To Learn English as an English Teacher

Omar Alfaro Reyes ADVANTAGES AND DISADVANTAGES TO LEARN ENGLISH AS A SECOND LANGUAGE Why learning English as a subsequent language? These days learning another dialect is significant on the grounds that it is the most well-known language on the planet, practically 60% individuals on the planet utilize English routinely. Once in a while people imagine that learning English is troublesome in light of the fact that the greater part of the understudies can have various challenges and issues in learning another dialect for instance they commit errors in their elocutions, punctuation, spelling and jargon usage.However it is worth for the abundance of data and the chance to open up for an individual, for example, the utilization of data and correspondence by web or voyaging abroad the world, they are two focal points for learning English. Likewise the vast majority of the understudies think to learn English is troublesome in light of the fact that they communicate in English as communicate in Spanish or on the grounds that understudies have need jargon and they are two disservices to learn English as a subsequent language. The capacity to communicate in English smoothly opens up a universe of data and correspondence for a person.Information and correspondence by web is a smart thought for individuals or understudies that can surf in the sites for looking models or activities about sentence structure for concentrating more in English. This is the most ideal path for individuals can contemplate another dialect, for example the utilization of web will permit them to talk with individuals from everywhere throughout the world in visit room. The subsequent bit of leeway is voyaging abroad the world. English is regularly spoken in other nation as a general language for instance Trinidad y Tobago, Puerto Rico and different ones. Realizing English is an incredible favorable position to learn English since they can improve their insight in a genuine way.A significantly more maj or issue for students of English is the degree of the jargon. Individuals figure they can communicate in English as communicate in Spanish, this is the purpose behind a ton of false impressions happen when two non-English individuals talk with one another in English. Now and then is confounded in light of the fact that the individuals don't rehearse a ton and they are believe that is extremely troublesome. Second issue is that individuals have need jargon, likewise for individuals are extremely hard to learn English since they need to convey yet constantly is upsetting for don't have a great deal of jargon. 0% of individuals in Mexico believe that English is extremely hard to learn for occurrences since they don't have feeling for learning English and this are enormous drawbacks to learn English. All in all, the most significant activity in this circumstance is to boost your chances: to communicate in English, and not just communicate in English likewise attempt to rehearse a great deal and attempt to comprehend in class and utilize English at whatever point conceivable outside the class. On the off chance that you adhere to these standards, you won't have issues to become familiar with a subsequent language.

How Term Papers And Essays Benefit Students

How Term Papers And Essays Benefit StudentsFree term papers and essays are a great source of studying materials for many students. In fact, many schools and colleges have these resources on hand for students to study for their final examinations. Many of these resources contain ideas and concepts that help a student pass their examination. Students can also use these resources to help them prepare for exams at the end of the year, as well as for general study purposes.Students can use free term papers and essays for a variety of different reasons. In fact, there are many ways that the papers and essays that students send in for examination can be used. These papers and essays are an excellent way for students to gain knowledge and prepare for their examinations.Many students will choose to send in term papers and essays for a variety of reasons. Some students will use these papers and essays to help them better understand topics that they are learning. Some students may use these pap ers and essays to take a test that they know is coming up soon.Exams are a great way for students to learn and get prepared for what is to come. A test, particularly an exam, is a great way for students to learn and get ready for their final examinations. Term papers and essays allow students to learn more and prepare for what is to come in their course of study and examination.Term papers and essays can also be sent in for a variety of reasons. Sometimes students choose to use the term papers and essays that they receive from school or college for general information that they need to know. They might be asked to put together a presentation or lecture for a class, and they will want to make sure that they have everything that they need for this purpose.Sometimes students choose to send in term papers and essays to help them learn about a certaintopic in their course of study. For example, a student might choose to take an essay that they are reading about during class and study it to gain insight into a specific topic in their course of study. Students should always do their research before taking an essay that they may be asked to write, so that they will know the type of paper that they are writing.In addition to using term papers and essays to help students to learn about their course of study, students can also use the papers and essays to help them gain an understanding of an exam. Many students often receive term papers and essays that are required for an exam that they are taking. The student will likely be looking for a way to prepare for the exam, and one way that they can do this is by reading the term papers and essays that they are assigned for the exam.The only thing that a student has to do to benefit from term papers and essays is to read the essay and paper that they have been assigned for the exam. They will know how to properly read the paper and know what to look for when they are reviewing the essay. If they find the material that they nee d to know, they will know exactly what they will need to do to prepare for the exam.

Ultimate Art Exhibit, a Journey through Time Essay

There are many works of art and many different possible locations that could be considered when trying to create would be classified as â€Å"The Ultimate Art Exhibit†. For my project, I have decided to place my Art exhibit inside of Rome, Italy for many reasons. One of which is that Rome is known to have very beautiful building architecture and is known for great masterpieces such as The Pantheon and also the Colosseum. Due to the extremely high number of tourists that Rome gets year-round, if an art gallery that yielded extremely high expectations were placed here then it would receive a very high volume of people daily. So due to this and its culture I decided that Rome may be one of the better choices so the art exhibit will be placed†¦show more content†¦Each of the halls that contains a different piece will have its own theme and design to match the art that is used as a centerpiece inside of it. Each hall will also contain elements to bring out the true nature of the art contained inside and to demonstrate a sense of understanding for the piece itself and the time is was being created in. If not understanding, then it would produce a sense of awe in many of the viewers in the exhibit. The reason behind this theme was simply to be able to dedicate a gallery to each of the individual masterpieces and put in some extra artistic touches to make things far greater. It may be different than a standard Museum or art exhibit, but these are some of the greatest achievements in historical art and they need a place that can show their significance. The first hall will contain Egyptian Art, and in particular Narmer’s Palette. Narmer’s Palette was a symbol of art that displayed a scene of the unification between the upper and lower divisions of Egypt (Kinnaer) and was the easiest example of canonized art (Kinnaer) that we currently have. I chose this piece because not only is it a symbol of Egyptian unification but because of its significance in the art world. Narmer was displayed wearing both crowns and standing in a Victory pose which was used to show his power over his enemies. This pose was adopted by other styles of art to show powerShow MoreRelatedO Brother Where Art Thou Character Analysis1694 Words   |  7 PagesBrother, Where Art Thou?, is loosely based on Homer’s famous Greek epic, The Odyssey, in that certain features in the film resemble those found in Homer’s epic, but the film still reveals its own sense of originality by making it more relatable to the modern world. While The Odyssey is set in Ancient Greece and O Brother, Where Art Thou? is set in the southern part of the United States during the 1930’s, the works are similar in following a protagonist who encounters setbacks on his journey home. ThroughRead MorePicasso And River Conversations Across Time1289 Words   |  6 Pagescentury. 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The result of this study is the tenet of katharsis (catharsis), which he introduces through his interpretation of the form and function of the tragic poem. Tragedy as a work of art, Aristotle claimed, can be defined as the, imitation of an action, specifically of the joys and sorrows of mankind. While seemingly simplistic, this p rincipal concept of tragedy as mimicry is pivotalRead MoreIsabella Stewart Gardner Museum s Art Collection1082 Words   |  5 PagesThe Isabella Stewart Gardner Museum’s art collection blends history and culture to aesthetically define a single individual: Isabella Stewart Gardner. From the â€Å"Mosaic Floor: Medusa† of the inner courtyard, to â€Å"The Coronation of Hebe† (Paolo Veronese) on the ceiling of the third-floor Veronese Room, Gardner determined every inch of both the interior and exterior of the structure housing her personal collection of masterpieces. 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Success can be found in many different forms, as ruling Roman, Greek and Egyptian empires to receiving a high grade on a test can all be defined as successes. For many years, the idea of prosperity and achieving overall greatness have been the goals of many people around the world. Through many generations, society’s view on success changes, urging people to conform to society’s beliefs inRead More Life of the Soul Revealed in Sailing to Byzantium and Shadows2598 Words   |  11 Pagesthe belief th at he can live forever when his soul becomes a form of art whereas Lawrence states that death delivers him to the hands of God to send [him] forth as a new man. Sailing to Byzantium presents the end of a man’s journey through life in which he yearns to, once out of nature, be cast in gold as a work of art. By using the motif of a journey to parallel the end of one’s life, Yeats presents Byzantium as the ultimate destination for his mundane body. He contrasts the holy city ofRead MoreSupply Chain Management : Logistics Management1576 Words   |  7 PagesGlobal Supply Chain Management means the sourcing and procurement, conversion and all logistics management activities through the planning and management of all activities. Importantly it also considers the co-ordination and collaboration with channel partners including suppliers, intermediaries, third-party service provides and customers across the world. Elements of the Global Supply Chain Management:

