Tuesday, December 24, 2019

Contrast Of Romeo And Juliet and West Side Story Essay

Works Cited Missing Three Hundred Fifty Years of Blind Love: A Contraposition of Shakespeare and Robbins’ Romeo and Juliet Andy Warhol once said, They say that time changes things, but actually you have to change them yourself. Two hundred fifty years passed between the original Romeo and Juliet and the premiere of West Side Story on Broadway in 1957. However, time did not change the message of the story, simply the creators’ unique visions evolved. Shakespeare’s delivery of the timeless tale of desperate love in his classic Romeo and Juliet proves to only intensify through retelling and modern interpretation. Audiences cherish Romeo and Juliet as one of the most beloved plays of all time from the Elizabethan Age to the present.†¦show more content†¦The mischievously tomboyish Anybodys, who desperately wants to be a Jet, would best fit into the role of Balthasar, since it was she who aided Tony in escaping after the rumble, as well as later informing the other Jets that Ton y was being hunted. Finally, the character of Doc appears to fulfill the role of Friar Laurence because both possess somewhat of a peacekeeping nature. Doc attempts to get through to Tony by dramatically pleading, Why do you live like there’s a war on? Why do you kill? (2.5). All of the characters are consistent to the heart and soul of the story as well as the slightly differing plots. West Side Story maintains Romeo and Juliet’s intricate and exciting plot using appropriate adaptations to accommodate mid-twentieth-century pop culture. For instance, both artistic forms portray mutual disrespect between the parties. At the dawn of Romeo and Juliet, Capulet’s cohorts harass Montague’s. I will bite my thumb at them; which is a disgrace to them, if they bear it, boasts Sampson (1.1.42-43). In the opening scene of West Side Story, several members of a Puerto Rican gang insult A-rab, a member of the opposing gang. It is here where Lieutenant Schrank becomes aware of the potential rumble. In Romeo and Juliet Escalus, Prince of Verona, threatens, If ever you disturb our streets again, your lives shall pay theShow MoreRelated Romeo and Juliet / West Side Story - A Comparison / Contrast1008 Words   |  5 Pagesnbsp;nbsp;nbsp;nbsp;nbsp;Shakespeares Romeo and Juliet and West Side Story both have a lot in common as well as major differences that set them apart. Although West Side Story is a direct rendition of Shakespeares original play, many of the themes and symbols are altered to fit the modern perspective. The characters have a direct correlation to each other, yet racial issues give them a new light. Many of the events also reflect each other, yet small differences give them uniqueness. West Side Story differs from Romeo and JulietRead MoreSimilarities And Differences Between Romeo And Juliet And West Side Story1025 Words   |  5 PagesShakespeares Romeo and Juliet and Arthur Laurents West Side Story both have a lot in common as well as major differences that set t hem apart. Although West Side Story is a direct rendition of Shakespeares original play, many of the themes such as love, and conflict are altered to fit the modern perspective. The idea that blinded love and sheer hatred can lead to rash decisions is very present in both storylines. Romeo Juliet and West Side Story both portray love and conflict throughout theirRead MoreA Comparison Of Beyond The Love Story And West Side Story1483 Words   |  6 Pagesthe love story People are always rewriting other people’s stories - consciously or unconsciously - cutting and trimming, pasting, rearranging, and adjusting to new times and circumstances, sometimes adding truly creative elements and occasionally actually improving on the original. The Tragicall Historye of Romeus and Juliet which was a narrative poem by Arthur Brooke is considered to be William Shakespeares base source for his famous play Romeo and Juliet (Mabillard). West Side Story (1961) isRead MoreRomeo and Juliets Love1469 Words   |  6 PagesRomeo and Juliet’s love was doomed from the start. Juliet’s lust for power ( Thats a very interesting idea. I only thought she had the boy-girl kind of lust. ) was destined to destroy her relations with Romeo.   Capulet forces (betroths) Juliet to marry Count Paris, a man she does not love.   When she refuses to marry him, Capulet threatens his daughter and says, â€Å"†¦get thee to church o Thursday, or never after look me in the face†. This causes Juliet to take her own actions against his (her?)   father’sRead MoreWest Side Story Compared to Romeo and Juliet3084 Words   |  13 PagesWest Side Story written by Arthur Laurents is actually a modern adaptation of Shakespeare’s Romeo and Juliet. The West Side Story is set in Upper West Side Manhattan. It is about rivalry between two teenage gangs of different backgrounds. Anton, a member of the white gang, fell in love with Maria, the sister of the leader of the rival Puerto Rican gang. Romeo and Juliet is undoubtedly the most popular romantic love story to ever hit the literary world. It talks about intense passion between theRead MoreEssay on Consequences of Love and Hate Explored in Romeo and Juliet1075 Words   |  5 PagesWilliam Shakespeare, the play Romeo and Juliet is written in a poetic disquisition that distinguishes many timeless themes. These themes transcend the boundaries of this perennial classic into the foundation of many prevailing modern-day literary workings. Shakespeare wrote Romeo and Juliet in the late fifteen hundreds in the riveting city of Verona, Italy, where it has since been revered as one of the most preeminent and recognized play’s in history. Romeo and Juliet explores the extents of humanRead MoreComparison Between Act 3 Scene 1 in Franco Zeferellis Romeo and Juliet and in Baz Luhrmans Romeo and Juliet621 Words   |  3 PagesZeferellis Romeo and Juliet and in Baz Luhrmans Romeo and Juliet I am going to compare the two pieces of Romeo and Juliet, Act 3 Scene 1 that I have been studying for the past few weeks. I have been looking at; Camera shots, setting, special effects, moods, costumes, characters, etc. These things are severely thought of by the director before and during the making of the film. I have been looking at Baz Luhrmans Romeo and Juliet and Franco Zeferellis Romeo and JulietRead MoreThe Ways that Shakespeare Makes Act 1 Scene 5 of Romeo and Juliet Dramatically Effective1936 Words   |  8 PagesThe Ways that Shakespeare Makes Act 1 Scene 5 of Romeo and Juliet Dramatically Effective The play ‘Romeo and Juliet’ was written by a well-known person called Shakespeare in 1595. In the play Shakespeare has dramatically presented the tragic story of two family’s enemies. The whole play revolves around the two major themes of the play which are love and hate. Both themes have an astonishing effect on the play. If we put these two themes together it develops in to a tragedyRead MoreTo Explore and Examine the Different Forms of Love Within Romeo and Juliet1908 Words   |  8 PagesRomeo and Juliet was written by William Shakespeare as a play for the theatre. William Shakespeare took his idea from an Italian folk story and is heavily influenced by sonnets which where developed by Francesco Petrarch an Italian poet. Shakespeare took most of his inspiration for Petrarch for demonstrating love with in the poem. William Shakespeare wrote most his plays with three main themes. These themes are gang warfare, Young love and a moral in the tale. William Shakespeare is now widelyRead MoreAppropriation of Romeo and Juliet by Shakespeare and Romeo+Juliet by Baz Luhrmann2533 Words   |  11 PagesDiscuss the appropriation of ‘Romeo and Juliet’ by William Shakespeare and ‘Romeo+Juliet’ by Baz Luhrmann Texts and ideas from texts are appropriated and transformed into other text forms and other compositions in a different context. An appropriation is a text that is appropriated or taken over by another composer and presented in a new way. ‘Romeo and Juliet’ is a well-known high culture text that is a tragedy about two young star-crossed lovers whose deaths ultimately unite their feuding families

