Features of Twentieth Century Literature Essay

20th century is the age of modernism in literature. 20th century’s literature follows differently from the 19th century literature, because of importance given to presentation of human consciousness and human psychology. As result new narrative techniques like impressionism and stream of consciousness has been introduced, the purpose of whom is to highlight human perception. Impressionism has been adopted by many writers, replacing realism. 20th century is an age of emphasis on inner reality, therefore psychoanalysis and human psychology is an important part of literature. Experience is given structural support by, motifs, myths, and parallel themes. Isolation and, loss of hope in humanity are one of the salient themes of modern literature. E. M. Forster, Joseph Conrad and James Joyce are three prominent writers of the twentieth century, who applied modern techniques and themes in their novels. Human consciousness is an important aspect of 20th century novel. Human, thoughts, feelings and stimulations are much important constituent of the century s fiction. In fact â€Å"A Portrait of the Artist as a Young Man† is like a little world of Stephen’s mind, which is a result of an evolutionary process. Ulysses can be called the story of thought life of Stephen and Morgan within one day. Stream of consciousness is an emergent technique of 20th century novel, employed to explain human thoughts, feelings and stimulations. Stream of consciousness describes the flow of thoughts and feelings in the mind without a sequence, in other words in natural order.. Used for the first time by William James, Joyce gives new meanings to it by using in his novels, A Portrait, Ulysses and Finnegan’s Wake . Joyce makes use of stream of consciousness technique In Ulysses Mr Prince dines alone in a restaurant . Joyce takes us to his mind journey; an internal monologue â€Å"here is the soup, the smoking soup. Be careful that the waiter does not splash me†¦ in’ A Portrait of the Artist as a Young Man† Stephen’s flow of thoughts is revealed when he meets a man besides the bridge. : it must be eleven he thought†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. as he turned away he heard a clock somewhere near him†¦ he laughed as he heard it as it made him think of Mac Cann†. Isolation is an evident theme of 20th century literature. Stephen in† A Portrait of The Artist as a Young Man †is detached from his world. Stephen is an individual who wants to break free from the barriers of nationalism, religion and society. Stephen is standing apart from his fellows and peers,†but he apart from them and in silence, remembered in what dread he stood†¦ † Experience gets a structural support in modern literature, through parallel themes and use of myths. Ulysses is written parallel to odyssey. A portrait of the artist as a young man has the myth of Daedulus employed in it. In the writing of English fiction, the narrative technique has shifted from realism to a new method of impressionism. The purpose of impressionism is to lay stress on human perception and knowledge. It began from the work of Walter Pater and Henry James to flourish in the hands of, James Joyce, among others. Impressionism is vivid in â€Å"A Portrait of the Artist as Young Man†. Joyce uses impressionism in the epiphanic moment of Stephen’s life when he comes to know that he cannot repress nature and therefore his natural inclinations†. She seemed like one whom magic had changed into the likeness of a strange and beautiful seabird.. :† Impressionism is also employed in Joseph Conrad’s †Heart of Darkness†, which is a journey from darkness to light for Marlowe. Therefore he perceives things, learns and gets knowledge by interpreting things around him. Conrad employs impressionism for this process. .†Near the same tree two more bundles of acute angles sat with their legs drawn up†¦Ã¢â‚¬ ¦ his brother phantom rested his forehead†¦Ã¢â‚¬ ¦.. † Imperialism and colonization is one of the modern themes in 20th century English literature. A Passage to India and, Heart of Darkness throw light on manipulation by man when he is in power. Both works utilize Britain’s Age of Empire as a backdrop for the narratives and they explore British attitudes and behavior in the foreign locales of the imperial frontier. Ivory has a strong drive for white man and he does not leave any chance to get it. The action of each work takes place against the backdrop of Empire Heart of Darkness has the morbidity and pathos of modern literature, as it shows the gruesome face of mankind. Conrad has lack of hope in the modern man. Therefore Heart of Darkness raises important questions about the development of civilization. The civilized man plays havoc with the surroundings of the jungle, unchecked by rules and regulations. The developed society thus is held questionable. The white man plays a worse role than the barbaric who according to Marlowe’s observation probably don’t even know the concept of time. Heart of darkness is also a journey of self realization, both of Marlowe and Kurtz. Marlowe has a passion for maps since childhood. Maps lead towards new ways and help in exploration. Marlowe explores human self and the rotten truths of colonization during his journey up to the river to meet Kurtz. Heart of darkness has the perspective quality of 20th century literature. Conrad places the narrator inside the action of the story in order to remain impersonal. The narrator has an individual voice he interprets the things in his own way and thus we see a perspective of an individual. Conrad does not project any ideology or theory, but just scans the grim faces of mankind. A Passage to India by E. M. Forster is a novel on colonial rule and differences between the natives and British are revealed. It is a relationship between colonized and the colonizer. It discusses the modern problem of clash between cultures . It is a discourse on the cultural differences between two nations. In A Passage to India, the story of Adela Quested false accusation against the Indian Dr. Aziz ,that he attempted to rape her on an expedition to the Marabar Caves, becomes symbolic of the distortions of understanding and interpretation that can occur between cultures, and of the injustice that inevitably occurs when one people holds power over another . The passage to India is a discourse on the in understandable existence of man. It has the questions about the man’s existence which are the feature of 20th century literature. Marabar Caves themselves are an important symbol Their freezing regularity, hard to decipher echo that follows any sound made within them, come to represent the nullity of human action, the meaninglessness of existence. As in all 20th century literature the psychological effect of the colonization is clear in a passage to India. The British people cannot come out of the psychological influence that they are a much exotic race than the Orientals, where as the natives are hostile to them. As a result it ends up that with their given psychologies the two nations cannot unite. Ms Adela quested cannot stand the reality, the real India and her illusion becomes symbolic of the psychological crisis. Ms Moore undergoes a transformation as compared to other English men.