Idea generation - Free Essay Example

Sample details Pages: 10 Words: 3140 Downloads: 2 Date added: 2017/06/26 Category Health Essay Type Essay any type Did you like this example? IDEA GENERATION MISSION:- To provide the best and cost-effective care, accessible to every patient, through integrated clinical practice, education and research, delivered with compassion, care and concern through team spirit and transparency. VISION:- To evolve as a unique university-based health centre where the quest for new knowledge would continuously yield more effective and more compassionate care for all. (2) To nurture a new generation of professionals of life-long commitment, dedication, knowledge, skills, wisdom and values. To strive for public trust and maintain medicines humane and noble place among professions. (4) To be globally competitive in healthcare and related businesses integrating local culture. OBJECTIVE:- To Upgrade its education and Research wing with the international standards and consequently develop healthcare solutions for under developed and developing areas. To register as a phenomenal growth by adding 5000 beds in the next five years. To Offer unique platform to various partners and collaborators, both national and international, to innovate in healthcare delivery systems, coverage systems like medical education and research. To develop healthcare solutions for underdeveloped and developing countries. To develop comprehensive healthcare delivery model that suits our population. To develop centers of excellence in medical specialties. Size of the Business: Our hospital is basically belonging from medium size business. Other clinics situated in that locality are small in size and have not developed laboratories. Capacity of our hospital will be `45 patients at once or 10 in emergency. We will take a building on lease atleast for 20 years and established our hospital. This building is situated near market and bus stand. Area of building is ten (10) khatha and building having 3 floors. It has fifteen single rooms and ten double rooms. A visiting lounge, rooms for staff (doctors) and for paramedical staff are also included. On ground floor there is 30Ãâ€"40 square feet hall, which is enough for a emergency. Don’t waste time! Our writers will create an original "Idea generation" essay for you Create order Doctors Physician Medical officers (M.O) Anesthetic specialist Pharmacist Neurosurgeon Pathologist Ophthalmologist surgeon Paramedic staff: Nurses, Dispenser, Operation thither assistant Laboratory assistant Services Provided: Our program emphasizes comprehensive, multidisciplinary care for patient with all types of medical conditions. In addition, we provide moral support to patients and families to cope with the challenges of illness. These include our Life Services department, which caters to the emotional and developmental well being of hospitalized patient and their families. Life Services: The first aid group of Hospitals Life Department focuses on the emotional and developmental well being of hospitalized patient and their families. REAL AND PERCEIVED VALUES:- To put patients interests first. The ideology dictates every aspect of the clinical governance, patient care and the work culture. We will achieve in delivering medical care with exceptional quality and that will be the result of these values-based health services. Practice medicine as an integrated team of compassionate physicians, scientists and allied health professionals. Education will be provided through efficient training and education of physicians, nurses and allied health professionals. Research will be on thebasis of advanced clinical research the helps to improve patient care and quality in every service. Our mutual respect will be â€Å"Treat everyone with respect and dignity†. We will try to improve all processes that support patient care, education and research. We will allocate resources with in the context of system rather than its individual entities. Reason for existence of our Hospital chain:- Healthcare industry is the worlds largest industry with total revenues of approx US$ 2.8 Trillion (2005). Indias high population makes it an important player in the Healthcare Industry. According to the Insurance Regulatory and Development Authority, the Indian healthcare industry has the potential to show the same exponential growth that the software industry showed in the past decade. In India, 80% of the healthcare expenditure is borne by the patients and that borne by the state is 12%. The expenditure covered by insurance claims is 3%. As a result, the price sensitivity is quite high and the high-level healthcare facilities are not in the reach of patients. Among the top five therapeutic segments, gastro-intestinal and cardiac therapies are experiencing both high volume and value growth. Opthologicals, cardiovascular, anti-diabetic and neurological drugs continue to top the growth list. The anti-infective, neurology, cardiovascular and anti-diabetic segments have witnessed a high number of new product launches in the recent years. With increasing number of non-insured population in our country and increasing healthcare expenditure to GDP resulting in people to opt for treatment options inside our country. THE MARKET SIZE OF INDIAN HEALTH SECTOR:- The Indian Healthcare market is estimated at about US$34 billion (FY 2006) The industry is expected to grow at 15% p.a., to reach US$79 billion by FY 2012 The large domestic market complemented by the inflow of medical tourists Medical tourists have increased almost 20-fold from 10,000 in 2000 to about 1,80,000–2,00,000 in 2006 GOVERNMENT AID:- 100% FDI is permitted for all health-related services under the automatic route Infrastructure status has been accorded to hospitals Lower tariffs and higher depreciation on medical equipment Income tax exemption for 5 years to hospitals in rural areas. MAJOR COMPETITOR:- Player Revenues (US$ million) Number of Hospitals Apollo Hospitals 225 41 Manipal Group NA 20 Market potential:- High-growth in the domestic market arising in health sector. Increasing health awareness: share in total private consumption expected to increase by 10%. Increasing penetration of health insurance. Rapid growth in private sector companies owning and managing hospitals. High-growth in medical tourism. Cost of comparable treatment is on average 1/8th to 1/5th of those in western countries. Opportunities exist in multiple segments along the value chain. Service providers: curative and preventive in primary, secondary and tertiary care. Diagnostics services: imaging and pathology labs. Infrastructure: hospitals, diagnostic centers. Health insurance: less than 10% of the population is covered by health insurance. The medical insurance premium income is expected to grow to US$3.8 billion by 2012. 44% growth in health insurance during 2006-2007. Healthcare BPO: medical billing, disease coding, forms processing and claims adjudication. Training: large opportunity for training doctors, managers, nurses and technicians Investment opportunity of over US$25 billion by 2010. Marketing Strategies Increased awareness image. Our first strategy is about the awareness of our hospital to the patients. Informing those not yet aware of what first care health offers. We will increase the awareness among the customers through proper advertising channel. Since in health sector word of mouth is best marketing tools we will hire agent on commission basis to increase awareness and for bringing patient too. Marketing Mix Product Service type Organization FIRST AID GROUP OF HOSPITAL Place Dehri, Lakhisarai Begusarai (Bihar), Price Varies from disease to disease. Promotion:- local cable newspaper (1,000,000) People:- We are targeting the patient Process:- Through brain storming of doctors Physical Avoidance Marketing plan:- Here we describe market conditions and strategies related to services. How it will be priced and promoted. For this we segment the market into similar group that will be based on different aspect on the hospital requirement to the market. Our target market is Dehri, Lakhisarai Begusarai (Bihar), because in this places there is no standard hospital giving medication services under one roof. We will use IMC tools for communicating our target market that will help to increase our market share. Product Input Sick Patient Process Treatment of dieses Output Healthy Patient Place We believe that place is not just about distribution it is about convenience too. If the services are not available where and when people need, it will create a lot of problems for customers. The physical place which we have chosen of our Hospital is bus stand road, near market known place for all the people. Another reason for that place so most of people, although, which are not our direct competitors, are operating in that area and awareness will be created frequently. Price Doctors Fee Consultant physician 50/- Physician 50/- ophthalmologist 50/- Ward and room charges per day Ward charges 200/- Single non AC room 300/- Singe AC room 500/- Double non AC 500/- Double AC 900/- ICU (intensive care unit) charges 600/- Promotion We will promote our Services through different types of promotions like Advertising Public relations We need one million (1,000,000) R.s for promotion. Advertising Medias: We have decided to use almost all types of advertising local media because we are the new entrants in the market. So, we have to aware and educate people to come to our hospital. Circulate Hand outs Advertise through Newspapers Through local Cable TV because it has made a major source of advertisement Billboards and banners People We are targeting the all age group of people. Process We are providing better health care unit, with unique innovation like, before treatment of any critical, first make a panel of doctors, when the sit together through brain storming it is zero chance to treat wrongly that are very much common in other hospitals. Physical Aviedance Our two doctors, Anesthetist and optometrist are well qualified and working in AIIMS,Delhi and another in dalgit singh eye hospital, Amritsar. Implementing the Market Plan After all above procedure accepted we will implement this marketing plan. Evaluating the Market Plan After implementing if we feel any deficiency in the plan then we evaluate it and again implement it till the desire outcome not satisfy us. But its very difficult to again make a market plan till startup. ORGANIZATIONAL