Monday, December 16, 2019

Are we at the end of social housing Free Essays

string(33) " it can control their financial\." 1. Introduction The essay will try to answer for one question: Are we at â€Å"The End of Social Housing†. To understand good this problem the meaning of social housing should be presented, short history of this occurrence. We will write a custom essay sample on Are we at the end of social housing? or any similar topic only for you Order Now As it is presented in next chapter the beginning of social housing grew out of human’s help. At the beginning it didn’t bring any material profit. People did it to help other poorer people. Social housing whole time is integrated with politics, government and local leaders decisions. The most successful actions are taken when are consulted with people which need this help and people from their local neighborhood. Even the poorest people need place when they can spend their life in good, silent and suitable conditions. During the years it has changed, first social houses built and management by government than enter to the market more and more private landlords. At the end of this essay author will try to answer on this difficult question. 2. Social housing To start answer for this question it should be presented definition of social housing and short history associated with this terminology. 2.1. Social housing definition â€Å"Social housing is housing that is let at low rents and on a secure basis to people in housing need. It is generally provided by councils and not-for-profit organisations such as housing associations† (Shelter 2009). 2.2. History of social housing The beginning of social housing was in 19th century in London. In the 1888 was created London County Council and in 1890 legislation for other Local Authorities. The idea was to build houses and give help during building process for people in needed. Before this time there were just some acts when individual people helped another people to find or build houses. In the 1900 was opened first social housing estate called: Boundary Estate in Bethnal Green. Houses were small but people had much higher standard than in old houses in this place. One of the problem in this social housing estate was that death rate was very high. By the 1914 it was built by Local Authorities just 24 000 social homes. People leaving in poor households in uncomfortable conditions, people with health problems, families with many members received little financial support from local sources. During the First World War city’s population increased rapidly. It was the effect of demand for workers in munitions factories. Landlords increased rents because demand for housing was high. As the result people want on streets and protested for wage increase. In the 1919 Housing and Town Planning Act passed by the Liberal Government confirmed rent controls. It was the time for Local Authority housing to build houses for rent. To the 1929 government, in his program â€Å"Homes for Heroes† build 250 000 homes. In the 1923 Conservative Government sought to introduce legislation which were going to involvement of the private sector with subsidies to build to rent. Change of government in the 1924 has not led to these changes. Rent control has been suspended so the private sector recorded high growth in housing building. Before the Second World War there ware build about 600 000 social homes. The devastation of the Second World War many cities were built anew. New roads were determined, the redevelopment of many town centers was planned. Easy reach from residential place to place where people w ere working was very important. Planning the building social houses process was one of the major topic of political quarrel. In the 1962 Minister for Housing and Local Government Keith Joseph set the target of 400 000 houses a year, as it was turned out it was impossible. During the building process, many times, attached more attention to quantity than quality. Between 1955 and 1970 there were build new Local Authority flats for indigent people. In the 1965 Labour Government introduced Rent Act containing stricter rent control. Between 1945 and 1965 year, 2.9 million social housing houses had been build. In the 1980 the total number of social housing units was round 5.5 million units it was 32% of housing stock. About one third (1.8 million) of all social houses were sold up to year 2008, what made sold houses as part of the regular housing stock. The number of new social homes decreased from 100,000 houses/year in 1970s to 30,000 houses/year in 1990s. In years 2006-2007 the number of new homes was 44,000 houses/year. Social home building has been almost exclusively carried out by housing associations (Greenhalgh Moss 2009:17-24). 2.3. Existing system Nowadays government is looking for savings in many sectors as f.eg. social housing. In many newspaper’s articles people can find information about cuts in social housing budget in England. Those cuts can be at the level of 50%. There are many voices that it can mean the beginning of end of building new social houses. The government transferred in 2009-2010 ?3.3 bn on new 30,877 low cost rented properties and 22,079 new cheap homes to buy trough the Homes and Communities Agency quango (BBC News 2010). The government meets also problems when some families with many members live in small houses and in next house there are family with bigger house and empty room. It is one of challenge for government to maximum use of rooms and houses. Author of this article give us the number of eight million tenants in social housing in England (BBC News 2010). In another article author presents prime minister’s opinion. David Cameron note that it is a problem for how long people need c ouncil home (Wintour 2010). How long time people need to earn enough money to move to private sectorThere are many other questions like if people will know their family budget will increase and they will be moved to private sector they will workThose questions aim at shorter waiting list for council homes. Prime Minister David Cameron suggested that tenants in England should get just fixed-term contracts it can control their financial. You read "Are we at the end of social housing?" in category "Essay examples" After the expiry of the contract it can be reassigned or the tenant should go to private sector (Wintour 2010). Housing charities said that it can be big problem when poor people will not work, because of financial circumstances will be better (Macmillan 2010). In the same article Sarah Webb, CIH Chief Executive presented own opinion that people should have chance to chose how long contract term will last. Shorter period contracts can be more adequate for people with tempora ry problems, longer terms can be suitable for older people and people with health problems. 2.4. The Localism Bill as a new era of people power The Bill was presented to Parliament on 13th December 2010 than on 17th January 2011 the House of Commons debated the most important principles of the Bill. The Commons determined that the Bill should be given its Second Reading and sent to a Public Bill Committee for scrutiny. The Localism Bill Committee took written evidence and heard oral evidence, before considering the Bill clause by clause. As the result the Committee’s consideration of the Bill finished on 10th March (Parliament 2011). There are presented means by which Government will increase the weight of local democracy (Communities and Local Government 13 December 2010): – Devolving significant new powers to councils. New tasks for town halls, freedom and flexibility in government, based on striving to satisfy local people’s needs. Councilors will representative the local residents. Strong local leader will be elected for a term to govern. – Establishing powerful new rights for local people and communities. Local people and communities will have bigger power and they will have more to say over area where they are living. Local people and communities will discuss local problems like new buildings, if it is needed to build shops in area, cultural places (like swimming pools, libraries, medical centers, discos etc.) They will also have the right to veto excessive council tax rises through referendum. – Radically reforming planning. Infrastructure Planning Commission will be replace by local government and public opinion. New estates can’t be build without consent of local residents. – Making housing fairer and more democratic. The Bill will put councils in charge of allocation and tenure of social housing. This will allow to maximum use all social houses for the needs of local people. This institution will also take care of homeless people. – Creating powerful incentives for economic growth. This part gives opportunity to develop local economy. Local government will have bigger share in financing local projects. Local businesses will be able to count on lover taxes. There are many politics’ opinions about New Localism Bill. Decentralisation Minister Greg thinks that the Bill will give new rights allowing local people to create places where they live. He thinks that they know the best what people in their areas need and they will meet the expectations of people and their neighborhood (Communities and Local Government 13 December 2010). Housing Minister Grand Shapps talk about new chance for social housing market. It is time to change whole system, build it from scratch. Government should use vision and ambitions local authorities. Grant Shapps notes that council will now be able to manage social housing in a way that provide local people calm and save live, in spite of poor household budget, as long as they need it (Communities and Local Government 13 December 2010). Third opinion is delivered by Communities Minister Andrew Stunell, one of the most important feature is that in the New Localism Bill the power will be put in the hands of rea l people, empowering local communities and placement heart of decision making it their hands. Each decision will go out of their initiative, depending on the needs of society (Communities and Local Government 13 December 2010). In all featured opinions decentralisation is presented as a major step to improve the quality of human life. 2.5. The Localism Bill and social housing The Bill will give more power and control to local council. Local council can make more decisions during housing and planning processes. It will be easier to help people to social house. Local government knows better needs of residents. Local authorities will determine who can apply for social house. Any complains about landlords will be dealt also by local authorities. New Localism Bill will also provide for a new form of flexible tenure for social housing tenants (Parliament 2011). Minister for Housing and Local Government Grand Shapps presented details of new Localism Bill in his article â€Å"Localisms Bill and social housing† (Communities and Local Government 9 December 2010). Government is going to increase number of Affordable Rent houses. This model will be offered by Private Registered Providers of Social Housing. The Bill will include many reforms that will devolve greater power and freedoms in decisions making to local councils and neighborhoods. It will also cover planning system and all decisions connected with housing. Affordable Rent will give social landlords more rights in social housing market, this will help to meet the needs of number social houses. In the 2011 it will be shown by The Homes and Communities Agency the document with offers addressed to private landlords which will offer Affordable Rent. The main task for Affordable Rent is to enter new houses on social housing market and the best potential of use public subsidy and houses which exist on the social housing market. Second task is to introduction of a diversified supply, make an alternative to traditional offer. Affordable Rent is located within the definition of social housing in section 68 of the housing and Regeneration Act 2008. Local council will participate in local social housing market. Sale of public houses will be carried out for their knowledge and consents. Housing associations will be able to let an Affordable Rent goods at up to 80% at market rent in the same area and building size. It is determined by the special method of valuation. The Government gave some suggested about greater flexibility to the local authority and housing associations landlords about the types of tenure they can offer to social housing. It is the beginning of new ideas in social housing area, Housing associations can offer their houses (Affordable Rent) for specified time but also for whole life time. Government is still working to make Affordable Rent as easy and friendly for people as it is possible (Communities and Local Government 9 December 2010). 3. Conclusion The shape of social housing depends on situation in country. From the beginning of first social houses to this time it has changed many times. In student’s opinion it is hard to answer for question: â€Å"Are we at the end of Social Housing?† yes or not, but he will try. Needed people can rely on government in difficult situations. But government must classify who can get place in social houses. The country’s budget creates also quality of help, number of new building social houses and shape of future politics in this aspect. Nowadays government is looking for savings in many areas, unfortunately also in the social housing. Social help from government depends on prosperity of the country’s financial, richest countries have got well developed social assistance. That is why on this marked in Britain came many private landlords with their offers. In student’s opinion it is not the end of social housing in Britain. It has just changed the kind of help due to recession. During whole history of the social housing there were many changes. The social housing had change from small people’s philanthropy to very wide state venture. The budget of this venture was also different in each time. In difficult time for country like war social housing system was working, people were living in social houses, they had assistance from government in the form of house. Of course it is understandable that it is not enough number of the social houses. That is why government is going to control families financial situation, when it is better the place should be vacate for next family (Wintour 2010). One idea hasn’t changed during this social housing history, that it is made to make world better and help people, it doesn’t meter who is the house owner but how people in this house feel. Author hope that it will be continue and it will not change in the future time. 4. References Shelter The housing and homelessness charity (2009) ‘What is social housing?’ [online] available from [25 September 2009] Greenhalgh, S. , Moss, J. (2009) ‘Principles for Social Housing Reform’. London: Localis, 17-24 Parliament (2011) ‘Localism Bill 2010-2011’ [online] available from [10 March 2011] Communities and Local Government (2010) ‘Localism Bill starts a new era of people power’ [online] available from http://www.communities.gov.uk/news/newsroom/1794971 [13 December 2010] Communities and Local Government (2010) ‘Localism Bill and social housing’ [online] available from http://www.communities.gov.uk/statements/corporate/localismbillsocial housing [9 December 2010] Wintour, P. (2010) ‘David Cameron announces plan to the end lifetime council tenancies’ [online] available from [3 August 2010] BBC News Politics (2010) ‘Social housing budget ‘to be cut in half’ [online] available from [19 October 2010] Macmillan, R. (2010) ‘Analysis of social housing policy shake-up spelling end of ‘home for life’’ available from [22 November 2010] How to cite Are we at the end of social housing?, Essay examples

