Addiction as A Lifestyle

For several decades, health issues have increased by more than 8.5% each year. According to a recent study conducted by the center for Disease Control and Prevention, 65% of US adults are either overweight or obese. The rate of diabetes are increasing in the United States, with a 27 percent increase seen in the last five years. The high cost of health care also poses a major threat to the nation's economy. However, health problems can be prevented to a large extent by controlling people's lifestyle. Group discussions and conversations may help people to adopt a healthy way of living. Therefore, Cybernetics which is the study of conversation/communication and control/regulation can be used to help solve this problems. This study aims at using cybernetics as a model for controlling health problems.AddictionIn developed countries of the world like USA, where the literacy rate is above 95%, people know that leading a healthy lifestyle removes the risk of chronic health issues to a considerable margin. However they most times do not adopt a healthy way of living.   Why? Addiction has ruined the healthy life style of people. For example- people may be addicted to sleeping and do not exercise, addicted to eating foods with high calories that causes them obesity and make them prone to heart problems. Addiction is a condition in which a consistent desire/craving to repeat an addicted behavior exceeds the ability to rationally stop doing so. When the more you have, the more you seem to need to achieve the same effect or result. This effect can be displayed as a positive feedback loop where the want continues expanding within the loop.Some background about feedback loops – Feedback loops are of two forms: negative feedback loop and positive feedback loop. Negative feedback loops strives towards balance and stasis by subtracting error with each cycle. A good example of negative feedback loop is homeostasis, the body's system for keeping itself chemically and temperature balanced. Positive feedback loops, by comparison, add the variations of each cycle. As a result they can become potentially dangerous as their effect mount with each event. Hypothermia, shock, heatstroke are examples of positive feedback.Figure-1 models addiction (nicotine addiction) as a positive feedback. The desire for smoking continues to increase in the loop for achieving the same level of satisfaction. The first day, Bob needs to smoke once and get satisfied. The second day, he needs to smoke twice to get the same level of satisfaction. Gradually, his cravings and urge to smoke increases along with the frequency.Controlling the Uncontrollable(addiction)The graph above (Figure-1) indicates how the addiction continue to expand in a positive feedback loop. Also, Bateson's examination of alcohol addiction contended that the very attempt to regain discretion, to be a â€Å"commander of one's own spirit†, added to the heightening of the alcoholism. Moreover, the Twelve Step Program of Alcoholics Anonymous-which has been effectively adjusted to a huge number of addictive practices, offers recuperation by â€Å"surrendering† that is, by stopping to deliberately try to stop the addiction. Subsequently, the person who is addicted does not have an essential variety to control addiction. At the point when Addiction becomes uncontrollable, how can it be controlled? Ludwig's research on Alcoholics mind demonstrates that â€Å"developing the right mind frame† (sufficient inspiration) for sobriety improves the probability that an individual can figure out how to resist his addiction .Sufficient inspiration or adequate motivation can solve the puzzle of addiction as an uncontrollable event. The diagram beneath demonstrates the cybernetic approach to deal with controlling health issues by inspiring individuals to follow a sound way of life (work out, yoga, healthy food and so on.), that is abstaining from an unhealthy way of life. Reward/Incentive SystemPeople have various needs including monetary needs, physiological needs, safety needs and esteem needs. An individual can be motivated for performing an activity using proper incentives which may help in fulfilling some of his needs. A reward system could be a web application like Weight Watchers or an organization such as a health club. Below is a model of an incentive system used in motivating a person to exercise regularly. The model also shows that the system can keep refining or modifying the incentive system to make sure that the user is always motivated.Group Affiliation/FriendsGroups, friends and circle of relatives assist in controlling addictions and regulating the manner people live. People develop trust, care and similarity in a group that offer intellectual strength for controlling their cravings. It has additionally been proved that the group association programs offer long- term remedy for addiction in comparison to short-term remedy provided through medication therapy. Self-assist programs like Alcoholics anonymous, rational healing or women for Sobriety, assist in gaining control over addiction through assisting the affected person to integrate into a self-assist group. TrustTrust is a system-related concept and that is a constantly evolving state of information acquisition, processing and feedback. Figure-4 demonstrates the system model of trust between two actors (trustor and trustee). The trustor continually accesses the behavior of the trustee against his mental model of trustworthiness, which results in increased trust if the behavior matches with his mental model otherwise decreased trust. Trustworthiness relies on three variables which relate to perception about the person to be relied on: competence, integrity and benevolence. ‘Competence' is the perceived potential of the trustee, as measured through indicators which includes training or credentials, experience, and reliable past performance. ‘Integrity' is the degree to which the trustee is considered to perform with honesty, fairness, and consistency of actions and words. ‘Benevolence' concerns the extent to which the trustee demonstrates care and consideration for people he or she interacts directly or indirectly.In addition to the above-recognized antecedent variables, trust also relies on the ‘context' within which the trustor and trustee are embedded. It could affect the extent to which the trustee is rated on antecedent variables particularly competence. For instance, a person may be perceived as competent in one context but no longer in another. Furthermore, it is essential to differe ntiate between Interactions among unfamiliar others and ongoing interactions among familiar others for trust. In a social system, trust could be unidirectional or bi-directional. Also, trust may be commutative.After the developement of trust, the trustor (Alice) feels confident and becomes willing to take actions based on the suggestions, actions and decisions of the trustee (Bob) to an extent proportional to the trust level in the trustee. Now, when Bob says that he controlled his blood sugar level by following the recipes from the diabetic cook-book, Alice feels confident the same recipes in the diabetic cook-book works and she is now motivated to follow them too. It also gives her a social proof of the reliability of the recipes from the diabetic cook-book. Figure-6 is the conversation model of this trust and social proof scenario between Alice and Bob.CareCare is also a continously evolving state of information aquisition, processing and feedback.Similarity, trust, understanding and reciprocity make the important variables. It is also dependent on context and familiarity/relationship between individuals. Below is a figure which shows a model of care between Alice and Bob and how care helps them for abstinence. Bob's behavior is matched to Alice's mental model of a person she would like to care for. If there is a positive match,then the care for Bob increases otherwise it decreases. When there is a match, she cares about what Bob's expectations are from her. She feels a sense of responsibility/accountability for Bob's expectations because she does not want to disappoint him. Similarly, Bob also does a behavior assessment of Alice against a mental model of a person she would like to care for. Its also important to note that both may have different perceptions or mental models of the persons they may like to care for. Also, care may be unidirectional as well. Now when Bob makes a suggestion to Alice about losing weight, she feels responsible/ accountable for losing weight as she cares about Bob. Similarly, Bob feels responsible/accountable for not smoking when Alice asks him to quit smoking.