PLAN:- Form of Ownership Form of Ownership in First Aid Hospital is based on Partnership so, the business will be performed on partnership basis. Partners and their terms of Agreement:- As the legal status of First Aid Hospital is based on partnership contract. All the partners will have equal responsibility to operate the business and all will be responsible for any wrong decision. All the partners have equal investment of Rs.200000 in the business and the ratio of profit and loss distribution will be equal. Location of building: This building is situated on bus stand road near market. Size of building: Area of building is ten (10)khatha and building having 3 floors. Rooms: It has fifteen single rooms and ten double rooms. A visiting lounge, rooms for staff (doctors) and for paramedical staff are also included. Hall: On ground floor there is 30Ãâ€"40 square feet hall, which is enough for a emergency. Personnel: Personnel are the assets of any company especially in the service sector. In our Hospital more than 80% personnel will be skilled based. We rank our personnel into different departments. Doctors: Consultant physician Physician Medical officers (M.O) ophthalmologist Anesthetic specialist Pharmacist Surgeon Pathologist Psychiatrists Paramedic staff: Nurses Dispenser Operation thither assistant Laboratory assistant Other personnel: Office boys Ward boys Gun men Ambulance driver Sweeper Gatekeeper Peons Hospital Equipment: When any business is going to be practically implement office equipment is essential for routine work established discipline and identifications of specific designations. Similarly, in our hospital three medical departments require some particular office equipments, which will be helpful in checking of the patients while check by the doctors. The most interesting thing is that our office equipment is quite different from other manufacturing organizations. These three departments have three offices and each office should contain following equipments. Stethoscope B.P apparatus Thermometer Laminator Otoskop Tongue depressor Torch Measuring tap Glucose monitor Pen stand Stationary Table lamp Office table Office chair Toys for children Weight scale All above listed materials should in every office for checking the patients because without equipment doctor is like the soldier without the weapon in war. Another thing, which we have in our mind that all the equipment should be, modernized enough in handily. After the description of doctors list now we explain some other product which will be compulsory for further hospital functioning. For this purpose, fist of all we describe finance office and the equipment needed for this is Computer Draw Safe Table furniture Operation Theater Equipment Operation lights Operation table Anesthetic machine B.P monitor Cardiac monitor Diathermy Suction machine Oxygen cylinder Nitrous cylinder Autoclave Equipment for Laboratory: Colorimeter Analyzer Microscope Centrifuge machine X-ray machine Chemicals Glucose meter Equipment for general ward and other rooms Incubator Sucker Machine Nebulizers ECG Machine Puls oxinator Oxygen Equipment Wheel chairs Weight Machine Stabilizers Stretcher Other equipment includes Stationary Air-conditioned Unit SUPPLIERS: Surgical Pharmaceutical Oxygen supplier Furniture supplier SURGICAL SUPPLIERS: These are the suppliers who will provide us the equipment and instruments necessary for surgery. Appasamy company provide us these equipments headquarter in chennai. Pharmaceutical suppliers These suppliers will provide us all types of medicines. Glaxo Smith Kline and Abbott companies will provide us all types of medicines. Oxygen supplier Furniture supplier These suppliers will provide us all kind of furniture. It includes a lot of suppliers some provide office furniture, others provide ward furniture. Intensive care unit (ICU) This operation is for those patient who is in critical condition and needs to be watched 24hr in the presence of nurse and when required at that moment doctor should also be available. In our hospital there will be 3 ICU. In ICU there will be one cardipgraph,oxygen,2 chairs,patient bed and other instrument. We have plan to spend 15 lakhs.in which 10 lakhs from our capital and 5 lakhs of a instrument on credit. Emergency This service is for those who need treatment without any delay or any formality of filling forms or norms. In our hospital we will have 20% of workforce for emergency because our location is near highway and accident occurs frequently. We have plan to take some instrument on lease and others second hand. We have also alloted 10lakhs for instrument. OPD (Out Patient Diagnosis) This service is for those patient who will come for check-up or diagnosis. Our aim is to reduce waiting time of the patient so that the patient will not have to suffer a lot from their diseases.we have decided to allot 50% of our workforce for it. We are also planning to provide internship for medical students or para-medics student. This will benefit both our organization as well as internee. We will get benefit because we will get skilled manpower with very low cost, They can handle early diagnosis and light problems of patient as well. For OPD we have plan to allot 1lakh. Dispensary:- For dispensary the organization have plan to invest 1lakh. Laboratory:- Since laboratory is very important for proper diagnosis of any disease properly. And for this variety for instrument and apparatus are used. For setting laboratory we are planning to invest Rs 350000.00 Eye department:- Since in our group optometrist and ophthalmologist are involved, so we are planning for specialized department. We have allotted 1lakh for this. Slit lamp-20000.00 Retinoscope-18000.00 Ophthalmoscope-12000 60D,90D- 20000.00 Indirect ophthalmoscope-30000.00 Surgery:- Operation theatre is very important part of any hospital. We have one operation theatre costing rupees 200000.00 Electric department: in hospital all the instrument run on electricity and there are very sophisticated so we have plan to also established electric department so the in regular interval the condition of all the wiring can be checked and any problem regarding this can solve easily. For established of electric department and other things we have plan to spend Rs1lakh. NGO(non-government oraganization):- We have also formed a NGO â€Å"innovative youth society† to get fund from international organization, local businessmen and from others.this fund will be utilized to give free treatment as well as medicine for extremly poor, so that no one has to suffer from disease due to lack of money.we have also planned to educate people about hygenic so that they can be healthy. HUMAN RESOURCE:-  ¡ Hospitals are an essential service. Throughout the world, hospitals are facing many challenge including increased costs, per capita decrease in government funding, technology that delivers both less invasive surgery band the capacity to deals with more complex medical interventions.  ¡ As such, one important area of improving and maintaining service delivery is to better manage the HR function and human resource more generally. In many cases this is complicated yet further because people working at hospital site are likely to be employed with specific knowledge by a range of different organizations both from public and private sectors. Our HR department will achieve the following objective in our hospital organization:- Functional objective:- Legal compliance Benefits Union management relation Organizational object HRM Employee Relation Selection criteria Training and development Appraisal Assessment HRM- since in our organization all the workforce are highly skilled so they are to be managed very carefully. Because in India there is lack of skilled labor in healthcare sector. Employee relation:- we have plan to keep proper relation with all the employee so should share all their problems and as much possible we may solve it. So that there satisfaction level may rise and they may become loyal to organisation. Selection criteria:- As we need skilled labor only so we will prefer internal recruitment as well as external too. Internal selection:-As doctor have contact with other doctor and nurse too, so there will be good chance to recruit internal. External selection:- we will also prefer external and for that we will prefer online recruitment. Training and development:- as medical sector is such sector which get changed everyday so it is very important to give training at time interval so that they can improve them self with time. Functional Objective:- Appraisal(360 DEGREE FEEDBACK) Placement Assessment( campus placement in medical colleges) The all objective under HR function will be done by the following department:- Director production Director finance Director personnel/HRM Director marketing Director RD Various study have attempted to link the management of human resources to patient mortality in acute hospitals. So, Through attracting and retaining good nurses through the HR practices magnet we may lower patient mortality rate. Productive measures:- There will be provisions of following act in organization- INDUSTRIAL EMPLOYMENT(STANDING ORDER ACT 1946) there will be provisions related to- Medical aid in case of accident. Railway travel facilities. Method of filling vacancies. Transfers. Liability of manager of the establishment or mine. Service certificate. Exhibition and supply ofStandingOrders. total number employed, number of permanent workmen, number of temporary workmen, number of casual Workmen,] number ofbadlisor substitutes, number of apprentices FINANCIAL OBJECTIVE:- Because its a service and product based idea so its require huge funds to start-up, and as they grow and expand, huge funds to maintain. So the debt-equity philosophy will be maintained. The initial investment to meet the contingencies is around 1.5 crore, will be taken by all the financial resources which will be possible and we will also divide the equal funds for our hospital chain into all five members. After that as well as business will grow then financial resources and all concerning resources will be maintained according to the company profit situation. Bibliography:- https://investmentcommission.in/healthcare.htm https://www.slideshare.net/rajeevgupta/industrial-employment-standing-orders-a https://www.marketsmonitor.com/Healthcare_Industry3.htm https://www.rncos.com/Report/IM054.htm https://www.researchandmarkets.com/reportinfo.asp?report_id=342769

Is Cosmetic Surgery Worth The Risk - 1304 Words

Is Cosmetic Surgery Worth The Risk? In today society cosmetic surgery has become more and more common. Some people see this operation as a way to improve their appearance. Often caught up in the advantages of plastic surgery such as boosting their self-image, and/or improving their physical attraction, they fail to realize the negative effects of cosmetic surgery. The truth is cosmetic surgery is not always successful, so people should be ready to accept the risks of this operation, particularly, health diseases, psychology disorders, and economics problem. As a result, cosmetic surgery has more cons than pros and people should be conscious about it. First of all, a brief review of cosmetic surgery history is necessary. The term of†¦show more content†¦Hematoma that occurs in almost all operations, particularly, after breast augmentation is kind of bleeding and sometime for treatment it requires a second surgery (Breast Implants and Enlargement). Furthermore, some patients traveled abroad for medical procedures and consequently returned home with infections (Turner). In the article â€Å"The 10 Most Common Plastic Surgery Complications† was reported that infection is one of the common complications in plastic surgery, and it happens in 2-4 percent of the patients. In addition, numbness that caused by nerve damage is another common risk. According to ABC News in the article with the title of â€Å"Botched Facial Surgery: Rare Disfiguring Result Brings Record $10 Million Award† from author Allen, Penny Johnson who got breast implants and facelift, sued her surgeons because the right side of her face became numb after the operations, and even she couldn’t blink her eyes. Moreover, most research shows that women are the biggest consumers of cosmetic because they focus more on appearance-changing strategies (Vries). The beginning of the invention of the breast implant and even now, silicon has been used that caused connective tissue and autoimmune diseases, such as rheumatoid arthritis or systemic lupus erythematous (Cochrane). In addition, according to Panjari’s in the article of â€Å"Cosmetic Surgery Prior To Diagnosis Of Breast Cancer†Show MoreRelatedCosmetic Surgery : Is It Worth The Risk?1878 Words   |  8 Pag esCosmetic Surgery: Is It Worth The Risk? In a society so consumed by the ideology of beauty, it makes sense as to why so many women these days undergo cosmetic surgery. The definition of beauty has long been obstructed and changed. In the past, if you look at the woman, you will see they are curvy, during this era being thin meant you were poor where as a beautiful and wealthy woman would be plump because she could afford fine dining. As society has changed, being slender has become the new trendRead MoreThe Pitfalls of Cosmetic Surgery Essay1569 Words   |  7 PagesCosmetic surgery has become increasingly more popular. However, many are unsatisfied with their results. Debra Dunn decided to have cosmetic surgery to fix a bump she had on her nose as a result of a childhood injury. After having two nose jobs and spending thousands of dollars, she was so dissatisfied with her results that she was embarrassed when she left the house and avoided mirrors. When she ventured out in public, she hid behind her hair. Although doctor s tried convincing her that her noseRead MoreCosmetic Surgery : Worth It, Or Not?1384 Words   |  6 Pages Cosmetic Surgery: Worth it, or Not? Jazmin Bencomo Front Range Community College Cosmetic Surgery has been around ever since the early wars to repair scars and injuries. Today, as stated in an article titled, The Risk of Cosmetic Surgery Should Not Be Ignored, â€Å"cosmetic plastic surgeries outnumber reconstructive ones in many countries.† (Edmonds, 2012, p. 134). Cosmetic surgery continues to grow in popularity all around the world. It has now evolved to beautify anRead MorePlastic Surgery Should Be Banned For Teenagers 18943 Words   |  4 Pagesreconstruct or repair body parts for cosmetic reasons in a procedure called plastic surgery. It was not long before teenagers 18 years of age and younger noticed the potential benefits of receiving these surgeries, such as fixing misconstrued facial features, or even taking away some unwanted fat. In 2012 there were 130,502 cosmetic procedures performed on teenagers below the age of 19 (Singh). There has been an increase of interest in teenagers for cosmetic surgery and the most common procedures doneRead Mor eCosmetic Surgery : Too Far, Caused Her Death1408 Words   |  6 Pagesis too far when it comes to cosmetic surgery? In Joan Rivers case her â€Å"too far† caused her death. Joan Rivers was known in the fashion world for her blunt looks, but to America, Rivers was easily identified because of her cosmetic surgeries. Rivers died on September 4, 2014. She was eighty one years old. She had cardiac and respiratory arrest on the operating table while undergoing a neck lift cosmetic surgery (Nathan). Rivers once said â€Å"I’ve had so much plastic surgery, when I die they will donateRead MoreCosmetic Surgery : Too Far, Caused Her Death1408 Words   |  6 Pagesis too far when it comes to cosmetic surgery? In Joan Rivers case her â€Å"too far† caused her death. Joan Rivers was known in the fashion world for her blunt looks, but to America, Rivers was easily identified because of her cosmetic surgeries. Rivers died on September 4, 2014. She was eighty one years old. She had cardiac and respiratory arrest on the operating table while undergoing a neck lift cosmetic surgery (Nathan). Rivers once said â€Å"I’ve had so much plastic surgery, when I die they will donateRead MoreThe Effects Of Plastic Surgery On South Korea1487 Words   |  6 Pagesadmitted to having some sort of cosmetic surgery procedure. Most Asian countries, including South Korea, have very specific criterias for judging if a person is beautiful. Common beauty expectations for both males and females are high noses, big eyes, and narrow chins. Due to the nature of an Asian bone structure, it is highly unlikely that the previously mentioned beauty standards will occur naturally within a body. Many turn to the growing trend of plastic surgery to achieve an aesthetically pleasingRead MoreCosmetic Surgery Should Be Banned1167 Words   |  5 Pages‘Cosmetic surgery should be banned.’ Do you have one thing you would like to change about your appearance? I would guess the answer is yes. People nowadays, especially women, are consumed with their appearance. Many strive to conform to what society views as the ‘perfect body image’ and this can make people extremely insecure about the way they look. They think that cosmetic surgery will solve this — it doesn’t. In fact, cosmetic surgery only enhances the need to look beautiful and can lead to manyRead MoreThe Ugly Truth of Plastic Surgery Essay1248 Words   |  5 PagesPlastic surgery is becoming a trend world-wide because humans can never be fully satisfied in terms of looks. There is always something that people critique about themselves physically. People are so caught up in the hype of achieving physical perfection that they deviate from acknowledging the fact that plastic surgery has negative effects on self-esteem, long-term effects on health, wastes money, and can be life-threatening. Today’s society has brainwashed men and women into believing that inRead MoreThe Ethics Of Cosmetic Surgery1264 Words   |  6 PagesThe Ethics of Cosmetic Surgery Cosmetic surgery, a type of elective surgery undertaken to alter a person’s appearance for reasons beyond injury, illness, or disease, has become increasingly pervasive in society in the past few decades despite sparking controversial debates. (Coleman, 171) While reconstructive surgery is condoned, cosmetic surgery occupies a gray area where physicians â€Å"dedicated to saving lives, healing, and promoting health† perform â€Å"invasive surgical operations on healthy bodies

One of the Same free essay sample

The alarm clock blares at one in the morning, knifing through the silence of the night. As I roll over in the bed I hear the shower turn on, followed by the garage door opening and closing. There he goes again, I mumble to myself. The day commences with a minimum of fourteen hours of work ahead of him. The job consists of picking up close to a thousand bread crates and delivering them to stores around Southeastern Wisconsin. Many don’t understand what it takes to do the job. The mental aspect of working third shift averaging four to five hours of sleep a night, working alone and being one of only several cars on the entire interstate. The physical aspect of lifting thousands of crates on and off the truck drains the body as each hour passes. The idea of having a day off is nonexistent. Seven days a week is the expected standard. We will write a custom essay sample on One of the Same or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Calling in sick is not an option. Taking a day off would result in a loss of a job. I can count on one hand how many days he has had off in the past year. No, not on the holidays, those are the busiest times for him. To say that my father works hard is an understatement. Not only does he work hard to provide for our family, but he somehow finds time to be a family man. Sacrificing sleep, he has been to all the games, concerts, graduations: every important milestone. Because of this, I call him my hero. When my father and I discuss my future he begins with, â€Å"Well, you don’t want to be a Bread Man.† He’s right. However, the values taught by my father have ironically caused me to take a bread man’s approach to anything I run into in life. Life isn’t easy. Hard work and sacrifice are two things that will allow you to get by. When I think I can’t go on, I remind myself of my father. I think of the day to day grind he goes through. This alone gives me the motivation to succeed.

WORK CULTURE IN INDIAN ORGANIZATIONS Essay Example For Students

WORK CULTURE IN INDIAN ORGANIZATIONS Essay WORK CULTURE IN INDIAN ORGANIZATIONS Essay A Journey Towards Organizations of Todays Knowledge Based Industries Work is a source of sustenance to human beings. The environment where the person works has a lot of effect on the efficiency and effectiveness. In a laymans language we can call this environment along with the processes working in it as the Work Culture. With the opening up of Indian economy and the flourishing of knowledge based industries in India, this environment of work has considerably changed and it has a marked influence on the social lives of the people working in these kinds of industries. As these industries are located mostly in big/metropolitan cities and affects educated urban middle/upper class generally, this paper will be somewhat skewed towards these class of people working mostly in large organizations. We will write a custom essay on WORK CULTURE IN INDIAN ORGANIZATIONS specifically for you for only $16.38 $13.9/page Order now I will also concentrate on defining work culture, on types of work culture, on the impact of society on work culture, on emerging work culture and finally focusing on the knowledge based industries Work culture refers to work related activities and the meanings attached to such activities in the framework of norms and values regarding work. These activities, norms and values are generally (but not always) conceptualized in an organization. An organization has its boundaries, goals and objectives, technology, managerial practices, material and human resources as well as constraints (which is referred to as organizational culture). Its employees have skills, knowledge, needs, expectations and behavior. These two set of factors organizational and organismic interact and over time establishes roles, norms, and values pertaining to work. It is this totality of the various levels of interacting forces around the focal concern for work, which is labeled as work culture. The work culture also has its roots from the socio-cultural values and systemic features of the surrounding milieu. Work and organizational cultures are subsets of the larger societal culture. While each organization has its own work culture, two patterns are distinct: soft and synergetic, representing the extremes of a broadly conceived continuum of work. Soft work culture means that everybody in the organization is complacent enough and the motivation level of the employees to do something new is very less. The soft culture is not a desirable state of an organization in the synergetic work culture, socio-cultural values are utilized to mobilize and motivate manpower. If organizational culture is conducive to excellence at work, high productivity, the centrality of work in employees life space and a high quality of work life, the organization is said to have a work-conducive culture otherwise a non work-culture. If an organization enforces strong work norms, maintains strict work disciplines and makes profits, but neglects and exploits its human resources the organization is said to possess an amoral work-centric culture. The employees lack involvement, commitment and desire to do something innovative in this kind of culture. Similarly if an organization neglects the social needs of its employees in achieving technological excellence, it is said to be working under technocratic culture. The criteria which determines the centrality of work for an individual are job affect and job clarity, time to devote to work i.e. work pressure, job and life satisfaction, value addition from the job, peace of mind, working conditions, up-to-date technology, superior-subordinate relationship, reinforcement (reward for hard work), status/prestige associated with the position/designation, extent of responsibility and freedom for making decisions, security of job and last but not the least money. Work culture changes with the organizations core activity The work culture present in heavy industries is significantly different from that existing in diverse industries like banking, fashion, entertainment and knowledge based industries Irrespective of organizational setting, the employees may tend to work hard, feel positive towards working and consider work to be central to their identity depending on their geographical or cultural region. A very clear example is the Japanese culture that socializes its members in cultivating a work-centric culture. The Indian cultural milieu is collectivist. Hence any culture in the organization should give due consideration to the group activities to a certain extent for success. The social hierarchy existing in India makes Indians feel comfortable in the superior-subordinate framework. Once a hierarchy is established the juniors goes to any extent to please their seniors. .ub2e4c4221d63cb00a99b9ee0252902a3 , .ub2e4c4221d63cb00a99b9ee0252902a3 .postImageUrl , .ub2e4c4221d63cb00a99b9ee0252902a3 .centered-text-area { min-height: 80px; position: relative; } .ub2e4c4221d63cb00a99b9ee0252902a3 , .ub2e4c4221d63cb00a99b9ee0252902a3:hover , .ub2e4c4221d63cb00a99b9ee0252902a3:visited , .ub2e4c4221d63cb00a99b9ee0252902a3:active { border:0!important; } .ub2e4c4221d63cb00a99b9ee0252902a3 .clearfix:after { content: ""; display: table; clear: both; } .ub2e4c4221d63cb00a99b9ee0252902a3 { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .ub2e4c4221d63cb00a99b9ee0252902a3:active , .ub2e4c4221d63cb00a99b9ee0252902a3:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .ub2e4c4221d63cb00a99b9ee0252902a3 .centered-text-area { width: 100%; position: relative ; } .ub2e4c4221d63cb00a99b9ee0252902a3 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .ub2e4c4221d63cb00a99b9ee0252902a3 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .ub2e4c4221d63cb00a99b9ee0252902a3 .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .ub2e4c4221d63cb00a99b9ee0252902a3:hover .ctaButton { background-color: #34495E!important; } .ub2e4c4221d63cb00a99b9ee0252902a3 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .ub2e4c4221d63cb00a99b9ee0252902a3 .ub2e4c4221d63cb00a99b9ee0252902a3-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .ub2e4c4221d63cb00a99b9ee0252902a3:after { content: ""; display: block; clear: both; } READ: Dream Job Essay Hierarchical .

Bar to Atm - Converting Bars to Atmospheres Pressure

Bar to Atm - Converting Bars to Atmospheres Pressure These example problems demonstrate how to convert the pressure unit bar (bar) to atmospheres (atm). Atmosphere originally was a unit related to the air pressure at sea level. It was later defined as 1.01325 x 105 pascals. A bar is a pressure unit defined as 100 kilopascals. This makes one atmosphere nearly equal to one bar, specifically: 1 atm 1.01325 bar. Helpful Tip Convert bar to atm When converting bar to atm, the answer in atmospheres should be slightly lower than the original value in bars. Bar to Atm Pressure Conversion Problem #1 The air pressure outside a cruising jetliner is approximately 0.23 bar. What is this pressure in atmospheres?   Solution:1 atm 1.01325 barSet up the conversion to the desired unit will be canceled out. In this case, we want atm to be the remaining unit.pressure in atm (pressure in bar) x (1 atm/1.01325 bar)pressure in atm (0.23/1.01325) atmpressure in atm 0.227 atmAnswer:The air pressure at cruising altitude is 0.227 atm. Check your answer. The answer in atmospheres should be slightly less than the answer in bars.bar atm0.23 bar 0.227 atm Bar to Atm Pressure Conversion Problem #2 Convert 55.6 bars into the atmosphere. Use the conversion factor: 1 atm 1.01325 bar Again, set up the problem so the bar units cancel out, leaving atm: pressure in atm (pressure in bar) x (1 atm/1.01325 bar)pressure in atm (55.6/1.01325) atmpressure in atm 54.87 atm bar atm (numerically)55.6 bar 54.87 atm Bar to Atm Pressure Conversion Problem #3 You can also use the bar to atm conversion factor: 1 bar 0.986923267 atm Convert 3.77 bar into atmospheres. pressure in atm (pressure in bar) x (0.9869 atm/bar)pressure in atm 3.77 bar x 0.9869 atm/barpressure in atm 3.72 atm Notes About Units The atmosphere is considered to be an established constant. This does not mean that the actual pressure at any point at sea level actually will be identical to 1 atm. Similarly, STP or Standard Temperature and Pressure is a standard or defined value, not necessarily equal to actual values. STP is 1 atm at 273 K. When looking at pressure units and their abbreviations, be careful not to confuse bar with barye. Barye is the centimeter-gram-second of CGS unit of pressure, equal to 0.1 Pa or 1x10-6 bar. The abbreviation for the barye unit is Ba. Another potentially confusing unit is  Bar(g) or barg. This is a unit of gauge pressure or pressure in bars above atmospheric pressure. The units bar and millibar were introduced in 1909 by the  British meteorologist William Napier Shaw. Although the bar is still an accepted unit by some European Union countries, it has largely been deprecated in favor of other pressure units. Engineers largely use a bar as a unit when recording data in pascals would produce large numbers. The boost of turbo-powered  engines is often expressed in bars. Oceanographers may measure the  pressure of seawater in decibars because the  pressure in the ocean increases roughly 1 dbar per meter.

Lululemon exploration of England Internal Analysis Case Study

Lululemon exploration of England Internal Analysis - Case Study Example VRIO Analysis VRIO framework is a tool for analyzing a business’s internal strength to cater a particular market. When a firm uses VRIO framework for its internal analysis, it evaluates all the resources and capabilities of a business, ignoring the strategic position of the business. The term VRIO is an acronym for: 1. V: Question of firm’s value 2. R: Question of firm’s rarity 3. I: Question of firm’s Imitability 4. O: Question of firm’s organization (Kazmi, 2012). VRIO Analysis of Lululemon Athletica Question of Lululemon’s Value Lululemon is multinational sports apparel brands incorporated in Canada, Australia and United States of America. The strength that the company has gained by operating in these three countries has added to the experience and skills required to compete at international level with sports specialty brands. Moreover, the work force that the company possesses also provides an opportunity to Lululemon to prosper in England’s premium sports market. The financial strength of the company at the moment also adds to the value of its capability to compete with other premium brands in England. Keeping in view the trends in the English premium sports apparel market, a number of opportunities are present to be exploited by Lululemon such as technological advancements, cultural fusion, strong economic outlook and opportunities for international marketing through international events in the country (Lululemon Athletica, 2012). ... Moreover, Lululemon also provides its customers on-sight physical exercise facility, running clubs and yoga sessions to familiarize the customers with the athletic environment and why it is necessary for them to have yoga and athletic sportswear of Lululemon. Moreover, Lululemon also creates rarity in the sense, that it offers its products in its own stores, thus establishing a vertical retail strategy that allows the company to have more control over its operations than others  (Lululemon Athletica, 2012). Question of Imitability of Lululemon’s Products and Strategies Lululemon is a premium brand offered at premium prices which makes it near to impossible for the competitors to imitate. Lululemon believes on community involvement in its business and thus allows others to imitate its products or technology used to manufacture products. This business practice is in alignment with Lululemon’s â€Å"doing-the-right-thing† initiative. The aim was to support comm unity members to take active part in achieving excellence in healthy habits. But the competitors find it difficult to imitate Lululemon’s products or strategies because it is very costly and requires great set of skills to produce a Lululemon’s product (Lululemon Athletica, 2012). Question of Lululemon’s Organization The way Lululemon has structured its organizational hierarchy facilitates smooth functioning of the business. The head-quarter is stationed in Canada where the product designing and concept manipulation is carried out. Moreover, the headquarters also handles the financial controlling function of the business. Whereas the business in Australia,

Power Conflict slp Assignment Example | Topics and Well Written Essays - 750 words

Power Conflict slp - Assignment Example ; awareness of the issues affecting both parties, overall improvement of employee morale, improvement of working conditions and finally increased productivity and innovation in the organisation. On the contrary, dysfunctional conflicts lead to a win lose situation for the parties. The negative results for such conflicts include usage of threats that end up destroying the relationship between parties, both parties end up losing and finally increase in chances of retaliation. The organisation that was involved in real estate development was in functional conflict with the local community. It was mainly due to the development of town homes on a particular parcel of land within the town. The top management had sited that the land’s location was ideal for the construction of town homes, but the general community was against it. Some of the issues raised by the community were that its construction would lead to a strain in the available resources such as schools, as the number of children would increase. It resulted in demonstrations by the community concerning the particular land. The organisation was well known for corporate social responsibility within the community, but the resistance to the project by the community was unimaginable. The top management had the option of bribing the local administration, but this would be detrimental to the organisations had earned corporate image. One of the key principles of the organisation was transparency, fairness for all and accountability. The top management was not ready to forego these principles for its benefits. Based on the conflicts, the board of governors had to convene a meeting to address the issues that would result to a win-win situation for both parties. The top management felt that was a functional conflict as the disagreement would yield a positive result for the conflicting parties. A meeting was organised between the top management and local community representatives. Conflicting issues were addressed and

New Zealand Oral Health Practitioners Preparedness

New Zealand Oral Health Practitioners Preparedness Title: An update on New Zealand oral health practitioners preparedness for medical emergencies Running title: Medical emergencies Authors: C L Hong, A W Lamb, J M Broadbent, H L De Silva, W M Thomson Corresponding author: C L Hong, Department of Oral Rehabilitation, Faculty of Dentistry, University of Otago, PO Box 647, Dunedin 9054. Abstract Background and objectives: To update information on the preparedness of New Zealand general dental practitioners (GDPs) and other oral health practitioners (OHPs) for medical emergencies. Methods: Electronic and paper survey of a sample of 889 OHPs (comprising GDPs, specialists, hygienists, therapists and clinical dental technicians) randomly selected from the Dental Register. Results: The response rate was 39.7%. About half of the respondents (43.3%) reported encountering at least one emergency event during the last ten years. Vaso-vagal syncope was the most commonly reported emergency event, followed by hyperventilation. The mean ten-year incidence of emergency events (excluding vaso-vagal syncope and hyperventilation) was 2.6 events (SD, 7). Dentists were 6.8 times more likely to experience emergency events than other OHPs (p Conclusion: The majority of New Zealand OHPs were equipped in training, and equipment for medical emergencies, and New Zealand appears better than many other countries in this respect. However, some OHPs still lacked some of the required emergency equipment, drugs, and training. Introduction The New Zealand population (as with other developed countries) is ageing (Statistics New Zealand, 2015). This means that oral health practitioners (OHPs) are (and will continue to be) providing care for an increasing proportion of elderly patients. This demographic shift towards a greying population is not without its dental implications. Ageing is accompanied by chronic diseases, disabilities and poly-pharmacy (Hung et al., 2011), all of which are risk factors for the occurrence of medical emergencies in dental practices. Thus, the risk of medical emergency events is likely to be increasing. Most medical emergencies can be anticipated, and all OHPs should be well-versed in their prevention and management. Training in the provision of basic life support is considered an essential and fundamental component of dentistry. Despite this, studies have shown general dental practitioners (GDPs) to be inadequately trained for medical emergencies (Alhamad et al., 2015; Arsati et al., 2010; Chapman, 1997; Muller et al., 2008). Only about half of German GDPs were able to provide basic life support (Muller et al., 2008). About two in five Belgian dentists had never had adult basic life support training following graduation, and four in five never had pediatric basic life support training (Marks et al., 2013). Some years ago, only half of New Zealand GDPs had a current CPR or first-aid certificate, and one in five lacked an emergency equipment kit (Broadbent and Thomson, 2001). Overseas studies have indicated that the incidence of medical emergencies in dental practice (excluding syncope) is between 3.3 and 7.0 emergency events per practitioner during a ten-year practice period (Arsati et al., 2010; Atherton et al., 1999; Atherton et al., 2000; Chapman, 1997; Girdler and Smith, 1999). A 2001 study of 314 New Zealand GDPs reported a mean 4.5 emergency events per dentist during a ten-year practice period (Broadbent and Thomson, 2001). While this falls within the reported range, most of those studies are dated, and there is a need for more contemporary information, particularly in light of the ageing population (and its greater tooth retention). Published studies also tended to focus on GDPs. There is a lack of published data on the preparedness of other OHPs for medical emergencies. Only one study investigated the incidence of medical emergencies among both dentists and dental auxiliaries. Atherton et al. (2000) noted that dentists experienced more emergency events than dental auxiliaries (nursing staff, hygienists and radiographers). This suggests that other OHPs also encounter medical emergencies, but evidence for this within the New Zealand dental workforce remains unknown. Moreover, in September 2014, the Dental Council of New Zealand (DCNZ) updated its Codes of Practice for Medical Emergencies in Dental Practice (Dental Council of New Zealand, 2014). In this updated standard, the New Zealand Resuscitation Council Certificate of Resuscitation and Emergency Care (CORE) certification level required of OHPs was updated, along with the period of recertification. Little is known about the adherence of OHPs to this updated practice standard. Accordingly, this study investigated the preparedness of New Zealand GDPs and other OHPs for medical emergencies in dental practice. Methods This study was approved by the University of Otago Ethics Committee. Data were collected between March and July 2016. OHPs were randomly selected from the 2015-2016 Dental Register, obtained from the DCNZ. The 896 randomly selected OHPs represented 20% of the source population for each OHP type (GDPs, dental specialists, hygienists, therapists, and clinical dental technicians). A small number (7) who did not have a clinical role or were not practising in New Zealand were considered ineligible and were excluded from the sample, leaving 889 eligible participants. The electronic survey used Qualtrics TM software. A link to the online questionnaire was emailed to each participant in March 2016. Participants who failed to respond within two weeks were sent a reminder email. Those who did not respond to the electronic survey were then sent a questionnaire with a cover letter and reply-paid envelope. Questionnaire The questionnaire sought information on the respondents socio-demographic characteristics (specifically gender, age, ethnicity, year of primary dental qualification, and practice location), experience and preparedness for medical emergencies. The frequency of specific medical emergencies was also assessed. To maximise the accuracy of recall, the question on the incidence of vaso-vagal syncope and hyperventilation was limited to the past practising year, while other medical emergencies events to the past ten practising years, or as long as the practitioner had been practising if less than ten years. Information on the availability of emergency equipment and drugs (and confidence in administering these) was also sought. The list of emergency equipment and drugs was derived from the DCNZs practice standard (Dental Council of New Zealand, 2014) . Statistical analysis Data were entered electronically and analyzed using version 21 of the Statistical Package for Social Sciences (for Windows) (IBM).The level of statistical significance was set at p Results Responses were received from 353 of the 889 invited practitioners giving a response rate of 39.7%. Dentists (GDPs and dental specialists) represented 65.7% of respondents, while the remainder were other OHPs. Comparison with the 2011-2012 Workforce Analysis suggested an over-representation of New Zealand qualified dentists and dentists aged above 50 years within the sample (Table 1). For analysis purposes, the respondent age was dichotomized to less than 50 years old and 50 years or older. Similarly, the year in which practitioners obtained their primary qualification was also divided into two groups for analytical purposes: before 1990 and after 1990. More than half of the respondents (64.4%) listed their ethnicity as New Zealand European. The mean number of patients seen by a dentist in a week was 49 (SD, 26), and 44 (SD, 23) for other OHPs. Most dentists (96.6%) reported treating patients with local analgesia (mean, 49 per week; SD, 26); 36.2% reported using intravenous sedation (IV), oral sedation (OS) or relative analgesia (RA) (IV: mean, 0.6; SD, 3, OS: mean, 0.3; SD, 1, RA: mean, 0.2; SD, 1); and 8.0% reported treating patients under general anesthesia. The use of local analgesia during dental procedures was reported by 74.4% (n=90) of other OHPs (mean, 19; SD, 14). Almost half (48.7%) of OHPs reported updating each patients medical history at every visit; 45.8% did it at every new treatment plan/check-up, and the remaining 5.4% updated the medical history only occasionally. Vaso-vagal syncope was the most commonly reported emergency, followed by hyperventilation. Excluding hyperventilation and vaso-vagal events, there were 828 emergency events reported, corresponding to a mean of 2.4 events per respondent during the ten-year period (range, 0-62; SD, 7). Nearly half of respondents (43.3%) reported encountering at least one medical emergency during the last ten years. Dentists experienced a mean of 3.4 events (range, 0-62; SD, 8) and other OHPs a mean of 0.5 events (range, 0-11; SD, 1). Dentists were significantly more likely to experience more emergency events. Other significant emergency events reported were 78 episodes of tachycardia, five episodes of allergic reaction to latex, four episodes of Bells palsy, four episodes of vomiting and three episodes of bleeding (Table 2). Most respondents (96.9%) reported having a medical emergency kit available. Only 38.1% reported checking their medical emergency kit more than twice annually. Details of the emergency equipment and drugs kept by respondents are shown in Table 3. Most respondents reported having an ambubag and airway (82.1%), breathing apparatus for oxygen delivery (82.9%), an oxygen cylinder and regulator (82.3%) and a basic airway adjunct (77.2%) available. Among those who reported keeping these items, fewer than three in four were confident in using them. Dentists were further asked to provide information on the availability of a spacer device to deliver salbutamol and disposable hypodermic syringe and/or needles. Of the 70.1% who reported having a spacer device to deliver salbutamol, 82.6% were confident in using the device. A higher proportion of dentists reported having a disposable hypodermic syringe and/or needle available (82.5%), and 76.7% of dentists were confident in using it. A majority of dentists reported having adrenaline (91.3%), glyceryl trinitrate spray or tablets (86.9%), aspirin tablets (82.1%) or a salbutamol inhaler (79.0%) available in their emergency kit. Most respondents (92.9%) reported holding a current NZRC certificate. The majority (97.2%) of dentists who did not use sedation reported holding a NZRC certificate of level 4 or above. Three dentists did not provide information on their NZRC certificate level and one dentist reported having NZRC certificate level 3. For dentists who reported using any form of sedation excluding RA, 76.1% had a NZRC level 5 certificate or above, 22.5% reported having a NZRC level of 4, and 1.4% did not provide information on their certificate level. Most other OHPs (90.2%) had a NZRC level of 4 and above. Four other practitioners had a NZRC level of 3 and two reported having a NZRC level of 2. Five other OHPs did not provide information on their certification level. Data on the emergency items available among dentists who uses any form of sedation (including no sedation) are presented in Table 4. Just over one in four dentists using sedation (excluding RA) reported having an opioid antagonist. Excluding opioid antagonists, dentists who reported not using IV sedation were significantly more likely to have these emergency items than dentist not practicing sedation. The mean number of emergency events reported by dentists over the past ten years by the use of varying modes of sedation (including no sedation) are presented in Table 5. A statistically significant difference was observed in the frequency of angina pectoris, respiratory depression, allergic reaction to a drug, acute asthma and prolonged epileptic seizures between dentists who reported using sedation and those who did not practice sedation. Dentists using GA sedation reported significantly higher occurrence of angina pectoris than dentists used other form of sedation or did not use sedation, and those using RA reported more episodes of acute asthma than those who did not use sedation. Discussion This survey aimed to investigate the preparedness of New Zealand GDPs and other OHPs for medical emergencies. It was found that dentists were significantly more likely to encounter emergency events than other OHPs and that the majority of New Zealand OHPs were adequately prepared to manage a medical emergency. The response rate of 39.7% was higher than that reported by Muller et al. (2008) but lower than other studies (Atherton et al., 2000; Broadbent and Thomson, 2001).This may be attributed to the use of an online survey, which are less likely to achieve responses rates as high as surveys administered on paper (Shih and Xitao Fan, 2008). As with other self-administered survey, there is a tendency to under- or over-report the incidence of medical emergencies. Certain characteristics of the study respondents and differed significantly from the wider New Zealand dental workforce (Table 1). Dentists aged under 50 years and those who qualified overseas were under-represented. Such a difference may affect the generalizability of the findings. Despite these limitations, this is the first cross-sectional survey study which attempts to evaluate the incidence and preparedness of all New Zealand OHPs for medical emergencies in dental practices. Vaso-vagal syncope is the most commonly reported emergency by OHPs, followed by hyperventilation. This is in accordance with previously published studies (Alhamad et al., 2015; Marks et al., 2013; Muller et al., 2008) with the exception of Broadbent and Thomson (2001) who reported hyperventilation as the most common emergency event. Comparison of the findings of the current study in respect of GDPs to those of Broadbent and Thomson (2001) found that while the percentage of GDPs reporting vaso-vagal syncope and hyperventilation was lower than the 2001 study, the overall mean number of events per reporting participant in this study was higher. The incidence of respiratory depression reported by GDPs was 1.5 times lower than in the 2001 study (Broadbent and Thomson, 2001). This may be due to greater awareness and preparedness among GDPs, combined with stricter regulations imposed by the DCNZ. The use of sedation in dentistry has a positive influence on patients, but while it reduces anxiety and fear, it also increases the risk of respiratory depression. This was reflected in this study. Dentists using IV sedation reported a significantly greater incidence of respiratory depression than those who did not. This is, perhaps, unsurprising, as airway complications are the greatest threat to the safety of sedated patients (Tobias and Leder, 2011). However, the overall incidence of hypoglycemia reported by OHPs in our study was higher than that reported by Arsati et al. (2010) and Broadbent and Thomson (2001). Proper diagnosis of hypoglycemia is dependent on the observation of the Whipples triad; elevated plasma glucose concentration, hypoglycemic symptoms and relief of symptoms following carbohydrate administration, (Nelson, 1985). It is possible that any one of these symptoms may be overlooked by the practitioner when making a diagnosis resulting in over-diagnosis. Excluding vaso-vagal syncope and hyperventilation, the overall rate of medical emergency events among OHPs in New Zealand was lower than reported in previous overseas studies (Table 6). Comparison with Broadbent and Thomson (2001) suggests a decrease in the incidence of emergency events reported by GDPs, dipping from 4.5 to 2.9 emergency event per practitioner over a ten-year period in this study, pFigure 1). Dentists were 6.8 times more likely to experience an emergency event than other OHPs. This is consistent with findings of the 2000 United Kingdom survey, which also reported a greater frequency of emergency events by dentists than ancillary staff (Atherton et al., 2000). Several factors could contribute the latter difference. First, dentists are more likely to provide more complicated treatment than other OHPs. Second, patients who have more complex medical problems (or who are more anxious) may be more likely to attend a dentist than other OHPs for dental treatment. Being prepared with the proper equipment and drugs for the management of an emergency event is important, and most OHPs did have access to an emergency kit. With respect to GDPs, an 18.2% increase over 2001 was observed in the proportion of GDPs with an emergency kit (Broadbent and Thomson, 2001). The four basic emergency pieces of equipment meant to be contained within an emergency kit (regardless of practitioner type) are an ambubag and airway, breathing apparatus for oxygen delivery, oxygen cylinder and regulator, and basic airway adjuncts. The majority of GDPs (85%-89%) had these items, which was a marked improvement from the 2001 study where it ranged between 24% and 81%. Other OHPs were lacking in the availability of an ambubag and airways (30.3%) and basic airway adjunct (35.2%). The drugs required by the DCNZ practice standard were available to the majority of GDPs, but a relatively high proportion of specialists lacked some drugs, namely glyceryl trinitrate spray or tablets (21.9%), aspirin tablets (40.6%), and salbutamol inhaler (34.4%). The availability of oxygen was not specifically asked about in this survey, instead, the availability of an oxygen cylinder and regulator was assessed. We did not specifically asked OHPs whether the oxygen cylinder was filled. It was assumed that, if respondents had this equipment, oxygen would available. Dentists using sedative agents would be expected to be best prepared with appropriate medications and equipment. While they were well equipped (>86%) with the four basic pieces of equipment (listed in the previous paragraph), they were not well equipped with the additional equipment required for sedation, especially in the availability of an opioid antagonist (27.6%). This study found that overall, dentists practising sedation were better prepared with these additional items than those who did not. It is likely that some practitioners may be using a form of sedation that negates the use of these equipment. However, regardless of the form of sedation used, the requirement set by the DCNZ should always be followed. Proper training in the management of medical emergencies is important. A majority of dentists not using sedation (97.2%) and other OHPs (90.2%) had the appropriate NZRC CORE Level 4. Comparison with other overseas studies found OHPs in New Zealand to be better equipped in this area. Arsati et al. (2010) showed that only 59.6% of Brazilian dentists had undergone some form of resuscitation training, while only 47.5% of Belgium dentists (Marks et al., 2013) and 64% of Australian GDPs had undertaken basic life support trainings or CPR courses (Chapman, 1997). However, additional reinforcement is necessary to ensure that all OHPs have the appropriate NZRC CORE level, and thus the skills required to manage medical emergencies. For dentists using sedation, NZRC CORE Level 5 as outlined by the DCNZ guideline (implemented in 2014) is mandatory. However, almost one in four dentists using sedation (excluding RA) did not have a NZRC Level 5 or above certificate. This may be a concern because these practitioners are likely to undertake more complex procedures, possibly in patients with complicated medical conditions. We observed that they were more likely to experience emergency events in their practices. Conclusion Most New Zealand OHPs were equipped in training and equipment for medical emergencies, and New Zealand appears better than many other countries in this respect. However, the different groups of OHPs were still lacking some of the required emergency equipment and drugs. Our findings also clearly show that while there has been a marked improvement from the 2001 study, some OHPs still lacked training (NZRC CORE), and so, it is possible that these practitioners may lack competence in treating medical emergencies. References Alhamad M, Alnahwi T, Alshayeb H, Alzayer A, Aldawood O, Almarzouq A, Nazir MA(2015). Medical emergencies encountered in dental clinics: A study from the Eastern Province of Saudi Arabia. J Fam Community Med 22(3):175-179. Arsati F, Montalli VA, Florio FM, Ramacciato JC, da Cunha FL, Cecanho R, de Andrade ED, Motta RHL (2010). Brazilian dentists attitudes about medical emergencies during dental treatment. J Dent Educ 74(6):661-666. Atherton GJ, McCaul JA, Williams SA (1999). Medical emergencies in general dental practice in Great Britain. Part 1: Their prevalence over a 10-year period. BDJ 186(2):72-79. Atherton GJ, Pemberton MN, Thornhill MH (2000). Medical emergencies: the experience of staff of a UK dental teaching hospital. BDJ 188(6):320-324. Broadbent JM, Thomson WM (2001). The readiness of New Zealand general dental practitioners for medical emergencies. NZ Dent J 97(429):82-86. Chapman PJ (1997). Medical emergencies in dental practice and choice of emergency drugs and equipment: a survey of Australian dentists. Aust Dent J 42(2):103-108. Dental Council of New Zealand (2014). Medical Emergencies in Dental Practice Practice Standard. Wellington: Dental Council of New Zealand. Girdler NM, Smith DG (1999). