013 The Effects of Social Norms on Society In a world where routine is dominant and change is difficult to adhere by, social norms have become major assets for a smoothly functioning day. With the experiment of breaking normative behavior I wanted to do something subtle yet startling. Sometimes the smallest changes in behavior receive the toughest adjustments. First impressions have a strong influence on a person’s relationship with someone else. With that being said, I decided to change the way I went about greeting people.The opening greeting of shaking hands and smiling has become so common it has lost value and become routine. The subtle change I made to my greeting was that I decided to only say my name in a monotone voice and shake hands with the wrong hand, leading to responses of surprise, unease, and sometimes anger. With most people being right handed, I have made the assumption that this could be why the common greeti ng is to shake with one’s right hand. The â€Å"normal† greeting is to smile, say hello, and shake with your right hand. People have taken what use to be excitement to seeing each other to going through common motions repeated multiple times.This greeting is a sign that one may have come from a proper upbringing and family, possibly middle to upper class. It is also taken as a common sign of acceptance to strangers meeting for the first time. My sample size of people ranged from people of all ages and relationships to me. I decided I would greet with a plain face and state my name and reach out with my left hand with all introductions. People who did not know me well believed I was unpleasant and felt awkward. My new greeting was taken with surprise, as people who know me well believed I was in a bad mood or having a bad day.If I don’t do the norm I’m considered upset and negative. From the experiment I learned that people commonly receive me as joyful an d energetic. In a way my own personal norm has evolved into me being upbeat whether my day has been good or bad. All people react to different stimuli in their own way. With that being said, I was surprised to find that out of the 20+ people I greeted against the norm, only one gave my greeting a â€Å"normal† response without interruption. The lone person was a 12 year old boy I see regularly and he just continued what he was doing without a hint of awkwardness.The older people would teach and try to correct what they took as my â€Å"ignorance† toward a common greeting. A few of these older experimentees actually refused to shake my hand unless it was a right handed shake. People around the same age as me were awkward with a sarcastic manner, laughed, or just went ahead and shook my left hand after a moment of hesitation. With all the immediate responses having large variance, the most correlated response was that people thought there was something wrong with my well -being and tried to cheer me up.The overall response to the experiment ended up being quite humorous. It also opened my eyes to how much the people in my life care about me. While I expected the awkward moments, I expected more people to just go along with it and not be startled. Even the slightest changes in one’s actions can affect the response and mood of how people interact with one another. In this case, it was subtle yet changed the entire complexion of the exchanges between the people I intercepted. With responses ranging from laughter to confusion, the smallest changes in normative behavior can have most astonishing results.

'Overseas discoveries could be used to suggest fundamental questions Essay

'Overseas discoveries could be used to suggest fundamental questions about the values and standards of a civilisation' (H. E - Essay Example It will be argued that both writers represent a challenge to the burgeoning rise of cultural imperialism that was a force in their historical era. The historical context or background of Shakespeare's age and Montaignes, is important. Shakespeare and Montaigne both lived in an age when exploration and colonial expansion was in its early phase. At the forefront of the European expansion into the 'new world', was the early sixteenth century exploration and colonization of the West Indies, South and Central America1. What is important to note, is that colonization or colonialism brought with it an imperial set of attitudes and beliefs. The people of the new world were largely viewed as uncivilized, and the state of nature that they were living in was viewed as inferior to the European invaders. It is these attitudes, for example, that facilitated the enslavement of people. Likewise, what soon followed with colonial expansion, were missionaries or the missionary movement of the Catholic Church in Europe. Both slavery and the sentiment of missionaries, are premised on assumptions that the inferiority of a people legitimated their exploitation. That is, the missionaries goal was to civilize the people and take them away from what was perceived as barbaric practices. It is interesting to note that it took centuries before Europe was able to let go of its basically 'patriarchal' views of people in the under developed world2. Expansion and colonization, was an important source of fascination for Europeans in the time of Montaigne and Shakespeare3. While Europe had a geographical and therefore, cultural connection with South and East Asia, the 'new world' or the the Americas held a great deal of interest. Montaignes sources for his writing, were some of the written accounts of explorers who had encountered cultures in South America, and one of the elements that is significant, is the connection with nature4. Montaigne writes of the people of the new world, in a way that can be described as paternalistic or patronizing, but also reverent in that he sees them as living in harmony with nature: â€Å"and they are, moreover, happy in this, that they only covet so much as their natural necessities require†5. In Montaigne, there is the sentiment expressed as what later became known as the theory of the â€Å"noble savage†6. That is, the perspective that civilization is essentially a corrupting force, and that people who live closer to a state of nature are more noble. Individuals who live in a state of nature, are living in a sustainable relationship with their environment. They consume only what they need, and are not reaching beyond the basic needs. In Montaignes world, there would very obviously been a contrast of lifestyles insofar as he would be immediately familiar with the folly of consumption. Likewise, the wealth and behavior's of Prospero and his noble visitors are presented as a stark contrast to the state of nature that the chara cter of Caliban lives in as we shall see from the Tempest. It might be argued that Shakespeare's Tempest represents a very early form of a critique of colonialism. Central to this perspective, is the figure of Caliban. The background to the story is that a nobleman from Italy or Milan, named Prospero and his daughter Miranda are exiled on a faraway island. The only inhabitant on the island who Prospero and Miranda have contact with is a figure named Caliban. The name Caliban is believed to be

MGT499 Mod 2 Case - Strategic Management External Analysis Coursework

MGT499 Mod 2 Case - Strategic Management External Analysis - Coursework Example The responsibility drawn towards the natural role played by the strategic management committee does not only oversee the company’s internal management, but it extends the boundary into external marketing issues that affects the company’s marketing and operations. Although diversification in the field of technology has produced competitive edges in the motor industry, the organization has continued to thrive in its domestic markets. What if the management wanted to thrive into better and bigger competitive markets in abroad? Does it have the necessary resources and leadership criteria to improve its development and market development? Therefore in this thesis development looking into Harley-Davidson Corporation will help us develop proper understanding towards the understanding if the company’s resources can support it venture into the international markets and it can fair with the intensified competition, McBee, R. D. (2011). To define the necessary steps that ca n be taken by the HD Executives in making worthy decision making, the PEST analysis model will provide different support alternative to substitute in the basic strategic decision making by the company. This is going to create light and provide direction towards the understanding of the national factors that can affect the development a better ground breaking strategy by the company. The porter 5’s analysis tools are essential in defining what goes and how the company will fight against the external factors such as economy and price fluctuations to fit in their agendas and budgets. In general it is all about what the company will in order to curb the many external factors that may affect the operations of the company. Importance of PEST and Porter’s 5 Forces analysis in Harley-Davidson Corporation These are the main models that can help the organization in their daily findings and operations. In order to maintain their competitive edge they have demonstrated over the ti me, different issues have to be taken into considerations. Technology and price fluctuations The two models try to define the main important factors affects new and better ventures for any business company that wants to improve it operations. Looking at the corporation of HD, many subsidiaries have been established due to the rapid diversification in the field of motor manufacturing. This has developed many different versions of motors in the market. The many versions and technology trends tend to change the supplier and buying power of certain products relatively in accordance to corporation brands. Technology has changed the way redesigning and management of the aspects is planned and developed through operations, supplying to the market and price dependency, Bonham, S. S. (2008). Therefore the main strategic organization of the company should view and developed the necessary decisions in regard to technological changes in the region and market. Rapid development and establishment of different processing and marketing outlets in the market can affect the normal way a company runs its operation. Through the necessary procedures and steps taken by the marketing and producing departments of the corporation, it is important to change the aspect of supply, design and price variance in its products.

From the perspective of Native Americans, would you say that the Essay

From the perspective of Native Americans, would you say that the Spanish and English Empires in America had more similarities than differences - Essay Example Both empires took the lead in developing a new empire in the new world and subdivided their territories into subsections. The Spanish empire consisted of three viceroyalties including New Spain, New Castile, and New Granada. Its empire extended across most of Americans and into Asia in the sixteenth Century. The English empire had four subdivisions including Indian empire, four self-governing countries, colonies, and territories. Secondly, the Spanish and the English empires in America were similar in their economic endeavours. The leadership in both empires quite well understood the importance of a stable economy. The Spanish empire, which happens to be the largest in the world, depended mainly on silver and gold produced form Peru and Mexico. According to Scott, â€Å"the gold and silver of the conquered Aztec and Incan civilizations supplied the Spanish monarchy with centuries of mineral wealth† (Scott web). This wealth could sustain its economy. Indigenous people formed the workforce because they worked as slaves (Hansen et al 530). To maintain its empire, English empire endeavoured to industrialise using slaves from the colonised nations as cheap labour. The fact that English society contained a more developed and flourishing sector than its neighbourhood did attract settlement to its territories building a platform for commerce. Thirdly, both empires carry a history of poor administration. The management of the conquered colonies was inefficient and poor. For instance, Spanish monarchs had a problem in administering large territories conquered during their raid. There existed poor means of communication, which led the monarchs to formulate rigid rules, within layers of bureaucracy. Both empires endeavoured to civilize and colonise the natives, at times dehumanizing them by making them slaves or getting rid of them and replacing them with the whites. Although both empires had poor administration, they influenced globalisation of the current