Ansoff Matrix , Pdf

Strengths | Weaknesses | Fast decision making|   Ã‚  Negative image of the Middle East|   Ã‚  Oil money, booming economy|   Ã‚  Barren desert, the lack of natural resources|   Ã‚  Political neutrality and impartiality|   Ã‚  Only 20% of UAE nationals|   Ã‚  Unique beauty, hotels and attractions|   Ã‚  The lack of fundamental infrastructure: transportation, water|   Ã‚  Luxury experience includes relaxing beaches and invigorating sport and exploration opportunities|   Ã‚  Luxuries might appeal too small a segment|   Ã‚  Safe environment|   | |   | Opportunities | Threats |Increasing oil price|   Ã‚  Strong competitors: within the region: Abu Dhabi, Qatar; outside of region: Singapore, Hong Kong|   Ã‚  Increase job opportunities for immigrants and natives|   Ã‚  Oil running out in 30 years|   Ã‚  Growing luxury market|   Ã‚  Terrorism and war could further negative image of Middle East, UAE|   Ã‚  Increase in foreign investment|   Ã‚  Limited media coverage|   Ã‚  Proactive attitude|   | Well-developed MICE environment|   | A successful small business should communicate to the customer why they should pick you among the myriad of options in your industry today.For that A SWOT analysis should be done from a realistic point of view and keeping in mind a very discerning customer. The analysis should also consider the standards of the industry and your major competitors. A basic SWOT analysis should be Strengths Anything that the industry requires, that you do well and your competitor doesn't do can be your strength. For example your company's distribution channels, your direct marketing approach, your patented high end product. Weaknesses We can all list strengths, but can we be realistic and list weaknesses?This might be the take off point for any small business. Weaknesses can be anything from non efficient staff to a lack luster front end office. Opportunities Successful business turns threats to Opportunities. Opportun ities abound today's ever dynamic world, where new markets are being formed and the customer is being provided with revolutionary products. Opportunities can come as new business regulations or even a wrong move by your competitor. Threats How you identify and tackle threats will pave your path to success. A new competitor with a more sophisticated product can be a threat.Being aware of this in advance and making a better package for the customer to stand up against the competitor's new product is how a threat becomes an opportunity. SWOT is simple and like all simple and age old strategies very powerful. SWOT is a starting point and is also plays a major part in strategic planning. Pest analysis of UAE Name: United Arab Emirates. The Emirates are: Abu Dhabi, Dubai, Sharjah, Ajman, Umm Al Quwain, Ras Al Khaimah, and Fujairah. Government: Federation of the seven Emirates, each with its own ruler.President: Sheikh Zayed Bin Sultan Al Nahyan. Area: 83,600sq. Km (including 200 islands) Location: Middle East, bordering the Gulf of Oman and the Persian Gulf, between Oman and Saudi Arabia Population: 2,407,460 and includes 1,576,472 non-nationals July 2001 Language: Arabic (official), Persian, English, Hindi, Urdo Religion: Muslim 96% (Shi’a 16%), Christian, Hindu, and other 4% Climate: Desert; cooler in eastern mountains Currency: The UAE Dirham (Dh) or (AED), 1Dh = 100 fils Exchange Rate: 3. 671 Dh per US $1 (http://www. uaeforever. com) Political factors:The political situation in the UAE is stable. The Emirates banking systems have developed; relationship based banking and monetary system that is capable to fulfill later stage funding supplies, whether it is equity, loans or leasing. Almost banking organizations, represented by almost every major financial institution in the world can either invest or assist in accessing UAE’s emerging capital markets. Gaining commercial loans in the UAE is based on established credibility and relationships with inf luential people to create a more stable political atmosphere.The government mainly sets up the financial politics but there are organizations such as the ADCCI (Abu Dhabi Camber of Commerce and Industry) that serve as a bridge between the private sector and the government. ADCCI provides a wide range of services, such as setting up the Sheikh Khalifa Fund to provide technical and financial support for small-medium enterprises set up by the youth, they also organize trade fairs, sending delegations abroad to promote Abu Dhabi as a commercial center and initiating training programs that train nationals to join the private sector.The strong banking system increases presence of venture capital and government funding provide substantial financial resources to foreign and local entrepreneurs. The most crucial factor is raising capital for a new foreign entrepreneur is to establish good relationships with local guarantors or other established foreign entrepreneurs. The best thing to do her e is to get a network of contacts essential for successful business in the system Political risk factors Four types of political risk factors must be examined in assessing the climate for investment in any given country.They are: 1. Regime change: A change in key government personnel through normal electoral or authorized political processes, or through illegal means. 2. Political turmoil: General levels of politically inspired violence, including violent strikes, guerrilla action, or civil war 3. Government policy: Decisions with respect to fiscal and monetary policies, trade restrictions or foreign investment regulations. 4. External events: other countries actions that affect the country of concern. (book: Global Investing page 89). Taxes The UAE does not have any enforced federal income tax legislation for general business nor is any such tax envisaged in the foreseeable future. Taxation on trade or business income would be, in theory, based on income tax decrees issued by the i ndividual Emirates prior to the crediting of UAE as federation in 1971. To income tax decree has been enacted by each Emirate, in practice the enforcement of these decrees is restricted to foreign banks and oil companies. To incant investors there is no personal taxation in the UAE.Except for oil and gas-producing companies that pay royalties and taxes on their proceeds and foreign banks that pay 20% of their profits, there are no direct corporate income taxes; there are no preservation taxes. In the free zones, enterprises are granted at least a 15-year tax exemption guarantee regardless of the changes in the laws. The currency is fully convertible and there are no taxes on the repatriation of capital or earnings. Further, there are no foreign exchange controls, quotas or trade barriers and import duties and tariffs are extremely low. (Book: Banking in the UAE) Economic factors:In the last fifteen years the economy of UAE has move very quickly. The discovery of oil and its developm ent provided the drive to the local trade, which earlier mainly represented the entrepot trading activities of Dubai. The primary trade strength of the UAE has been reconfirmed by the really strong economy, which was almost unconstrained by the Gulf War and other regional events. (book: UAE Economy) The banking system consists of the Central Bank, 21 national banks with 281 branches, 28 foreign banks with around 1,001 branches, one restricted license bank, two investment banks and 10 representative offices.The Central Bank acts as the government’s advisor on financial and monetary matters, issues currency and controls the banking sector. The national banks have a dominant share of the market. The leading institutions are National Bank of Abu Dhabi, Emirates Bank International, National Bank of Dubai, Abu Dhabi Commercial Bank and Mashreq bank. The foreign commercial banks have about 25% of the market share and hold roughly the same amount in total bank assets.The regulation o f the UAE financial market was taken a further step in March 2000 with the launch of the Dubai Financial Market, which made the buying and selling of stocks official previously, this had to be carried out informally through private investment agencies. With less than 10 companies listed and Volume of $1 million in daily transactions, the Dubai Financial Market is early to provide an environment sufficiently attractive to act as a magnet for the massive overseas reserves (estimated at $600 billion by the IMF). There are even investments for foreigners now in the Emirates.A recent announcement made by public joint stock company EMAAR properties (owned 32% by the Dubai government) to allow foreigners to own up to 20 percent of shares is a major move towards opening up of the UAE financial market to international capital. Economic analysis in the UAE is difficult as there are delays by the federal and emirate governments in publishing comprehensive and accurate statistics in a timely ma nner. The private sector institutions including banks and foreign oil companies are not allowed to disseminate statistics directly to the public.The UAE has an open economy with one of the highest GDP per capita in the world and a sizable annual surplus. (www. emirates. org/economy). This pie outlines the economic sectors GDP for year 1994: The UAE has good economic conditions including strong currency; strong GDP and population growth (present rate approximately 6. 5% per year) therefore, provides significant opportunities for entrepreneurs in non-oil related sectors Porter five force model on Dubai The UAE retail sector continues to grow, supported by the upgrading of existing retail stores and the addition of state of the art new mega retail stores.The UAE market presents retailers with diverse relatively high-income consumers. Exporters who are willing to establish personal relationships, consolidate shipments, and meet the labeling requirements of the UAE market will find a rap idly growing sector in which to sell a wide range or products. Annual sales in the industry are estimated at $3. 5 billion. The UAE food retail sector continues its aggressive growth. More large type stores are being built. French retail chain already operates in the market while a new one is being prepared to launch its services. Value of retailed products are currently estimated by trades at about $2. billion. The French Retail Giant, Carrefour, has moved aggressively into the retail of food and non-food products in the United Arab Emirates and is expected to open at more locations across the UAE. Other Arabian Peninsula markets are definitely in the cards for this retailer as consumers go more and more for low prices and everything under one roof. The author analyzes the Food Retail Industry in the UAE in Michael Porter's Five Forces Analysis. It uses concepts developed in Industrial Organization (IO) economics to derive five forces that determine the competitive intensity and th erefore attractiveness of a market.Porter referred to these forces as the microenvironment, to contrast it with the more general term macro-environment. They consist of those forces close to a company that affect its ability to serve its customers and make a profit. A change in any of the forces normally requires a company to re-assess the marketplace Food Retail Industry in the UAE– Porter’s Five Forces Strategy Analysis The UAE retail sector continues to grow, supported by the upgrading of existing retail stores and the addition of state of the art new mega retail stores.The UAE market presents retailers with diverse relatively high-income consumers. Exporters who are willing to establish personal relationships, consolidate shipments, and meet the labeling requirements of the UAE market will find a rapidly growing sector in which to sell a wide range or products. Annual sales in the industry are estimated at $3. 5 billion. The UAE food retail sector continues its agg ressive growth. More large type stores are being built. French retail chain already operates in the market while a new one is being prepared to launch its services.Value of retailed products are currently estimated by trades at about $2. 5 billion. The French Retail Giant, Carrefour, has moved aggressively into the retail of food and non-food products in the United Arab Emirates and is expected to open at more locations across the UAE. Other Arabian Peninsula markets are definitely in the cards for this retailer as consumers go more and more for low prices and everything under one roof. Aruvian's R'search analyzes the Food Retail Industry in the UAE in Michael Porter’s Five Forces Analysis.It uses concepts developed in Industrial Organization (IO) economics to derive five forces that determine the competitive intensity and therefore attractiveness of a market. Porter referred to these forces as the microenvironment, to contrast it with the more general term macro-environment. They consist of those forces close to a company that affect its ability to serve its customers and make a profit. A change in any of the forces normally requires a company to re-assess the marketplace