Inference Practice

Making an Inference Directions: Some of the questions following the passages ask you to make inferences from the passages. To infer means to arrive at a conclusion by reasoning from evidence. Synonyms for infer are deduce, judge, or conclude. If you are told to infer something from a passage, you are basically being asked what conclusions can be drawn from the content of the story. Tip: If you replace the word infer with conclude in a question, it may make more sense to you. In cities throughout the country, there is a new direction in local campaign coverage.Frequently in local elections, journalists are not giving voters enough information to understand the issues and evaluate the candidates. The local news media devotes too much time to scandal and not enough time to policy. 1. This paragraph best supports the statement that the local news media a. is not doing an adequate job when it comes to covering local campaigns. b. does not understand either campaign issues or politics. c. should learn how to cover politics by watching the national news media. d. has no interest in covering stories about local political events.The use of desktop computer equipment and software to create high-quality documents such as newsletters, business cards, letterhead, and brochures is called Desktop Publishing, or DTP. The most important part of any DTP project is planning. Before you begin, you should know your intended audience, the message you want to communicate, and what form your message will take. 2. The paragraph best supports the statement that e. Desktop Publishing is one way to become acquainted with a new business audience. f. computer software is continually being refined to produce high-quality printing. . the first stage of any proposed DTP project should be organization and design. h. the planning stage of any DTP project should include talking with the intended audience. The entire low-carbohydrate versus low-fat diet argument is so prevalent that one would thin k that these are the only two options available for losing weight and staying healthy. Some experts even feel that the low-carb/low-fat debate distracts us from an even more important issue—our culture's reliance on processed and manufactured foods. 3. The paragraph best supports the statement that i. xperts state that not all fats are equal, so we need not reduce our intake of all fats; just those that contain partially hydrogenated oils. j. important health concerns get overlooked when we focus exclusively on the low-fat versus low-carb question. k. low-carbohydrate diets lead to significant and sustained weight loss. l. processed foods can lead to many adverse health problems including heart disease, cancer, diabetes, and obesity. Every year, Americans use over one billion sharp objects to administer healthcare in their homes. These sharp objects include lancets, needles, and syringes.If not disposed of in puncture-resistant containers, they can injure sanitation workers. Sharp objects should be disposed of in hard plastic or metal containers with secure lids. The containers should be clearly marked and be puncture resistant. 4. The paragraph best supports the idea that sanitation workers can be injured if they m. do not place sharp objects in puncture-resistant containers. n. come in contact with sharp objects that have not been placed in secure containers. o. are careless with sharp objects such as lancets, needles, and syringes in their homes. p. o not mark the containers they pick up with a warning that those containers contain sharp objects. Litigation is not always the only or best way to resolve conflicts. Mediation offers an alternative approach and it is one that can be quite efficient and successful. Mediation can be faster, less expensive, and can lead to creative solutions not always possible in a court of law. Additionally, mediation focuses on mutually acceptable solutions, rather than on winning or losing. 5. This paragraph best suppor ts the idea that q. there is too much reliance on litigation in our society. r. itigation is expensive, slow, and limited by its reliance on following the letter of the law. s. mediation is the best way to resolve a crisis. t. mediation can be an effective way to resolve conflicts. One of the missions of the Peace Corps is to help the people of interested countries meet their need for trained men and women. People who work for the Peace Corps do so because they want to, but to keep the agency dynamic with fresh ideas, no staff member can work for the agency for more than five years. 6. The paragraph best supports the statement that Peace Corps employees u. are highly intelligent people. . must train for about five years. w. are hired for a limited term of employment. x. have both academic and work experience. More and more office workers telecommute from offices in their own homes. The upside of telecommuting is both greater productivity and greater flexibility. Telecommuters produc e, on average, 20% more than if they were to work in an office, and their flexible schedule allows them to balance both their family and work responsibilities. 7. The paragraph best supports the statement that telecommuters y. get more work done in a given time period than workers who travel to the office. . produce a better quality work product than workers who travel to the office. {. are more flexible in their ideas than workers who travel to the office. |. would do 20% more work if they were to work in an office. Sushi, the thousand-year-old Japanese delicacy, started small in the United States, in a handful of restaurants in big cities. Today, sushi consumption in America is 50% greater than it was ten years ago and not just in restaurants. Sushi is also sold at concession stands in sports stadiums, university dining halls, and in supermarkets throughout the country. . This paragraph best supports the statement that }. sushi is now a fast food as popular as hot dogs, burgers, a nd fries. ~. more sushi is sold in restaurants than in supermarkets. . Americans are more adventurous eaters than they were in the past. . sushi wasn't always widely available in the United States. Today's shopping mall has as its antecedents historical marketplaces, such as Greek agoras, European piazzas, and Asian bazaars. The purpose of these sites, as with the shopping mall, is both economic and social.People not only go to buy and sell wares, but also to be seen, catch up on news, and be part of the human drama. 9. The paragraph best supports the statement that . modern Americans spend an average of 15 hours a month in shopping malls. . shopping malls serve an important purpose in our culture. . shopping malls have a social as well as commercial function. . there are historical antecedents for almost everything in contemporary society. Many animals hibernate during parts of the year, entering a state that is similar to a very deep sleep. But hibernation is more than simply a d eep sleep.The animal's body temperature drops well below its normal range, the animal does not wake up for a long period of time, and its metabolism slows to the point that the animal does not need to eat or relieve itself during that period. In order to prepare for hibernation, the animal must build up its body weight and increase its body fat. This is important, since the animal will be living off its own body fat during the months of hibernation. Of course, once the period of hibernation is over, the animal â€Å"wakes up† to find itself slim and trim once again! 10. How does an animal prepare for hibernation? . It exercises for two months. It gradually increases its sleeping habits. . It grows extra fur. . It eats more food than usual. 11. This passage best supports the statement that . all animals hibernate to some degree. . food is scarce in the winter. . hibernation is very different from normal sleep. . bears hibernate every year. Patrick Henry is considered one of th e great patriots of America's early history. He was a leader in every protest against British tyranny and in every movement for colonial rights, openly speaking against the unfair taxation and overly burdensome regulations imposed upon the American colonists by the British Parliament.In March 1775, Patrick Henry urged his fellow Virginians to arm themselves in self-defense. He spoke boldly in Richmond, Virginia, during the meeting of the state legislature. He closed that famous speech with the immortal words, â€Å"I know not what course others may take; but as for me, give me liberty or give me death. † 12. This passage best supports the statement that . Patrick Henry later became a governor of West Virginia. . the Virginia legislature was not listening to Henry's speech. . Patrick Henry was willing to lay down his life for his country. People in Colonial times faced harsh living conditions. 13. Which of the following would be the most appropriate title for this passage? . T he Speeches of Patrick Henry . Patrick Henry, American Patriot . Early American Patriots . History of the Virginia Legislature Ratatouille is a dish that has grown in popularity over the last few years. It features eggplant, zucchini, tomatoes, peppers, and garlic chopped, mixed, sauteed, and finally, cooked slowly over low heat. As the vegetables cook slowly, they make their own broth, which may be extended with a little tomato paste.The name ratatouille comes from the French word touiller, meaning to stir or mix together. 14. Which of the following is the correct order of steps for making ratatouille? . chop vegetables, add tomato paste, stir or mix together . mix the vegetables together, saute them, and add tomato paste . cook the vegetables slowly, mix them together, add tomato paste . add tomato paste to extend the broth and cook slowly overlow heat 15. Ratatouille can best be described as a . French pastry. . sauce to put over vegetables. . pasta dish extended with tomato past e. vegetable stew. The competitive civil-service system is designed to give candidates fair and equal treatment and to ensure that federal applicants are hired based on objective criteria. Hiring has to be based solely on a candidate's knowledge, skills, and abilities (which you'll sometimes see abbreviated as ksa), and not on external factors such as race, religion, sex, and so on. Whereas employers in the private sector can hire employees for subjective reasons, federal employers must be able to justify their decision with objective evidence that the candidate is qualified. 6. The paragraph best supports the statement that . hiring in the private sector is inherently unfair. . ksa is not as important as test scores to federal employers. . federal hiring practices are simpler than those employed by the private sector. . the civil service strives to hire on the basis of a candidate's abilities. 17. The federal government's practice of hiring on the basis of ksa frequently results in the hiring of employees . based on race, religion, sex, and so forth. . who are unqualified for the job. . who are qualified for the job. on the basis of subjective judgment. It is well known that the world urgently needs adequate distribution of food, so that everyone gets enough. Adequate distribution of medicine is just as urgent. Medical expertise and medical supplies need to be redistributed throughout the world so that people in emerging nations will have proper medical care. 18. This paragraph best supports the statement that . the majority of the people in the world have no medical care. . medical resources in emerging nations have diminished in the past few years. not enough doctors give time and money to those in need of medical care. . many people who live in emerging nations are not receiving proper medical care. Knitting has made a major comeback. People are knitting on college campuses, in coffee shops, and in small knitting groups throughout the United States. New kn itting stores, many with cafes, are popping up all over, and there are more knitting books and magazines being published than ever before. And not all of these knitters are women: As knitting continues to surge in popularity, men are picking up knitting needles in record numbers. 9. The paragraph best supports the statement that . joining a knitting group is a great way to make new friends. . some people knit because it helps them relax and release stress. . today's knitter is not the stereotypical grandmother in a rocking chair. . as is the case with all fads, this new obsession with knitting will fade quickly. Everyone is sensitive to extreme weather conditions. But with age, the body may become less able to respond to long exposure to very hot or very cold temperatures. Some older people might develop hypothermia when exposed to cold weather.Hypothermia is a drop in internal body temperature, which can be fatal if not detected and treated. 20. The paragraph best supports the stat ement that . cold weather is more dangerous for older people than warm weather. . hypothermia is a condition that only affects older people. . older people who live in warm climates are healthier than older people who live in cold climates. . an older person is more susceptible to hypothermia than a younger person. Whether you can accomplish a specific goal or meet a specific deadline depends first on how much time you need to get the job done.What should you do when the demands of the job exceed the time you have available? The best approach is to divide the project into smaller pieces. Different goals will have to be divided in different ways, but one seemingly unrealistic goal can often be accomplished by working on several smaller, more reasonable goals. 21. The main idea of the passage is that . jobs often remain only partially completed because of lack of time. . the best way to complete projects is to make sure your goals are achievable. . the best way to tackle a large proje ct is to separate it into smaller parts. the best approach to a demanding job is to delegate responsibility. Health clubs have undergone a major transformation that can be described in three words: mind, body, and spirit. Loud, fast, heartt-humping aerobics has been replaced by the hushed tones of yoga and the controlled movements of Pilates. The clubs are responding to the needs of their customers who are increasingly looking for a retreat from their hectic lifestyles and a way to find a healthy balance in their lives by nurturing their whole selves. 22. The main idea of the paragraph is that exercise is less important now than it once was. . health clubs are much less popular now than they were ten years ago. . many health clubs will go out of business because of the decline in traditional exercise. . people's desire to nurture all aspects of themselves has contributed to big changes for health clubs. For most judges, sentencing a person who has been convicted of a crime is a diff icult decision. In the majority of jurisdictions throughout the country, judges have few sentencing options from which to choose. Generally, their options are confined to a fine, probation, or incarceration.Crimes, however, cover a wide spectrum of criminal behavior and motivation, and a wide variety of sanctions should be available. 23. The main idea of the paragraph is that . there should be laws that dictate which sentence a judge should hand down. . someone other than a judge should be allowed to sentence a criminal. . judges should be given more sentencing options from which to choose. . more money should be spent on the criminal justice system. Before you begin to compose a business letter, sit down and think about your purpose in writing the letter.Do you want to request information, order a product, register a complaint, or apply for something? Do some brainstorming and gather information before you begin writing. Always keep your objective in mind. 24. The main idea of the passage is that . planning is an important part of writing a business letter. . business letters are frequently complaint letters. . brainstorming and writing take approximately equal amounts of time. . many people fail to plan ahead when they are writing a business letter. Keeping busy at important tasks is much more motivating than having too little to do.Today's employees are not afraid of responsibility. Most people are willing to take on extra responsibility in order to have more variety in their positions. In addition, along with that responsibility should come more authority to independently carry out some important tasks. 25. The main idea of the paragraph is that . variety and independence on the job increase employee motivation. . to avoid boredom, many people do more work than their jobs require of them. . today's employees are demanding more independence than ever before. . office jobs in the past have carried less responsibility.Managing job and family is not simple. Bo th commitments make strong demands on people and are sometimes in direct opposition to each other. Saying yes to one means saying no to the other, and stress can often result. Being realistic and creating a balance in life can help set priorities. 26. The main idea of the paragraph is that . most family responsibilities cause stress at home and at work. . because it pays the bills, a job must take priority over other commitments. . it is important to have a balance between job and family responsibilities. because they are so important, family duties must take priority over the job. Women business owners are critically important to the American economy, yet women still face unique obstacles in the business world. The U. S. Small Business Administration offers a variety of programs and services to help women-owned businesses succeed and to advocate for women entrepreneurs. 27. This paragraph best supports the statement that women business owners . have more success in the United State s than in other countries. . cannot succeed without outside help. . may find the Small Business Administration a useful resource. should not make any major decisions without seeking the advice of the Small Business Administration. Passages in this section can have one to six questions following. You must respond accordingly. Use of electronic mail (e-mail) has been widespread for more than a decade. E-mail simplifies the flow of ideas, connects people from distant offices, eliminates the need for meetings, and often boosts productivity. However, e-mail should be carefully managed to avoid unclear and inappropriate communication. E-mail messages should be concise and limited to one topic.When complex issues need to be addressed, phone calls are still best. 28. The main idea of the paragraph is that e-mail . is not always the easiest way to connect people from distant offices. . has changed considerably since it first began a decade ago. . causes people to be unproductive when it is u sed incorrectly. . is effective for certain kinds of messages but only if managed wisely. 29. Which of the following would be the most appropriate title for the passage? . Appropriate Use of E-Mail . E-Mail's Popularity . E-Mail: The Ideal Form of Communication . Why Phone Calls Are Better Than E-MailNative American art often incorporates a language of abstract visual symbols. The artist gives a poetic message to the viewer, communicating the beauty of an idea, either by using religious symbols or a design from nature such as rain on leaves or sunshine on water. The idea communicated may even be purely whimsical, in which case the artist might start out with symbols developed from a bird's tracks or a child's toy. 30. The main idea of the passage is that Native American art . is purely poetic and dreamlike. . is usually abstract, although it can also be poetic and beautiful. communicates the beauty of ideas through the use of symbols. . is sometimes purely whimsical. Answers 1. a. C hoice d may seem attractive at first, but the passage simply says that the local media does not adequately cover local politics—it doesn't discuss the reason for their neglect. 2. c. Sentence 3 indicates the importance of organization and design. The other choices, even if true, are not in the passage. 3. b. Both sentences in this passage support the idea that the emphasis on the low-carb/low-fat debate is misleading and might distract us from other important ideas.The other choices are not supported by or developed in this passage. 4. b. The other choices are wrong because the passage is not concerned with how sanitation workers should deal with sharp objects but with how everyone should dispose of sharp objects in order to avoid hurting sanitation workers. 5. d. See the second sentence of the passage. Choices a and b are not in the passage. Choice c might seem attractive, but the passage does not say that mediation is the best way to resolve a conflict, simply that it is an alternative way that might prove effective. 6. c. See the final sentence of the passage.The other choices might be true but are not in the passage. 7. a. The second sentence speaks of the greater productivity of telecommuters. The other choices may seem attractive on the surface because they contain words and phrases from the passage, but a closer look will show them to be incorrect or absent from the passage. 8. d. The first sentence indicates that sushi was once available only in a handful of eating establishments. 9. c. Choice b may seem attractive at first, but the passage doesn't offer the opinion that the purpose of the shopping mall is important, it simply tells us what the purposes are. 0. d. The second paragraph states that an animal prepares for hibernation by increasing its body weight and fat. The reader can infer from this that the animal eats more food than usual. 11. c. The passage states that hibernation is â€Å"more than simply a deep sleep,† then lists sev eral ways that hibernation differs from sleep. The other choices are not addressed in the passage. 12. c. Patrick Henry's famous words, â€Å"Give me liberty or give me death,† indicate that he was willing to fight for his nation's freedom—even if it cost him his life. The other choices are not addressed in the passage. 3. b. The passage is about Patrick Henry, and focuses on his patriotic activities. No other patriot is mentioned, nor is information given about his other speeches or about the Virginia legislature. 14. b. See the second and third sentences for the steps in making ratatouille. Only choice b reflects the correct order. 15. d. The main part of the passage describes how to cook vegetables. Only choice d indicates that vegetables are included in the dish. The other choices are not reflected in the passage. 16. d. See the final sentence of the passage. 17. c.See the second sentence, which defines ksa. The other choices are refuted in the passage. 18. d. This answer is implied by the statement that redistribution is needed so that people in emerging nations can have proper medical care. Choices a, b, and c are not mentioned in the passage. 19. c. This choice is the best answer because the paragraph indicates that the new knitters are of varying ages and are not just women. Choices a and b may be true, but they are not supported by the paragraph. Choice d is a prediction that is not made in the paragraph. 20. d.The paragraph specifically states that age makes a person less able to respond to long exposure to very hot or very cold temperatures. This would mean that older people are more susceptible to hypothermia. Choices a, b, and c are not supported by the information given in the paragraph. 21. c. The third sentence is the main idea. It is a general idea that answers the only question posed in the passage. The other choices are not in the passage. 22. d. The passage states that health clubs have undergone a major transformation due to people's interest in taking care of their minds, bodies, and spirits.Choice a is incorrect because the paragraph doesn't say exercise is less important. It simply says the focus and type of exercise have changed. Choices b and c are not supported by the paragraph. 23. c. This choice is closely related to all three sentences of the passage. Choice a is contradicted in the passage. Choices b and d are not in the passage. 24. a. The entire passage relates to this idea. The other ideas are not reflected in the passage. 25. a. This is the main idea of the passage because all the sentences relate to it.The other choices may be true but are not reflected in the passage. 26. c. This idea is expressed in the final sentence and wraps up the passage, speaking of the importance of creating a balance. The other choices are not in the passage. 27. c. The support for choice c is given in the second sentence. No support is given for choices a and d. Choice b is incorrect because the paragraph state s that women business owners face unique obstacles, but it does not say that they absolutely require outside help to succeed, just that it is available. 8. d. This choice encompasses the main information in the passage. Choices a, b, and c are not mentioned. 29. a. The title should express the main idea of the passage. The passage, as a whole, focuses on appropriate and inappropriate uses of e-mail. The other choices address more specific ideas expressed in the passage but are not its main idea. 30. c. The first and second sentences reflect this idea. The passage does not say that Native American art is dreamlike (choice a). Choices b and d are too limited to be main ideas.