Sunday, December 8, 2019

Morning star Essay Example For Students

Morning star Essay This passage is shortly after Elie and his father have arrived at Birkenau camp, and are now going to be transferred to Auschwitz. The main themes that are developed in this short passage is the loss of self-identity, hope, disbelief and the swiftness with which everything occurs, although there is one short paragraph that demonstrates some relief and humor that Elie finds in his neighbors. The page has two white spaces that separate several paragraphs, and they usually signify a transition from hopeless thoughts to the beginning of a new day or a different train of thought. Much of the literary style used reflects some of the themes present in the passage. For example, as they are leaving their barrack, the line Disinfection. Everybody soaked in it. Then came a hot shower. All very fast, gives the effect of hurriedness and panic by using a single word and abrupt, harsh narrative that gets straight to the point, and this is then emphasized further by the statement All very fast, which mirrors the literary style and the rapidity of events. This use of quick, short lines makes it seem as though it is all happening so fast that theres only time to think in this shortened note form, which stresses the feeling of panic and blur that Elie is experiencing. In the next paragraph, the sudden use of casual, carefree style as he describes the appearance of the inmates mismatched clothing as pretty strange! puts us off guard and provides some relief from the hurried panic that had just occurred moments ago, however it is almost like an oxymoron in context with the lines preceding it, which are In a few seconds, we had ceased to be men. Had the situation not been so tragic, we might have laughed. Elie is saying that due to their mismatched clothing they no longer looked like men, but the situation was unfit for laughing, and yet with this simple statement, and the use of such informal language contradicts what he just stated and lightens the tragic mood. The syntax of the line is also important as Elie could have chosen to write quite strange, but instead it is pretty strange, as this is more intimate and friendly, and that effectively adds humor to their situation. However, in the following line, Elies father, whos eyes were veiled, seems to be hiding something, perhaps his feelings about their situation, and this metaphor is used to set an uneasy mood, the beginnings of the sense of hopelessness as we wonder why his fathers eyes are veiled. The next paragraph begins to describe Elies first feelings of absolute hopelessness, loss of his own identity and loss of faith. In the first line, Elie narrates, The night had passed completely. The morning star shone in the sky. I too had become a different person. The student of Talmud, the child I was, had been consumed by the flames, and there are many hidden meanings in this paragraph through the use of certain literary techniques. The passing of night is used as a metaphor to refer to himself, and it suggests that perhaps with the passing of night, it was also a passing of himself and the boy he used to be had completely gone with the night, to be replaced with a different person. This also reflects the theme of swiftness, as it portrays how in just the passing of a single night Elie had begun to change into someone different. Furthermore, Elie once again uses a very harsh and abrupt style when narrating The night had passed completely. The morning star shone in the sky. I too had become a different person, with each line following after the other in rapid succession, and this is possibly used to reflect his feelings at the time; feelings of emptiness and hopelessness, and also how everything that led to this situation had happened with quick succession also. .uf5e209326b5d48aee28a4a6bf79037c0 , .uf5e209326b5d48aee28a4a6bf79037c0 .postImageUrl , .uf5e209326b5d48aee28a4a6bf79037c0 .centered-text-area { min-height: 80px; position: relative; } .uf5e209326b5d48aee28a4a6bf79037c0 , .uf5e209326b5d48aee28a4a6bf79037c0:hover , .uf5e209326b5d48aee28a4a6bf79037c0:visited , .uf5e209326b5d48aee28a4a6bf79037c0:active { border:0!important; } .uf5e209326b5d48aee28a4a6bf79037c0 .clearfix:after { content: ""; display: table; clear: both; } .uf5e209326b5d48aee28a4a6bf79037c0 { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .uf5e209326b5d48aee28a4a6bf79037c0:active , .uf5e209326b5d48aee28a4a6bf79037c0:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .uf5e209326b5d48aee28a4a6bf79037c0 .centered-text-area { width: 100%; position: relative ; } .uf5e209326b5d48aee28a4a6bf79037c0 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .uf5e209326b5d48aee28a4a6bf79037c0 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .uf5e209326b5d48aee28a4a6bf79037c0 .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .uf5e209326b5d48aee28a4a6bf79037c0:hover .ctaButton { background-color: #34495E!important; } .uf5e209326b5d48aee28a4a6bf79037c0 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .uf5e209326b5d48aee28a4a6bf79037c0 .uf5e209326b5d48aee28a4a6bf79037c0-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .uf5e209326b5d48aee28a4a6bf79037c0:after { content: ""; display: block; clear: both; } READ: The adjective melodramatic EssayIn addition to this, the morning star that shone in the sky after the passing of night could be a metaphor for the flames that had consumed the part of Elie that was the student of Talmud, signifying the emptiness inside him and the feelings of the loss of faith. Elie then narrates to us in the next paragraph how he felt like everything had happened so fast that it was almost like a dream and how it was almost too horrifying to believe. The use of abrupt syntax and rhetoric in the lines When had we left our home? And the ghetto? And the train? Only a week ago? One night? One single night? exaggerates the sense of a loss of time and disbelief at the swiftness of events how so many distressing things had happened to him and his father in just one single night. He also uses tautology in the following lines when questioning himself how long theyd been standing in the cold, One hour? A single hour? Sixty minutes? , and again this emphasizes the sense of disbelief at how time went by so fast because of everything that happened to them. Lastly, following after this use of tautology, Elie simply writes Surely it was a dream as a single line beneath the previous paragraph, which is then separated from the next paragraph by a white space, and this not only suggests how Elie feels lost and alone, but its also like a statement to reassure himself that nothing has happened and hes really just dreaming it all up. The use of white space directly after this single statement suggests a shift from one train of thought to another, or the emergence from his reverie of disbelief as the next paragraph is still in the same day but on a different subject. It also puts into perspective how terrified he feels about such a dramatic shift in his life happening in such a short time. In conclusion, Elie uses many different literary techniques and styles such as the abrupt, almost note form of narrative, metaphors, rhetoric, tautology and the use of white space to depict his experiences and his feelings of emptiness, loss of identity and faith, and disbelief in everything thats happened.

Saturday, November 30, 2019

Summary of Acheiving Stop Tb Partnership Goals free essay sample

However, â€Å"In 2006, the TB pandemic continued to kill 2 million people annually and was growing by 1% each year, despite the World Health Organization also known as WHO having declared it a ‘Global Emergency’ over a decade earlier. † The United Nations has even stated that the goal is to cut the number of TB deaths in half by the year 2015. This is a goal not so easily achieved considering the fact that an estimated 2 billion people are latently infected with tuberculosis worldwide. (Kupferschmidt 1) Tuberculosis is caused from a bacterium called Mycobacterium tuberculosis. M. uberculosis is an obligate aerobe that grows in tissues with a high oxygenated content, such as the lungs. It is a slow growing bacteria that takes anywhere from 12 to 20 hours to generate. The cells are hydrophobic and have high lipid content in the cell wall and tend to clump together. TB is an airborne disease that is spread from person to person by coughing, sneezing, or speaking. We will write a custom essay sample on Summary of Acheiving Stop Tb Partnership Goals or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Tuberculosis is diagnosed by a simple skin test that if positive will show a reaction to a small quantity of tuberculosis antigens. A positive confirmation can be made by a chest X-ray, and a microscopic examination of a sputum sample. A new significant development in TB diagnosis has been found in Xpert MTB/RIF assay. The Xpert MTB/RIF is made to detect DNA sequences specific for Mycobacterium tuberculosis and rifampicin resistance by polymerase chain reactions. The MTB/RIF test purifies concentrates and identifies targeted nucleic acid sequences in M. tuberculosis genomes which can take about 90 minutes to complete. MTB/RIF assay has met some of the minimum requirements of the governing groups, such as being easily administered by a low skilled technicians and operating in different temperatures with minimal requirement from the test operator. There has also been price reduction availability for countries with the pandemic. (Zumla 819) While MTB/RIF assay seemed to be the miracle answer for TB testing, it still falls short of the requirements set forth by the STOP TB Partnership. For example, the shelf life is half the expected 2 years, high cost of the machine and cartridges to run it and constant electricity make it difficult for key areas. Safe recycling of large amounts of cartridges also remains an environmental concern being that sputum and positive buffers are present in the used cartridges. (Zumla 822) There are 11 new TB drugs on the horizon. Hopefully, by 2015 at least 2 of them will be released for public consumption. The current drug-susceptible TB treatment is the medication called Isoniazid or INH. INH is available worldwide, is relatively inexpensive and is generally well tolerated. INH is used to for latent tuberculosis infection to help kill the dormant bacteria and to reduce the risk of the infection becoming active tuberculosis later in life. This medication is taken for 6-9 months; where as the new drugs that are still in clinical trials would shorten this to 4 months. However, these unfortunately are not available yet. What are really needed to eradicate this disease are TB vaccines. The present TB Vaccine, Bacillus Calmette-Guerin or BCG, is an attenuated strain of Mycobacterium bovis which was introduced in 1922. It is used primarily in children in countries outside the US. Not all administered BCG vaccines have been effective either, only helping with severe childhood versions of TB (ex: disseminated and meningeal). As of 2011, at least 6 TB vaccine candidates were in preclinical trials, with 21 additional next generation candidates in the vaccine discovery phase. A more effective tool for the United States would be a post infection vaccine, due to the vast majority of cases being remote infections. This would nearly eradicate TB in the US. But, one has currently not been created. (Zumla 823) TB has plagued the human race for decades, only improving when social, economical, and general living conditions were bettered. Recent research continues to look for vaccines, diagnostics, and treatments. However, no new trial based vaccine has been introduced since BCG in the 1950’s. The STOP TB Partnership’s goal of lessening the yearly cases of infection by one million is admirable, but so much more needs to be done to control the spread of infection. More people need to be tested and become aware of what a huge problem it currently still is. People know about the disease but many people are not educated about the disease and what the symptoms are until it is too late and have probably already spread it to other people. Despite the years of effort that has been dedicated to TB research, the end still seems to be decades away. Works Cited Alimuddin Zumla, et al. Achieving STOP TB Partnership Goals: Perspectives On Development Of New Diagnostics, Drugs And Vaccines For Tuberculosis. Tropical Medicine International Health 16. 7 (2011): 819-827. Academic Search Premier. Web. 2 Oct. 2012. Alimuddin Zumla, et al. Immunological Biomarkers Of Tuberculosis. Nature Reviews. Immunology 11. 5 (2011): 343-354. MEDLINE with Full Text. Web. 24 Sept. 2012. Kupferschm idt, Kai. Taking A New Shot At A TB Vaccine. Science 334. 6062 (2011): 1488. MasterFILE Premier. Web. 2 Oct. 2012. â€Å"Tuberculosis† Division of Tuberculosis Elimination, 13 Mar. 2012 Web

Tuesday, November 26, 2019

To Be An American essays

To Be An American essays Ang Lees The Wedding Banquet depicts a Taiwanese man crossing cultural boundaries. He is caught between his parents traditional belief system and his own experience as an Asian-American man. The movie shows the struggle Wai-Tung undergoes to deal with his life as an assimilated man and the life that his parents in Taiwan have planned for him. This is a situation that many people who come to America have to deal with when trying to fit in. They try hard to retain some of their old cultural values and practices while also trying not to alienate themselves from the new world that they live in. The film illustrates that in order to become fully a part of American culture, one cannot retain all of his or her cultural values and practices. Immigrants must adopt the ways of the new world that they live in. This is true, but by giving up their cultural values to become part of American culture, immigrants realize that the cost to family life and to self outweigh the benefits of assi milation. In the movie, an example of Wai-Tungs assimilation into American culture is that he is in an intimate, interracial relationship. This is the equivalent of intermarriage in heterosexual relationships, which is a key indication of assimilation (e.g., Hwang and Saenz 1). Taiwan is a virtually homogenous country where inter-marriage is virtually impossible because not many other races reside in the country. The fact that he has chosen a white American man to be his lover is and sign that he has accepted American culture and strives to intermix with the culture. More explicit than his choosing a white lover is that he has a male lover at all. As stated in the movie, Wai-Tung had intimate relationships while he was in college. To seem normal and to fit in with his own culture while he was in Taiwan, Wai-Tung had to pretend that he was heterosexual. Asian parents usually raise their children to abide by social norms, wh...

Friday, November 22, 2019

Character Analysis of Hermia and Her Father

Character Analysis of Hermia and Her Father To deepen your understanding of William Shakespeares A Midsummer Nights Dream, here is a character analysis of Hermia and her father. Hermia, Believer in True Love Hermia is a feisty young lady who knows what she wants and does whatever she can to get it. She is even prepared to give up her family and way of life to marry Lysander, agreeing to elope with him into the forest. However, she is still a lady and ensures that nothing untoward goes on between them. She keeps her integrity by asking him to sleep away from her: â€Å"But gentle friend, for love and courtesy/Lie further off in humane modesty† (Act 2, Scene 2). Hermia assures her best friend, Helena, that she is not interested in Demetrius, but Helena is insecure about her looks in comparison with her friend and this somewhat affects their friendship: â€Å"Through Athens, I am thought as fair as she./But what of that? Demetrius thinks not so?† (Act 1, Scene 1) Hermia wishes the best for her friend and wants Demetrius to love Helena: â€Å"As you on him, Demetrius dote on you† (Act 1, Scene 1). However, when the fairies have intervened and both Demetrius and Lysander are in love with Helena, Hermia gets very upset and angry with her friend: â€Å"O me, you juggler, you canker blossom/You thief of love- what have you come by night/And stol’n my loves heart from him† (Act 3, Scene 2). Hermia is again compelled to fight for her love and is willing to fight her friend: â€Å"Let me come to her† (Act 3, Scene 2). Helena confirms that Hermia is a feisty character when she observes, â€Å"O, when she is angry she is keen and shrewd!/She was a vixen when she went to school./And though she is little, she is fierce† (Act 3, Scene 2). Hermia continues to defend Lysander even when he has told her that he no longer loves her. She is concerned that he and Demetrius will fight, and she says, â€Å"Heavens shield Lysander if they mean a fray† (Act 3, Scene 3). This demonstrates her unerring love for Lysander, which drives the plot forward. All ends happily for Hermia, but we do see aspects of her character that could be her downfall if the narrative were different. Hermia is determined, feisty, and occasionally aggressive, which reminds us that she is Egeus’ daughter, but we admire her steadfastness and faithfulness to Lysander. Headstrong Egeus Egeus father is domineering and overbearing to Hermia. He acts as a foil to the fair and even-handed Theseus. His proposal to bring the full force of the law on his daughter- the penalty of death for disobeying his orders- demonstrates this. â€Å"I beg the ancient privilege of Athens/As she is mine, I may dispose of her- /Which shall be either to this gentleman/Or to her death- according to our law/Immediately provided in that case† (Act 1, Scene 1). He has decided, for his own reasons, that he wants Hermia to marry Demetrius instead of her true love, Lysander. We are unsure of his motivation, as both men are presented as eligible; neither one has more prospects or money than the other, so we can only assume that Egeus simply wants his daughter to obey him so he can have his own way. Hermias happiness appears to be of little consequence to him. Theseus, Duke of Athens, placates Egeus and gives Hermia time to decide. Thus, the problem is resolved as the story unfolds, though this is no real comfort to Egeus. In the end, Hermia gets her way and Egeus has to go along with it; Theseus and the others happily accept the resolution, and Demetrius is no longer interested in his daughter. However, Egeus remains a difficult character, and  the story  ends happily only due to intervention by the fairies. Had they not been involved, its possible that Egeus would have gone ahead and executed his own daughter had she disobeyed him. Fortunately, the story is a comedy, not a tragedy.

Thursday, November 21, 2019

HR Plan Research Paper Example | Topics and Well Written Essays - 2250 words

HR Plan - Research Paper Example The land acquired by the company is located at various locations all over the United States to take advantage of the geographical variation. The product line of Ritz ranges from organic spices to organic detergents. The company also produces cereals, processed foods, pulses, tea, rock salt, sweeteners and medicinal herbs which are all organic in nature. Ritz also hires officers who are highly experienced in field work and know how to deal with farm resources. The company has employee strength of around 500 skilled individuals. Ritz develops its products by efficiently identifying customer needs and then modifies product line accordingly. Maintaining customer satisfaction is an important goal that the company always tries to fulfill (Armstrong & Taylor, 2014). Ritz operates on the basis of a one person Human Resource (HR) department. In such a scenario, it becomes imperative to strategically design a HR plan that suffices to all the objectives and goals of the company. The design of the HR department must correspond to the various dimensions of the organization i.e. the HR needs to manage all the divisions of the company appropriately and strike a balance between all the divisions (Armstrong & Taylor, 2014). An efficient HR plan requires that the various components and functioning areas that are vital for efficient HR management are strategically developed and given equal importance. The process should not be complicated. This would ensure that the organizational objectives are always in sync with the HR policies (Armstrong & Taylor, 2014). The various components are given as follows: While designing plan about recruitment and selection of employees, the HR manager must keep in mind the appropriate skills necessary for the available job opportunities at the company. The company can design a recruitment system of its own or use other sources which help the company to identify prospective

Tuesday, November 19, 2019

Management Seminar Essay Example | Topics and Well Written Essays - 250 words

Management Seminar - Essay Example SOX ensure accurate financial statements by eliminating unethical acts in organizations hence increasing the public’s confidence in investment. Therefore, employees are required to report any wrongdoing for the organization to be punished by the federal government. The enforcement of the Act actually resulted to decline in financial scandals. However, 2008 financial crisis proved that any regulation is unable to reduce or control risks. Additionally, due to the cunning nature of organizations, the Act has been greatly challenged. A good number of companies have refused to go public in order, not to comply with the SOX Act. SOX are not necessary for companies because it just limits flexibility of financial management despite the stiff global competition. It also raises costs to organizations in the form of monetary expenses associated with SOX compliance. Since companies are more concerned with public image, they need no strict regulation for them to act ethically. They often have internal controls necessary to maintain the required ethical

Saturday, November 16, 2019

Effect of Green and Black Teas Essay Example for Free

Effect of Green and Black Teas Essay Determining the efficiency of various types of teas and its components, and the binding of tea with lipoproteins as for prevention of the occurrence of coronary heart diseases, is the primary objective of the study. Based on established scientific researches, one of the components of tea called phenols, are responsible for producing the antioxidant attributes of tea. Further studies prove that both black and green teas have almost the same phenol content. Thus, their antioxidant strength is also the same, as gauged through the use of the phenol antioxidant index (PAOXI). Moreover, the study establishes the idea that a combination of tea catechins and lipoproteins produce stronger antioxidant qualities. (Vinson Dabbagh, 1998a) To accomplish the objective of the study, teas that were used for samples were prepared using the same process. These samples were then compared to other types of antioxidants and other beverages with phenolic content. Moreover, the teas were studied in order to find out the threshold for the production of antioxidant properties, and also the binding of antioxidants with lipoproteins. Vinson Dabbagh, 1998a) The results of the study revealed that green tea produces higher antioxidant activity than the black tea, the green tea and black tea were stronger antioxidants than other beverage samples, the PAOXI of both green and black teas do not exhibit significant differences in terms of antioxidant strength, and the lipoprotein binding for both teas remain the same. Moreover, the catechins found in teas were more effective than vit amins C, E and beta-carotene in binding with lipoproteins to complete oxidation. Therefore, teas are more efficient in lowering the risks of coronary heart diseases. Green teas were found to bind efficiently with lipoproteins of high amounts, and on the contrary, black teas were said to bind efficiently with lipoproteins of low amounts. (Vinson Dabbagh, 1998a) Secondary Source The discovery of the connection between oxidation and atherogenesis has incited research studies about the effects of antioxidants found in teas to lipoproteins. Moreover, studies conducted on flavonoids, which is one of the components of tea, and its contributory effects to the prevention of the occurrence of coronary heart disease, has led researchers to speculate that catechins that are found in tea might be instrumental in promoting health and wellness due to the antioxidant attributes produced by teas. (Vinson Dabbagh, 1998b) This particular research study aims to identify the efficiency of teas as a source of antioxidants as compared to other beverages with the same phenolic content, and the maximum threshold of the production of antioxidant mechanisms in teas. Moreover, research was conducted on the effects of binding antioxidant with lipoproteins to an individual with low antioxidant intake. (Vinson Dabbagh, 1998b) The results of the research reveal that catechins that are found in teas are more effective antioxidants as compared to other vitamins that claim to be a good source of antioxidants, such as vitamins E, C and beta-carotene. Moreover, the research also discovered that teas bore the most amount of phenolic content as compared with other beverages that were tested, and that among the tea samples that were tested, green tea bore the most amounts of phenolic content. In addition, antioxidant binding with lipoproteins was most efficient with black teas as compared to other teas, although there was not any significant difference as to the effect when comparing it to the results of other teas. (Vinson Dabbagh, 1998b) In conclusion, the research study reaffirmed the fact that teas are a great source of antioxidant and that they are effective in producing high levels of antioxidants that are needed by the human body. Therefore, an individual’s regular intake of tea prevents the onset of lipoprotein oxidation within the body. (Vinson Dabbagh, 1998b) Personal Opinion about the Topic The results of the study has proved the effectiveness of teas as a source of antioxidant, therefore supporting previous studies conducted about the relationship between catechins and phenolic acid that are found in teas and its binding with lipoproteins as instrumental in the lowering of risks caused by coronary heart diseases. If this is the case, then regular intake of green and black teas should be recommended to people who are at risk for coronary heart disease and should be recommended as part of the average person’s diet in order to avoid the occurrence of the said disease. Although plants where tea comes from are widely grown all over the world, and according to the study, tea is the most popular drink in the world, people still do not realize the importance of its content and the regular intake of tea as a protective instrument against coronary heart disease. Moreover, people are not aware that the beverage that they enjoy the most has health benefits that might save them from suffering heart diseases. Promotion and recommendation of teas that are based on research study results and information dissemination might help in encouraging people to drink tea as part of their diet in order to stay fit and healthy. Aside from advertising and promotional activities, the government should support or fund the horticultural industry in order to produce more sources for green and black teas. Not only will the people benefit from this, but the government will also gain profit for the tea industry and agriculture. Moreover, the government should look into the processes of preparing teas. As the research study suggests, that the amount of phenols within the tea leaves, which are said to be the ones responsible for producing antioxidants, are dependent on the weather and climate, age of the tea leaves that will be used, and the horticultural processes that the leaves underwent. Therefore, the government should further look into the processes from which tea leaves are produced. Desirable and specialized horticultural processes should be employed in growing plants in order to ensure the quality of tea leaves that will be grown from it. In order to accomplish this aim, the government should be able to conduct research studies that would prove to be instrumental in the efficient and productive growth of plants. Moreover, with further studies and in depth research, the government should fund the inclusion of teas in the diet of patients in the public health care system, especially those who are suffering from coronary heart diseases, patients who are at risk, and even all the patients in order to keep strong and healthy. However, further studies should be done independently in order to avoid judgments of researches that are tainted by underlying motives such as advertising. In the research study conducted by Vinson Dabbagh, it was funded by the Lipton Tea Company. Since the Lipton Tea Company is a business organization, which produced tea all over the world, I cannot help but think of the politics between business and advertising that is concealed in the research. Most especially because the results of the research promoted the efficiency of green and black teas among other beverages and its importance as a prevention scheme against coronary heart diseases. In order to invalidate speculations that might arise from the influence of Lipton Tea Company and the research, independent studies should be conducted by professionals and scholars alike from different fields related to the issue such as representatives from the health care industry, agriculture, government, universities, and scientists alike.

Thursday, November 14, 2019

Eastman Kodak analysis Essay -- essays research papers

At your request, I have compiled information on Eastman Kodak Co., so that you may come to an investment decision. The report will consider the company’s background (including Kodak’s areas of production), a past obstacle Kodak has had to face and overcome, and a financial snapshot of Kodak over the past five years. BACKGROUND Originally founded in 1880 by George Eastman, the Eastman Kodak company now stands as a leader in the infoimaging industry. Infoimaging is a $385 billion industry that consists of using traditional and digital film to allow people to capture and deliver images through cameras, computers, and the media. Currently under the direction of Chairman and CEO Daniel A. Carp, Eastman Kodak is divided into three major areas of production. 1. Kodak’s Digital and Film Imaging Systems section produces digital and traditional film cameras for consumers, professional photographers, and the entertainment industry. This segment accounts for 69% of revenues earned by Kodak in 2003. 2. Health Imaging caters to the health care market by creating health imaging products such as medical films, chemicals, and processing equipment. Health Imaging also places emphasis on radiology for dental, mammography, and oncology markets. Health Imaging accounts for 18% of revenues earned by Kodak in 2003. 3. The Commercial Imaging group produces aerial, industrial, graphic, and micrographic films, inkjet printers, scanners, and digital printing equipment to target commercial and ...

Monday, November 11, 2019

Locke vs. Rousseau Essay

?According to Rousseau, the original condition of mankind was a peaceful and quixotic time in which people lived solitary, uncomplicated lives. This differs from Locke’s concept of the state of nature in that, his natural condition of mankind was a state liberty in which one was able to conduct one’s life as they saw fit. Like Rousseau’s, it was a time of peace between the people, but Locke’s was not necessarily a solitary life. ?The state of nature for Locke was a state wherein there were no civil authorities or governments to punish people for transgressions against laws, but was not a state without morality. It was pre-political, but was not pre-moral. In it, persons were assumed to be equal to one another, and therefore equally capable of realizing and being obliged by the law of nature. (The law of nature being one internal, which commanded that no one should harm another as concerning their â€Å"life, health, liberty, or possessions† [p. 4]). In Locke’s pre-contract condition, one was not at absolute liberty to do whatever one chose to do; they were inherently bound by the law of nature. ?Rousseau’s state of nature had no private property. Private property was something which arose from the stages leading up to the need for authority. Where Locke saw property as something which was naturally protected in the state of nature, Rousseau conceived of property ? the result of greed, competition and vanity- as humanities reason for abandoning such a time and entering into the contract. ?For Rousseau, the few needs of the people in the pre-contract condition were easily satisfied by nature. Because of the abundance of nature and the small size of the population, competition was non-existent, and persons rarely even saw one another, much less had reason for conflict or fear. ?Moreover, for Rousseau, the simple and morally pure persons in the pre-contract condition were naturally endowed with the capacity for pity, and therefore were not inclined to bring harm to one another. There were no inherent ? laws’ forbidding transgressions on another; it was an internal aptitude for pity. It was the division of labor (once families and communities had developed and leisure time had resulted) that led to value and property, whereas Locke saw property as something that was existent in the natural condition.

Saturday, November 9, 2019

Economics for Global Decision Makers

GB540:01 Economics for Global Decision Makers Week 3-Unit 3 Dr. Barbara-Leigh Tonelli May 15 2012 I. Introduction II. Competition for talent A. Recruiting III. Utilizing talent A. Cost B. Fit or fire IV. Ability to find talent A. Steps B. Actions V. Ability to attract talent A. Benefits B. Reputation VI. Ability to retain talent A. Communication B. Opportunities VII. Ability to develop talent A. Training B. Promotion VIII. Conclusion Introduction Effective hiring and personnel retention are keys to successful business. It can be easily argued that business success depends on human assets not material assets.Materialistic business components can be bought and replaced with an order, but the talent people can bring to an organization is not attained with the touch of a button. Hiring the right people is only a part of the successful business formula. Retaining quality people is also important to business success. What do firms need to do to attract and retain the most talented people a s well as utilization of their skills for company success? Competition for talent The advancements in travel and internet have made recruitment a global competition. It is not a secret that a successful business often has the most talented employees.Companies scramble to find the next and brightest in the workforce. Business managers know good hiring practices can be a strong foundation for any business. Bad hires can lead to business failure. They have to be creative in the ways they attract the most talented workers. Some companies have turned to recruiters and headhunters to attract the best candidates. Firms such as FESA Global Recruiters and CTPartners are often hired by companies to help attract the type of employee they feel meets its company needs. These companies will often seek out individuals they feel meet the criteria set by the hiring company.These companies specialize in placing the best candidates with the best companies. A company can avoid direct competition by out sourcing its recruiting needs. Recruiting companies have a network of people and resources it uses to match companies and people. (McCool (2008)) Utilizing talent If a company does not have the right people in the right job then it will find it harder to achieve and maintain long term business success. Bradford Smith conducted a survey and from his findings he discovered that miss-hires cost a company as much as twenty-four times the individuals base compensation. It takes more than talent to ensure success.A Manager has to hire the correct skills for the job. An employee may be the best wood cutter in the world but it does little good for a company that cuts diamonds. A company must hire people with the talents and skills it needs for its success. If a person does not have the skills needed then the company must be prepared to separate and hire someone with the needed skills to meet company needs. (Harvard Business Review Press (2002)) Ability to find talent How does a company find the talent it needs to ensure business success? There are a few steps the hiring manager can do to ensure the correct person is found. Some steps include: 1.Defining job requirements 2. Recruit for needs 3. Interview 4. Evaluate 5. Hire correct candidate When defining the job requirements the hiring manager needs to ensure the job responsibilities and requirements are outline so all potential applicants fully understand what the job entails. A hiring manager should only recruit for needs. If the applicant does not meet the company’s needs then the applicant does not need to be hired regardless of talent level on non-needed skills. The candidates must be interviewed and evaluated to ensure they have the skills and talents the company needs to fill. Finally they need to hire the correct candidate.The candidate can be the best at baking but if the company sells finance the skills do not match a need. (Harvard Business Review Press (2002)) Most companies do not rely on recruiter and headhunters to meet its hiring needs. Companies have turned to non-traditional methods to attract potential hires. These include 1. Job Fairs 2. Company Websites 3. Internet job sites such as Monster. com, CareerSite. com or CareerBuilders. com Companies use these sources as a way to fill its business needs. People also post resumes on some of the job sites listing their skills and abilities with the hope of landing a job or advancing their careers.Ability to attract talent Business managers know good hiring practices can be a strong foundation for any business. Bad hires can lead to business failure. The business has to be able to get the best talent to apply for its positions. There are several reasons why people change jobs. They can include 1. Salary 2. Benefits 3. Location Company reputation and prestige is also another factor that potential employees consider when looking at one company over another. A company with a successful business record is more likely to attract a more skilled workforce than a company that has a bad reputation. (Harvard Business Review Press (2002))Ability to retain talent Hiring decisions are among the most important decisions made by a manager but what can a company do to retain the talent once hired? According to Bradford Smith’s survey job satisfaction and promotional opportunities are two reasons people leave their jobs. Communication with its employees is an often overlooked aspect within a company’s structure. Employees can feel alienated by management when decisions are being made without employee impute. An easy way to eliminate this is to keep communications open with all employees. Meetings and suggestion boxes are a great way to keep communication lines open.Open communication is a great way to find out if employees are finding the satisfaction they desire within the job they are working. Employees also want the opportunity for career advancement. Businesses that tend to bottle neck its management po sitions have no choice but to lose good employees as they look elsewhere for the chance to further their careers. This can be frustrating to business and is very hard to prevent in today’s job market. (Harvard Business Review Press (2002)) Ability to develop talent A company cannot always hire for its needs. Sometimes employees have to be developed from within the company itself.Specialized training is one way a company develops its own talent. Once a Company figures out what it needs it can develop a training program to ensure it always has enough trained employees to ensure its long term success. This is especially true in manufacturing companies. A successful company will also include promotional opportunities in its development chain. As employees grow they will feel the need to promote. Promotion will help employees develop a sense of ownership and pride. A company that is able to develop its own workforce will be rewarded with a strong business. Cappelli (2009)) Conclus ion Businesses acknowledge that finding, retaining, and developing talent is one its toughest business challenges. To help ease the challenges Companies have developed different approaches for success. They include identifying what makes sense for the business, what type of employees it needs to attract and retain and what the employees wants to stay and be productive. People may argue that the job market favors employers because of the unemployment rate but if a person has the talent they will always be attractive to a company. Cappelli (2009)) Reference Cappelli, P (2009) Talent on Demand: Managing Talent in an Age of Uncertainty; Harvard Business School Press Boston, MA Harvard Business Review Press (2002) Hiring and Keeping the Best People; Harvard Business School Publishing Corporation; Boston, MA McCool, J. (2008) The World's Most Influential Headhunters as reviewed on May 12, 2012 at http://www. businessweek. com/managing/content/jan2008/ca20080131_400734. htm? chan=careers_s pecial+report++worlds+most+influential+headhunters_world%27s+most+influential+headhunters

Thursday, November 7, 2019

coca-cola and marketing essays

coca-cola and marketing essays The term mass marketing refers to production-oriented approach that vaguely aims at everyone with the same marketing mix (Definition in Marketing, 2004), in mass marketing, the seller mass produce, mass distributes and mass promotes one product to all buyers (Kotler, Adam, Brown and Arstrong 2003). Refer this to the Coca-cola in the early time when the company just started its beverage business, the company didnt have many different kinds of beverage products available on the market compare to today, the only thing on the market at that time was the original flavour coke. This single product was made for the entire market. Later on, after a fast pace of company development, Coca-cola realised that different customers have different needs, one single product can only satisfy one or two group of customers, With mass marketing, the company face the risk of losing other group of customers. Relatively target marketing is more efficiency in this situation, to selecting and developing a num ber of offerings to meet the needs of a number of specific market segments (e-tadreeb.com, 2004). Todays Coca-cola produces soft drinks for the sugared-cola segment - Coca cola), the diet segment - Diet Coke and Coke Light), the no-caffeine segment - Caffeine Free Diet Coke and the non-cola, fruit based segment - Sprite, Fanta and Lift. Recently, Coca Cola has launched low-carb colas to meet the need of extreme healthy pursuer, such product is claimed to has half the calories, sugar and carbohydrates of regular cola (Harris. Rebecca, 2004), the major benefit for company like Coca-cola to use targeting marketing is to cover the entire market in order to gaining market share by satisfy each segment in the market. One of best examples of companies whose marketing approaches have evolved over time is Pepsi. Similarly, Pepsi has also developed from sole product to multi range products try to meet the needs of all the segments in a market. ...

Tuesday, November 5, 2019

Gendered Pronouns and the Singular “They” - Proofread My Paper

Gendered Pronouns and the Singular â€Å"They† - Proofread My Paper Gendered Pronouns and the Singular â€Å"They† To refer to a man in the third person, we say â€Å"he.† To refer to a woman, we say â€Å"she.† But if we don’t want to specify the gender of someone in the third person, English comes up short. Our pronouns are increasingly inadequate. This is because there is no singular gender neutral pronoun. In academic writing, this can be problematic, so what should you do if you want to avoid using gendered pronouns in a paper? Why Are Gendered Pronouns a Problem? If we’re discussing a specific person whose gender is known, using â€Å"he† or â€Å"she† isn’t an issue. For example, if writing about Napoleon, it would be reasonable to discuss â€Å"his† funny hat. It is a very silly hat.(Photo: Thomas Quine/flickr) However, in academic writing we often refer to people in the abstract using non-gendered terms like â€Å"someone†. It’s difficult to know which pronouns to use with gender-neutral words like this, since both â€Å"he†/†his† and â€Å"she†/†her† imply a particular gender. Traditionally, academic writing has used â€Å"he† and â€Å"his† far more in these situations (this linguistic bias is even reflected in the U.S. Constitution, which states than â€Å"All men are created equal†¦Ã¢â‚¬ ). As such, it was common to see phrases like: When someone makes a decision, he weighs up various possibilities. But social changes mean that most people are now uncomfortable with excluding all non-males from academic discourse. So what are the alternatives? â€Å"He or She† One option is alternating between â€Å"he† and â€Å"she† in a document, or you can use â€Å"he or she†: When someone makes a decision, he or she weighs up various possibilities. However, this can make the phrasing of sentences seem awkward. Some style guides, such as APA style, also discourage alternating between â€Å"he† and â€Å"she.† The Impersonal â€Å"One† or â€Å"You† Another possibility is using the impersonal pronoun â€Å"one† in place of gendered pronouns: When one makes a decision, one weighs up various possibilities. This is fairly common in British English, but in the U.S. it sounds pretty old-fashioned, so the second person â€Å"you† is favored instead: When you make a decision, you weigh up various possibilities. But this can sound informal or too conversational, as if you’re addressing the reader directly. Rephrasing the Sentence If none of the above are suitable, it might be a good idea to rephrase the sentence in a way that avoids using a gendered pronoun. For example, we could write: When making a decision, it is necessary to weigh up various possibilities. This is often the best choice as long as it doesn’t lead to sentences becoming too complicated. The Singular â€Å"They† Finally, an increasingly popular option is using the gender-neutral second-person pronoun â€Å"they† to refer to a single person of unknown gender. This avoids gendered language: When someone makes a decision, they weigh up various possibilities. However, some consider this informal or ungrammatical, since it involves using a plural verb (â€Å"weigh†) in combination with a singular subject (â€Å"someone†). The key thing is therefore to check your style guide and pick what works best for you.