Bag of Bones CHAPTER TWENTY-NINE

I reached for Ki with the part of my mind that had for the last few weeks known what she was wearing, what room of the trailer she was in, and what she was doing there. There was nothing, of course that link was also dissolved. I called for Jo I think I did but Jo was gone, too. I was on my own. God help me. God help us both. I could feel panic trying to descend and fought it off. I had to keep my mind clear. If I couldn't think, any chance Ki might still have would be lost. I walked rapidly back down the hall to the foyer, trying not to hear the sick voice in the back of my head, the one saying that Ki was lost already, dead already. I knew no such thing, couldn't know it now that the connection between us was broken. I looked down at the heap of books, then up at the door. The new tracks had come in this way and gone out this way, too. Lightning stroked the sky and thunder cracked. The wind was rising again. I went to the door, reached for the knob, then paused. Something was caught in the crack between the door and the jamb, something as fine and floaty as a strand of spider's silk. A single white hair. I looked at it with a sick lack of surprise. I should have known, of course, and if not for the strain I'd been under and the successive shocks of this terrible day, I would have known. It was all on the tape John had played for me that morning . . . a time that already seemed part of another man's life. For one thing, there was the time-check marking the point where John had hung up on her. Nine-forty A.M., Eastern Daylight, the robot voice had said, which meant that Rogette had been calling at six-forty in the morning . . . if, that was, she'd really been calling from Palm Springs. That was at least possible; had the oddity occurred to me while we were driving from the airport to Mattie's trailer, I would have told myself that there were no doubt insomniacs all over California who finished their East Coast business before the sun had hauled itself fully over the horizon, and good for them. But there was something else that couldn't be explained away so easily. At one point John had ejected the tape. He did it because, he said, I'd gone as white as a sheet instead of looking amused. I had told him to go on and play the rest; it had just surprised me to hear her again. The quality of her voice. Christ, the reproduction is good. Except it was really the boys in the basement who had reacted to John's tape; my subconscious co-conspirators. And it hadn't been her voice that had scared them badly enough to turn my face white. The underhum had done that. The characteristic underhum you always got on TR calls, both those you made and those you received. Rogette Whitmore had never left TR-90 at all. If my failing to realize that this morning cost Ki Devore her life this afternoon, I wouldn't be able to live with myself. I told God that over and over as I went plunging down the railroad-tie steps again, running into the face of a revitalized storm. It's a blue-eyed wonder I didn't go flying right off the embankment. Half my swimming float had grounded there, and perhaps I could have impaled myself on its splintered boards and died like a vampire writhing on a stake. What a pleasant thought that was. Running isn't good for people near panic; it's like scratching poison ivy. By the time I had thrown my arm around one of the pines at the foot of the steps to check my progress, I was on the edge of losing all coherent thought. Ki's name was beating in my head again, so loudly there wasn't room for much else. Then a stroke of lightning leaped out of the sky to my right and knocked the last three feet of trunk out from beneath a huge old spruce which had probably been here when Sara and Kito were still alive. If I'd been looking directly at it I would have been blinded; even with my head turned three-quarters away, the stroke left a huge blue swatch like the aftermath of a gigantic camera flash floating in front of my eyes. There was a grinding, juddering sound as two hundred feet of blue spruce toppled into the lake, sending up a long curtain of spray, which seemed to hang between the gray sky and gray water. The stump was on fire in the rain, burning like a witch's hat. It had the effect of a slap, clearing my head and giving me one final chance to use my brain. I took a breath and forced myself to do just that. Why had I come down here in the first place? Why did I think Rogette had brought Kyra toward the lake, where I had just been, instead of carrying her away from me, up the driveway to Lane Forty-two? Don't be stupid. She came down here because The Street's the way back to Warrington's, and Warrington's is where she's been, all by herself, ever since she sent the boss's body back to California in his private jet. She had sneaked into the house while I was under Jo's studio, finding the tin box in the belly of the owl and studying that scrap of genealogy. She would have taken Ki then if I'd given her the chance, but I didn't. I came hurrying back, afraid something was wrong, afraid someone might be trying to get hold of the kid Had Rogette awakened her? Had Ki seen her and tried to warn me before drifting off again? Was that what had brought me in such a hurry? Maybe. I'd still been in the zone then, we'd still been linked then. Rogette had certainly been in the house when I came back. She might even have been in the north-bedroom closet and peering at me through the crack. Part of me had known it, too. Part of me had felt her, felt something that was not-Sara. Then I'd left again. Grabbed the carry-bag from Slips ‘n Greens and come down here. Turned right, turned north. Toward the birch, the rock, the bag of bones. I'd done what I had to do, and while I was doing it, Rogette carried Kyra down the railroad-tie steps behind me and turned left on The Street. Turned south toward Warrington's. With a sinking feeling deep in my belly, I realized I had probably heard Ki . . . might even have seen her. That bird peeking timidly out from cover during the lull had been no bird. Ki was awake by then, Ki had seen me perhaps had seen Jo, as well and tried to call out. She had managed just that one little peep before Rogette had covered her mouth. How long ago had that been? It seemed like forever, but I had an idea it hadn't been long at all less than five minutes, maybe. But it doesn't take long to drown a child. The image of Kito's bare arm sticking straight out of the water tried to come back the hand at the end of it opening and closing, opening and closing, as if it were trying to breathe for the lungs that couldn't and I pushed it away. I also suppressed the urge to simply sprint in the direction of Warrington's. Panic would take me for sure if I did that. In all the years since her death I had never longed for Jo with the bitter intensity I felt then. But she was gone; there wasn't even a whisper of her. With no one to depend on but myself, I started south along the tree-littered Street, skirting the blowdowns where I could, crawling under them if they blocked my way entirely, taking the noisy branch-breaking course over the top only as a last resort. As I went I issued what I imagine are all the standard prayers in such a situation, but none of them seemed to get past the image of Rogette Whitmore's face rising in my mind. Her screaming, merciless face. I remember thinking This is the outdoor version of the Ghost House. Certainly the woods seemed haunted to me as I struggled along: trees only loosened in the first grand blow were falling by the score in this follow-up cap of wind and rain. The noise was like great crunching footfalls, and I didn't need to worry about the noise my own feet were making. When I passed the Batchelders' camp, a circular prefab construction sitting on an outcrop of rock like a hat on a footstool, I saw that the entire roof had been bashed flat by a hemlock. Half a mile south of Sara I saw one of Ki's white hair ribbons lying in the path. I picked it up, thinking how much that red edging looked like blood. Then I stuffed it into my pocket and went on. Five minutes later I came to an old moss-caked pine that had fallen across the path; it was still connected to its stump by a stretched and bent network of splinters, and squalled like a line of rusty hinges as the surging water lifted and dropped what had been its upper twenty or thirty feet, now floating in the lake. There was space to crawl under, and when I dropped to my knees I saw other knee-tracks, just beginning to fill with water. I saw something else: the second hair ribbon. I tucked it into my pocket with the first. I was halfway under the pine when I heard another tree go over, this one much closer. The sound was followed by a scream not pain or fear but surprised anger. Then, even over the hiss of the rain and the wind, I could hear Rogette's voice: ‘Come back! Don't go out there, it's dangerous!' I squirmed the rest of the way under the tree, barely feeling the stump of a branch which tore a groove in my lower back, got to my feet, and sprinted along the path. If the fallen trees I came to were small, I hurdled them without slowing down. If they were bigger, I scrabbled over with no thought to where they might claw or dig in. Thunder whacked. There was a brilliant stroke of lightning, and in its glare I saw gray barnboard through the trees. On the day I'd first seen Rogette I'd only been able to catch glimpses of Warrington's lodge, but now the forest had been torn open like an old garment this area would be years recovering. The lodge's rear half had been pretty well demolished by a pair of huge trees that seemed to have fallen together. They had crossed like a knife and fork on a diner's plate and lay on the ruins in a shaggy X. Ki's voice, rising over the storm only because it was shrill with terror: ‘Go away! I don't want you, white nana! Go away!' It was horrible to hear the terror in her voice, but wonderful to hear her voice at all. About forty feet from where Rogette's shout had frozen me in place, one more tree lay across the path. Rogette herself stood on the far side of it, holding a hand out to Ki. The hand was dripping blood, but I hardly noticed. It was Kyra I noticed. The dock running between The Street and The Sunset Bar was a long one seventy feet at least, perhaps a hundred. Long enough so that on a pretty summer evening you could stroll it hand-in-hand with your date or your lover and make a memory. The storm hadn't torn it away not yet but the wind had twisted it like a ribbon. I remember newsreel footage at some childhood Saturday matinee, film of a suspension bridge dancing in a hurricane, and that was what the dock between Warring-ton's and The Sunset Bar looked like. It jounced up and down in the surging water, groaning in all its slatted joints like a wooden accordion. There had been a rail presumably to guide those who'd made a heavy night of it safely back to shore but it was gone now. K yra was halfway out along this swaying, dipping length of wood. I could see at least three rectangles of blackness between the shore and where she stood, places where boards had snapped off. From beneath the dock came the disturbed clung-clung-clung of the empty steel drums that were holding it up. Several of these drums had come unanchored and were floating away. Ki had her arms stretched out for balance like a tightrope walker in the circus. The black Harley-Davidson tee-shirt flapped around her knees and sunburned shoulders. ‘Come back!' Rogette cried. Her lank hair flew around her head; the shiny black raincoat she was wearing rippled. She was holding both hands out now, one bloody and one not. I had an idea Ki might have bitten her. ‘No, white nana!' Ki shook her head in wild negation and I wanted to tell her don't do that, Ki-bird, don't shake your head like that, very bad idea. She tottered, one arm pointed up at the sky and one down at the water so she looked for a moment like an airplane in a steep bank. If the dock had picked that moment to take a hard buck beneath her, Ki would have spilled off the side. She regained some precarious balance instead, although I thought I saw her bare feet slide a little on the slick boards. ‘Go away, white nana, I don't want you! Go . . . go take a nap, you look tired!' Ki didn't see me; all her attention was fixed on the white nana. The white nana didn't see me, either. I dropped to my belly and squirmed under the tree, pulling myself along with my clawed hands. Thunder rolled across the lake like a big mahogany ball, the sound echoing off the mountains. When I got to my knees again, I saw that Rogette was advancing slowly toward the shore end of the dock. For every step she took forward, Kyra took a shaky, dangerous step backward. Rogette was holding her good hand out, though for a moment I thought this one had begun to bleed as well. The stuff running through her bunchy fingers was too dark for blood, however, and when she began to talk, speaking in a hideous coaxing voice that made my skin crawl, I realized it was melting chocolate. ‘Let's play the game, Ki-bird,' Rogette cooed. ‘Do you want to start?' She took a step. Ki took a compensatory step backward, tottered, caught her balance. My heart stopped, then resumed racing. I closed the distance between myself and the woman as rapidly as I could, but I didn't run; I didn't want her to know a thing until she woke up. If she woke up. I didn't care if she did or not. Hell, if I could fracture the back of George Footman's skull with a hammer, I could certainly put a hurt on this horror. As I walked, I laced my hands together into one large fist. ‘No? Don't want to start? Too shy?' Rogette spoke in a sugary Romper Room voice that made me want to grind my teeth together. ‘All right, I'll start. Happy! What rhymes with happy, Ki-bird? Pappy . . . and nappy . . . you were taking a nappy, weren't you, when I came and woke you up. And lappy . . . would you want to come and sit on my lappy, Ki-bird? We'll feed each other chocolate, just like we used to . . . I'll tell you a new knock-knock joke . . . ‘ Another step. She had come to the edge of the dock. If she'd thought of it, she could simply have thrown rocks at Kyra as she had at me, thrown until she connected with one and knocked Ki into the lake. But I don't think she got even close to such a notion. Once crazy goes past a certain point, you're on a turnpike with no exit ramps. Rogette had other plans for Kyra. ‘Come on, Ki-Ki, play the game with white nana.' She held out the chocolate again, gooey Hershey's Kisses dripping through crumpled foil. Kyra's eyes shifted, and at last she saw me. I shook my head, trying to tell her to be quiet, but it was no good an expression of joyous relief crossed her face. She cried out my name, and I saw Rogette's shoulders go up in surprise. I ran the last dozen feet, raising my joined hands like a club, but I slipped a little on the wet ground at the crucial moment and Rogette made a kind of ducking cringe. Instead of striking her at the back of the neck as I'd meant to, my joined hands only glanced off her shoulder. She staggered, went to one knee, and was up again almost at once. Her eyes were like little blue arc-lamps, spitting rage instead of electricity. ‘You!' she said, hissing the word over the top of her tongue, turning it into the sound of some ancient curse: Heeyuuuu! Behind us Kyra screamed my name, stagger-dancing on the wet wood and waving her arms in an effort to keep from falling in the lake. Water slopped onto the deck and ran over her small bare feet. ‘Hold on, Ki!' I called back. Rogette saw my attention shift and took her chance she spun and ran out onto the dock. I sprang after her, grabbed her by the hair, and it came off in my hand. All of it. I stood there at the edge of the surging lake with her mat of white hair dangling from my fist like a scalp. Rogette looked over her shoulder, snarling, an ancient bald gnome in the rain, and I thought It's him, it's Devore, he never died at all, somehow he and the woman swapped identities, she was the one who committed suicide, it was her body that went back to California on the jet Even as she turned the other way again and began to run toward Ki, I knew better. It was Rogette, all right, but she'd come by that hideous resemblance honestly. Whatever was wrong with her had done more than make her hair fall out; it had aged her as well. Seventy, I'd thought, but that had to be at least ten years beyond the actual mark. I've known a lot of folks name their kids alike, Mrs M. had told me. They think it's cute. Max Devore must have thought so, too, because he had named a son Roger and his daughter Rogette. Perhaps she'd come by the Whitmore part honestly she might have been married in her younger years but once the wig was gone, her antecedents were beyond argument. The woman tottering along the wet dock to finish the job was Kyra's aunt. Ki began to back up rapidly, making no effort to be careful and pick her footing. She was going into the drink; there was no way she could stay up. But before she could fall, a wave slapped the dock between them at a place where some of the barrels had come loose and the slatted walkway was already partly submerged. Foamy water flew up and began to twist into one of those helix shapes I had seen before. Rogette stopped ankle-deep in the water sloshing over the dock, and I stopped about twelve feet behind her. The shape solidified, and even before I could make out the face I recognized the baggy shorts with their fading swirls of color and the smock top. Only Kmart sells smock tops of such perfect shapelessness; I think it may be a federal law. It was Mattie. A grave gray Mattie, looking at Rogette with grave gray eyes. Rogette raised her hands, tottered, tried to turn. At that moment a wave surged under the dock, making it rise and then drop like an amusement-park ride. Rogette went over the side. Beyond her, beyond the water-shape in the rain, I could see Ki sprawling on the porch of The Sunset Bar. That last heave had flipped her to temporary safety like a human tiddlywink. Mattie was looking at me, her lips moving, her eyes on mine. I had been able to tell what Jo was saying, but this time I had no idea. I tried with all my might, but I couldn't make it out. ‘Mommy! Mommy!' The figure didn't so much turn as revolve; it didn't actually seem to be there below the hem of the long shorts. It moved up the dock to the bar, where Ki was now standing with her arms held out. Something grabbed at my foot. I looked down and saw a drowning apparition in the surging water. Dark eyes stared up at me from beneath the bald skull. Rogette was coughing water from between lips that were as purple as plums. Her free hand waved weakly up at me. The fingers opened . . . and closed. Opened . . . and closed. I dropped to one knee and took it. It clamped over mine like a steel claw and she yanked, trying to pull me in with her. The purple lips peeled back from yellow toothpegs like those in Sara's skull. And yes I thought that this time Rogette was the one laughing. I rocked on my haunches and yanked her up. I didn't think about it; it was pure instinct. I had her by at least a hundred pounds, and three quarters of her came out of the lake like a gigantic, freakish trout. She screamed, darted her head forward, and buried her teeth in my wrist. The pain was immediate and enormous. I jerked my arm up even higher and then brought it down, not thinking about hurting her, wanting only to rid myself of that weasel's mouth. Another wave hit the half-submerged dock as I did. Its rising, splintered edge impaled Rogette's descending face. One eye popped; a dripping yellow splinter ran up her nose like a dagger; the scant skin of her forehead split, snapping away from the bone like two suddenly released windowshades. Then the lake pulled her away. I saw the torn topography of her face a moment longer, upturned into the torrential rain, wet and as pale as the light from a fluorescent bar. Then she rolled over, her black vinyl raincoat swirling around her li ke a shroud. What I saw when I looked back toward The Sunset Bar was another glimpse under the skin of this world, but one far different from the face of Sara in the Green Lady or the snarling, half-glimpsed shape of the Outsider. Kyra stood on the wide wooden porch in front of the bar amid a litter of overturned wicker furniture. In front of her was a waterspout in which I could still see very faintly the fading shape of a woman. She was on her knees, holding her arms out. They tried to embrace. Ki's arms went through Mattie and came out dripping. ‘Mommy, I can't get you!' The woman in the water was speaking I could see her lips moving. Ki looked at her, rapt. Then, for just a moment Mattie turned to me. Our eyes met, and hers were made of the lake. They were Dark Score, which was here long before I came and will remain long after I am gone. I put my hands to my mouth, kissed my palms, and held them out to her. Shimmery hands went up, as if to catch those kisses. ‘Mommy don't go!' Kyra screamed, and flung her arms around the figure. She was immediately drenched and backed away with her eyes squinched shut, coughing. There was no longer a woman with her; there was only water running across the boards and dripping through the cracks to rejoin the lake, which comes up from deep springs far below, from the fissures in the rock which underlies the TR and all this part of our world. Moving carefully, doing my own balancing act, I made my way out along the wavering dock to The Sunset Bar. When I got there I took Kyra in my arms. She hugged me tight, shivering fiercely against me. I could hear the small dicecup rattle of her teeth and smell the lake in her hair. ‘Mattie came,' she said. ‘I know. I saw her.' ‘Mattie made the white nana go away.' ‘I saw that, too. Be very still now, Ki. We're going back to solid ground, but you can't move around a lot. If you do, we'll end up swimming.' She was good as gold. When we were on The Street again and I tried to put her down, she clung to my neck fiercely. That was okay with me. I thought of taking her into Warrington's, but didn't. There would be towels in there, probably dry clothes as well, but I had an idea there might also be a bathtub full of warm water waiting in there. Besides, the rain was slackening again and this time the sky looked lighter in the west. ‘What did Mattie tell you, hon?' I asked as we walked north along The Street. Ki would let me put her down so we could crawl under the downed trees we came to, but raised her arms to be picked up again on the far side of each. ‘To be a good girl and not be sad. But I am sad. I'm very sad.' She began to cry, and I stroked her wet hair. By the time we got to the railroad-tie steps she had cried herself out . . . and over the mountains in the west, I could see one small but very brilliant wedge of blue. ‘All the woods fell down,' Ki said, looking around. Her eyes were very wide. ‘Well . . . not all, but a lot of them, I guess.' Halfway up the steps I paused, puffing and seriously winded. I didn't ask Ki if I could put her down, though. I didn't want to put her down. I just wanted to catch my breath. ‘Mike?' ‘What, doll?' ‘Mattie told me something else.' ‘What?' ‘Can I whisper?' ‘If you want to, sure.' Ki leaned close, put her lips to my ear, and whispered. I listened. When she was done I nodded, kissed her cheek, shifted her to the other hip, and carried her the rest of the way up to the house. ‘T'wasn't the stawm of the century, chummy, and don't you go thinkin that it was. Nossir. So said the old-timers who sat in front of the big Army medics' tent that served as the Lakeview General that late summer and fall. A huge elm had toppled across Route 68 and bashed the store in like a Saltines box. Adding injury to insult, the elm had carried a bunch of spitting live lines with it. They ignited propane from a ruptured tank, and the whole thing went kaboom. The tent was a pretty good warm-weather substitute, though, and folks on the TR took to saying they was going down to the MASH for bread and beer this because you could still see a faded red cross on both sides of the tent's roof. The old-timers sat along one canvas wall in folding chairs, waving to other old-timers when they went pooting by in their rusty old-timer cars (all certified old-timers own either Fords or Chevys, so I'm well on my way in that regard), swapping their undershirts for flannels as the days began to cool toward cider season and spud-digging, watching the township start to rebuild itself around them. And as they watched they talked about the ice storm of the past winter, the one that knocked out lights and splintered a million trees between Kittery and Fort Kent; they talked about the cyclones that touched down in August of 1985; they talked about the sleet hurricane of 1927. Now there was some stawms, they said. There was some stawms, by Gorry. I'm sure they've got a point, and I don't argue with them you rarely win an argument with a genuine Yankee old-timer, never if it's about the weather but for me the storm of July 21, 1998, will always be the storm. And I know a little girl who feels the same. She may live until 2100, given all the benefits of modern medicine, but I think that for Kyra Elizabeth Devore that will always be the storm. The one where her dead mother came to her dressed in the lake. The first vehicle to come down my driveway didn't arrive until almost six o'clock. It turned out to be not a Castle County police car but a yellow bucket-loader with flashing yellow lights on top of the cab and a guy in a Central Maine Power Company slicker working the controls. The guy in the other seat was a cop, though was in fact Norris Ridgewick, the County Sheriff himself. And he came to my door with his gun drawn. The change in the weather the TV guy had promised had already arrived, clouds and storm-cells driven east by a chilly wind running just under gale force. Trees had continued to fall in the dripping woods for at least an hour after the rain stopped. Around five o'clock I made us toasted-cheese sandwiches and tomato soup . . . comfort food, Jo would have called it. Kyra ate listlessly, but she did eat, and she drank a lot of milk. I had wrapped her in another of my tee-shirts and she tied her own hair back. I offered her the white ribbons, but she shook her head decisively and opted for a rubber band instead. ‘I don't like those ribbons anymore,' she said. I decided I didn't, either, and threw them away. Ki watched me do it and offered no objection. Then I crossed the living room to the woodstove. ‘What are you doing?' She finished her second glass of milk, wriggled off her chair, and came over to me. ‘Making a fire. Maybe all those hot days thinned my blood. That's what my mom would have said, anyway.' She watched silently as I pulled sheet after sheet from the pile of paper I'd taken off the table and stacked on top of the woodstove, balled each one up, and slipped it in through the door. When I felt I'd loaded enough, I began to lay bits of kindling on top. ‘What's written on those papers?' Ki asked. ‘Nothing important.' ‘Is it a story?' ‘Not really. It was more like . . . oh, I don't know. A crossword puzzle. Or a letter.' ‘Pretty long letter,' she said, and then laid her head against my leg as if she were tired. ‘Yeah,' I said. ‘Love letters usually are, but keeping them around is a bad idea.' ‘Why?' ‘Because they . . . ‘ Can come back to haunt you was what rose to mind, but I wouldn't say it. ‘Because they can embarrass you in later life.' ‘Oh.' ‘Besides,' I said. ‘These papers are like your ribbons, in a way.' ‘You don't like them anymore.' ‘Right.' She saw the box then the tin box with JO'S NOTIONS written on the front. It was on the counter between the living room and the sink, not far from where old Krazy Kat had hung on the wall. I didn't remember bringing the box up from the studio with me, but I suppose I might not have; I was pretty freaked. I also think it could have come up . . . kind of by itself. I do believe such things now; I have reason to. Kyra's eyes lit up in a way they hadn't since she had wakened from her short nap to find out her mother was dead. She stood on tiptoe to take hold of the box, then ran her small fingers across the gilt letters. I thought about how important it was for a kid to own a tin box. You had to have one for your secret stuff the best toy, the prettiest bit of lace, the first piece of jewelry. Or a picture of your mother, perhaps. ‘This is so . . . pretty,' she said in a soft, awed voice. ‘You can have it if you don't mind it saying JO'S NOTIONS instead of ‘KI'S NOTIONS. There are some papers in it I want to read, but I could put them somewhere else.' She looked at me to make sure I wasn't kidding, saw I wasn't. ‘I'd love it,' she said in the same soft, awed voice. I took the box from her, scooped out the steno books, notes, and clippings, then handed it back to Ki. She practiced taking the lid off and then putting it back on. ‘Guess what I'll put in here,' she said. ‘Secret treasures?' ‘Yes!' she said, and actually smiled for a moment. ‘Who was Jo, Mike? Do I know her? I do, don't I? She was one of the fridgearator people.' ‘She ‘ A thought occurred. I shuffled through the yellowed clippings. Nothing. I thought I'd lost it somewhere along the way, then saw a corner of what I was looking for peeking from the middle of one of the steno notebooks. I slid it out and handed it to Ki. ‘What is it?' ‘A backwards photo. Hold it up to the light.' She did, and looked for a long time, rapt. Faint as a dream I could see my wife in her hand, my wife standing on the swimming float in her two-piece suit. ‘That's Jo,' I said. ‘She's pretty. I'm glad to have her box for my things.' ‘I am too, Ki.' I kissed the top of her head. When Sheriff Ridgewick hammered on the door, I thought it wise to answer with my hands up. He looked wired. What seemed to ease the situation was a simple, uncalculated question. ‘Where's Alan Pangborn these days, Sheriff?' ‘Over New Hampshire,' Ridgewick said, lowering his pistol a little (a minute or two later he holstered it without even seeming to be aware he had done so). ‘He and Polly are doing real well. Except for her arthritis. That's nasty, I guess, but she still has her good days. A person can go along quite awhile if they get a good day every once and again, that's what I think. Mr. Noonan, I have a lot of questions for you. You know that, don't you?' ‘Yes.' ‘First off and most important, do you have the child? Kyra Devore?' ‘Yes.' ‘Where is she?' ‘I'll be happy to show you.' We walked down the north-wing corridor and stood just outside the bedroom doorway, looking in. The duvet was pulled up to her chin and she was sleeping deeply. The stuffed dog was curled in one hand we could just see its muddy tail poking out of her fist at one end and its nose poking out at the other. We stood there for a long time, neither of us saying anything, watching her sleep in the light of a summer evening. In the woods the trees had stopped falling, but the wind still blew. Around the eaves of Sara Laughs it made a sound like ancient music.

AFFIMATIVE ACTION Essay Example | Topics and Well Written Essays - 1250 words

AFFIMATIVE ACTION - Essay Example ffirmative action describes policies aimed at a historically and socio-politically non-dominant group (typically, minority men or women of all races) intended to promote access to education or employment. Motivation for affirmative action is a desire to redress the effects of past and current discrimination that is regarded as unfair and to encourage public institutions such as universities, hospitals and police forces to be more representative of the population. This is commonly achieved through targeted recruitment programs aimed at applicants from socio-politically disadvantaged groups. The overall framework of affirmative action in the United States was established by Executive Order 10925, issued in March 1961 by President John F. Kennedy, but has evolved significantly. The original order required government contractors to take "affirmative action" to ensure equal treatment of applicants and employees "without regard to their race, creed, color, or national origin." Reservation in Indian law is a form of affirmative action whereby a percentage of seats are reserved in the public sector units, union and state civil services, union and state government departments and in all public and private educational institutions, except in the religious/ linguistic minority educational institutions, for the socially and educationally backward classes of citizens or the Scheduled Castes and Tribes who were inadequately represented in these services and institutions. The reservation policy is extended for the SC and STs in representing the Parliament of India & state legislative assemblies. In its modern form, affirmative action can call for a recruiting officer faced with two similarly qualified applicants to choose the minority over the white, or for a manager to hire a qualified woman for a job instead of a man. Affirmative action decisions are generally not supposed to be based on quotas, nor are they supposed to give any preference to unqualified candidates. And they

Education study Essay Example | Topics and Well Written Essays - 1250 words

Education study - Essay Example Politicians have long been involved in this practice. A good example would be Mitt Romney, a man widely criticized for supporting a policy that calls for English only while simultaneously running commercials in Spanish dialect. This paper will provide insights on the controversies that surround political influence in languages. It explains why these controversies are still relevant. Afar from symbolism, promotion of any language in favor of others can be termed as fundamentally political. This American example forms a strong point of reference to such political language controversies. It would be to some extent right to say that the U.S is probably the home to countless bilingual speaking persons than any other nation on the globe. Culture diversity and linguistics has been extensive for more than two centuries owed to the fact that immigrants settled here from all walks and carried along their language, values and culture. However, regardless of the multiplicity of languages here, there are no limitations to the importance accorded to the common language. There has been a dominant, the colonizers’, language that has advanced to a variety referred to as a Standard American English’s emergence that incorporates native words and conjures its unique spelling and accent (Crawford 145). Those we call the founding fathers made it deliberate to leave designation in the United States of English as an official language mostly probably because it might not have occurred to them given that decision making was actively avoided in an attempt to accord respect to the national diversities. However, this idea has always been considered hostile to interdependence and interests of respective states brooding a tolerant attitude to be favorable. It was not until the 1980s that the anti-minority politics demanded its protection whilst restricting other languages. Political arenas had not taken up the language issues from the

Management Accounting Essay Example | Topics and Well Written Essays - 1000 words - 2

Management Accounting - Essay Example Management accounting determines the success or failure of an organization. Moreover, it is very essential in the appropriate decision making. The main aim of a management accounting report is to provide logical information about the business and the functioning of it in all the levels of an organization. â€Å"The process of identifying, measuring, analyzing, interpreting, and communicating information for the pursuit of an organization's goals.† (Managerial accounting. 2007).Due to the changes that have been taking place in the accounting field, it is necessary to take appropriate measures to improve the managerial accounting techniques and procedures. Obtaining adequate information required for the organization is the main driving force for change. In order to gain the organizational goals, it is necessary to implement the relevant managerial accounting policies effectively. Increased competition requires adequate changes in the management techniques. Earlier, management ac counting was mainly concerned with the determination of cost, control of finance, and the like. It was also used in order to minimize the wastage of resources. In addition to this, the management accountant is also responsible for the preparation of accounting statements effectively.... "Financial accounting is something performed to agreed standards and principles (GAAP) designed to fairly and accurately report the true worth of a business to its owners and its true profits to the tax collector. Management accounting, on the other hand, is a mechanism for using a financial metric (dollars) as a normalizing mechanism for making decision about (often vastly) different choices and alternatives." (Anderson 2005). In order to mitigate the existing difficulties associated with the concept of managerial accounting and its principles and policies, it is necessary to undertake effective implementation strategy and the reinvention of management accountants. The organizational customs and its environmental factors are also effecting this reinvention to certain extend. Management accounting principles and its applications are fundamental for the preparation of financial statements and report to the entity so as to take appropriate future decisions. Management accounting highly concentrates on taking the most relevant decision required within the organization, and it is necessary to obtain the proper information about the entity to facilitate decision making, and such information should be more accurate in nature. As Professor Lee D Parker suggests, reinventing the management accountant is a fundamental concept to improve the efficiency of the subject of management accounting. For this, more talented and eligible personalities are required for the organization for controlling the area of accounts and finance. As a result of this, it is very clear from the fact that the management accountant, their role, duties, and responsibilities are widely increasing day by day, due to the technological innovations made by the

Explain how the development and growth of the stock market effects the Essay

Explain how the development and growth of the stock market effects the real economy - Essay Example Stock markets have securities notified on stock exchanges and also provide private trading facilities. According to an estimate, at the close of 2012, world stock market was more than $50 trillion with US having the largest market of about 35% and United Kingdom and Japan with 6% each (Perry 1-2). Impact of stock market growth and development on economies is indeed an important area of research among economists. It provides for steering financial matters and forming future economic strategy to improve business and investment environment of a country. Thus impact of stock market growth has both direct and indirect effects on an economy. Industries, Service providers and Corporations of various types get their stocks available in stock market. Large companies usually put their stock available/ registered in many exchange markets around the world. It is done after weighing potentials of business in a specific stock market. Participant of stock markets are traders, banks, retail investors, insurance companies and corporations etc. which deem to invest, buy, sell, transfer and even evaluate their stocks through the facility of a stock market. Trading in stock market is done through evaluation and bidding process carried out among buyers and sellers who agree over a deal on value o f the product. From hedge funds to stock investors the participants of a market can perform this activity anywhere in the world. A representative of business activity carries out buying, selling, exchange or valuation on behalf of his employer to execute exchange activity. Thus companies are not physically available or do not come with their active products and investment plans but they perform these transactions virtually through their representatives. A rational response to the concept of stock exchange and its activities can be transpired as effectiveness and vibrancy of economic activities in a market.

My Personal Principle Essay Example | Topics and Well Written Essays - 1500 words

My Personal Principle - Essay Example The third principle is being dressed appropriately for the occasion. Being on Time is Important. Showing respect for other persons includes being on time (Neave 169). It would be disrespectful to keep the other person waiting for some who is late for an appointment. Arriving late shows rudeness. However, there are valid reasons for arriving late. An unusual traffic jam is a good reason for arriving late. Arriving late for an appointment gives that impression that the waiting person is not important. Being late shows the late person has more important or interesting priorities in life. Being late is synonymous with not caring enough to exert the required effort to avoid sending the message â€Å"you are not important to me†. Tardiness indicates a person is deficiently organized. Consequently, lateness precipitates another disadvantageous reason. When scheduled for a job interview, the late applicant gives an impression of unprofessionalism. In this situation, the interviewer th inks that the applicant did not focus on researching the best way to arrive for the interview on or before the scheduled time. Consequently, the interviewer thinks the job applicant is not seriously interested in the job. The interviewer will get the impression that the applicant is sloppy about details, has faulty planning strategies, and irresponsible. In case of reasonable lateness, the late person should phone the waiting person to wait or reset the schedule to a more appropriate time. In ordinary daily itineraries timeliness is important. The trains and airplanes will not wait for one passenger to ride the plane. The bus will not wait for the late passenger to arrive. In addition, the child-care centers will close their doors to parents who arrive late. The grocery stores will close its doors on time, even if a late customer pleads the guards to open the store’s premises. Some shows, concerts, and stage shows will close their entrances to customers who arrive late. Funda mentally, not being punctuality gives an unfavorable impression. The impression is synonymous with self-centeredness. The late person offers a selfish statement â€Å"everyone will wait for me, an important person. Sad to say, the world will not wait for the late person. The world has more important priorities compared to waiting for the irresponsibly tardy person. The world must not waste its time waiting for the selfish person. Effective communication. Effective communication makes the world go round (Fielding 9). The development and implementation of an effective communication system is important. Effective communication increases the successful receipt and interpretation of the message sender’s message. Effective communication contributes to the incorporation of the message sender’s ideas on environmental change and other matters. Effective communication eliminates the message receivers’ guessing the message senders’ inputs. Such communication will e liminate the intended message receivers’ threshing out the message senders’ instructions. Without effective communication, the message senders’ changes will not be received by the message receiver in crystal-clear manner. The essay places importance on communication skills’ increasing the effectiveness of communication. The skills include eliminating the fear of communication. Each person should convince the message receiver to accept and implement the message’s instructions. Another important skill is expressing what one wants to say so the message

Human resource management ( HRM in spain) Essay

Human resource management ( HRM in spain) - Essay Example For instance, Anglo-Saxons consider management ability depending on interpersonal skills, while the French consider the most intellectual individuals as the best managers. On the other hand, Germans argue that good management is a function of formal authority (Valle, Martin, and Romero, 2001:249). In this regard therefore, it is evident that organizations all over the world are adopting global practices, but in many cases, they do so in nation-specific ways. Based on the General Motors case study in Spain, this paper seeks to provide a report on the international human resource management in Spain. The report covers the institutional context that influence human resource practices in that country, essentially focusing on the laws, employer organizations, trade unions, training an education system, and other relevant issues (Ferner, Quintanilla, and Varul, M.Z. 2001:116). Moreover, the report covers the current human resource management trend in the country based on relevant case stud ies. Overview of Spain Based on Hofstede analysis, Spain ranks high in uncertainty avoidance and low in masculinity score. This results from the Spaniards feelings concerning career security, rules, and regulation. The Spanish history in relation to human resource management traces back to the second half of the twentieth century. It is not after the death of General Franco and the subsequent collapse of his regime did the economy of Spain come into focus. The Spaniards looked upon their leader to lead then to democracy and the European Union. In those times, only a fraction of the labor market had employment. According to statistics, the levels of unemployment reached record highs in 1965, skyrocketing to about 38.5% (Perllow and Weeks, 2002:347). In the 80’s however, the levels reduced by about 5% to stand at 33.5%. Comparing these levels to other European states, Spain had the lowest level of employed women, accounting for only 18% of the entire women population in the cou ntry. Italy had an average of 25% and between 30% and 40% in northern Europe. PESTLE Analysis of Spain Political Spain adapts a kingdom type of state. The country has a constitutional monarchy primarily based on parliament democracy. Moreover, power is highly decentralized, with autonomous communities having a high legislative level. Furthermore, the country enjoys a fiscal and executive autonomy. After the restoration of political democracy in 1975 following the death of General Franco, the country has generally displayed stable leadership and democracy (Combs and Luthans, 2007:111). Economical The Spanish economy was already recording significant recovery by 2004 from the financial crisis, recording a 2.4% growth. This was 2% higher than the previous year and 7% higher than the recorded levels in 2002. According to statistics, the highest unemployment record in recent times was that of 2000, but dropped to about 10.8% in 2004. Additionally, overall employment rate grew by 1.6%, wi th unemployment levels dropping by 3.5%. Spain seeks to promote employment in line with the European Union Directives. Nonetheless, the European Union directive merely present a framework for guiding human resource practices, but does not offer maximum protection to the equality and rights of employees in the work place (Lam, Chen and Schaubroeck, 2002:907). The local legislation that currently exist act as the

Developing YORKLAB HR strategy Essay Example | Topics and Well Written Essays - 3250 words

Developing YORKLAB HR strategy - Essay Example The company tries to retain its customers by ensuring timely delivery of goods which in turn enables to ascertain growth for the company throughout the year. Yorklab follows a flat organisational structure, which ensures a wide span of control with fewer level of management. The structure allows the company to be less costly, with less management levels. This structure will ensure a better and quick flow of decision within the organisation. Moreover, it will have a fast and clear communication of messages from the management ensuring timely and quality product. This structure helps the company to keep a proper track of the sales and the services provided. The HR policy of the company facilitates in employing people who have knowledge regarding the process and are friendly and ready to work in team. Satisfying the customer is the primary motive of the company and this is the core reason for the success of the organisation for years. The company is in the need to expand its business in to new areas of the market. In this context, the management realises that the current HR system or management structure will not be able to sustain the market growth. The HRM concept used is to bind the employees and the management to achieve the goal of the company. It entails the planning, controlling and organising the employees to add value to their service and achieve the desired objectives. In this regard, the objective of the paper is to explore the efficient structure requirement of the company, to mitigate the issue related with the market expansion. The upgraded HR strategies are required to be implemented by the Yorklab in order to attain profit and growth in the market. HR Strategy Content Human resource management is a strategic approach on managing employment and relation in order to achieve competitive advantage. The competitiveness of a business depends on the manager, employees and the knowledge and training provided. Yorklab in this regard followed the flat structu re of management, with a few number of employees and a wide span of control. This structure had various advantages such as the fast communication of information and quick decision regarding the process improvement. The fewer strata of management also help Yorklab to have a better recurrent communication between the higher level of authority and the staff. The purpose of the company is to expand its business keeping in view the quality and the level of customer satisfaction. This was not possible with the current flat HR strategy used by the company. As the level of guidance and coordination between the management and the employee was less there was no proper co-ordination. With the expansion of business, the current number of employee would not suffice the need of the company. With the increase in the business activities, the complexities would increase and the current flat structure would not support the requisite. The flat strategy with wider span of control renders less amount of time to focus on the individual decisions. This can thus be of a great disadvantage for taking significant strategic decisions which will have a long-term impact on Yorklab (Education-Portal,

Teamwork and Motivation Research Paper Example | Topics and Well Written Essays - 1250 words

Teamwork and Motivation - Research Paper Example Leaders work to enhance the internal force in employees that eventually manifests itself in all the above sectors of the organization. Motivational theories are sometimes used as tools to measure the manifestations of motivation efforts in workplaces. Consequently, an effective motivation plan is essential towards the success of any organization in relation to the dynamism in the market and the ever-growing competition. The WooWoo manufacturing company requires an effective motivation plan that would encourage high job satisfaction, low turnover, high productivity and high quality of work within the organization. This plan should bring together more that self-interest to all employees to attain success. Moreover, the motivation should also improve the relationships among all staff in this small organization to ensure both individual and group strengths. The organization’s motivation design contains several components namely organizational structure and culture, intangible rewa rds, communication, and trust among all employees and the management. The combination of all these components would result to success in the establishment and implementation of the motivation plan. Many organizations today implement the horizontal structure that incorporates transparency and open environment for employees. This clears communication and results to efficiency in allocation and completion of assigned tasks and projects. This form of openness motivates the employees and inspires loyalty to leaders. The employees work as a team in accomplishing the mission and organizational objectives with ease (Bruce, 2006). The horizontal structure helps in eliminating the mental barriers and employee-management myths. A motivation plan with this component boosts employees’ motivation leading to improved loyalty and minimal employee turnover. Intangible rewards are part of the motivation plan and entails looking beyond the monetary compensations. Intangible rewards help in achi eving employees’ confidence in their jobs. This is done through the creation of a platform that helps them to grow on their careers and develop to their next level. They include clear job descriptions that create a conducive environment for assuming an employee’s responsibilities (Bruce, 2006). Receiving career development support, being well informed on the affairs of the organization and just compensation are part of intangible rewards that boost the performances through high job satisfaction with respect to employees. Communication is a crucial part of any organization because it determines the efficiency of all operations, completion of assigned tasks and projects. Keeping the employees updated on all issues, rewards, promotions and change of command avoids negative reactions towards changes. Communication also entails feedback that ensures a message was received and any forms of instructions were followed (Lauby, 2005). Passing on information regarding an individu al’s personal achievements and expectations boosts the workplace relationships thus motivating them to improve their performances. Effective communication motivates employees towards high productivity through passing on the requirements of any task and giving the necessary feedback on the progress and completion. The management should build on trust to ensure they trust the employees and are trusted. Trust entails keeping of promises, upholding integrity and fairness in the workplace. Trust

Capital Budgeting Process Essay Example for Free

Capital Budgeting Process Essay Capital budgeting is one of the most important financing tools used to examine expenditures and future projects in the capital spending and to budget for projects and all other analysis of spending for the future. This gives a heads up for healthcare managers to control their spending not only for capital expenditures but other spending such as payments and utilities for the organization. Capital budgeting is a large process that takes many different aspects to run. While capital budgeting is one of the most important aspects in healthcare finance, it is also a broad topic. A bond is a financing tool that is used when an issuer gives a statement to the payee for money and an interest payment is made to the payee at certain times. When an organization goes through the process of issuing a bond, they go through six major steps to accomplish bond issuing and determine whether this is the best decision at the time. Before issuing a bond, the issuer examines their capital plan and determines whether a bond is needed financially. Next, the issuer looks at the options for payees within bond issuance and is then examined by a credit rating agency to see if their credit score is high enough to issue a bond. After being examined by the credit rating agency, the bond itself is examined by the agency and after it is approved, the borrower is given terms and conditions to accept from the borrower. The last step that an organization must go through to issue is to sell the bond. These are sold to the payer where they give the money needed for the specific amount. While bonds are a great way to manage debt and become financially secure, leasing is another way that healthcare facilities manage their debt. Leasing refers to a contract where the lessee pays the owner rent or money for assets for a contracted time where the contract can be renewed and reinstated for longer term usage of those assets. Leasing is undertaken primarily because they don’t have to take care of the maintenance that comes with leasing assets. The owner of the machinery, facility, equipment or anything else that can be leased must continue routine maintenance saving the facility money on expenditure amounts within the spending area. If a facility is struggling for money, there are options such as bonds and leasing to decrease costs and increase the needed funds. There are two major types of leases that healthcare facilities must understand which are capital leases and operating leases. A capital lease, or financial lease, is used to lease assets for as long as the asset will remain available and running. The lessee is required by the contract of the lease to pay for the assets being used as long as the lease is in motion. Operating lease is almost the opposite of a capital lease. Operating leases are used for terms that are usually breakable and shorter than the assets given period of operation. Short term borrowing is a term used to describe when a company is in debt for a term of one year or less. These debts are usually paid back in that year and are usually short term bank loans that are used to finance a company. Long term financing is the exact opposite of a short term loan. It is used when a company needs to be financed for longer than one year or will not be paid back within that year. It can be from a single loan or multiple loans and is used when there are no plans or availability to have these loans paid back within the year. Equity financing sources for nonprofit organizations include internally generated funds, philanthropy, and government grants. These are used to finance and support organizations that are non profit and that help those in need. Today, more and more organizations are becoming nonprofit and are used by their own money, grants and loans and stocks and bonds. These are all primary sources for nonprofit organizations to keep serving communities in the healthcare world. Capital Budgeting process does occur in several extensive stages that include many different objectives for projects and programs for healthcare organizations. These generally include expenditures and the budget that comes along with those steps. These are used so that there are different views of the budget and what needs to be completed and examined in order to see the direction headed. Three discounted cash flow methods that are used include net present value, profitability index and equivalent annual cost. Net present value is the amount of the investment compared to incomes after the discount has been applied. (Cleverley, 529). The profitability is the ratio of the NPV and investment costs. (Cleverley, 533). This is used to compare rates of return on capital budgeting. Finally, the equivalent annual cost is the spending of the project compared to the capital spending and the operation costs when not leased but fully owned.

Modern Behaviour Patterns: Middle Stone Age Record of Africa

Modern Behaviour Patterns: Middle Stone Age Record of Africa Is there evidence for the establishment of modern behaviour patterns in the Middle Stone Age record of Africa? Behavioural modernity refers to developed behavioural traits we associated with ‘modern’ humans (Jacobs Richard, 2009). These behavioural traits are what distinguish modern humans their recent ancestors from other extinct hominids as well as both current past primates. What we now classify as modern human behaviours are cultural universals shared by all individuals, these behaviours include traits like language, religion decoration, or what’s known as the behavioural B’s: blades, beads, burials, bone-tool making beauty (Calvin, 2004). This essay discusses the evidence for the establishment of modern behaviour patterns in the Middle Stone Age (MSA) record of Africa. What is the Middle Stone Age record? The MSA was a period of African prehistory generally considered to have spanned between 280,000 years ago 50–25,000 years ago. The term MSA is used synonymously with the term Middle Palaeolithic, used in the remainder of the Old World where comparable artefacts traditions are found is now closely associated with the appearance of behavioural modern humans. (Clark, 1998) Innovations A range of innovations characterise the MSA, this following section talks about some of these, why how they came about. Technology There is marked variation in Middle Stone Age assemblages, which could have been caused by a number of factors including environmental conditions, resource type availability, choice of different reduction techniques strategies of tool manufacture. Technological patterns in these asemblages reflect early stages of modern human behaviour, with little standardisation within them. The beginning of the Middle Stone Age is identified by changes in the lithic components of the industries, namely, by the disappearance of bifaces (handaxes and cleavers) of the Acheulean type and the appearance of of composite tools which incorporated points signalling the beginning of the reorganisation of technology(Zenobia Roberts, 2009). Tool kits of this time included prepared core technology aka the Levallois method of flake production in which a core was carefully prepared on one side so that a flake of a certain, predetermined shape and size could be produced with a single blow (______). Composite tool kits also became common in this time period. These composite tools allowed tools to be hafted to other items, most commonly wood to create spears, and included triangular flakes, denticulates (tools retouched to form a serated edge), awls used to perferte hides and retouched points and scrapers. Occasional grinding stones and bone points have also been found during this time period The most potent evidence for behaviourally modern stone tools come from the sites of Still Bay (SB) Howiesons Poort dated between 72-71 ka 65-60 ka respectively (Zenobia Roberts, 2009). Among the Still Bay toolkit are bifacial flaked points that probably formed parts of spearheads, whereas the Howiesons Poort toolkits include blade-like tools that were blunted on one side hafted as part of composite weapons. These Middle Stone Age assemblages contain significant evidence of modern human behaviour which is reflected in raw material procurement, exchange patterns, adaptive behaviour, mastery of craftsmanship (Onjala, 2006). Hunting gathering The emergence of modern hunting capabilities is one of the behavioural traits which classify modern human behaviour, there is a great deal of debate as to the effectiveness of the hunting strategies of MSA humans thus weather the individuals of this time period were in fact ‘behaviourally modern’. One argument presented is that MSA individuals were less effective hunters than their LSA successors (Faith, 2008), Klein in his paper The problem of modern human origins argued that this was a result of a major neural change that took place between 50-40 ka, creating humans with a fully modern intellect. Klein believes there were several behavioural technological consequences of this change such as the development of more effective hunting capabilities, the ultimate dispersal of modern humans into Eurasia (Klein, 1994). Most researchers however, maintain that MSA individuals were fully adept hunters thus the emergence of modern hunting skills is one of the modern behavioural traits that appeared during the MSA (Faith, 2008) Many sites from across Africa show accumulation of fish remains from fresh water, brackish marine environments, these sites include Klasies River, Herolds bay Hoedjies Punt open sites among many others. The fish found at these sites are often to large to have been introduced by costal birds therefore point to the development of fishing techniques. At blombos cave, South Africa, these include deep water varaieties pointing to a large increase in technology. Some sites also contain marine mammals such as Die Kelders where remains of Cape fur seals have been found. Inland sites contain remains of many mammals, usually medium sized herbavores such as zebra, eland antelopes, all of which were common during the time period. Unlike the LSA, hunting of larger dangerous animals appears rare, which Richard Klein suggests indicates the individuals of this time period had not developed the technologies to deal with this kind of behaviour. Mortality profiles for animals from the MSA suggest the key target range for hunting during this time period was the young or the old animals which were weak or vulnerable. While hunting is one possible accruement of meat resources it is likely that a large range of meat gathering strategies were used during this time period including scavenging, long distance hunting ambush hunting (Scarre, 2013) Site modification, Art, Ornamentation Symbols A major signifier of modern behaviour is the organized use of space. While this is not common during the MSA there are a few examples of site modification, most commonly arc-shaped â€Å"walls† of stone, possibly created as wind breaks. (Scarre, 2013) Evidence for art, ornamentation symbolism however have been found at several sites across Africa. Many items from sites across Africa have been found to have been intentionally marked with abstract geometric symbols both carved painted (Wurz, 2014). These items most notably include engraved ochre, bone ostrich shell; Engravings paintings beads. Of the engraved items, possibly the most notable from this time period is a ~ 77,000- year-old piece of dark-red ochre with a cross-hatched pattern bounded by parallel lines engraved on one side recovered from Still Bay (Wurz, 2014) while other engraved items include bone from Blombos Cave at Klasies River a bone engraved with four parallel lines has been found (Wilkins, 2010). Egg shell is another item which has frequently been engraved upon, examples include from the site of Diepkloof in the Western Cape, where 270 fragments of intentionally marked ostrich eggshell believed to have been used as containers have been recovered dating to 60kya including geometric motifs such as straight parallel lines, cross-hatching, a hatched band (Wurz, 2014). Other sites including engraved egg shells in their assemblages include Howieson’s Poort Apollo 11 (Wilkins, 2010) Beads as personal ornamentation are the last aspect of art, ornamentation symbolism that will be discussed in this essay. Beads made from shell occur from around 100,000 years ago in some sites in Africa (Wurz, 2014) the most notable of which being the collection from Still Bay at Blombos Cave where over 40 beads made of Nassarius kraussianus shells. Keyhole perforations had been created in each shell, most likely with a bone tool, were then strung worn as personal ornament. Some beds also contain ochre residue, although wether this is from deliberate colouring or from transfer when worn is unknown (Henshilwood Dubreuil). Conclusion The innovative technologies and social practices mentioned above are only one part of a behavioral montage that spread through Africa during the MSA. Rapid advances in human cognition were manifested in material-culture practices not previously observed in the Africa or anywhere else in the world supplying evidence for Africa as the place of establishment of modern behaviour. Evidence Based Care: Hand Hygiene Evidence Based Care: Hand Hygiene Utilising Evidence Based Care This essay endeavours to investigate hand hygiene, and feel I need to gain more knowledge in this field by utilising the available evidence effectively. I also intend to discuss nurse held traditions, customs and rituals. The common method of handwasing is usually with unmedicated soaps, whist an anti-bacterial soap may be used for total hand decontamination. (Hugonnet Pittet 2000). As nursing staff can wash their hands up to forty times per hour, it may be one of the most frequently practiced nursing skills (National Patient Safety Agency, 2004). According to Pittet (2000) healthcare professionals barely reach fifty per cent compliance with handwashing. Holland, Jenkins, Soloman et al (2003) point out that hands are the primary factor is spreading bacteria, especially as they come into contact with body fluids, furniture, dressings and equiptment. During a placement on a surgical ward I witnessed poor hand hygiene and felt I needed to deepen my knowledge of effective and appropriate hand washing to be a competent, safe practitioner. Health care-associated infection is a major cause of morbidity and mortality. Hand hygiene is regarded as an effective preventive measure against transmission of hospital acquired infection between patient to patient (Gould et al (2007). As a health care professional I am aware I must work within the guidelines of the Nursing and Midwifery Council (NMC) and the government body, the Department of Health (DoH). Within this essay I intend to utilise two sources of research, critique them, and use the findings accordingly. The Nursing and Midwifery Council Code of Conduct (2008) states that ‘care and advice to patients must be based on the best available evidence (NMC 2008 p4). Fitzpatrick (2007) states ‘healthcare professionals must demonstrate effective integration of evidence, including findings of research into their decision making. ‘Evidence based practice is the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients. The practice of evidence based medicine means integrating individual clinical expertise with the best available clinical evidence from systematic research ‘Sackett et al (1996). Within evidence available for utilisation is an evidence hierarchy. At the top of the hierarchy are well designed randomised controlled trials. The UK Cochrane Centre specialises in random controlled controlled trials (RCTs). The Cochrane centre operates globally to maintain and publish up to date reviews of randomised controlled tests for health care. (Sheldon and Chalmers 1994). Hamer (1999a) also states that randomised controlled trials (RCTs) are frequently called the gold standard of research evidence. The Cochrane Centre work out the validity of research by grading them. Grading starts at A-C, A being the highest score, and showing it has met all the quality requirements (Mulrow Oxman, (1997). Hierarchies are also used in clinical guidelines, graded by both standard of evidence and recommendations. The highest standard of evidence grade, matched by the highest recommendation grade, suggests superior validity and ought to be considered to be implemented in practice (Cook et al, 1992) Research evidence appropriateness can be based on how the data was collected. Examples of different research designs are RCTS, case-controlled studies, cohort studies, professional, or qualitive. The two research paper I am examining use a mix of methods. Lockett (1997) claims evidence-based practice is a combination of scientific and professional practices. The ‘evidence -based aspect refers to scientific rationale and the ‘practice part refers to behaviour of the healthcare professional (Lockett 1997). The importance of evidence -based practice is highlighted by Hamer (1999b), stating the primary aim is to aid professionals in effective decision making to reduce ineffective, inappropriate possible hazardous practices. This would suggest, as with guidelines set out by the NMC that the use of evidence-based practice has much rationale. The American Nurses Association (2003) points out that in order to enable nurses to tally with the expectations of society, a strong evidence base for practice is essential. Furthermore, for nursing to be recognised a genuine profession, it is essential to have all of its practices based on evidence (Royal College of Nursing 1982). Once a topic had been chosen to explore I conducted a search via databases. I found initially to use solely the term handwashing, which yielded a surplus of data. I set the date parameters on the search to the last 5 years to maximise the validity of the research, which not only provided more suitable data, but narrowed the search to yield less results. This facilitated the search for relevant research. I added other words to the search, such as compliance and the word and/or. Also truncation was used, this maximised the search further. Especially as there are many variations of the work handwashing. Furthermore, handwashing was not the only term used to describe handwashing, hand hygiene was also used. This too, yielded successful results. The term nurse was also added, this too was truncated to nurs*, which allowed terms such as nursing, nurses, nursed to be detected, thus increasing the probability of locating the desired results. I set the parameters to detect full text and on the English language. As I am not accustomed to using databases I sought the advice of the librarian, EBSCO, CINAHL and BNI were recommended resources. Also the Cochrane library has been praised as the gold standard in randomised controlled studies. As randomised controlled studies are at the top of the hierarchy of evidence I decided to seek a randomised controlled study. I found located the primary piece of evidence from the Cochrane library. On this occasion I did not use main stream search engines, although I would consider using a search engine in the future to find research. Fitzpatrick (2007) claims internet searches engines can yield credible results. My second piece of research was discovered on Ovid. Once selected, Ovid requires users to select databases within that database. I excluded paediatrics as this was not relevant to the search. |Interventions to improve hand hygiene compliance in patient care conducted by Gould (2007) is the selected primary source. The quality of the abstract was clear, with sub heading, and reflected the aim of the paper and its content. The objectives were to assess the long term success and improve hand hygiene compliance and to determine whether a sustained increase in hand hygiene can lower hospital infections. This was relevant to my search as this is an area I wanted to increase my knowledge on, and utilise in practice, if the research is deemed valid and credible. The types of studies used were randomised controlled trials (RCTs), controlled clinical trials (CCTs), controlled before and after studies (CBAs) and interrupted time series analyses (ITSs) meeting the requirements of the Cochrane Effective Practice and Organisation of Care Group (EPOC).The research is a systematic review. According to Mulrow (1995) systematic reviews do the ‘hard work of critiquing the research so time limited health care workers can access valid data. Systematic reviews are the gold standard of research (NHS Centre for reviews and Dissemination, p.1 1996): ‘Systematic reviews locate, appraise and synthesis evidence from scientific studies in order to provide informatative, empirical answers to scientific research questions. Muir Gray (1997) and Sackett et al (1997) claim randomised controlled trials are thought to be the most dependable and trustworthy source of evidence. I interpret the above as indicting the research may be of a high standard to meet the criteria of the Cochrane Effective Practice and Organisation of Care Group (EPOC). Although the research paper is not yet fully critiqued, this is a positive validity indicator. The participants were target groups, of doctors and nurse. Theatre staffs were excluded due to different hand hygiene techniques being used. To exclude theatre staff was relevant as hand hygiene is part of the ‘scrubbing in ritual, and if included may have caused inaccurate results. Data collection and analysis was conducted by two reviews, and they accessed the data quality. All of the data they had gathered was via databases searches, and two studies out of over seventy five met the criteria review. The author concluded no implications for practice, as the review had not been able to provide enough evidence. The implications for research were more studies are urgently needed to evaluate improvements to hand hygiene. The biasness of the paper is not easy to find out as I could not discover the professions of the researchers. It could be suggested that if they were nurses, this could create a potential for bias. When searching for this primary piece of research I did not need to be concerned about UK and American spellings are the words used did not have UK American versions. However in future I would chose to look for both to show abundant data. The keywords used for finding this particular piece were, hand*, hygiene, wash*, comlianc*, concordanc* and nurs*. Quantitive research sample sizes normally exceed one hundred participants. Interviews or questionnaire have set questions. Data is usually recording statistically (Siviter 2005). The data within this research was presented in tabular form. The CASP (2006) quantitive tool was utilised in the critiquing of this research. Had the research paper been qualitive, I would have used the CASP quantitive tool. This is a valuable and effective tool in analysing the research for strengths and weaknesses (Hek Moule 2006). Although on this occasion I used CASP to critique the paper I would in future consider using other critiquing frameworks, such as Bray and Rees (1995) and Benton and Cormack (2000) or Popay et al (1998). As to if the research was ethical or not is indistinguishable as no consent issues arose as all evidence was found via databases. Although, consensual issues are not the only ethical issues to be considered. Beauchamp Childress (1994) claim healthcare ethics is when moral issues and questions are raised within the healthcare realm. Respect to an individual values and beliefs are a part of being ethical. However in terms of the primary research paper there are no visible signs of a breach of ethics. The results show that both the randomised controlled trials were poorly controlled. One trail shows an increase in hand washing compliance four months after interventions. The second trail has shown no post intervention increase in hand hygiene. The author found both samples were of low quality and was conducted over a too small time frame. The author concludes there is not any strong evidence to make an informed choice to better hand washing. According to the author, one off teaching sessions will not expected to make any lasting changes to compliance. Further robust research is recommended by the author. Therefore, currently from this research there is inadequate data that could be utilised in evidence-based practice. ‘Hand hygiene practices: student perceptions is the second piece of research chosen. This is a qualitive piece of research. The aim of the research was clear from the abstract and the title. Student nurses were interviewed to gain depth of data. Student nurses were also guaranteed anomity, which may have assisted the researcher gain rich data. Had the researcher chose a quantitive methodology, it would have been complex to achieve students perspectives. The NMC (2008) praises qualitive research methods as they respect patients individuality and feelings in the way nursing staff are presumed to, and is suitable for nursing research. According to Parahoo (2006), qualitive research may be considered to be of less value than quantitive research. Another positive aspect of qualitive research is the broad picture it provides, history, context, and the causes ( Blaxter, Hughes Tight, 2006). Siviter (2005) defines the average qualitive research sample size as fairly small, with an average of fifteen to twenty. Data is usually gathered through semi-structured interviews and open ended questions. The researchers who conducted the research are both nurses and have a professional interest in the paper, and it is noted that the possibility of bias could occur. This was recognised by the nurse researchers. Evan (2003) Hierarchy of evidence concludes case studies lack validity in comparison to random controlled trials and systemic reviews. A barrier to utilising research to support evidence-based practice may be lack of knowledge and skill. Hundley et al (2000) noted that although attempts are being made to incorporate research education into current nurse curriculum, poor analysis skills are still a barrier to reading research. Hundley et al (2000) also states time is a primary barrier to utilising evidence-based practice. Retsas (2000) offers advice in conquering the time barrier, advising organisations need to increase time to study in order for evidence-based practice to be achieved. Issues with autonomy, or lack of, have been suggested as potential barriers in the implementation of nursing research. Doctors were named as a potentially obstructive (Lacey 1994). Shaw et al (2005) suggest that to know and understand possible barrier and enablers to utilising evidence is critical in the identification of evidence-practice gaps. Grol and Wensing (2004) discuss the many different enablers and barriers that might be foun d when change is attempted to be implemented. These range from awareness, knowledge, motivation to change and behavioural routines (Grol and Wensing 2004). Traditional rituals within nursing are a barrier to implementing evidence -based practice. Walsh and Ford (1990) define rituals as: ‘Ritual action implies carrying out a task without thinking it through in a problem-solving way. The nurse does something because this is the way it has always been done. The nurse does not have to think about the problem and work out an individual solution, the action is a ritual. Billy and Wright (1997) defend rituals, claiming some are healing, and have some positive outcomes. Parahoo (2006b) argues that rituals are when practice rationale is forgotten. Thompson (1998) discusses the research-practice gap, claiming there is a gap between knowledge and practice. This would indicate there is a gap between producers and users of research (Caplan 1982).Larsen et al (2002) argues that the research-practice gap does not exist in nursing as it is not an evidence-based profession. One way of passing on the message of evidence-based practice is through clinical guidelines. Woolf et al (1999) clinical guidelines improve quality of decisions made by healthcare professionals, although a downfall may be recommendations are wrongly interpreted. A First Class Service (Department of Health, 1998) summarizes the government ideas for improving evidence base, and how to implement the findings. This indicates the governments recognition of the benefits to quality of care, and its links to evidence-based practice. Since then the government has included evidence-based practice in its strategies, such as NHS Research and Development in 1992 and Making a Difference in 1999. Evidence-based healthcare was at the core of these strategies (Department of Health, 1992). In the North Bristol Trust the ‘Clean your Hands campaign is in use. This was implemented by The National Patient Safety Agency; Alcohol gels were put all around the trust, in an attempt to make hand hygiene facilities more accessible. Nursing staff also wore ‘its ok to ask badges; encouraging patients to remind busy staff to wash their hands (Infection Control Policy and Manual North Bristol Trust, 2006). In conclusion I have learnt there is a colossal sum of research to be potentially be utilised in practice. From accessing valid data, to having the time to critique research once in practice, to trying to implement change when in practice, I have realised there are many obstacles to achieving evidence-based practice. Research should always be analysed to establish whether or not the data it produces is valid and if it ought to be implemented in practice or not. From the two research papers I have analysed I found that neither were valid enough to consider implementing in practice. I have also learnt that change within health care is not as easy to implement as I have previously thought, many parts of the interprofessional team must be involved. Managers are key to helping change take place. I do still believe that effective handwashing is definitely one of the most effective measures in the role of infection control. A valid, robust research paper on this essential nursing skill would aid effective hand hygiene, as currently many research paper out there do not make the grade for them to be implemented in practice. From this I have learned a valuable lesson that just because research is there, does not necessarily make it credible and valuable. 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Fitzpatrick, J (2007) Finding research for evidence-based practice. The development of EBP. Nursing times.net vol 103. P32-33. (accessed online October 2009) Gould D, Chudleigh JH, Moralejo D, Drey N. Interventions to improve hand hygiene compliance in patient care. Cochrane Database of Systematic Reviews 2007, Issue 2. Art. No.: CD005186. DOI: 10.1002/14651858.CD005186.pub2. Hamer. S (1999a).Achieving evidence-based practice. A hannbook for practitioners. Bailliere Tindall. RCN. p19 Hamer. S (1999b).Achieving evidence-based practice. A hannbook for practitioners. Bailliere Tindall. RCN. p6-7 Hek, G., Moule, P. (2006). Making sense of research- An introduction for health and social care practitioners (3rd ed.) London: Sage Publications Limited. Holland K., Jenkins J., Soloman J., Whittam S. (2003) Applying the Roper, Logan, Tierney Model in Practice, London, Churchill |Livingston. Hugonnet S., Pittet D. (2000) Hand hygiene-beliefs or science? 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Cochrane Databaese Syst Rev. 2005 (3); CDOD5470. Siviter. B, (2005) The student nurse handbook, Elsevier, China. Sheldon, T. Chalmers, I. (1994). The UK Cochrane Centre and the NHS Centre for reviews and dissemination: respective roles within the Infromation Systems Stratagey of the NHS RD Programme, coordination, principles and underlying collaboration. Health economics, 3 201-203. Thompson M A (1998) Closing the gap between nursing research and practice. Evidence-based Nursing, 1, 1;17-18. Walsh M and Ford P (1990) Nursing Rituals, Research and Rational Actions, 2nd edn (Oxford; Heinemann Nursing). Counterculture Analysis: Irish Mob Counterculture Analysis: Irish Mob Gary Smith A counter culture is a group of people that reject the values, norms, and practices of the larger society and replaces them with a new set of cultural patterns (Thomas). The Irish mob for example is considered one of the biggest counter cultures there ever was because of their organized crime. The Irish mob is also the oldest organized crime group and biggest. The Irish mob had gangs in New York, Boston, Philadelphia, and even Chicago (City Data). The Irish Mob consisted of many different individual gangs that had some really big names in them. The winter hill gang was a gang founded by James buddy Mclean and consisted of mostly Irish and Italian Americans. Some of the biggest names of the Irish mob where in this gang at the times such as Buddy McLean, Whitey Bulger, Howie Winter, Johnny Martorano, Joe McDonald, and Stephen Flemmi. The winter hill gang got their name from a journalist and because they lived in the winter hill neighborhood in Somerville Massachusetts. James buddy Mclean was a truck driver and the founder/leader of the winter hill gang (PRWEB). Mclean had a reputation for being a great street fighter which initially earned him his respect as being the gang founder and leader. Mclean and his gang (The winter hill gang) would soon begin to dominate Boston when it came to running numbers, loansharking, and even hijacking (PRWEB). Mclean was murdered in 1965 as he was shot in the head by Stevie Hughes which put Howie Winter in command of the winter hill gang however that didnt last too long because soon after Howie Winter was sent to prison for 5 years putting Whitey Bulger in charge of the Winter Hill Gang (George). Whitey Bulger took over the winter hill gang after the death of the former well respected boss James Buddy Mclean who was shot and killed in 1965. As well as being the winter hill gangs leader he was also a FBI informant. In 1956 Whitey was sentenced to 25 years in prison for numerous bank robberies (Guest). Although he was sentenced to 25 years in prison he only served 9 years and soon after returned to his regular life in Boston where he would join the Winter Hill Gang. In 1979 Whitey took over the winter hill gang and began to control Bostons drug dealing, bookmarking, and loansharking. As an FBI informant Whitey began feeding the police information on other gangs such as the Patriarcas which was a New England organized crime family. The police brought the Patriarcas down with the help of Whitey which made the Winter Hill Gang even more powerful that another family was gone. Whitey got into trouble with police and decided to go on the run which lasted until June of 2011 when he wa s arrested after 16 years. Whitey was sentenced to two life sentences plus five years in prison in November of 2013 (globe). The Irish gang war was a war between the winter hill gang the McLaughlin gang. The dispute occurred after one of the member of the McLaughlin gang tried to pick up one of the Winter Hills gangs girlfriends and ultimately got beat up so badly for it they dropped him off at the hospital (Evan). When Bernie McLaughlin went to talk to the Winter Hills Gangs leader who was James buddy Mclean at the time to figure out what had happened and who was involved he became very frustrated when Mclean wouldnt tell him exactly and he quickly made enemies with the wrong people which led to his in Charles town city square where he was killed by the winter hills gang leader himself James Buddy Mclean (ignatiev). The Irish Mob was considered a counter culture because of the way of members chose to live their life. The Irish Mob was one of the biggest structures when it came to organized crime which put them outside of the norm. Constantly breaking the laws society saw them as an outcast and even feared them. Members of the Irish mob believed that they had to take apart in the organized crime so that they could take care of themselves and their families. Most members of the Irish Mob are brought in by family or friends. They know what they are doing is wrong but do it any way as a way of life even if it means killing somebody. Ethnocentrism is when one views its own culture and or group as superior to others (Thomas R13). Ethnocentrism existed in all organized crime and especially in the Irish Mob. Because every gang thought they were better than other conflicts constantly occurred between them which is whys gangs are always fighting each other. The Irish Mob has their own ways of handling things which is cultural relativism. Cultural relativism is the belief that cultures should be judged by their own standards (Thomas R11). The Irish Mob behave and act the way they do because they believe that it is the only way to live. Individual members of the mob make it their job and there only way to receive income. Because this is the only way to take care of themselves and their loved ones they think that it is ok to commit these crimes.   Every Mob and or gang has their own way of handling situations and conflicts such as when somebody in their group decides to rat them out to the police some gangs might kill him on the spot while others torture him. In my opinion the Irish Mobs way of life is not acceptable and should not be tolerated in the American society. The Irish Mob are held accountable for numerous deaths that took place killing other gang members and even innocent citizens whether it be on purpose or accident its not acceptable. The Irish mob also have been known for selling illegal drugs such as cocaine. The Irish Mob are known for being the oldest organized crime group and also one of the biggest and had some of the biggest Mobsters such as Whitey Bulger who is considered to be one of the biggest and feared mobsters who ever lived. References   City Data. 13 july 2013. 11 march 2017. Evan, Andrews. History. 14 june 2014. 11 march 2017. George, Hasset. Gangs of Boston. strategic media books, 2013. globe, Boston. boston. 2017. 11 march 2017. Guest, Emily. Irish Central. 4 Augest 2010. 11 march 2017. ignatiev, Noel. The divide between blacks and irish. 17 march 2010. 11 march 2017. PRWEB. PRWEB. 10 september 2015. 11 march 2017. Thomas, W. sociology the study of human relation ships. Austin: Holt,winston, 2003. 39. textbook.