Health Care Spending Essay

Healthcare is a very important sector in the countries around the world. The countries and the government always keep some money in their budget in relation to the health care activities in their countries. In the United States of America also, there are certain provisions in relation to the health care. The paper shall discuss about the health care spending in relation to United States of America. It shall discuss about the current level of health care expenditure in United States of America. There are shall be a lot of discussion in relation to the fact that whether the expenditure on health care in United States of America is appropriate or not. It shall also discuss about the manner in which the health care needs of the people in United States of America are paid by the government. In the end of the paper, there shall be a forecast in relation to the health care spending in United States of America. All the above said things shall be discussed in detail in the current paper. The government of United States of America has made a lot of provisions in relation to the expenditure of health care facilities in United States of America. In the United States of America, the health care spending has been increasing continuously (Hawe, 2008). There have been a lot of funds kept by the government of United States of America in its budget in relation to the health care services. In the year 1990, the expenditure made by the government of United States of America in relation to the health care spending was $714 million. Since then, the amount of expenditure on health care has increase to $2. 3 trillion. This is around 3 times of what it was in the year 1990. The government of United States of America is spending around 16% of its total gross domestic production on providing the health care facilities to the people. It is estimated that around $7600 are spent by the government of United States of America for each and every resident in the country. In this way, it can be said that the expenditure in relation to health care in United States of America is quite good and the country is taking adequate steps for making sure that adequate health care facilities are provided to the people in a proper and appropriate manner. The health care spending of the United States of America is the highest all around the world. There is no problem with the extent of money spend by the country towards the health care. Other countries around the world are also spending some money towards the health care but the expenditure made by the government of United States of America is the highest. Currently the expenditure incurred in United States of America towards is adequate and appropriate. It has to increase only with the increase in population. According to the per capita expenditure, the current expenditure in the country towards the healthcare is appropriate. When the country makes the budget in relation to the health care expenditure, then it has to take care that adequate expenditure is incurred on each and every activity related to health care. The government of United States of America should make sure that it spends appropriate expenditure on each and every area of the health care. The expenditure should be more on the critical areas and it should be reduced on the areas which are not very difficult to handle for the government. The government of United States of America should make sure that it increases the expenditure of the health insurance of those people which are not in a position to afford the costs for themselves (U. S. Health Care Costs, n. d. ). The government should also increase the expenditure in relation to the funds provided to the health care organizations for providing the benefits to the poor people in the United States of America. The government of United States of America should also increase the expenditure in relation to some specific and high risk diseases such as Cancer, Aids etc. If the expenditure shall be reduced in relation to the above said activities then, there is a possibility that the people in United States of America shall be benefitted to a very high extent. Other than the above areas, there are certain areas in which the government of United States of America should look to reduce the expenditure. The cost on some of the areas in the health care should not be reduced to the extent it hampers the health care services. If there is a requirement to reduce the health care costs then, these should be reduced only till the services are not affected in a negative manner. The areas in which unnecessary costs are incurred by the government should be recognized and the costs should be reduced in those areas. In the United States of America, there are adequate sources used for the purpose of financing the health care services in the country. In the country, the funding for the health care services is done together by the government and the non government agencies in the country. While preparing the budget, the government of United States of America keeps a percentage of funds in relation to providing the health care services to the people who are in need and also the people which are not able to have the health care insurance for themselves. Other than the government of United States of America, there are various other forms of associations which work for the purpose of providing the health care services to the people. They not only provide the health care services but also provide the financial for the insurance of the patients. There are few programs also in relation to the same. The programs include Healthcare Facilities Accreditation Program, Community Health Accreditation Program and various other programs. The health care finance in the United States of America are funded by the above said facilities and things. In the United States of America, the government and the non government associations share 50% of the expenditure each. In this way, there is a proper sharing the expenditure. For the last few years, the healthcare expenditure in United States of America has been increased considerably at an increasing rate. It is expected that the healthcare expenditure in United States of America shall increase in the same rate as it was increasing earlier (Scambler, 2008). In the year 2007, the health care expenditure in United States of America was $2. 2 trillion. This amount increased to $2. 3 trillion in the financial year 2008. In this way, there was a definite increase in the health care expenditure in the two years. It is expected that the health care expenditure will grow even more. In the year 2013, the healthcare expenditure is expected to reach the figure of $3 trillion and in the year 2017, it is expected that the health care expenditure shall reach the figure of $4. 3 trillion. In this way, it can be said that there is a forecast of increased expenditure on health care in the years to come. The chart below provides the forecast for health care in a proper manner. This chart is showing the healthcare expenditure in United States of America. The government of United States of America is spending a lot of money on the healthcare services in the country. With the kind of expenditure, the government of United States of America is spending on the health care facilities in the country, it can be said that the government is spending sufficient amount of money on the health care facilities.