Saturday, November 2, 2019

Health Screening and History of an Adolescent or Young Adult Client Essay

Health Screening and History of an Adolescent or Young Adult Client - Essay Example She reports some over-exertion on occasion while training, and some periods over vacations where she does little exercise, while on vacation, for example. She considers herself fit and strong for the most part, and evidence to support this is clear from her physical appearance. She is well-toned, and proportioned, with a good energy and open demeanor. Her ability to sustain high levels of mental and physical activity, particularly in the academic year, and during her training cycle, is further indication that she is healthy, overall. Primarily her health is maintained through her exercise programs. However, she does not always ensure that her nutrition is suitable to this kind of exercise program. While aware of the connection between good health and lifestyle, she acknowledges that she does eat fast foods regularly, and does not always maintain regular meal intervals. The family has comprehensive health insurance, and she is covered well for any medical eventuality. The client has e xperienced no serious illnesses in her past, except for some childhood illnesses, and has torn an ankle ligament during training in the past, and ripped a thigh muscle, also during training. Recovery was complete and within reasonable time. She does not suffer from any chronic condition, and has only incidental experience of influenza, or colds, not in any regular or ongoing pattern. Occasionally she does use over-the counter pain medication for infrequent headaches, and describes these as being due to heavy exercise routines, or intense academic work periods, when she does not sleep enough, or has strained her body and endurance. No allergies are evident. Family history does include cancer – the maternal grandmother succumbed to initial breast cancer. Awareness in the client is heightened and supported by her mother, and they are checked by a physician regularly, together. Balance is lacking in her food intake. Despite her apparent physical strength and stamina, the maintena nce of this condition is due to large intakes of fats and carbohydrates, with relatively lower intake of protein and vegetable matter. This may imply lower than acceptable mineral and vitamin intake (RDA, 2011, website), but her youth does tend to mask the lacking elements in an overall picture of health. She has access to good nutrition at home, but excuses poor food choices by insisting that she has no time and needs to eat fast foods, so that she has time to complete all her activities. Her parents are busy, too, she reports, and thus the family seems not to consider their food too carefully. Fluid intake is reported to be high during training sessions, and consistent and regular during non-training. The client uses water only and does not use energy drinks, or supplement drinks, stating that she does not like them. The client is taking in approximately 2200 calories daily, but it is likely from her reported meals’ composition that she is taking in too much fat, too much f atty acid, too much total carbohydrate and not enough protein and fiber (RDA, 2011, website). Nutrients are also likely to be below Recommended Daily Intake, especially given her training and exercise regime. She may in fact be in need of supplements in some form or another and be at risk for unstable blood glucose. The client is fairly regular in her sleep/wake patterns – she tends to be asleep by 10:30 p.m. and awakes no later than 7:30 a.m. On occasion, she reports, on the weekends, she may go to bed later, and

Thursday, October 31, 2019

Legal Analysis Memorandum Assignment Example | Topics and Well Written Essays - 750 words

Legal Analysis Memorandum - Assignment Example As well they observed the defendant handing a bag of white powder to someone standing beside the couch. After identifying themselves, and being granted entrance into the house, the police officers explained to all present what they had observed. At that point they saw sandwiched between cushions on the couch, what appeared to be a firearm. Upon inspection they discovered a total of four firearms, none of which were registered as required by DC law. Thereafter the police then conducted a pat-down search of Mr. Blake and everyone else in the room. The officers found that Mr. Blake had on his person a large amount of suspected marijuana, suspected cocaine, and money ($400). Another occupant of the room had a baggie of suspected cocaine (white powder). Mr. Blake was then charged with possession of a controlled substance, distribution of a controlled substance, and possession of an unregistered firearm. ... II. Rule: The â€Å"reasonable expectation of privacy† is determined by the findings in Minnesota v. Carter. As well determined by the Minnesota Court is the issue of whether Blake enjoyed the right to a Commercial Business based expectation of privacy since he and the owner of the house in question conducted business out of the basement of this house. The â€Å"lawfulness of the search† in this matter is settled by the case law in Rawlings v. Kentucky, where the Court specifically held that the search that was incident to the observation of drug parts and subsequent obtaining of a warrant was lawful although the evidence was found inside a purse which the defendant had put the drugs in just before the police arrived. Due to the temporality of the placement and proximity of the evidence to the Defendant, the defendant was not allowed to prevail on his argument of an unlawful search. The issue of whether the evidence was in â€Å"plain view† to the officers is add ressed by the Court in Horton v. California, which found this term to be defined broadly enough to cover the Blake scenario. The issue of a lawful search in a more intrusive scenario was determined to be unlawful because of the close proximity and no probable cause basis in the case of Florida v. Jardines. Finally, the issue of unlawful entry and subsequent violations thereto was addressed in Mapp v. Ohio, wherein the Court imposed the standard granted in the Fourth Amendment’s right to privacy on the States and their agents, in not allowing evidence that was seized without a warrant and against the will of the occupant of the house where there was no probable cause and a

Tuesday, October 29, 2019

Information Regarding CPA's Report Essay Example | Topics and Well Written Essays - 1000 words

Information Regarding CPA's Report - Essay Example The deferral method specifically focuses on income statement and the tax expense is calculated on the basis of identified revenues and expenses in the income statement. However, the deferral method is not acceptable under GAAP. In contrast, the liability method would estimate the future taxes payable or receivable. Hence, the liability method focuses on the estimation of current as well as deferred tax assets and liabilities. â€Å"The amount of income tax expense recognized for a period is the amount of income taxes currently payable or refundable, plus or minus the change in aggregate deferred tax assets and liabilities† (CCH Editorial, p.28). The liability method primarily focuses on the balance sheet. The changes in the balance sheet elements are used to calculate the amount of income tax expense under this method. 2. Procedures for Reporting Accounting Changes and Error Corrections Generally, accounting changes are of two types including changes in accounting principle an d changes in accounting estimate. Mainly, there are two approaches available for reporting accounting changes. They are retrospective approach and prospective approach. Under the retrospective approach, comparative financial statements are recast to clearly illustrate the changes. In addition, related accounting records are properly adjusted to indicate net effect of the change as of the starting of the current period. In addition, the identified accounting changes and their effects on the income statement and balance sheet are appropriately attached to the financial statements. The prospective approach is used when the application of retrospective approach becomes impractical. In case of reporting error corrections, the cumulative effect of the correction has to be reported as a prior period adjustment if only the statements relating to the current period are presented. â€Å"If comparative financial statements are presented, then the error should be corrected in the earliest affe cted period presented by correcting any individual amounts on the financial statements† (FASAB). In addition, the effect of correction of an error in previous financial statements on relevant balances must be properly disclosed. 3. Rationale Behind Establishing Subsidiary as a Separate Corporation The concept of making subsidiary as a separate corporation adds to the operational efficiency of an organization. When a parent company and its subsidiaries operate as separate legal entities, either of them may individually involve in legal proceedings, bankruptcy, or tax delinquency without depending on the other. In addition, the separate operation would be assistable to prevent a non-profitable subsidiary from operating at the expense of the holding company. Hence, the subsidiary corporation would be forced to raise operating funds by itself to meet its business requirements. When a parent company and its subsidiaries operate as a single corporation, the business management would be a cumbersome task because the single firm becomes responsible for dealing with huge volume of transactions. In addition, the separate operation would aid the holding company to take advantage of tax duties and public sector spending. This concept is also beneficial for the holding company to timely identify the operational pitfalls of its subsidiaries and recommend

Sunday, October 27, 2019

Strategies to Reduced Diabetes Appointments

Strategies to Reduced Diabetes Appointments 1 Introduction The aim of this project is to reduce the number of appointments that those on the diabetes register need to attend by offering a â€Å"one stop shop† for both retinal screening and diabetic review. The surgery I work in is demographically situated in one of the most deprived areas in the UK and typically the patients attending are those who make poor lifestyle choices and fail to attend appointments, they may be classed as hard to reach, homeless and vulnerable patients with complex needs. Aims and Objectives My intention was to improve on the number of diabetic patients attending their appointment for retinal screening and for their annual diabetic review in order to capture them and integrate them into local services for diabetes care. Objectives involved improving communication with the diabetic retinal screening service, an audit and inspection of available rooms at the GP surgery to allow for retinal screening to be performed at the surgery, and the development of a patient letter and protocol to promote a consistent approach for patients to be recalled and reviewed. This change in practice would enable the surgery’s hard to reach and vulnerable patients to attend for one appointment where they could receive their retinal screening and their diabetic review at the same appointment. Background Information The most serious complication affecting the eye for people with diabetes is the development of diabetic retinopathy. A delicate network of blood vessels supplies the retina with blood. Diabetes affects these tiny blood vessels of the eye and if they become blocked or leak then the retina, and possibly the vision can be affected. The Royal National Institute of Blind People (RNIB) estimate that forty percent of people with type 1 diabetes and 20 per cent with type 2 diabetes will develop some sort of diabetic retinopathy. Diabetic retinopathy progresses with time but may not cause symptoms until it is quite advanced and close to affecting the person’s sight. The duration of diabetes is the most important factor that predicts whether a person develops diabetic retinopathy as well as poor glycaemic control. The United Kingdom Prospective Diabetes Study (UKPDS 1998) and the Diabetes Control and Complications Trial (DCCT 1993) showed that improved glycaemic control reduced the development and progression of retinopathy. This demonstrates that glycaemic control is significant in reducing a person’s risk of developing diabetic retinopathy and by combining the retinal screening with the diabetic review, it was anticipated that improved glycaemic control could be discussed at an appropriate time as most people would consider maintaining their eyesight as significant. A study by Jones, Hepburn, Man, Ridout and Gable (2011) demonstrated that diabetes care in the community is not always flexible enough to accommodate the needs of vulnerable people with complex needs however, type 2 diabetes mellitus (T2DM) complications are often avoidable through adequate care and therefore there has been an increase in programmes to improve the quality of routine care received by people with T2DM (Stribbling 2013). The importance of targeting non-attenders is significant in order to attempt to reduce complications. Diabetes is associated cardiac and cerebrovascular disease, as well as small vessel disease that can result in blindness and renal failure (Fowler 2008). Good glycaemic management reduces the risks of complications, why is why it is important to make every effort to reach the non-attenders (Thomas 2012). Socio-economic deprivation is one of the main reasons people are unable to attend appointments for health care. Deprivation is strongly associated with the development of diabetes and the complications associated with it. People on a low income may not be able to access public transport, they may not class their own health as priority and those who have substance misuse issues may use their money to buy illicit drugs instead of using the money to buy healthier food or for getting to and from appointments. Research by Mitchell, Malone and Doebbeling (2009) demonstrated that individuals with substance misuse disorders and mental health problems were significantly less likely to receive retinal screening or foot sensory examination even though those with a mental disorder had significantly more out-patient visits. This researched concluded that there was strong evidence to support inequalities in medical care for those people with a mental health problem or a substance misuse disorder even though the nature of these diagnoses increased the risk of them developing T2DM and complications from it. In consideration of the practice population where I work, there are a high proportion of people with mental health issues, drug misusers and a few homeless people. I also work in a deprived area which alerts me to acknowledging the problems these people face on a day to day basis and realising that health is not top of their daily agenda. It has highlighted that the evidence is present to facilitate a change in practice to allow for improved access to health care and to perform as many health assessments as possible in one session. Overview of audit The audit undertaken earlier in the year was performed by analysing the number of people with diabetes attending appointments for annual retinal screening (see appendix 1). I then divided the results down further to encompass age groups and gender. The middle age range had the highest number of non-attenders and more males than females failed to attend their appointment. The number of people attending for retinal screening was considerably higher than anticipated, and in comparison to those attending for other areas of their diabetes care, which identified an opportunity in modifying appointments. The audit highlighted that patient’s rank their eyesight as very important compared to other aspects of their diabetes review and I considered how I could change this behaviour and allow for the patients diabetic review to be performed at the same time as retinal screening. This recognised that there needs to be a more robust system in place as this type of complication can only be detected by a detailed examination of the eye at attendance of the retinal screening programme. Attendance issues may be improved upon by combining appointments and therefore, in conclusion, communication between departments needs to be more effective ensuring that diabetic patients can be recalled for both review and screening and a protocol for patients who do not attend needs implementing. Action plan My initial action was to ensure that the diabetes register at the practice was up to date and that all patients over the age of twelve years had been referred to the screening service. I performed this audit by reviewing the diabetic register on Systmone including any new patients and systematically checking through the patients computerised notes to establish whether referrals had indeed been made and read coded onto the computer. For patients who had not been referred for retinal screening, a referral form was completed and faxed over to the screening service. Local diabetic eye screening services need to be informed of everyone who is newly diagnosed as well as those people with diabetes who have moved into the area or changed GP practice. Once this was complete, I contacted the retinal screening service via email to ask whether it would be a feasible option for them to batch appoint several of the surgeries patients together on the same morning or afternoon to allow for sufficient patients to make it cost effective for a full session. The retinal screening took place at a different GP surgery and I therefore needed to contact the practice manager to request permission for the use of a room in order to be able to review the patients at the same time as the retinal screening appointment. This would mean I would have to travel and see patients at the other surgery and it was recognised that both cost effectiveness and productiveness would be improved by consulting with several patients within one session. Unfortunately, rooms were very limited at the other surgery and therefore this option was taken out of the equation as it was not possible to agree a solution. I reconsidered the idea and emailed the screening service again to ask the standards and measurements needed for a room for retinal screening. I was informed that the room needed to be at least three metres in length with a desk and two chairs, a computer, and access to an electricity supply to extend to the car park where the screening van would be located. My surgery often hires vacant rooms out to other services and therefore, I discussed this with the centre manager who approved an inspection by the retinal screening service to establish whether the surgery had a suitable room. This was arranged for the screening service to attend the surgery and review all of the available rooms. Two gentlemen from the screening service attended the surgery together with the screening vehicle to inspect the rooms available and to establish whether it would be feasible to park, connect to an electrical supply and be allocated a suitable room for screening purposes. They were shown around the majority of the rooms within the surgery and decided that one of the rooms at the front of the building was suitable; the screening van could be parked at the front of the building allowing suitable access to an electrical point. We therefore had an agreement with the retinal screening service for them to perform the screening procedure within the patient’s own surgery. It was agreed that a nominated person from the retinal screening service would send, via email, a list of patients whom they were inviting for screening, directly to the practice, six weeks in advance of the appointment. This would allow time for the practice to invite the patients to attend for any blood tests needed prior to their diabetic review. The surgery would then send a letter to each patient informing them that their diabetic review would be performed immediately after their retinal screening. For the appointment system to be robust, an educational session was delivered to other nurses and reception staff to inform them of the change in practice and the reasons behind this change. This was to attempt to engage all staff to work effectively in this process and to discuss any problems or ideas. Appointment length for the diabetes review was agreed to be thirty minute duration. There was a discussion featuring the implication for the Quality and Outcomes Framework (QoF) figures, and consequently monetary reward for the practice, and that retinal screening is an annual procedure. Patients are sent a leaflet regarding screening with their retinopathy screening appointment. Following this, a prototype patient letter was devised for the practice to allow for consistency in appointing patients. The letter included the patient’s appointment time and date for their retinal screening and their diabetic review. The letter also advised patients of the risks of complications from diabetes and the importance of attendance. The letter was produced (see appendix 2) and this was evaluated and discussed at the next patient participation group which is only small but includes one person with diabetes. Following approval of the appointment letter, a protocol (see appendix 3) was formulated to encompass all stages of the appointment process and ensure consistency. Results The educational session took place and was attended by the practice nurses, reception and administration staff within the surgery. This was performed by discussion to allow for interaction of all staff members. The GP was unable to attend and this was discussed with her at another time. Feedback was positive and it was judged by the staff members to facilitate an improvement in patient care and improvement in appointment attendance. No problems were foreseen although it was recognised that if a patient failed to attend, it was mean a large portion of clinic time had been wasted. This time could be used to attempt to contact the patient by telephone to discuss diabetes care if necessary via a telephone consultation. The â€Å"one stop shop† was perceived as a significant initiative in improving appointment attendance by the patient participation group. It was seen as something that would benefit patients rather than benefitting the surgery. As a representative group of patients, they highly recommended the implementation of the change in practice. This was seen as a successful challenge within the practice considering our patient population. At the time of writing, I am awaiting the initial list of patients from the retinal screening service in order to be able to appoint people into this new project. Discussion Equality of access should be a priority for all NHS services (DoH 2008). Vulnerable people with complex needs should still be entitled to quality health care as it is these patients who may lack the knowledge, skills and support to manage their condition (Thomas (2012). Reflecting on the patients I care for, there is a high incidence of vulnerable people, substance misusers, and homeless, those on a low income or out of work, mental health and learning disability issues. These are often hard to target patients who repeatedly fail to attend appointments. The Quality and Outcomes Framework (QoF) rewards surgeries for achieving set outcomes for diabetes however surgeries such as the one where I am employed, often miss out on vital funds. This is not through the absence of working extremely hard to reach the targets but through patients not attending their appointments. Deprivation is strongly associated with the risk of developing diabetes and its complications. Diabetes UK (2006) reported that people living in derived areas were two and a half times more likely to develop type two diabetes. This was further reported by Diabetes UK (2009) who added that people in the most deprived areas are twice as likely to develop complications of diabetes compared to those in the least deprived areas. Around 500 people a year experience loss of vision due to diabetic retinopathy and maculopathy at a level where it could be registered as a disability (Health and Social Care Information Centre (HSCIC) 2014). Diabetic patients are also at risk of developing cataracts or glaucoma. Diabetes UK (2013) in their mission statement declare the key points are Diabetic retinopathy is the most common cause of sight loss in the working age population All people with any type of diabetes are at risk of developing retinopathy. Those most at risk are those who have had diabetes for a long time and/or who have poorly controlled diabetes and hypertension The NHS Diabetic Eye Screening Programme aims to reduce the risk of sight loss among people with diabetes by the early detection and treatment Screening is offered annually to all people with diabetes aged 12 and over A study by Waqar, Bullen, Chant, Salman, Vaidya and Ling (2009) into the cost implications of non-attendance at a retinal screening programme demonstrated an association between non-attendance and socioeconomic deprivation. The study divided the results down further into first and second did not attend (DNA) appointments. They discovered that sending out repeat reminders to patients resulted in a significant reduction in non-attendance rates. In the area where the study was performed on a total of 22,651 people, they declared the total cost by lost earnings from missed appointments to be almost eighty thousand pounds. Therefore failure of attendance at retinal screening appointments impacts enormously on Trust budgets. Having the knowledge that DNA rates increase within areas of deprivation indicates that people in these areas need different ways of encouraging them to attend appointments. This group of patients needs targeting more aggressively and may need further reminders of their appointments. My vision for the patients that are registered with my practice is one that will encourage attendance by providing a service that will encompass the majority of components needed for a full diabetic review within one session. My feelings are that this will improve patient attendance as the patients will not have to attend multiple appointments or visit another surgery for their retinal screening. This will reduce time constraints and patients expenses should they need to use public or private transport. People leading chaotic lives tend to focus their day very differently to others and by generating one appointment instead of two may support these people to make an effort to attend one session. I consider the strength of this change in practice focuses on the idea of only one appointment. This appears to be confirmed by the reaction of other members of staff and the patient participation group. I remain optimistic that this will improve patient attendance and therefore patient care and improved health outcomes with a reduction in complication rates. The ability for retinal screening to be performed at my practice was paramount to this change in practice and continuing effective communication between the surgery and the retinal screening service must be maintained. I do not feel there is a particular weakness with the method, however the only drawback I can foresee is that if patients continue to DNA the new appointment then it will lead to a large amount of wasted appointment time. I anticipate that the audit next year will highlight an increase in uptake of appointments. If attendance for retinal screening remains at the level that occurred during the audit, this should reflect upon the attendance for diabetic reviews also. If successful, this may be a model of care that other practices may wish to replicate should they have available facilities at their surgery to accommodate the retinal screening service. Student number DDNL04004