The shift by manufacturing and service firms from acting as standalone Essay

The shift by manufacturing and service firms from acting as standalone entities, to being parts of wider networks of firms, may have important implications for - Essay Example The strategy is the choice which leads an outcome, and among different strategies the company chooses the one that suits better with the company and helps in achieving the best. The term "Comparative Advantage" means that the companies shares the best resources with each other in order to provide various prices of the product that provide the edge for the advantage. The last term "Networks of Firms" means that the firms are now trying to adopt the strategy that were similar to the networking of different departments within a single organizations. The networks of firms between different companies are a simple strategy that is used to provide comparative advantage to the companies involved in networking. The new term the roadmaps is now in used in which the different companies across the world adopt the process of networking through which they use to share information's, technologies and different issues related to business in order to provide a standardized product to the world. Usual ly this strategy is adopted in order to provide the quality product at a very low cost as the companies are using the cost-effective strategy. The companies use to share their resources, information's and technology that lower their cost when they work alone. The strategy is used in order to capture the global market with minimum uncertainty. The strategy is not even the cost-effective but also it reduces the time cost. The companies do not need to spend their time in allocating resources and information. From the last few years the departments of a single company is using the techniques of networking. This help in improving the communication levels within the departments and enhance the better management system. Usually this networking helps the prime activities to communicate very efficiently with the support activities. These enhance the quality system and process among the departments. Similar is the case with the roadmaps. The roadmaps development helps in sharing the different resources and information among different companies that enhances the operational cost of each product and provide quality with low price tag on the product. The strategy of roadmaps is only used when you require the standard product and for diversifying the product at global level with minimum uncertainty it is consider that the roadmaps strategy works very well. Starting our main topic, the Roadmaps, it is very similar to the networking of different departments. But the only thing is that developing the roadmaps is very complicated and complex process and need a lot of time in developing the different phase of the roadmaps. The roadmaps development is divided in three phases. While description of these phases we are using the simple ways rather making it more complex. The very first step or phase is the preliminary which itself consist of three phases or steps. The very first step of the phase 1 is satisfying the essential conditions, the second step is providing leadership or sponsorship and the very last step is defining the scope of technological road map. The step of satisfying the essential condition involves the organizations to satisfy on the rules and regulation in order to work together. Different planning horizons with perspectives are drive out within each organization and thus these are

Criminal Cases in Healthcare Essay Example | Topics and Well Written Essays - 750 words

Criminal Cases in Healthcare - Essay Example The identified case for review is available from The New York Times. Flegenheimer authored the article that was published on 25 May 2012. In the case, a patient called Martin was awarded 120 million dollars as compensation for brain damage caused by negligence among healthcare personnel. The identified liability was proportionately shared among five parties, Jacobi Medical Centre, Kings County Hospital Centre, Brookdale University Hospital and Medical Centre, healthcare personnel and the plaintiff (Flegenheimer, 2012, p. 1). Facts of the case identify mismanagement of the patient’s treatment at the different hospitals where she sought medical attention because of seizure. The allegedly improper care led to health complications including Martin’s brain damage and adverse skin complication (Flegenheimer, 2012). The scope of the case identifies professional malpractice – negligence – among the involved care personnel with a limited scope of contributory negligence from the plaintiff. Based on the essentials of a contract, as implied by a physician-patient relationship, healthcare personnel and a care organization, by vicarious liability, have legal obligations to handle a patient with uttermost care that is reasonable within the professional practice. Failure to observe such care identifies criminal and civil negligence (Witt, 2006). Martin’s position as a patient at the care facilities and her subsequent injuries satisfy the legal essentials of negligence that includes existence of a duty of care, breach of that duty and a subsequent loss due to the breach (Madden, 2003). Contributory negligence, however, partially shifts liability to the patient (Lunenburg & Ornstein, 2007). The doctrine of negligence and contributory negligence implies liability on both the defendant and the plaintiff for failing to take due care in managing the plaintiff’s conditions. The care

Media Literacy and Ethics Essay Example | Topics and Well Written Essays - 1000 words

Media Literacy and Ethics - Essay Example Media Literacy is a subject that is gaining relevance in the Information Age that we inhabit today. This is because a passive digestion of news content that is offered on a platter is unlikely to lead to a healthy understanding of that content. This is especially true in the highly privatized and commercialized environment of today, where much corporate and political propaganda gets passed on as objective news. Hence, there is no doubt as to the importance of Media Literacy to the general public. Yet, it is only a fraction of the population that could claim to possess a critical understanding of how different mediums of information operate. (Pavlik & McIntosh, 2011) The rest of this essay will foray into what all comprise Media Literacy and also analyze how media literate the author of this essay is. Firstly, media literacy seeks to address the proliferation of new literacy practices â€Å"in an increasingly mobile, global, digital world. Broadly analogous to print literacy,  medi a literacy  promotes the analysis (reading) and production (writing) of texts in a variety of forms. In practice, conflicting assumptions about the definitions, practices, and impact of  media literacy are at the heart of contentious debates about its fundamental aims, purposes, and value. Consequently, as  media literacy promotes greater access to a wider range of tools and texts, it is increasingly mired in age-old debates about the uses of literacy to frame, shape, and control public discourse. In the process, it touches on the relationships between  media literacy, cultural narratives, and the arts.† (Tyner, 2009, p.3) One of the key features of Media Literacy is the cultivation of strategies for a scientific analysis of media content. In this sense, Media literacy can be said to offer the citizens a range of critical approaches to gain insight into the nature of media content. Those studying the media should understand that it is merely the messenger of informatio n without any inherent moral character. What ascertains the value is the list of attributes attached to it, including â€Å"who is producing the message, what the function is, and the target audience.† (Silverblatt, 2007, p.4) Several academics in the field of Media Studies have defined Media Literacy in various different ways. Some claim that a comprehensive understanding of how news and program content is produced, including selection, edition and presentation are essential. In the case of news media, for example, without a complete understanding of these behind-the-scene processes, the audience/reader would not be in a position to critically evaluate the quality of journalism. Some of the criteria for measuring quality of journalism are objectivity, editorial neutrality, standard of presentation and detail. It is only a Media Literate person who would be able to evaluate how the medium he/she is using is performing on these counts. Such an evaluation will help him/her in d eciding to continue with the medium or switch over to another medium or actively engage with its managers in order to improve its overall standards. (Pavlik & McIntosh, 2011) It used to be the case when the term Media Literacy was used entirely in the context of print media. But ever since the invention of the Internet and other digital technologies the methods of information transmission have changed greatly. So, where Media Literacy previously meant the ability to â€Å"decode, understand and communicate in print†

DB 6 Research Paper Example | Topics and Well Written Essays - 750 words

DB 6 - Research Paper Example Deposits refer to clients’ money that are kept with the bank while borrowings are cash and cash equivalents that a banking institution may borrow from other sources such as other commercial banks and the Federal Bank (Union Bank, 2011). Liabilities of a magazine publisher, like those of a newspaper publisher, are however diverse and can be explored in terms of current liabilities and long term liabilities. Current liabilities of the form of business organization are creditors, accrued payroll, prepaid subscriptions, accrued expenses, and outstanding taxes. Portions of long term debts and lease liabilities that falls due in a given accounting period also form part of the publishers’ short term liabilities. Long-term liabilities for the form of business include â€Å"long term debt and capital lease obligations,† â€Å"pension benefits obligations,† â€Å"post retirement benefits obligations† among other long-term commitments (New York Times, 2012, p. 55). Current liabilities of a departmental store such as Macy’s departmental stores however include â€Å"short term debt,† â€Å"merchandise accounts payable,† â€Å"accounts payable and accrued liabilities,† â€Å"income taxes and differed income taxes† and outstanding taxes while long term liabilities are long term debts, outstanding taxes and other forms of long term liabilities (Macy’s, 2012, F-5). Borrowings and outstanding taxes are the common types of liabilities for the three forms of organizations while accounts payable, accrued expenses, accrued liabilities and long-term debts are common elements among magazine publishing organizations and departmental stores. Deposits are however unique for a banking institution while prepaid subscriptions are unique for a magazine publishing organization’s balance sheet and merchandise accounts payable is unique among departmental stores (Union Bank, ; New York Times, ; Macy’s, ). Project 2: A report for Alcenon’s management The Corporation leases a large percentage of its operational assets. The choice to make operating leases as opposed to capital lease has aimed at keeping lease debts out of the organization’s balance sheet in order to attain low debt rations in financial reports. Alcenon is currently negotiating a 10-year-lease on an asset whose anticipated useful life is 15 years. Terms of the lease requires ten annual lease payments at $ 20000 per year. The first installment is due at the beginning of the lease term and the value of the leased asset is $ 135180. There is no provision for transfer of title to the lessee and no provision for bargain purchase. Decision into accounting for the lease as an operating lease must however be based on accounting and legal provisions that the management must be informed of. This report explores relevant provisions to accounting for the lease and makes recommendations to the management. Accounting co ncepts for professional and legal regulation of accounting for asset lease differentiate between capital lease and operating lease and knowledge of the differences must be identified before the corporation classifies the lease. One of the factors that the management should consider is the lease duration relative to the asset’