JEMSS Keywords Assignment Example | Topics and Well Written Essays - 750 words

JEMSS Keywords - Assignment Example JEMSS provides the same in collaboration with various universities. The key concepts taught in the JEMSS Masters course are advanced keyword research techniques and proven ways to use the social media to market any product successively in a short time. Major concepts related to keyword research starting from choosing a niche based topic to finding out the keywords used in the competitor’s website are covered. Keywords are nothing but the search phrases used by the internet surfers to browse for a certain topic. For example, JEMSS provides social media marketing courses. The website will be displayed to any person typing in the phrase social media marketing courses or other related wordings like ‘online marketing courses’, ‘digital marketing courses’ and ‘social media training’. The keywords most often used by the internet surfers are gathered through tools like Google Adwords, Google Trends, BootSuite etc. Typing in ‘social media marketing courses’ in any of these tools will give you a list of related keywords listed above. Effective SEO is the process of utilizing these keywords in proper places like the title, metatags and the paragraphs headings (Smith, 2008). This will increase the chance of search engines finding your website more frequently, resulting in your page being displayed in the Top 10 listing of the search engine. Being displayed on the first page of Google or Yahoo will get you more organic traffic and a steady stream of income in a short period of time. JEMSS courses train you to teach all the related tricks in the field to achieve the same. The three keywords ‘online marketing courses’, ‘digital marketing courses’ and ‘social media training’ were found using Google Trends. They are used effectively in the JEMSS website several times (Key word Research Bible, 2014). Once the keywords are selected, their relevance can be

Collaborative E-learning in Saudi Arabia Essay Example | Topics and Well Written Essays - 2000 words

Collaborative E-learning in Saudi Arabia - Essay Example The new technologies provide the unique possibility for e-learning as part of the active educational process. The higher education institutions in Saudi Arabia can use the e-learning resources to improve the quality of the delivered education. Collaborative e-learning has the advantage of being flexible for the learners and the tutor. It is also highly valuable for group work since there is the need of class discussions which can be done in online form. In this way, the members of the group would have enough time to rethink their position without the social pressure of the face to face contact (Flexible Learning Website). Another aspect worth mentioning is the ability of the student to set the pace of the learning process. Thus the learner can realize the value of taking responsibility for his/her own improvement. In other words, e-learning trains the student to be proactive and take an essential part in the process of acquiring new skills. Different learning styles are also addressed by placing the emphasis on one's own pace of learning (Flexible Learning Website). The benefits of e-learning can be experienced especially in Islamic countries such as Saudi Arabia. According to the Koran a woman cannot be seen without her veil by males except for her closer relatives. The male professors might experience difficulties from religious essence while teaching to female students. Although direct teaching was used before 1990, it is no longer the case. The problem is deepened by the lack of female instructors in higher education ( Mirza, 2007; "Utilizing Distance Learning Technologies to Deliver Courses in a Segregated Educational Environment"). The most convenient way to address this problem is through e-learning. Technology might be put into practice in such cases. One example is the closed circuit television which is used by the instructor to deliver a lecture to female students who receive the information directly at the female campus. Another instance is the usage of telecommunications at the King Saud bin Abdulaziz University for Health Sciences. "The program is setup in a way such that a course is taught to both male and female students at the same time, with both lecture halls being within close proximity to one another. As a matter of fact, the male and female lecture halls are directly adjacent to one another. Each student has an individual client machine connected through a local area network to the instructor's PC" ( Mirza, 2007; "Utilizing Distance Learning Technologies to Deliver Courses in a Segregated Educational Environment"). Still, e-learning might pose various problems to the tutor and the students. Although, it is highly interactive, it cuts the direct contact between the instructor and the students. It leads to inability to comprehend the material and misunderstanding of the true purpose of studying the particular subject. Good utilization of distance learning requires excellent knowledge of the used software and perfect computer literacy There are instructors and/or students who need more time to acquire the specific skills needed for the implementation of the e-learning. Another aspect of e-learning is the relative independence of the learning process which might be difficult to students with bad time-management habits. They would be intimidated by the progress of the others while not being able to set timetable for their

The Primary Benefits of Telenursing Assignment Example | Topics and Well Written Essays - 250 words

The Primary Benefits of Telenursing - Assignment Example The e-health practice is applicable in various avenues such as remote monitoring and patient consultations (Kumar & Snooks, 2011). Ethics is a core concept in nursing because of the sensitivity of the practice. Almost all nursing institutions incorporate the study of ethics in their curriculum in order to enable learners to practice fairly and efficiently in the field. The ethical principals in nursing entail caring, communication and relations between the nurses and the patients. These ethical principals provide guidelines to telenurses in an ethical dilemma situation. Telenursing has various ethical dilemmas like in cases where a third party person (relative) calls the telenurse on behalf of the patient. In this case, the ethical dilemma entails a conflict between the relative’s and patient’s autonomy as well as the telenurse’s desire to help (Kumar & Snooks, 2011). In addition, telenursing has other ethical issues such as confidentiality of the information because the patients rely on different methods of communication to explain their condition. Additionally, the information provided to the nurses may lack credibility especially in situations where the patient is a minor, and they cannot comprehend their condition effectively. Ethical principles such as listening and communication abilities enable the telenurses to establish a particular condition in a patient effectively. The nurses also apply various ethical principles to resolve a situation where the interests of the concerned parties’ conflict during a telenursing process (Kumar & Snooks).

Human resources management Staffing Assignment Example | Topics and Well Written Essays - 500 words

Human resources management Staffing - Assignment Example o the initiation of disengagement includes: employee not being considered for promotion, the real job is different from the original job description, a very close colleague has been fired from his position, a great job opportunity from another organization and conflict with other employees of the employer (Branham 12). Other reasons due to which employees disengage includes: loss of trust, less training and less career advancement opportunities and lack of appreciation. Organizations do not meet some of the promises they have made to the employees due to which employees lose trust in their employers and tend to leave. Employees do not want to remain in the same position of the organization for years they want to excel in their careers To get a better career they need training and if training is not provided by organizations, employees forfeit their position. These are some of the several reasons that may trigger the event of disengagement. 3. The competition and workload on managers is increasing day by day and they have ignored various signs of disengagement expressed by employees. High rate of absenteeism, unacceptable behavior, negativity towards work are some of the early signs of disengagement and these signs can help employers identify that an employee is going to disengage. 4. If employers or managers determine that a particular employee is going to disengage from the organization, the manager should take measures to counter the problem. One of the reasons of disengagement is loss of trust; the managers can re-establish the trust factor with the employee by providing benefits that have been promised to the employee. Another reason of disengagement is lack of training; managers can provide training and career advancements to motivate them. The managers can stop the disengagement process by rewarding employees for their achievements and making them feel that they are very important to the organization. Another factor of disengagement is that employees feel

Data Collection Tools, Methods, and Challenges Essay

Data Collection Tools, Methods, and Challenges - Essay Example Qualitative and quantitative research techniques are designed for different audiences: policymakers both in private and in government, funding agencies, academicians, various stakeholders and project clients. The following is a discussion of various tools of data collection in both qualitative and quantitative research and challenges faced in each. Qualitative research interview is one of the most commonly utilized data collection tool in qualitative research. Qualitative research interviews can be categorized as structured, semi-structured and in-depth. According to Holloway (2005), the aim of a qualitative research interview is to find out, in the perspective of the insider, their thoughts, feelings, perceptions and feelings. Interviews are flexible and very effective tools when there is need to reveal information on how a single individual views the world. The only challenge with use of interview as a tool of collecting qualitative research data is that it is time consuming thus t here is need for preparation, transcription and scheduling for interview. Focus group is the second tool and it refers to a group discussion often on a particular topic that has been organized for purposes of research and is monitored, guided and recorded by a facilitator, researcher or moderator. Unlike qualitative research interviews, focus groups are best used when researcher wants to generate information on the collective views of a group and what such views mean in real sense (Onwuegbuzie et al 2009). It is time effective but less flexible since the focus group may influence the result from shy individuals within the group. The dynamics of the individuals may also interfere with accurate and complete data (Onwuegbuzie et al, 2009). A standardized test is one of the commonly used tools in quantitative data collection and refers to tests that are administered and scored in a consistent manner.

Qualitative Educational Research in Theory and Practice Essay

Qualitative Educational Research in Theory and Practice - Essay Example There are various oriental approaches used for understanding the different phenomena in life. One such way of viewing the world is positivism. Positivism is philosophical science based information derived from mathematical and logical source of knowledge (Cohen, Manion & Morrison 2011, pp. 12). Auguste Comte developed the paradigm in the 19th century with an objective viewpoint on stability of reality while basing various arguments on historical perspectives. Positivism is also the act of manipulating independent variables while maintaining others constant, in a bid, to identify the relationship between various elements of the world. The predictions in positivism may rely on past, or previous realities explained in the historical tradition. Notably, positivism discredits the existence of human knowledge in the society. It remains based on this regards that various discussions have arisen to counter the paradigm of positivism. The paradigms relationship with natural and physical scien ces for instance, as remained a point of controversy. The paradigm reiterates that action within the society is similar to reactions that the physical world remits towards the absolute laws such as gravity (Cohen, Manion & Morrison 2011, pp. 24). Positivism has generated an argument between poetry and philosophy hence creating a rift in the education systems. For instance, there has been a widening gap between humanities and sciences a factor brought misunderstanding in the education. Positivism advocates for superiority of sciences over the human mind thoughts for the reasons that the human mind provides non-inward knowledge. It furthermore promotes the use of scientific knowledge in judgmental decisions while disregarding other disciplines. Positivism believes reality exists; however, it is composed of various discrete elements (Cohen, Manion & Morrison 2011, pp. 28). This means that reality in positivism is any phenomena with a single objective reiterating a solitary world. This has greatly influenced the education system considering the rift generated by the explanation. For instance, positivism regards social sciences as fallacious. This is the act of treating an abstract concept as having a real existence (May 2001, pp 44). This leads to causal efficacy between the two disciplines that fight over the impartial treatment of abstraction. Realism is the most common philosophical perspective, which holds the thought of a relationship and trust in non-observable concepts. Apart from causing confusion in education systems, positivism also promotes reification. Marxist philosophers like berger and Pullberg 1966 demise social sciences, while giving attention to reification (Cohen, Manion & Morrison 2011, pp. 36). The Marxist theory, on the other hand, associates social sciences to capitalism a factor, which further complicates the education system. According to the theory, societal institutions have changed their role influencing existence of people. Use of posi tivism in the current education systems, therefore, not only causes confusion, but it also violates the integrity of history. It arouses negative feelings, creating biases towards various occurrences in life. It suggests elements of dishonesty in the process of creating various systems (May 2001, pp 67). Positivism does not derive conclusions on a subjective approach. Consequently, positivism does not give priority to emotion or feelings to interfere with the process of judgment. The basis of this argument is the fact that these aspects get

Group Development Intro and Conclusion only Assignment

Group Development Intro and Conclusion only - Assignment Example There are studies which support the concept that groups influence work behavior. A group is composed of individuals working together towards common goals by interacting with one another and utilizing appropriate resources. They need a certain period of time for common interests to be discussed, explained and internalized so that stability and efficiency would ensue. From the cohesiveness that a group develops, certain level of performance is achieved. Groups have to be planned not only in their formation but more so in their development for them to be productive and efficient. Each team undergoes varies stages of development depending on their size and objectives. The extent of cohesiveness that a team develops influences the level of performance of a group. High performing teams are influenced by factors such as mission, roles, leadership, communication, decision-making, systems/procedures, climate, rewards, and competence. It is learning how these teams evolve from a basic structure composed of individuals to a complex, performing team that makes theoretical applications of group development

Compare and Contrast the Operating and Financial Review in UK and Dissertation

Compare and Contrast the Operating and Financial Review in UK and Delaware US - Dissertation Example As the discussion declares the United Kingdom's version of the operating and financial review3 was made into a statute by a working steering committee and the Accounting Standards Board of the United Kingdom. The immediate and strict implementation of this United Kingdom operating and financial review was ordered by the head of the Department of Trade and Industry. According to the research findings more than sixty five percent of the respondent managers of the two hundred companies that traded stocks in the United Kingdom stock exchanges agreed that there should be an operating and financial review report. Their main reasons is that the stockholders will really need the operating and financial review report to determine if they will have to invest more money in the corporation or to withdraw their hard earned cash and invest in another more lucrative business. After approval by the United Kingdom Accounting Standards Board of the operating and financial review in 2004, businesses in the United Kingdom discontinued the use of the 1993 Delaware (USA) version operating and financial review. One major reason Accounting was born was because there had to be created a common language of business. Accounting is defined as the language of business. Accountants from the many countries like the United States, United Kingdom, and Asian countries get toget her to form an international accounting board. This international accounting board gives out pronouncement or rules that its member countries are required to follow. The main purposes for the establishment of such accounting pronouncements are consistency and comparability. Consistency and comparability covers financial statements between two years or between two companies having the same business types. When an American sees a balance sheet of the United Kingdom company, he could easily understands what the board of directors are trying to say because there is a standard and the accounting language used are universally understood. All companies are enjoined to follow the 1993 Delaware version of the operating and financial review when it was issued by the Accounting Standard Board. This includes all companies in Europe (including the United Kingdom ) and Asia. But since the Accounting Standards Board makes the implementation of its 1993 Delaware version voluntary, therefore companies may or may not follow such pronouncements or guidelines. Therefore,

Summer Essay Essay Example for Free

Summer Essay Essay On a hot summer day, a great place to go is to the beach. You would go out to the beach to enjoy the water, the sun, the activities that are happening, or just to be with family and friends. When youre at the beach, there are some very distinct smells. You can smell the salt from the water along with the heat from the sand. My most favourite smell of all is the sweet coconut smell of sun tanning lotion that people put on themselves while they lay into the sun to basically cook. If youre looking for a quiet day of relaxation at the beach, I dont think that will work out too well. The beach is always really loud throughout the day. You can hear the loud motors of the boats and the waves of the water as they come crashing through to shore. Youll definitely be able to hear the laughter and the excitement of the kids of all ages as they splash around, play games, and build sandcastles. While youre at the beach you can always get involved in some fun activities, if you arent able to relax. You can go fishing, if you like touching the slimy scales of the fish and the soft touch of the cold water. Just make sure you dont get the rough, coarse sand in your shorts because you wont like that too much. Overall the beach is lots of fun to go to, if you just want to get away from the busy everyday city life. If you are there early enough, you will be able to see a beautiful, bright sunrise and if you enjoy staying out on the beach until the evening, Im sure you can catch a calming and loving sunset. After the sun has gone down for the night, you can sit in the sand and stare up at the amazing dark blue sky and bright shining stars.

Tariff and non tariff trade barriers

Tariff and non tariff trade barriers INTRODUCTION Despite all the evident benefits of international trade, governments have a tendency to put up trade barriers to protect the domestic industry. There are two kinds of barriers: tariff and non-tariff. Tariff Barriers Tariff is a tax levied on goods traded internationally, that is on imports. As a result, the price level of imported products rises and the demand for them decrease, thus imports are less. Non-tariff Barriers Non-Tariff Barriers (NTBs) include all the rules, regulations and bureaucratic delays that help in keeping foreign goods out of the domestic markets. Baldwin  [1]  defined a non-tariff distortion as any measure (public or private) that causes internationally traded goods and services, or resources devoted to the production of these goods and services, to be allocated in such a way as to reduce potential real world income. The WTO After the World War II, many countries focused on protecting home industries. So, international trade was hampered by severe trade restrictions. To remedy this situation, twenty-three nations joined together in 1947 and signed the General Agreement on Tariffs and Trade (GATT), which stimulated free trade by regulating and lowering tariffs. The work of GATT is sustained by the World Trade Organization (WTO) which encourages global commerce and reduces trade barriers. Tariffs on goods and services have been reduced to low levels through eight successive rounds of the WTO; still there has been a significant increase of Non-Tariff Measurements which are seriously hindering trade. Countries use many mechanisms to restrict imports. NTBs have gained importance as tariff levels have been reduced worldwide. They are the greatest single threat to a liberal world trading system and they are becoming more widespread: the percentage of industrial countries total imports subject to NTBs rose from 25% in 1981 to 27% in 1983 and they are even higher today. NTBs are therefore one of the most important issues in the round of international trade negotiations. TYPES OF NON-TARIFF BARRIERS Non- Tariff Barriers to trade can be categorized in six types: Specific Limitations on Trade: Quota shares A quota is a restriction in value or in physical terms, imposed on import and export of certain goods for a certain period of time. For example, the US has imposed a quota on textiles imported from India and other countries. Import licenses/ Restrictive licenses Import licensing can be defined as administrative procedures requiring the submission of an application or other documentation, other than those required for customs purposes, to the relevant administrative body as a prior condition for importation of goods  [2]  . For example, in Washington, cheese and cheese products are subject to the requirements of the Food and Drug Administration and the Department of Agriculture and most importations of cheese require an import license and are subject to quotas administered by the Department of Agriculture, Foreign Agricultural Service  [3]  . In Mauritius, pesticides require import licence from the Ministry of Health, arms and ammunitions require import permit from the police and many others.  [4]   Exchange controls This is monitoring the amount of foreign exchange available to residents for purchasing foreign goods domestically or while travelling abroad is another way of restricting imports. Foreign exchange restrictions and foreign exchange controls occupy a special place among the non-tariff regulatory instruments of foreign economic activity. Foreign exchange restrictions constitute the regulation of transactions of residents and nonresidents with currency and other currency values. Import bans/ limitations This is a government order forbidding imports of a specific kind or from a particular country. For example, in order to protect the domestic manufacturers against cheap competition from the neighboring country, the government of India imposed ban on the import of Chinese toys. Moreover, many countries, like for example India, have impose a ban on food imports from Japan fearing contamination. Furthermore following a milk scandal that led to the widespread poisoning of babies in China, India banned the import of milk and milk products from China. Embargoes Embargo is a particular type of quotas prohibiting the trade, in other words, when imports from a specific country are totally banned. It is mostly put in place due to political reasons. For example, the United Nations imposed an embargo on trade with Iraq as a part of economic sanctions in 1990. Customs and Administrative Entry Procedures Customs Valuation There is a commonly held view that the invoice values of goods traded internationally do not reflect their real cost. This gave rise to a very subjective system of valuation of imports and exports for levy of duty. If the value ascribed to a particular product would turn out to be considerably higher than its real cost, it could end in affecting its competitiveness by increasing the total cost to the importer due to the excess duty. This would hence act as a barrier to international trade. Antidumping practice If a company exports a product at a price lower than the price it normally charges on its own home market, it is said to be dumping the product. Antidumping is prohibiting a country to dump, that is, to export goods at usual lower prices. Documentation requirements This is when complicated and unnecessary documentation requirements are asked by the importing countries. In Mauritius, according to the Mauritius chamber of commerce and Industry of Mauritius, these imports documents are required; invoice, showing the FOB and CIF value of goods; packaging lists; bill of lading; bill of entry; and where applicable; insurance certificate, certificate of inspection, certificate of origin and imports permits  [5]  . Rules of origin Determining where a product comes from is no longer easy when raw materials and parts across the globe are used as inputs in the manufacturing plants. Rules of origin are important in implementing such trade policy instruments as anti-dumping and countervailing duties, origin marking, and safeguard measures. Technical barriers to trade Technical Barriers Countries generally specify some quality standards to be met by imported goods for various health, welfare and safety reasons. In Mauritius, rice (imported by traders other than the State Trading Corporation) should not exceed 10% broken rice, bakery additives shall not contain potassium bromate as an ingredient  [6]  , etc. This facility can be misused for blocking the import of certain goods from specific countries by setting up of such standards, which deliberately exclude these products. The process is further complicated by the requirement that testing and certification of the products regarding their meeting the set standards be done only in the importing country. The Precautionary Principle The precautionary principle, is a government restrictions on trade in the context of environmental and health concerns, often regardless of cost or scientific evidence. The precautionary principle has been interpreted by some to mean that new chemicals and technologies should be considered dangerous until proven otherwise. It therefore requires those responsible for an activity or process to establish its harmlessness and to be liable if damage occurs. Sanitary and phyto-sanitary conditions This is a restriction on imports from certain places in order to protect consumers, the environment, or agriculture from harmful diseases or pests that may accompany the imported product. For instance, in Mauritius, agricultural goods require a phytosanitary certificate from the ministry of Agriculture, prepared foods, drugs, and chemicals with potential adverse effects on health require phytosanitary certificate from the Ministry of Health.  [7]   Packaging conditions, labeling conditions and product standards. Countries usually impose standards on classification, labeling and testing of products in order to be able to sell domestic products, but also to block sales of products of foreign manufacture. These standards are occasionally entered under the excuse of protecting the safety and health of local populations. In Mauritius, the establishment in charge for the control of standards mainly for food and other items is the Mauritius Standards Bureau. In addition, European exporters and investors are facing an increasing number of unjustifiable non-tariff barriers in the form of product certification, labeling standards, import approval requirements and customs clearance delays. Also, many of the Chinese standards such as the CCC standard require certification by the Chinese authorities before a product can be put on the Chinese market. Important information has to be submitted and the factory has often to be inspected at the expense of the exporter. Government Participation in Trade Complex regulatory environment Some countries have complex regulatory framework, for e.g. complex business registration and license, and thus this hamper free trade. For instance, rules recently enacted in China, prohibit European financial information agencies and operators to sell directly their services customers in China. Government procurement policies This is another type of NTB where governments pretty frequently follow the policy of procuring their requirements (including that of government-owned companies) only from local producers, or at least extend some price advantage to them. This closes a big potential market to the foreign producers. Subsidies to Local Goods This occurs when governments directly or indirectly subsidize local production in an effort to make it more competitive in the domestic and foreign markets. For example, tax benefits may be extended to a firm producing in a certain part of the country to reduce regional imbalances, or duty drawbacks may be allowed for exported goods, or, as an extreme case, local firms may be given direct subsidies to enable them to sell their goods at a lower price than foreign firms. Countervailing duties This is a duty placed on imported goods that are being subsidized by the importing government. This helps to even the playing field between the domestic producers and the foreign producers receiving subsidies. Buy national policy This is a policy hosted by the government to help the national economy. For instance, in 2009, the Paraguayan Finance Ministry specified changes to public procurement policy in relation to the national stimulus plan. That is, public bodies that seek to spend money from the stimulus money are to give preference to national goods and services. More specifically, domestic goods shall receive a preferential margin of 70 percent over imported products. In terms of labor, the announcement declares that at least 70 percent of the labor involved in stimulus projects shall come from local employees living in the territory of the contracting public authority. Charges on imports Variable import levy A  variable import levy  is a  levy  on imports that raises their price to a level at least as high as the domestic price. Such levies are adjusted frequently in response to changes in world market prices, and are imposed to defend administered prices set above world market prices. Under the  Uruguay Round Agreement on Agriculture, the variable levies of the EU have been converted into fixed tariffs or tariff-rate quotas. Border taxes It is a tax system for imports and exports, especially one that compensates for internal taxes in Common Market countries by levying fees or paying rebates. Others Voluntary Export Restraints This is an act of limiting exports. It happens when a country facing a persistent huge trade deficit against another country pressurized the latter to adhere to a self-imposed limit on the exports. For instance, after facing consistent trade deficits over a number of years with Japan, the US persuaded it to impose such limits on itself. Direct and Indirect Restrictions on Foreign Investments A country may directly restrict foreign investment to some specific sectors or up to a certain percentage of equity. Indirect restrictions may come in the form of limits on profits that can be repatriated or prohibition of payment of royalty to a foreign parent company. These restrictions discourage foreign producers from setting up domestic operations. Foreign companies are generally interested in setting up local operations when they foresee increased sales or reduced costs as a consequence. Thus, restrictions against foreign investments add impediments to international trade by giving rise to inefficiencies. PROBLEMS CAUSE BY NTBs The reduction of tariffs in progressive rounds of trade liberalization at the multilateral and regional levels has been mirrored by the rise to prominence of NTBs. NTBs for instance specific limitations on trade and charges on imports such as quotas, import ban and so on, will directly affect trade negatively as they will impact on exporting countries by decreasing or prohibition their exports. Although embargo is usually introduced for political purposes, the consequences, in essence, could be economic. This decrease or ban in exports, if it was of an important quantity/ value, will create serious economic catastrophe for the exporting countries and may result in Balance of Payments deficiency, a decrease in GDP, an increase in the level of unemployment and if nothing is done to remedy the situation, the country can go in a recession. NTBs in the customs and administration entry procedures category and in the standards category do not directly hamper free trade but they add to business cost. These testing procedures being expensive, time consuming and cumbersome to the exporters, act as a trade barrier. This will eventually raise their costs, leading to higher prices thus making them less competitive at international level, and small and medium enterprises may be discouraged to export. A vivid example is in Iran where  NTBs negatively impact on the trade of pistachio and shrimp products. The most important reasons for the reduced export of these products are Sanitary Phyto-Sanitary (SPS) and Technical Barriers (TB). According to WTO rules, countries are allowed to adopt regulations under the SPS and TB agreements in order to protect human, animal and plant health as well as the environment, wildlife and human safety.  [8]   However, by imposing NTBs, both counties will lose, that is, the country which imposes the NTMs also loses. This can be demonstrated by the following facts: for instance, Japanese consumers pay five times the world price for rice because of import restrictions protecting Japanese farmers. American consumers also suffer from the same double burden, paying six times the world price for sugar because of trade restrictions. Hence, allowing free trade in a way will benefit everyone. European consumers pay dearly for restrictions on food imports and heavy taxes for domestic farm subsidies.  [9]   HOW TO REDUCE NTBS The action should start from the top, that is, from the WTO itself. The WTO has already reached some agreements like the Anti-dumping Agreement, SPS agreements, technical barriers agreements and many other agreements. Moreover, RTAs is the first step to reduce NTBs, as it is easier to get the consensus of all an RTA members on a matter that the consensus of all the WTO members. In addition, RTAs normally constitute of country members with a similar/ more or less the same economic background. For instance, in ASEAN, most members are from developing countries while EU has members from developed countries. As a result, removing NTBs will benefits all the members equivalently. For example, there has already been an agreement on the general features of the process for eliminating NTBs in ASEAN. The process Involves, verification of information on NTBs, prioritisation of products/NTBs, developing specific work programmes, and obtaining a mandate from the ASEAN Economic Ministers to implement the work programme.  [10]   In addition, different RTAs have different methods of reducing NTMs. Such as, the Working Party on Regulatory Cooperation and Standardization Policies aims at building a shared regulatory framework and at achieving greater security for consumers and workers, better protection for the environment and reduced cost for international trade.  [11]  They also developed standards for agricultural produce that define minimum quality requirements in order to facilitate the trading process. CONCLUSION Free trade, will surely benefits many countries. Thus in order to allow trade to occur freely, tariffs as well as non-tariff barriers need to be reduced. However, sometimes for safety reasons, some NTMs are required. For instance the import ban on food from Japan is necessary in order to avoid the proliferation of the radioactive contamination. Thus some trade restrictions may be necessary for countries to ensure the safety of the food supply and the health of plants, animals and the environment. However, sometimes governments go beyond what is necessary to protect domestic industries.   Moreover, free trade can increase the poverty gap. This is so because developing countries and LDCs will not be able to compete with developed countries and multinationals may implant themselves in the LDCs just to reap the benefit of cheap labour and resources and does not contribute more to the development of those LDCs.

Assessment Of Mrs Baker Nursing Essay

Assessment Of Mrs Baker Nursing Essay Upon admitting Mrs. Baker to the ER assist her into a gown. While assisting into the gown notice any skin issues, such as injury from the fall, or irritation from possible prior falls or injuries. Elderly people often have issues such as dehydration, of which the signs may be skin tenting, poor turgor, and red areas from pressure, ask about fluid intake and record capillary refill. Mrs. Baker, as a known diabetic, could have unhealed sores or ulcerations and signs of neuropathy, ask about any numbness or tingling. Assisting the patient into a gown may also determine if there are bladder and bowel continence issues. While assisting to gown use the opportunity to question the patient about what, in her opinion, happened. While asking about the incident, ask if there have been periods of light headedness or dizziness, apply a cardiac monitor and pulse oximeter, for observation. Ask the patient if there are any areas that hurt, or if there is any pain even unassociated with the fall. Whi le questioning the patient about what happened and the patients theory of why, evaluate speech pattern and level of orientation, the patients awareness of time and cognitive ability may be assessed at this time. Determine if the patient can provide an accurate account of the fall and what preceded the fall. While assessing the patient, it is essential to look at each system and watch for nonverbal signs of pain. Observe the patient, for signs of confusion and check for pupil response to light. Auscultating lung sounds, listen for adventitious sounds such as rhonchi, rales, or wheezes. Listen to determine if lung sounds are present in all lung fields. Auscultate heart sounds, listen for irregularities, is there a murmur noted. Evaluate cardiac monitor for arrhythmias. Question the patient about any chest pain, tightness, or heaviness. Palpate peripheral pulses, note if they are equal, note the quality if they are thread /bounding, and are pulses even on each side. Obtain vital signs such as blood pressure, orthostatic if possible as this is common with HCTZ and Lisinopril; maintain a 30 minute check on blood pressure readings, note rate and quality of respiratory effort along with oxygen readings. Ask again if the patient has any pain as pain may increase readings in blood pressure, respiratory rate, and pulse. The elderly are sometimes reluctant to report pain, thinking it is all part of the aging process and accepts it as a part of life. Many may not report physical discomfort due to the fear that they may lose independence or the risk of being viewed as a burden. Anxiety may also raise vital sign readings; attempt to explain all procedures to the patient. This not only contributes to trust from the patient, but also reduces some of the fear from the unknown. Listen to bowel sounds, indicate the presence of or lack of in all quadrants. Ask the patient about bowel pattern if possible when the last bowel movement was, palpate for any sign of tenderness or guard ing. Examine the face, hands, and feet for edema. While checking the lower extremities for edema, indicate the quality of pulses in the legs. Pay attention to color and texture of the skin in the legs and feet, note any sores or red areas, note capillary refill. Pay attention to the temperature of the legs as lower extremities blood clots is common. Again, it is necessary to explain the examination to the patient in order to reduce anxiety and to reassure the patient. If the patient is able, ask about medications and when was the last time they were taken. Ask about the time the last meal was eaten. Once the initial assessment is completed, explain to the patient that there will be some tests to assist in determining the medical problems at present. It is advisable to ask if the patient has questions for the nurse; this may aid in preventing any misunderstandings. Technological tools, uses, and benefits Some of the tools frequently used in the assessment, of any patient, start with auscultation and palpation. Listening to the patients verbal response is an advantage to the assessment; however, listening to the heart, lungs, and abdomen is required. To begin, start an IV site and obtain the needed blood for testing, this may prevent a delay in treatment. Be aware of the length of time the tourniquet is applied to the patient, quality of the lab draw is also a factor in the values obtained. After obtaining the blood work, begin a physical assessment. Listening to heart sounds may provide information about various cardiac problems such as a heart murmur; deviation in heart sounds may indicate a cardiac condition. Lung sounds may determine if there are pulmonary issues such as bronchitis, pneumonia, or pulmonary edema. Listening and palpation of the abdomen may indicate irregularities in the gut, such as an obstruction or potential aneurysm. Asking about pain or tightness in the chest m ay also indicate a possible cardiac condition. Ask about any history of chest pain or tightness. Noting the rate and respiratory effort, along with a continuous pulse oximeter, assist in determining pulmonary problems. Ask if there have been any problems with shortness of breath. Blood pressure readings, especially orthostatic in a falls patient may lead to indications leading to the fall. Along with the possible reason for the fall, this may also assist in the determination of medication misuse. The elderly may sometimes forget they have taken their medication and repeat the dosage. Obtaining a blood glucose level may also determine if the fall is related to hypoglycemia. Knowing or having an idea of when the last meal was eaten, and when the medications were taken, also assist in determining possible reasons for the fall. Having knowledge of the estimated fluid intake may also be useful as a tool in the analysis of causative agents. Dehydration in the elderly can cause confusion a nd light headedness. The continuous cardiac, oxygen, and blood pressure readings are necessary to watch for sudden changes that may occur. Cardiac monitors assist in determining if there are irregularities in the electrical conduction, in the heart, early detection and treatment may prevent further complications. Oxygen readings assist in determining the amount of capillary oxygen and profusion difficulty; this may indicate the need for supplemental oxygen before further decompensation. Frequent checks in blood pressure may be the first sign of sepsis in an elderly person. Other testing and tools used is a chest X-ray, viewing a chest X-ray aids in determining pulmonary issues not noted during the physical examine treatment for pulmonary issues can quickly be obtained. A CT scan of the brain, without contrast, may be used to rule out a brain bleed. A CT scan of the lungs, without contrast, will assess for possible pulmonary embolus. To use contrast, the results of the renal function are needed. Blood testing is critical in determining the bodily functions. Obtaining a complete blood count tells the general hydration, amount of volume and signs of infection with an elevated white blood count, hypervolemia can be promptly corrected; low red blood count indicates the lack of oxygen carrying capacity and may require a transfusion. A complete metabolic profile lends details of renal and hepatic function, as well as levels for key electrolytes such as potassium, sodium, magnesium, and glucose, this also aids in monitoring for metabolic acidosis or alkalosis. With lisinopril, it is common to see an elevation in bun, creatinine, and lowering of glucose levels. HCTZ is known for lowering the potassium, sodium, and magnesium levels. The combination of HCTZ and lisinopril are known to cause dizziness, and palpations and should be monitored closely especially in people with renal impairment and /or of advanced age. Cardiac enzymes are drawn to evaluate the cardiac muscle, to determine if there are cardiac issues. Arterial blood gases assist in determining the pulmonary system function, this also aids in determining respiratory acidosis or alkalosis. Another lab test highly beneficial is a urinalysis with culture and sensitivity. When there is a urinary infection in an elderly person, it may cause dizziness and confusion. The culture helps to determine the proper medication for the organism responsible for the infection. The urine tests also indicate if there are ketones or proteins being spilled in the urine; this is a frequent problem in diabetic patients. Obtaining a twelve lead EKG aids in determining any irregularities in the cardiac conduction, such as heart blocks and ventricular ectopy that are often seen as a result of low potassium. Blood cultures may also be required to determine if there is an infection. Frequently an opportunistic infection may lead to sepsis, and the elderly often do not present that ill until the infection is severe. T he elderly may not always present with an elevated temperature; this cannot be the only sign of illness. All the testing and the physical analysis will help to determine potential health issues, but the best source of information is to monitor the patient. Being aware of changes in the patient status and comfort level is required. Continuous visual monitoring may assist in treating sudden changes in the patient. Frequent questions pertaining to the comfort level are required in the elderly as they may be reluctant to admit pain. Explain that pain, of any level, can be addressed, and that comfort may assist in the treatment. Data collection prioritization It is essential to prioritize the data collection and report findings to the physician. The application of monitoring devices, such as a cardiac monitor, blood pressure machines, and pulse oximeter, may be done as the patient is being gowned. Visual inspection of the skin may also be done at this time. While gowning the patient, asking about medications and history may also be accomplished. Starting the IV site and obtaining blood work will get information to the physician quickly and should be done as soon as possible. Collect a finger stick for blood glucose, as this may determine if the patient is hypoglycemic. The EKG and ABGs are also critical information needed as soon as possible. A chest X-ray may be done next, along with a CT scan of the brain and lungs, without contrast. Collection of the urine for testing can be collected after the other departments have finished what needs to be done. As the patient is on a continuous monitor for cardiac, respiratory, and blood pressure i t is easy to monitor for changes. It is now appropriate to complete the physical assessment of the patient. This saves time while awaiting the results from lab, x-ray, and cardiopulmonary departments. Report any irregularity in the assessment to the doctor as soon as possible. While obtaining information from the patient, it is necessary to ask about pain and monitor for nonverbal cues during the assessment. Morphine, low dose (0.05mg/kg IV) for pain may be appropriate at this time as it decreases the oxygen demand from the heart and may reduce anxiety. Tylenol may not be the medication of choice until liver function is established. Advise the physician that the patient has been taking HCTZ, Lisinopril, and metformin. The combination of HCTZ and Lisinopril may cause dizziness and dehydration. Lisinopril also aids in lowering blood glucose levels, and should be monitored closely especially in people with renal impairment and/or of advanced age. This combination may also cause palpati ons and dizziness. HCTZ can cause electrolyte imbalances leading to alkalosis. The patient may also be experiencing a drug hypersensitivity to the lisinopril. Signs would include dyspnea, chest tightness, and arterial acidosis, requiring intubation (Hydrochlorothiazide and Lisinopril side effects, Drugs.com). If the patient was medicated for pain, check for relief of symptoms. Verbal affirmation should be listed on a scale of 1-10 according to the flacc scale. If the patient has pain relief, note this with the physician. Monitor for lab results and report any findings outside the normal range, the same with EKG, ABGs, x-ray, and CT scan. Monitor the patient for changes in mentation, and visible signs of changes. The elderly may have sudden changes; it is advisable to monitor closely. With continuous monitoring, and noting the change in status of Mrs. Baker, there would be more aggressive measures taken. A rapid response from respiratory therapy would be needed, and a request for the attending physician, for the mental status and respiratory changes and the possible need for increased measures such as intubation. A repeat of ABGs would be needed; STAT results are indicated. Radiology should be available for potential tube placement. All team members should be alerted for the possibility of a code blue alert. The staff needs to be monitoring the cardiac status at all times. With respiratory arrest, cardiac is soon to follow. Rapid response to changes in respiratory status can prevent further complications. Constant monitoring of the flacc scale may assist in monitoring the patients comfort level. A patient may show signs of discomfort by moaning, thrashing about, or facial grimace. Being aware of this may aid in the quality of patient care. The patient may not be a ble to tell that they hurt, but body language speaks volumes. If the patient is indicating that they are in pain, morphine at a low dose may be used (0.05mg /kg IV). Considering the slower metabolism of the elderly, it is necessary to medicate accordingly. This not only aids in pain relief, but also lowers the oxygen demand by the heart. Close observation of the patient is mandatory. If the medication is effective the signs observed will diminish and the patient will appear more relaxed, with little or no signs of pain (possible lower BP and heart rate, no facial grimace, more relaxed, less restlessness). The alert patient can verbalize the effectiveness of pain medications, with an unresponsive person we must rely on physical cues that are presented. Again, it is important to report pain relief to the physician and continue to watch for changes in the patient. Rapid evaluation and assessment, accurate data, and concise information are imperative to patient care. When assessing the elderly it is necessary to remember that due to the aging process, metabolism of medications may be slowed. With advanced age, there is also a reduction in renal and hepatic filtering. The elderly may also be reluctant to report pain. When caring for the elderly, it is necessary to keep their viewpoint in mind, and to explain procedures prior to the procedure. A reduction in anxiety may assist in a trusting relationship and aid in lowering blood pressure and heart rate. It is also helpful to remember that changes can occur rapidly with the elderly and that they may not always present as with a younger person. Keep an open mind and alert at all times.

Misconceptions About Working at Hollister :: Work Job Experience Essays Papers

Misconceptions About Working at Hollister I am employed at Hollister Company, a clothing store that targets young adults, which is located in Colonial Mall Bel Air. When I tell people that I work there, they automatically assume that I fit the description of a dense, snobbish prep. Some people believe that I have a glamorous, easy job or that I am lucky to have a job that allows employees to dress very casually. However, these are a few of many misconceptions portrayed about this popular retail store. It is true that a few of my coworkers carry the ‘holier than thou’ attitude, but for the most part, we are just an ordinary and down-to-earth group of people; in fact, a lot of us are downright dorky and are not the perfect models that we are portrayed as. Some people think that the employees at Hollister have no common sense or are slower-minded than the average person. I find this to be quite offensive, and I am sure that my coworkers agree because the opposite of this misconception is true. Most, if not all, of the employees are either in high school or college and are incredibly intelligent individuals. Despite what some might think, this job involves more than just folding clothes. It takes skills and practice to learn how to fold the merchandise correctly while greeting every customer who enters the store. Many people think that we do not work hard and all we do is play and fool around. However, on a slow business day, like Monday, or a very busy day, like Saturday, we are folding constantly and if the managers catch us not working, they will find something for us to do or send us home. Some of the responsibilities that we have when working the dressing room make us feel like we are intruding on the customers’ privacy and make us very uncomfortable. For example, we are required to remove each item from the customer’s hands as they enter and leave thedressing room and shake each item for clues of hidden merchandise. Hollister also has what is called a jean goal, which means we are required to greet and ask all customers if they would be interested in trying on a pair of our jeans. The customers usually cannot hear us over the loud music, so we have to ask them a few times before they are able to understand.

Women in Alien 3 :: essays papers

Women in Alien 3 This morning I was struck by the realization that I've beengoing to movies for fifty years now; starting when I was eighteenmonths old, my mother would take me on a streetcar every Thursday togo shopping, have lunch, and go to a matinee and stage show at thePantages or the Orpheum in downtown Los Angeles. Clearly I likemovies and I usually find something enjoyable even about bad ones.I can hardly remember a time when I have seriously consideredwalking out of a film. But I considered it yesterday afternoon asI was watching "Aliens 3"; I was thinking it was the mostunremittingly unpleasant film viewing experience I could remember. This reaction has to be seen in the context of my own tastes andbiases. Science fiction and horror films are my least favoritegenres. I don't enjoy being frightened in the movies, as somepeople clearly do. Nonetheless, knowing that nearly every memberof the women's community in Tallahassee where I lived at the timewas wildly enthusiastic about Sigourney Weaver's Ripley, I didbring myself to see "Aliens" the second film in this series, and Ihave to admit, I too, was entertained and pleased by the sight ofthis powerful female hero doing her Rambo number against whatfeminist theorist Lynda Zwinger called "the uncanny alien bugmother." Since Ripley's ongoing battles against this monster and againstthe greedy machinations of "the Company" back home, which wants tocapture the monster and use it as a biological warfare weapon, havebecome sort of feminist cult films, I figured I'd better be amongthe first to check out "Aliens 3" and see what happened to Ripleyand Newt (the little girl she rescued from the monster at the endof "Aliens"). Well, they've fallen on hard times. They crash landnear an island used as a prison for 25 of the hardest corecriminals on earth--murderers, rapists, etc.--all of whom havebecome members of a kind of Christian fundamentalist cult thathasn't done a thing to temper their rampant misogyny. Everyoneelse on the space capsule bringing the sleeping survivors of theNostromo back to earth has died except Ripley. She's been asleepfor 50 years or so and has been shaken up in the crash, so she'slooking a little the worse for wear with a black eye and deathlypallor. Furthermore in this latter day version of a medievaldungeon she's landed they dress her in convict gray and shave herhead which makes her fit right in with the inmates.

Salvador Dali: Influences Essay examples -- essays research papers

Perhaps one of the world's greatest artists is the Hispanic artist Salvador Dali. He won many awards and became very successful in his work as an artist. During his childhood and thereafter, during the Depression, Salvador Dali's artwork and personality were influenced by many different people and entities. Dali's personal life exhibited to his contemporaries and those who enjoyed his works after his lifetime the various influences that led to his artistry. During his childhood, his family life was difficult and operose. This had an extensive influence on Salvador and his artwork. His father opposed Salvador's chosen occupation. By the time the young wonder was twenty years old; his father had already disowned him. Both his mother and his father were embarrassed and disappointed by their son and his vocation. Dali's uncongenial side showed through in a painting titled The Enigma Of William Tell, which depicted Lenin nearly nude with a deformed buttock supported by a crutch. The group found this picture to be offensive because of the disrespect it showed to the proletariat. Dali's obsession with Hitler also angered the Surrealists and made the group demand explanations of his works. Within the same time period, Dali managed to offend the International Exhibition of Surrealist Art by wearing a diving suit to a convention and almost suffocating himself in the suit. On the other hand, Dali was also an achiever. He worked very hard on whatever he was doing to attain success.... Salvador Dali: Influences Essay examples -- essays research papers Perhaps one of the world's greatest artists is the Hispanic artist Salvador Dali. He won many awards and became very successful in his work as an artist. During his childhood and thereafter, during the Depression, Salvador Dali's artwork and personality were influenced by many different people and entities. Dali's personal life exhibited to his contemporaries and those who enjoyed his works after his lifetime the various influences that led to his artistry. During his childhood, his family life was difficult and operose. This had an extensive influence on Salvador and his artwork. His father opposed Salvador's chosen occupation. By the time the young wonder was twenty years old; his father had already disowned him. Both his mother and his father were embarrassed and disappointed by their son and his vocation. Dali's uncongenial side showed through in a painting titled The Enigma Of William Tell, which depicted Lenin nearly nude with a deformed buttock supported by a crutch. The group found this picture to be offensive because of the disrespect it showed to the proletariat. Dali's obsession with Hitler also angered the Surrealists and made the group demand explanations of his works. Within the same time period, Dali managed to offend the International Exhibition of Surrealist Art by wearing a diving suit to a convention and almost suffocating himself in the suit. On the other hand, Dali was also an achiever. He worked very hard on whatever he was doing to attain success....