Meaning of Life and Success Essay Example for Free

Meaning of Life and Success Essay The most important thing in my life is thought to be happiness. In order to achieve success you must adjust to very situation with ease. Success is it the process of doing a task and receiving a positive result, or is it simply achieving one’s own personal goals. According to The American Heritage dictionary success is, â€Å"the achievement of something desired, planned, or attempt†. The word success itself means to achieve your goal or get the point that you looking for. Some people success meant to them to be rich or to finish school and work high pay jobs. But for me success means more than that. Success means to me have peace and love; also to get married and to enter heaven after this life is over. To be sure, everybody who has peace and love is a successful succeeding person. Without peace and love there is no success. You wake up in the morning and you don’t worry about anything that day; that is success for me, because the life is short, you don’t have to be concerned about anything. Also if you have a family that loves you and is always happy for what you are doing, that is success. In addition, if you take care of your old parents and they love you and they live a happy life, which is success for me. Additionally, success is also something that is viewed differently in the eyes of everyone. This is because success means doing what I have always wanted do being where I have always wanted to be. My goal in life is to eventually get married to a good wife and have many happy children and if I accomplished that, then I could view myself as having success. Lastly, meaning of success for me is to enter the heaven after this life is over. We know that life in this world is too short, and we don’t know when we are going to die and what we are going to get after this life. That is a simple answer; do good deeds in this world and you are going to be successful in the life hereafter. That means you enter the heaven for sure and that is big reward from God to his mankind. There is no dying after this life; that means if you don’t enter the heaven you will be the loser and who ever go in the heaven will be the winner. In conclusion, I still agree with the idea I presented: however according to the dictionary and many other resources, success means to them achievement. But according to my own opinion success means to believe the ones of God, and to have peace and love in your whole life, and to get in heaven the life hereafter.

Dante, Plato, Aristotle Essay Example for Free

Dante, Plato, Aristotle Essay The assignment is poetry v. philosophy. Plato speaks of a quarrel b/t poetry and philosophy. He dismisses the arts while Aristotle defends them. DO we see traces of this quarrel in later traditions? If so, where? And how is it played out there? For this essay, in addition to Plato and Aristotle, focus on Dantes Inferno. (Please look to see if my thesis is clear and strong, my evidence is all relevant, and whether this whole essay persuades you) Throughout his life, Plato strongly believed that the arts and philosophy directly opposed each other. On the other hand, Aristotle defended poetry as an aid to philosophy. Dante, a philosophical poet, successfully synthesizes Plato and Aristotles views in the Divine Comedy of the Inferno without compromising either school of thought. He acknowledges the fact that while the arts have its uses within the material world and philosophy its uses in the spiritual, both need the other to be complete. Both Plato and Aristotle agree that poetry brings about great emotion which has a lasting impact on the individual and society. However, they disagree on poetrys emotional effects. In Meno, Plato believes it results in harm while Aristotle argues that it leads to improvement in Poetics. Upon closer inspection, we see that Dantes Inferno contains a philosophical significance underlying its poetic style. Poetry and philosophy work towards the same end, but in different ways. There is no doubt that poetry is an imitation. What Aristotle and Plato dispute over is the source of that imitation. Plato strongly states that the arts are mimetic, twice removed from the truth. They are an imitation of the ideal entities in the realm of the forms, in which all things are perfect. For instance, tragedy presents multiple possibilities and situations rather than a single essence. In Meno, Platos Socrates discusses the difference between doxa and episteme. Poets, politicians and priests utilize doxa, a type of knowledge that is not mediated through any intellectual reasoning. This further demonstrates the composition of the material realm. Right opinion, or doxa, flees from the mind just as the materialistic body quickly perishes. Socrates says opinion is not worth much until it is fastened with reasoning of cause and effect (Plato 65). He is alluding to episteme, true knowledge that remains in the brain. This is accomplished through intellectual inquiry in the ideal realm. Throughout the dialogue, Menon insults Socrates by saying he looks like a stingray, alluding to a type of numbing-drug. However, Menon proves to have false knowledge as Socrates shows how anamnesis occurs via the Socratic Method. Only when he experiences aporia, the state of confusion and realization of ones ignorance, can he reach true knowledge. The reference to the drug, pharmakon, symbolizes how Menon became numb to the false, material world in order to transition to the divine realm where all things originate. While Plato asserts that imitation comes from the true essence of things, Aristotle believes it has its roots in human action. In Poetics, he examines how humans have an instinct for imitation, harmony and rhythm. We often learn our earliest lessons from mimesis. Aristotle asserts that the only way to reach the ideal is through action. He views it as a horizontal developmental rather than a vertical one, as Plato did. By the process of energia, we move from potential to actuality. This is also analogous to the concept of the material to the ideal. We come out of the cave and into the sun through our own activities. As the arts best represent action, tragedy contains knowledge because it presents psychological possibilities and universal truths about ourselves. Each possible reality may be the ideal essence. Tragedy, after all, is an imitation of action and of life, not men. The stage externalizes whats within our souls. The actors play out the meaning of life which the audience can safely inspect without endangering themselves. This perspective is extremely human-centric compared to Platos divine ideal. For instance, tragedy contains plot that is action-centric and based on the structure of incidents. Unlike a story, a plots events can be resequenced in any fashion. This is like an experiment in which the stage is our lab. A plot can furthermore be split in two ways: complex or simple. A complex plot contains peripeteia and anagnorisis. The latter, similar to Platos Meno, shows the progression from ignorance to knowledge. Yet the characters on stage, even after making decisions, are still susceptible to Fortunes will. Thus peripeteia occurs, alluding to God and the divine realm we ultimately reach with the aid of anagnorisis. There are some things people cant control. However, what we do imitate and control are our actions within the material world. For Aristotle, action was the most significant aim to focus on. In Dantes Inferno, the poet Virgil guides Dante into Hell. Poetry begins to act as a gentler remedy compared to philosophy. It is more relatable to the human mind and physical world. Through catharsis, Dante must eliminate all emotional tumult to become enlightened. This process of catharsis is similar to the movement from the material to spiritual realm. Paradiso, the highest realm, is where true intellect exists and where we become one with God. In the second canto, Dante demonstrates the wickedness of emotions and the materialistic realm when Virgil tells him: Your soul has been assailed by cowardice, which often weighs so heavily on a man- distracting him from honorable trails- as phantoms frighten beasts when shadows fall. (lines 45-48) This is an extremely Platonian perspective. Partially right, Plato believed that tragedy produced cowardly leaders as it appealed to passion rather than logic and reason. Through Virgil, Dante demonstrates how the arts, especially poetry, are effective in cleansing the soul of emotion by experiencing or contemplating it. Much like the Socratic Method in Meno, Dante must become numb to false knowledge via catharsis and begin with a clean slate. He accomplishes this by observing the damned in the inferno. When he passes through aporia, only then will he become enlightened and obtain truth. The shadows are a reference to Augustines visio corporals, the cave of pure materiality, in which false knowledge resides. Dante says in canto one that man must come out of the shadowed forest (line 2) where he is so full of sleep (line 11). All this is accomplished through human action, represented through tragedy and poetry. Furthermore, Virgil symbolizes the coming emergence of Christian Rome through Dante. He has already taken Aeneas to the Underworld, setting up the entire story. Parallel to this, poetry lays the necessary foundation for the coming age of philosophy. Dante uses typology of the inferno to paradiso. Like the Hebrew Bible, the inferno remains incomplete and foreshadows whats to come. The New Testament completes the text, in the same way philosophy does to poetry. Each is interdependent on the other. In the Inferno, Dante fails to read the inscription to the Gateway to Hell, demonstrating how the archaic style of backgrounding no longer resounds in the new age of foregrounding. This method brings to light how the mind reads and interprets with reason. Because the material realm is incomplete, Dante cannot move to this abstract, spiritual meaning without first going through the forest. In the third canto, Virgil describes to Dante how those in hell have lost the good of the intellect (line 18). The mind can never be fulfilled as it is a pure sensory experience. This is proven when Virgil is only able to guide Dante so far. He cannot take Dante beyond the material realm because he is not a Christian. He represents the arts, the non-metaphysical. A higher entity, Beatrice, will lead him to paradiso. Virgil declares in canto one: If you would then ascend as high as these / a soul more worthy than I am will guide you (lines 121-122). Likewise, we can think of poetry, represented by Virgil, as a disguise to philosophy, the eventual remedy of Beatrice. While philosophy speaks of a thing itself, poetry uses metaphors as a transition to reach a philosophical conclusion. It is a vehicle for truth in its own peculiar way, addressing our minds through imagination, sensibility and feelings. Dante can synthesize Plato and Aristotles views because they are working toward one common goal: the divine, the cave of pure intellect. The mechanisms of philosophy are simply a more sophisticated turn on poetry. Traces of Plato are still seen in Dante, especially when he states in the fifth canto: Those who undergo this torment are damned because they sinned subjecting reason to the rule of lust (lines 37-39). However, in tragedy, what seems irrational and absurd to the audience becomes permeated with reason as it speaks the universal truth about ourselves. The arts show there is something beyond human thought and action as the audience learn how we cannot control everything. There is something beyond this human, materialistic world that we cannot begin to understand. This is God, which is exactly what philosophy aims at. It speaks the truth, not only of human action, but of the existence of the ultimate good. In this way, poetry consists of rational thought and intellect. Virgil tells Dante in canto eight: Forget your fear, no one can hinder our passage; One so great has granted it (lines 104-105). We are turning inward to our souls to reach the divine. This also speaks of Gods infinite and unexplainable power. God makes the impossible possible. Dante had to go down into the deepest level of hell to see the divine. This irony demonstrates catabasis and anagogy, the one single movement towards God. Furthermore, Cassius and Brutus foreshadow Judas betrayal. These three make up the material inversion of the Holy Trinity. We are able to see God in Lucifer. This demonstrates the typology from the inferno to paradiso as well as the process of recollection in Platos Meno and Aristotles Poetics. Just as Dante had to move through death to experience life, the reader must pass through poetry to obtain philosophy. All thinking about God involves moving from the material to the realm of the forms. The divine uses metaphors, our language, to help us understand. We are able to indirectly talk to God through poetry as He determines our fate. It was his will to send Dante into Hell. Like poetrys catharsis and philosophys pharmakon, Dante engages his mind as he journeys through the inferno. By looking and contemplating the suffering of the damned, he becomes reconciled to aspects of his life which would otherwise be nonsensical. Both the poet and philosopher seek the existence of God and of the metaphysical. Although Dante recognizes that the arts have limited utility, he realizes how poetry helps lay the foundation for philosophy through the Aristotelian and Platonian method. It has a cognitive function by helping to better appreciate and complete philosophy. As Venantius Fortunatus wrote in his hymn Vexilla Regis, by death did life procure. Likewise, by poetry did philosophy come about.

Nurse-led Clinics in Respiratory Care: a Literature Review

Nurse-led Clinics in Respiratory Care: a Literature Review INTRODUCTION 1. What is a nurse-led clinic? As the coined term suggests, a nurse-led clinic is a health care centre in which nurses are involved in high level specialist procedures and assessments. In such centres, nurses are the critical decision makers, being involved in patient care at the micro-, meso-, and macro-levels. While the role of the physician in the provision of health care is undisputable, the deity-like status that medical practitioners typically have in the mind of patients, coupled with the limited time available for individual patient consultations, make it hard for these group of health care professionals to tackle the ‘softer’ side of patient care. Nurses, on the other hand, defined by the Oxford Medical Dictionary as health care professionals that are trained and experienced in nursing matters and entrusted with the care of the sick and the carrying out of medical and surgical routines, are better placed to provide this essential follow-up, especially in the care of patients with chronic dise ases. According to Hatchett (2003), a nurse-led clinic is a clinic in which nurses have their own patient case loads of whom they take complete charge. Hatchett broadly describes the components of such a clinic. There would be an increase in autonomy associated with the nursing role in the nurse-led clinic, with the power to admit, discharge or refer patients, as appropriate. In Hatchett’s own words, the roles which nurses adopt in these revolutionary settings can be broadly classified as follows (Hatchett, 2003): Education Psychological support Patient monitoring The initiation of nurse-led initiatives probably owes its origins to the rise in nursing specialties in the United Kingdom. Throughout primary and secondary care, nurses are taking senior positions in health care institutions, such as nurse specialists, nurse practitioners, nurse consultants, nurse prescribers, etc, leading to a marked change in service delivery and the profile of the nursing profession. In addition to the usual registered nurse training, nurses working at higher levels of practice receive training to acquire a range of other medical skills such as physical examination and medical history taking in order to recognise abnormal clinical findings. In a two-phase exploratory study to evaluate the domains of structure, process and outcome of nurse-led clinics in supporting intermediate care after the acute phase of disease, Wong et al (2006) interviewed nurses from 34 clinics and 16 physicians and observed 162 nurse-led clinic sessions. Their findings demonstrated the high level of skill and experience of the nurses who ran the clinics. Their work involved skills such as adjusting medications and initiating therapies, and diagnostic tests according to protocols. Interventions included assessments and evaluations, and health counselling. All patients studied showed improvement after the nurse clinic consultation, with the best rates reported in wound and continence clinics; satisfaction scores for both nurses and clients were high. However, although physicians valued their partnership in care with the nurses, they were concerned about possible legal liability resulting from the advanced roles assumed by these nurses. Ultimately, nurse-led clinics provide an integral and invaluable patient-centred approach to the management of chronic disease which build upon skills such as counselling, teaching and health promotion which are key to contemporary nursing practice, as well as newly acquired medical skills. The advent if nurse-led clinics provides an opportunity for nurses to develop enhanced roles in which they can achieve more autonomy in their practice. This can be made a reality if adequate training and education, as well as effective leadership are in place (Wiles et al, 2001). 2. The general roles of nurses in chronic care management The chief nursing officer, Sarah Mullally has proposed ten key roles for nurses in autonomous patient care. These are outlined below as cited by Hatchett (2003): Order diagnostic interventions: just like a medical practitioner would, the present-day nurse is able to ask for laboratory or clinical diagnostic tests to aid the process of diagnosis. Furthermore, a well-trained nurse will also be able to read and interpret laboratory results effectively Make and receive referrals directly: while the all-important roles of nurses are recognised, the need for a multidisciplinary approach to patient care remains key in order to optimise patient outcomes. Accordingly, nurses should be able to recognise the patients’ needs and refer them to the appropriate health care service as required. Similarly, nurses should be ready to accept referrals from other health care disciplines as necessary. Admit and discharge patients for specified conditions, within agreed protocols: in order to make the best use of the often limited hospital resources, a nurse should have the power to recommend patients for hospital admission and subsequent discharge Manage patient case loads: in nurse-led clinics, nurses are also responsible for managing their individual case loads. It is important to delegate patient cases to other members of the team, when necessary to ensure that patients receive the best care possible. Run clinics: the autonomous role of the nurse in a nurse-led clinic includes all aspects of the management and day-to-day running of the clinic. Prescribe medications and treatments: nurse prescribers are able to advise patients on appropriate treatment, based on diagnosis of ailment and individual characteristics and laboratory findings. Carry out a wide range of resuscitation procedures, including defribillation Perform minor surgery and outpatient procedures: especially in injury clinics. While nurses are probably not equipped to carry out full-fledged surgical operations alone, they are trained to conduct emergency processes as appropriate. Triage patients, using the latest information technology, to the most appropriate health care professional Take a lead in the way local health services are organised and in the way they are run Nurses have always been considered as a supplement to the fundamental care provided by medical doctors. In fact, in some geographical regions, nursing roles are limited to menial tasks such as changing bedpans etc. In the new age, the nursing role as we know it is becoming increasingly important with nurses taking on infinitely more clinical roles. This has led to controversial debates with critics arguing that nurses cannot replace doctors in the provision of health care services. As Richard Hatchett very astutely pointed out (2003), the increased autonomy being acquired by nurses is not a bid to compete with medical doctors. Instead, â€Å"it is a case of considering who can provide the most appropriate service to the patient† (Hatchett, 2003). Thus, it is clear that the roles of nurses in chronic care management is very diverse and can be integrated into any nurse-led clinic intervention to the utmost benefit of the patient and all stakeholders. There have been numerous studies on the role of nurses in the care of patients with chronic diseases. In addition, and more specifically, the feasibility and benefits of implementing nurse-led clinics in practice have also been investigated to some extent. In the subsequent sections, we will review the evidence to support these innovative nursing interventions in an attempt to make the best use of health care resources. 3. Nurse-led clinics in the management of chronic care diseases: the evidence The World Health Organization (2002) defines chronic diseases as health care problems that require ongoing management over a period of years or decades. The nature of these disease conditions make it necessary to provide long term care and follow-up for the afflicted patients. Nurse-led interventions have been investigated a wide range of chronic diseases. It could be a logical, user-friendly, cost-effective and practical approach to improving long-term patient outcomes and should be explored fully to maximise the contributions of nurses to the chronic care management. Although this review aims to analyse the effectiveness of nurse-led clinics in the treatment of respiratory diseases, a prior look at the role of these interventions in the management of other chronic care diseases will provide an insight to the general contributory roles of nurses and will serve as a foundation for complete understanding of this state of the art intervention. 3.1 Nurse-led interventions in the management of diabetes Numerous studies have evaluated the benefits and practicalities of nurse-led clinics in the long-term management of diabetes. The renal diabetic nurse specialist is described as an â€Å"essential player† in organising the management of, and to meet, all aspects of need of this group of patients (Marchant, 2002). An unintended benefit of a nurse-led clinic to reduce cardiovascular risk is improved glycaemic control, HbA1c (Woodward et al, 2005). In particular, nurse-led diabetic clinics have been shown to benefit specific ethnic groups. Matthias et al (1998) identified the needs of diabetic patients from minority ethnic groups, such as blacks and Asians and postulated that nurse-led clinics were of particular benefit in this patient group. As epidemiological data show that diabetes is most common in minority ethnic groups (Carter et al, 1996), the importance of these innovative interventions is further emphasised. 3.2 Nurse-led interventions in the management of cardiovascular disease Care of patients with cardiovascular diseases is broad and involves many aspects, from risk factor management (non pharmacological interventions), primary and secondary prevention of clinical events, pharmacological therapy, surgical procedures, etc. Through a large well-designed randomised controlled trial in Scotland, Campbell et al (1998) showed that nurse-led clinics were practical to implement general practice and led to an significant increase in various aspects of the secondary prevention of coronary heart disease. Significant improvements were noted in aspirin management, blood pressure management, lipid profile management, diet and physical activity, regardless of the individual patient’s baseline cardio performance or status. However, surprisingly, there was no recorded improvement on smoking cessation, which would have been a beneficial intervention in most acute and chronic disease states, including respiratory diseases. In addition to the apparent effectiveness of the nurse-led clinics in the long-term primary and secondary prevention of coronary heart disease, the optimal use of nurses in the care of these patients has been shown to be cost-effective in terms of quality adjusted life years (QALYs) (Raftery et al, 2005). In this large cost-effectiveness analysis, although the cost of the nurse-led clinic intervention was  £136 higher per patient, the differences in other National Health Service (NHS) costs was not statistically significant. Furthermore, there were 28 more deaths in the non-intervention group leading to a gain, in the intervention group, in mean life-years per patient of 0.110 and of 0.124 QALYs. 3.3 Nurse-led interventions in rheumatology The role of clinical specialist medical doctors in the care of their patients is unquestionable; however, the role of nurses in the therapy area of rheumatology (i.e. in patients with rheumatoid arthritis) is also well documented. Hill and colleagues (1994) clearly demonstrated the effectiveness, safety and acceptability of a nurse practitioner in a rheumatology outpatient clinic. Although this was a small study with a sample size that only included 70 patients, the statistical significance of the findings of this randomised controlled trial cannot be ignored. In patients managed in the Rheumatology Nurse Practitioner clinic, pain, morning stiffness, psychological status, patient management and satisfaction all improved significantly (p = 0.001; p = 0.028; p = 0.0005; p In addition, patient satisfaction is frequently higher in patients who are allocated to nurse care than those allocated to standard medical care (Hill, 1997). In yet another study by Dr Jackie Hill, a registered nurse at the Academic and Clinical Unit for Musculoskeletal Nursing in the Chapel Allerton Hospital in Leeds, the researchers concluded that a nurse-led clinic is effective and safe and is associated with additional benefits, such as greater symptom control and enhanced patient self-care, compared with standard outpatient care. 3.4 Nurse-led interventions in cancer care The effectiveness of nurse-led care in different common cancer afflictions has been researched variously. An extensive review article by Loftus and Weston (2001) discussed the patient needs that could be met by nurses working in nurse-led clinics and highlighted the experience and skills of advanced nursing practice that make such innovative care a reality. The types of nurse-led interventions are as varied as the different types of cancers for which they are used. These range from nurse-led telephone clinics in patients with malignant glioma (Sardell et al, 2001); nurse-led follow up in patients receiving therapy for breast cancer (Koinberg et al, 2004); and nurse-led screening programmes in Hong Kong Chinese women with cervical cancer (Twinn and Cheung, 1999). In a randomised controlled trial in a specialist cancer hospital and three cancer units in southeastern England, Moore et al (2002) assessed the effectiveness of nurse-led follow-up in the management of patients with lung cancer. The findings of the study showed high levels (75%) of patient acceptability. This negates the possibility of patients’ reduced confidence in nurses’ ability and preference for standard medical doctor care. Clinical outcomes were also greatly improved as shown by less severe dyspnoea at three months (p=0.03), better scores for emotional functioning (p=0.03), and less peripheral neuropathy at 12 months (p=0.05). 3.5 Nurse-led interventions in the management of HIV infection Using a rigorous model of comprehensive care nurse-led clinic in genitourinary medicine to compare nurse-led and doctor-led clinics at a central London medicine clinic, Miles and colleagues (2003) reported reliable and valid results to support the use of the nurse-led variety as an acceptable alternative to the existing doctor-led clinics. More specifically, the British HIV Association (BHIVA)/British Association for Sexual Health and HIV (BASHH) advocate the benefits that can be accrued from a nurse-led educational intervention in the care of patients with HIV infection (Poppa et al, 2003). A small pilot study that investigated the effects of a 6-month nurse-led educational programme reported that improved virological responses were seen in treatment-experienced patients (Alexander et al, 2001). While a majority of the studies on nurse-led clinics in other chronic diseases can be broadly applied to nurse-led care in patients with respiratory diseases, differences in the nature of these diseases and the necessary care pathways mean that the extent to which these tested interventions can be applied to other therapy areas is, in actual fact, limited. Government policies that advocate the clinical and economic effectiveness of nurse-led interventions frequently pool together evidence from all therapeutic areas. Indeed, it can be hypothesised that, if nursing interventions are shown be practical alternatives for medical care in complex diseases with poor prognoses, such as cancer, HIV and coronary heart diseases, care of patients with respiratory diseases which generally have better prognoses should be easily, effectively and safely undertaken by qualified and well-trained nurses. Nevertheless, these findings of the effectiveness of nurse-led interventions in the numerous chronic diseases explored in previous sections, should be applied to the different patient population with respiratory diseases. As much as possible, research findings from similar patient groups should be applied in clinical practice in order to ensure that evidence-based practice in this case is relevant. 4. Government policies influencing the establishment of nurse-led clinics Government health policies in the United Kingdom actively support the extension of nurses’ skills into areas such as nurse prescribing and the development of nurse practitioner posts (NHS Plan 2000; Department of Health). Government initiatives that that strive to reduce consultation waiting times and optimise the use of medical practitioners indirectly support the establishment of nurse-led clinics. The Government has endorsed the implementation of nurse-led clinics as a means of increasing access to specialist health care and treatment more quickly and also as an effective way to manage chronic conditions (Hatchett, 2003). In the Department of Health (1999) document, ‘Making a difference’, government plans for strengthening nursing contribution to health care is presented. The Government has launched an ambitious programme of measures to improve the National Health Service and the health of the public, and the role of the nursing profession in this initiative cannot be overemphasised. The key nurse-related points of the document are outlined below: To extend the roles of nurses, midwives and health visitors to make better use of their knowledge an skills – including making it easier for them to prescribe To modernise the roles of school nurses and health visitors in supporting the new health strategy and other policies To see more nurse-led primary care services to improve accessibility and responsiveness The document highlights numerous nurse-led initiatives that have been effectively implemented all around the United Kingdom. A nurse-led minor injury service in rural Cornwall has provided patients with a number of benefits: easier accessibility, reduced waiting times, reduced need for on-site medical; attendance, increased patient satisfaction and reduced need for transfers to local Accident and Emergency departments. Similarly, a nurse-led rapid response team in Peterborough responds to acute crisis cases and allows patients to be nursed at home. Evaluation has shown that 71% of patients referred to this ‘hospital at home’ service would have been admitted to hospital if the service did not exist. Other effective live nurse-led services include a nurse-led rheumatology service in Merseyside and a nurse-led intermediate care unit in Liverpool. Furthermore, several nurse interventions are advocated in the document for contributing to the management of cardiovascular disease. Several of these are also applicable to respiratory diseases; these include: Smoking cessation clinics using national smoking cessation guidelines Healthy lifestyle clinics in collaboration with other health professionals to address factors such as diet, nutrition and exercise, thus improving overall health Care for patients with congestive cardiac failure under ‘home-based’ initiatives Nurse-led chest pain clinics or risk factor screening and reduction clinics Nurse-led blood pressure clinics to identify and help manage blood pressure disorders and medication adherence 5. Review objectives The objectives of this review are: To briefly summarise various studies on effectiveness and cost-effectiveness of nurse-led interventions in common respiratory diseases To critically appraise the methods employed by these studies To evaluate, interpret, and where possible, compare the findings of the various studies To explore the applicability and generalisability of the results to practice in the appropriate patient population To make suggestions for future studies in this area. METHODS Literature search A search of two major databases, MEDLINE and EMBASE, was conducted to identify articles published from 1990 through 2008. Search terms that were used include nurse, nurse-led clinic, nurse-led interventions, respiratory diseases, asthma, chronic obstructive pulmonary disease, bronchiectasis, tuberculosis, cystic fibrosis, cost-effectiveness analysis, cost-benefit analysis, and economics. A secondary search of the reference lists was then conducted to identify relevant articles, editorials, and other unoriginal reports that may have been missed in the primary search. Some studies were excluded based on the following criteria: They were not conducted in patient populations with respiratory diseases Independent nurse-led interventions were not investigated The study populations being investigated were mixed in terms of diagnosis, which would affect the integrity of the study findings for respiratory diseases The methodology and/ or statistical analysis methods were not clearly elucidated 6. Nurse-led clinics in the management of respiratory diseases: a review of the evidence The role of the specialist respiratory nurse has evolved since the early 1980’s with the support of the Royal College of Physicians (RCP 1981). The possible complexity of respiratory patients’ regimens necessitates support with various aspects of their care plans, such as: Supervising nebuliser and inhaler techniques Monitoring progress, i.e. by periodical assessment of lung function and exercise capacity Education on the specific disorder, medications, potential adverse events, etc Counselling and education on positive lifestyle, or non-pharmacological, changes Adherence support and monitoring The role has developed further with nurses providing nurse-led clinics in chronic obstructive pulmonary disease (COPD) and asthma along with nurses providing early supportive discharge and ’hospital at home’ for patients with COPD (French et al, 2003). Some schools of thought argue that nurse-led clinics would culminate in the neglect of the more traditional nursing roles, as nurses focus on a more medical-focused aspect of patient care. However, research in other therapy areas, such as rheumatology (Hill et al, 1994) and mental health (Reynolds et al, 2000) shows that nurses can effectively combine the medical role with the traditional nursing approach. Nursing care strives to provide a holistic approach to care through practical management of disability, education and counselling and referral to other health care services as required (Rafferty and Elborn 2002). 6.1 Bronchiectasis Nurse-led clinics have been evaluated, compared with regular doctor-led clinics, in a single randomised controlled trial in patients with bronchiectasis, a respiratory condition in which there is widening of the bronchi or their branches (Sharples et al, 2002). The study was a randomised controlled crossover trial including 80 patients in a bronchiectasis outpatient clinic. Patients received 1 year of nurse led care and 1 year of doctor led care in random order, and were followed up for 2 years. Various outcome indicators were used in the comparison, including lung function and exercise capacity, infective exacerbations, hospital admissions, quality of life and cost-effectiveness of the intervention. The results of this study are illustrated in Table 1 below. Table 1: Nurse-led and doctor-led care in care of patients with bronchiectasis (Sharples et al, 2002) Measurement outcome Nurse-led Doctor-led Mean difference (95% CI) p-value Forced expiratory volume in one second (FEV1) (%) 1.87 1.86 0.01 (-0.04 to 0.06) Forced expiratory volume in one second (FEV1) (L) 69.7 69.5 0.2 (-1.6 to 2.0) Forced vital capacity (FVC) (%) 87.6 87.6 -0.02 (-1.5 to 1.4) 12 minute walk distance (m) 765 746 18 (-13 to 48) Infective exacerbations (patient years of follow up) 262 (79.4) 238 (77.8) 0.34 Hospital admissions attributable to patient’s bronchiectasis 43 23 0.22 As the table above clearly shows, there was no statistical difference in FEV1/FVC percent predicted or distance walked between nurse led and doctor led care in the two treatment periods. Furthermore, 262 episodes of infective exacerbations were recorded by patients in the nurse practitioner-led care group in 79.4 patient years of follow up, compared with 238 in 77.8 years in the doctor-led care group. Thus, nurse practitioner-led care is associated with a relative rate of exacerbations of 1.09 (95% CI 0.91 to 1.30), p=0.34. Using the St Georges Respiratory Disease questionnaire to assess differences in health-related quality of life between the two groups, there was no statistically significant differences in each of the scores for Symptoms, Control, Impact or total score. Also, the study showed that nurse-led care resulted in significantly higher costs per patient compared with doctor-led care; this was largely due to the difference in the number of hospital admissions and intravenous and nebulised antibiotic costs. The authors concluded that nurse practitioner-led care for stable patients within a chronic chest clinic is safe and is as effective as doctor led care, but may use more resources. This study has several potential limitations which could invalidate the findings. As the study relied on patient report to record the prescriptions issued by general practitioners, these may have been underestimated and could grossly affect the cost analysis. Conversely, the nurse practitioner was required to record prescriptions and tests issued at the clinic, and thus these records are probably more reliable and she would be more likely to have ensured that patients left with supplies of routine treatment. Another possible drawback of this study is the use of a crossover design in the methodology. Unless a wash-out period is incorporated in the study design, there is the possibility of a carryover effect with crossover study designs, with the danger that the effects of the earlier treatment is falsely attributed to the final experimental treatment. In this study, there was no allowance for a washout period and thus this could affect the reliability and validity of the study results. This order and time effect needs to be checked for within the analyses but it can rarely be excluded as potential biasing factors (Pocock 1983). However, as recruited patients received the interventions in random order, this may negate the carryover effect. Despite the possible limitations of the study that could potentially hinder its applicability in practice, the findings support the implementation of a nurse-led clinic in patients with chronic cases of bronchiectasis as an alternative to the standard rigid medical care. 6.2 Asthma Similar to the findings in the study by Sharples and colleagues (2002) in patients with bronchiectasis, Nathan et al (2006) more recently compared the effect of follow-up by a nurse specialist with follow-up by a respiratory doctor following an acute asthma admission. In a single centre prospective randomised controlled trial, 154 patients admitted with acute asthma were randomly assigned to receive an initial 30-min follow-up clinic appointment within 2 weeks of hospital discharge with either a specialist nurse or respiratory doctor. The intervention comprised a medical review, patient education, and a self-management asthma plan. Further follow-up was then arranged as was deemed appropriate by the corresponding doctor or nurse, and all patients were asked to attend a 6-month appointment. Despite hospital outpatient follow-up, there was a significant proportion of patients in both groups who had exacerbations. However, there was no statistically significant difference between the two groups (Table 2). In the same manner, there was no statistically significant difference in quality of life assessed with two different validated questionnaires, the Asthma Questionnaire and the St George Respiratory Questionnaire. Mean change in peak flow at 6 months was similar between the two groups, probably indicating equivalence of the two tested interventions. Nathan et al (2006) concluded that follow-up care by a nurse specialist for patients admitted with acute asthma can be delivered equivocally with comparable safety and effectiveness to that traditionally provided by a doctor practitioner. Table 2: Nurse-led and doctor-led care in follow-up care of patients admitted with acute asthma (Nathan et al, 2006) Measurement outcome Nurse-led Doctor-led Odds ratio (95% CI) Mean difference (95% CI) p-value Change in peak flow 1.39 (-3.84 to 6.63) 0.122 Infective exacerbations (%) 45.6 49.2 0.86 (0.44 to 1.71) 0.674 Quality of life 87.6 87.6 -0.02 (-1.5 to 1.4) Asthma Questionnaire 0.78 (-0.64 to 2.19) 0.285 St George Respiratory Questionnaire 1.08 (5.05 to 7.21) 0.891 The possible limitations associated with this study is the large amount of missing data for some outcomes, especially peak flow and quality of life

Epicureans: A Debate Essays -- Philosophy, Rosenbaum, Luper

My topic focuses on Rosenbaum’s defense of the epicurean view, Luper’s critique of this view and my argument on who has a stronger position in regards to the topic. I am going to do this by describing both arguments in a detailed manner. Rosenbaum defends the epicurean view while Luper argues against, both sides provide excellent arguments and my argument is that which I feel is more superior. Rosenbaum defends the epicurean view throughout his essay. Epicurus â€Å"argued that since death is neither good or bad for the person dead and since the fear of that which is not bad for one is groundless, it is unreasonable to fear death† (Benatar, 175). A person when dead is lifeless and therefore cannot feel anything. This person is nonexistent and according to Rosenbaum because of this, the statement of whether death is good or bad does not apply to this situation. Since one cannot feel anything, one cannot experience a death situation and determine whether it is good or bad. Therefore it does not matter and there is no reason to fear death. According to Rosenbaum there are three different concepts, which must be understood. These are, dying, death and being dead. The first two are often not distinguished; Rosenbaum says they must be distinguished as they mean two completely different things. â€Å"Dying we may say is the process whereby one comes to dead or the process wherein certain causes operate to bring about one’s being dead† (Benatar, 176). This is essentially the last phase of one’s life. It is the prelude to death itself. It is the process, which leads to becoming dead. Rosenbaum goes on to explain, â€Å"the process of dying may be comfortable or uncomfortable† (Benatar, 176). The process leading to eventua... ...uper’s argument he is missing the point of Epicurus’s argument, which Rosenbaum has further explained. Of the two arguments Rosenbaum’s argument arguably has more points to back up the epicurean view than Luper’s. Luper’s is based on assumptions and we cannot live on assumptions. In my essay, I provided a detailed description of both Rosenbaum’s argument and Luper’s in an unbiased manner. I did this by highlighting the main points of both arguments and getting this main point across. Both sides of the arguments are presented and I contrast and compare deciding which one I feel is superior. In my argument, I present points, which I have, accurate counter points for, from each argument. In conclusion, Rosenbaum and Luper both present arguments both for and against the Epicurean view, this essay is mainly describing each one and choosing a side at the end.

The Search for Self and Identity in Jack Kerouac’s On The Road :: On The Road essays

Quest for Identity in On the Road In Jack Kerouac's novel On the Road, the author tries to convey to the audience that everybody is naturally dishonest and morally deceitful. Morals are defined by one's religion, the laws of the country, or some combination of the two. One's identity captures and plays out that individual’s moral. My morals follow the Christian beliefs, Texas state laws, and the laws of the United States. Although one's own morals can change, basic things such as stealing and murder are wrong and illegal by federal law. Numerous characters performed many acts proving this point such as Montana Slim, who says in order to get money, follow a man down an alley and rob him, or Dean, who never feels remorse for beating Mary Lou after a fight. These along with other characters display such actions that show that everyone is morally deceitful. In Part 1, Chapter 4, Sal tells Montana Slim that he only has enough money to buy some whiskey. Slim says to Sal, "I know where you can get some." "Where?" "Anywhere. You can always folly a man down an alley, can't you? ...I ain't beyond doing it when I really need some dough." (27) At this early point in the novel, Sal is still figuring out who he is and what life is like on the road. He seems like a young naive schoolboy being bullied by an older, wiser kid. Slim knows what he is talking about because he has been on the road for some time now. He has probably robbed quite a few people throughout his experience on the road. This act is, by law, wrong and dishonest. In Part 2, chapter 6, while Dean, Mary Lou, Ed Dunkel, and Sal stopped at a gas station on the way to New Orleans, Dunkel casually steals three packs of cigarettes. The way the narrator says it is that he stole them without even trying. He then justifies it by saying that they were fresh out (139). The language used is just so "non-chalant," as if stealing was no big deal. Stealing, like robbing, is illegal and morally wrong. The part that is most disturbing is that Dunkel feels that stealing cigarettes is okay, that it is necessary for survival just like food or water. Stealing food or water in order to survive can be justified, but not cigarettes.

Alternative Building Materials and Methods Essay -- Exploratory Essays

Alternative Building Materials and Methods The buildup of past construction techniques up to our present point in time has denoted wood as being the first and foremost material used to build houses in the United States. Building codes prescribe wood to build homes, because of both its structural benefits and because it is ingrained in the industry as the material of choice. Because wood has been used for so long, it is the material that builders know best and are the most comfortable with. However, the world’s forests are rapidly disappearing, as wood is used inefficiently and excessively in building – both the quantity of houses and the amount of wood used within a single house helps to quickly deplete our natural wood supply. Because of this, alternatives to wood building are being sought out by environmental organizations, with the aims of increasing awareness of the state of our forests and providing information and access to wood alternatives in building and upkeep of houses and other structures. Though it may be a slow process to change building codes and norms, there are other alternatives available. There are two main ways to decrease wood consumption: alternative building materials and alternative building methods. Alternative building materials include concrete, flyash, cob, earth, and straw/bale. All of these materials have been used in both the United States and in different countries to build houses, and have proven to be viable replacements for wood in construction. However, efforts to mostly or entirely supplant the use of wood with these wood substitutes have not yet been successful. Alternative methods for building range from sustainable practices in acquiring materials to the developmen... ...y, there are many barriers to this change that will be very difficult to overcome. As a global environmental issue, however, it is important to strive for the widespread use of alternative options. I believe that if the use of alternatives becomes economically viable, ad campaigns are instituted to promote their use, and government subsidies are allotted differently, then alternative materials and methods will definitely start to be used, to the benefit of the environment and world in general. Works Cited Daly, Ned. Demanding change in the wood and paper markets. Multinational Monitor, v19 n4 p13(4), April 1998. Fowler, Stacey. Building the future: Sustainable building materials come of age. Environmental News Network. September 25, 2001. www.enn.com. Use of Alternative Building Materials Could Save India 25% Cost. AsiaPulse News, Feb 24, 2003; p7044.

Issues in educational Research Essay

Educational setting as used here refers to areas like schools, colleges, universities and primary schools where education is carried out. There are several issues that are related to research and may therefore be addressed by a relevant research (Joan 2002, p. 218). The issues range from those which are related to the learning environment, those concerned with infrastructure, economic factors as well as social issues in the learning institution. Issues of research may include for instance, how effective education policies are to a given or to all institutions or how ineffective they are, whether new changes in college policies have any significant impact, a study of the behavior of students in relation to a certain administrative issue, a study on which education tools are most effective in terms of content delivery as a measure of their performance, a study of relevance or appropriateness of a certain education system for schools, a study comparing effectiveness of teaching and learning methods in both private and public schools, study of social behavior of students at different levels of education or at private compared to at public schools, an inquiry in to why some students fail exams and others pass even after being exposed to similar treatment at school environment, the role of parents and guardians in contributing to children’s performance†¦. the list of educational research issues is endless(Biklen 1992, p. 73). Quantitative methods used in an educational setting One of the quantitative methods appropriate is collection of data about the issue of study. It may be done by collecting primary data about the students directly which may be done by taking a total count of the population under study or just developing a sampling frame where a section of the population is selected, without bias, and studied to obtain information about the whole student population (Mechthild, 1996, 69). Questionnaires may also be administered where students may fill their data and then analyzed using appropriate statistical technique such as SPSS, Excel among others. Secondary data may be used by obtaining information from their records kept by administration. Data obtained this way may be about performance, grand social misconducts, etc (Michael 2005, p. 46). Ethical considerations for research in educational settings Researchers are faced with the responsibility of researchers in the field of education in conjunction with the funding bodies as well as the host institutions to uphold the general human rights in the processes of conducting research in as far as the field of education is concerned (Elliott & Stern 2007, p. 567). The ethical issue with this respect addresses the privacy rights as well as the freedom to give information. In consideration to the rights of the children, there is a special need for the protection of the children from any possible harm and at the same time ensuring that the children have played an active role as positive participants in the processes of decision making the clear fact is that research in the field of education mostly targets children to whom the research is most often directed. In the realization of the fact that this is the vulnerable segment of the society, the educational researchers have the responsibility for the protection of the children in the process of conducting their research, and at the same time addressing the issue of the maintenance of the integrity of the intended research and the community at large (Gross & Ruby, 2003, 321). The researcher should pledge to accomplish this objective through the maintenance of the right competency and a progressive evaluation of the research for its adequacy in matters of ethics as well as scientific competency. Research in this field incorporates education as well and it should therefore not be rigorous but capable for the noble contribution to the enhancement of the quality in education in the society (Elliott & Stern 2007, p. 67).

Article Public Opinion of Police by Different Ethnic Group Essay

Down though the years there has always been tension and an on and off relationship between the community they serve and law enforcement agencies. And as with any relationship between two people there are misunderstanding, break-up and disagreements and the same is with the relationship between the community and its law enforcement agencies but just with any relationship at day’s end both the community and law enforcement have and share common concerns such as justice and deterrence. With many of communities in America being incursion of immigrants within the last few decades; with this incursion of immigrants many communities are being bombard with so many new language and cultures diversity. Because of this wide range of ethnicity now living within many the walls of our communities and society on a whole now have different opinions and views of law enforcement. Now due to the various ethnicities flooding our communities the author will investigate how a few of these ethnicity groups like: African Americans, Asians and the Hispanics neighborhoods views racial profiling, discrimination and past experience with law enforcement agencies. Taking a look at the traumatized relationship and association between the two, as well as the interaction and reaction from the law enforcement agencies and the communities they serve. Since the conception of the law enforcement agencies race has long since been a vital playing card in policing. Even with the knowledge, awareness and understanding of this there has been some improvement but not enough. Racial opus of law enforcement alongside the racial outline of arrest, the raise in the number of arrest of non- minority like â€Å"Caucasian† by non-white law enforcement officers, while there were lower numbers of arrest by the same officers on other ethnic groups. On the flip side of that coin, more. â€Å"Caucasian† officers had a boost in the number of non-white arrest in comparison to the number of arrest involving â€Å"Caucasians†. Race has been a polarizingelement the in the society of America for years. And this is every so prevalent within the criminal justice system. Clashes involving both the communities and law enforcement are the flashpoint for practically every current inner- city riot. Ethnic Groups The raise of culture variety and immigration has from time to time made interaction with law enforcement difficult. Hispanics and Asian neighborhoods are often apprehensive of law enforcement officers due to their past occurrence. Their past incidents vary from their motherland of origin that was overwhelmed by civil unrest and war. This included exploitation of power by those of authority as well as much dishonesty within law enforcement agencies of that country. For this cause many minorities groups have a apprehension and more often than not an aversion to law enforcement officers. Like within the Hispanic neighborhoods, they often feel that law enforcement agents differentiates them by racial profiling them all because of their nationality. In Arizona this is a very contentious SB 1070 unlawful migration bill that passed given law enforcement agents the power and authority to inquire of certain individual (Hispanic) of proof of documentation of legal right to be in America. This law is being adopted in other states as well like New Jersey and Texas, any where there is a high population of Hispanics. IthasbeenreportedbytwoethnicgroupsAfricanAmericansandHispanic/Latinos affirm subordinate levels of agreement concerning their relationship with police officers as compared to those of their counterpart â€Å"Caucasians†. African Americans and Hispanic/Latinos claims that there is less willingness to obey and to follow orders given by authorities especially of Caucasian origin. Racial profiling has consistently been one of the most confounding, divisive and controversial issues the police department confronts. A perception that police target members of specific ethnic or racial groups creates a deep divide between the police and the communities we serve. But as an officer who has spent a lot of time patrolling the city’s streets, I just don’t think the perception is accurate. (Dutta, 2010) True racial profiling, in which people are targeted solely because of race or ethnicity, is both illegal and immoral. It destroys public trust and reduces the effectiveness of the police. There is no place for it in law enforcement. And I firmly believe that most LAPD officers support that viewpoint. Even the reported statement of the officer that he couldn’t do his job without racial profiling was most likely misinterpreted. (Dutta, 2010) Differentiation between minorities and Caucasians is how they relate and response to law enforcement agents and how fairly or unjustly he or she feels their treatment was. This is a how many African Americans and Hispanic/Latinos responded when asked by authorities regarding their relationship with law enforcement agencies this is less equality than when Caucasians reported.

The use of facebook

Bernard Williams Dr. cutull Method and Theory In Psychology October 8, 2013 Romantic Jealousy and Facebook usage The use ot Facebook, a popular social network, can have a significant influence in the development of romantic jealousy.Facebook jealousy can occur when someone feels threatened after vlewlng their partner Interacting online with a superior potential mate, which could possibly lead to a daily surveillance of their partner's activity on Facebook, A person with enxlous-dttachment could be described ds having low self- esteem and a tear ot abandonment, resulting in the continuous need tor reassurance bout the status of their romantic relationship and possible signs of Infidelity. Individuals who have an anxious-style of attachment and frequently view their partners Facebook activity are more prone to experience feelings of romantic jealousy.Prior research has shown that anxious attachment is positively related, and avoidant attachment negatively related, to Facebook jealousy and surveillance (Marshall, Bejanyan, DICastro, ; Lee, 2012, Those with an anxious-style of attachment do not feel that they deserve a loving relationship and are scared of being alone. The researchers designed an online survey to test the prevalence of Facebook Jealousy. The study included 255 participants, 201 women and 54 men. Two tests were conducted that measured attachment style, self-esteem. perceived relationship quality, Jealousy, and their usage ot Facebook.The participant's answers were formatted in the form of a Likert Scale. The study discovered that attachment anxiety and avoidance were strongly correlated to Facebook Jealousy and surveillance because individuals with attachment anxiety had a lack of trust in their partner (Marshall et al. , 2012, p, 17), Overall. those who were less satisfied with their elationship and had a lack ot trust tor their partners were most likely to display Facebook jealousy. Another study aimed to figure out whether an Increased usage of F acebook had an effect on romantic jealousy.The researcher hypothesized that the amount of time spent on Facebook would significantly add to the amount of Facebook Jealousy, In addition to other variables that were described in the jealousy literature (Muise, Christofides, & Desmairais, 2009). To evaluate their thesis. Muise. Christofldes. and Desmarals created a questionnaire with 27 Items measured on a 7- polnt Likert scale. The topics included jealousy, perceived amount of trust within their relationship, self- esteem, uncertainty, and level of commitment (Mulse et al. , 2009).The subjects included 308 undergraduate students (231 temale, 77 male) between the ages ot 17 and 24. It was concluded that regular Facebook usage had a strong Influence on romantic Jealousy. The researchers explained that these findings could be the result of a partner having access to new information about their partner's social circle; therefore the partner continues to look at their significant other's F acebook page to ocial circle were often innocent, but frequent viewing of their activity cause the other partner to become more suspicious of their intentions.The next study focused on determining whether Facebook Jealousy had a negative effect on relationship satisfaction and if trait Jealousy is positively related to social network sites (SNS) Jealousy. Continuous surveillance of behaviors is and indicator of a possessive relationship, which is a typical effect of an individual with an anxious style of attachment. The researchers built an online survey consisting of questions esigned to measure monitoring behavior, Facebook Jealousy, and self-esteem.A few items of the Facebook Jealousy scale measured actions such as the number of times they check their partner's Facebook page or whether they â€Å"add† their partner's friends to watch their online activity (Utz & Beuekeboom, 2011). The participants were students enrolled in a course at a large Dutch University. The study fo und that individuals with lower self-esteem experienced higher rate of Facebook Jealousy than individuals with higher self-esteem, although there was not a significant difference in relationship satisfaction. According to I-J? et al. 201 1), individuals who were prone to trait Jealousy, monitoring behavior, had a low self-esteem, and a need for popularity, were more likely to display Facebook Jealousy. A lack of self-esteem could possibly cause a person to believe that every potential attractive mate is a threat to their relationship and happiness. Because of their own insecurities, they may feel the need to compete with those they view as competition for their mate. The following study was conducted to test the outcome of Facebook intrusion on romantic relationships.Facebook intrusion can be described as an obsessive ttachment to Facebook that causes a lack of functioning in daily lives and in romantic relationships (Elphinston & Noller, 2011). The researchers aimed to further exis ting research by evaluating whether Facebook intrusion is linked to romantic jealousy and dissatisfaction in relationships. The participants consisted of 342 (110 men and 232 women) freshman, undergraduate psychology majors at an Australian university. They were recruited based on the university's first-year student pool.The students received partial course credit for participating in the study. Approximately 90 to 95 percent of the articipants were Facebook users, between the ages of 18 and 25. 86. 9 percent of participants were currently dating, with the average length of 16. 44 months. The study was in the format of a quantitative self-report, consisting of several questionnaires. All of the participants took a 7-point Facebook Intrusion scale with answers ranging from strongly disagree to strongly agree, which measured amount of Facebook usage, level of romantic Jealousy, and relationship satisfaction.To measure the level of romantic Jealousy, a five-item Short-form Multidimensi onal Jealousy Scale was administered. A five-item questionnaire was also given to measure the level of romantic satisfaction in the participant's current relationship (Elphinston & Noller, 2011). It was found that the more an individual spent time on Facebook, they more likely they were to feel threatened by a potential mate of their partner. Also, Facebook intrusion was positively correlated with romantic Jealousy, relationship dissatisfaction, and cognitive Jealousy.A strength of the study was that multiple questionnaires were given to the participants. Findings would not be as informative if large, which welcomes many perspectives. No evidence of validity or reliability was reported. Some of the limitations included a restricted participant pool because it only included first-year psychology students at an Australian University. For future studies, participants that do not attend a college or university and individuals of a more broad age range should be included.A longitudinal s tudy of the effects of Facebook intrusion would be beneficial for acquiring new information about the long term effects of Facebook on romantic relationships. The final research study aimed to explore romantic Jealousy from the attachment theory perspective. Cognitive ealousy can be described as feelings of discomfort when a partner feels a third party is a threat to their romantic relationship. According to the attachment theory, an individual's relationship with their parent or caregiver shapes the individual's mental needs in their adult life (Knobloch, Solomon, & Cruz, 2001, p. 6).The researchers hypothesized that attachment styles that were developed during childhood, play a key role in influencing romantic Jealousy. An empirical, cross-sectional design was formulated to test their assumptions. The sample included students enrolled in a communication class at a large Mid-western University. The students received extra course credit for participating in the study. Overall, 132 s tudents (43 men and 89 women), between the ages of 18 and 30, finished all portions of the experiment. The participant's relationship lengths ranged from 1 to 65 months, with the average relationship length being of 12 months. 31 out of the 132 relationships were heterosexual (Knoblauch et al. , 2001). Several self-report questionnaires were given to the participants, and were completed in groups ranging from 5 to 25 people. The first questionnaire measured attachment styles, perceived Jealousy, and the level of ntimacy in their current romantic relationships. Next, the researchers distributed Pfeiffer and Wong's (1989) Multidimensional Jealousy Scale to measure cognitive jealousy. The answers were formatted in a 7-point Likert scale, ranging from never (1) to all the time (7).The Knobloch and Solomon's (1999) relational uncertainty scale was given to measure the level of uncertainty in the relationship, with answers formatted on a 6-point scale. Lastly, the participants completed t he Rubin's (1970) Love Scale to measure the level of intimacy in their relationship, in addition to affiliate need, illingness to help, and exclusiveness toward their partner (Knobloch et al. , 2001). The study found that women and men did not significantly differ in their level of romantic Jealousy. It was also found that attachment anxiety was positively correlated with the relational uncertainty measures.Findings also indicated that a negative correlation between cognitive Jealousy and intimacy was present (Knobloch et al. , 2001, p. 10). Because the results found a significant positive association between cognitive Jealousy, emotional Jealousy, and anxiety over relationships, their ypothesis was proven to be correct (Knobloch et al. , 2001, p. 12). During childhood, an anxious style of attachment is formed when a child's caregiver is often inconsistent or overly protective, resulting in the child becoming more prone to insecurity and fearfulness.Consequently, adults with an anxi ous-style of attachment are frequently worried about the status of their relationship. These individuals usually crave the attention of their partner, which could leady to clingy and controlling behavior. They often become Jealous or overact at the possibility of a coincides with Guerrero and Andersen's 1998 study. Reliability was reported because the researcher's bivariate results produced the same results as the first experiment. The strengths of the study included a very detailed explanation as to why an anxious- style of attachment is associated with romantic Jealousy.Another strength of the study was that it expanded upon previous studies on the notion that relationship uncertainty and intimacy are strongly linked to emotional and cognitive Jealousy. Some of the drawbacks of the study included the cross-sectional design. A longitudinal study would be more efficient in confirming their conclusions. Another limitation was the lack of male participants in the study. If the amount of men and women participants were more equal, the results would be more universal.The final limitation is that the study focused on the experience of Jealousy but not on the underlying factors that cause Jealousy. A better understanding about Jealousy could be achieved if information was given from the individuals about their upbringing. This study looks to expand the literature by evaluating how attachment styles that were developed during an individual's childhood can influence romantic Jealousy on Facebook. Little research has been conducted to determine how these attachment styles are developed and their effect on Jealousy.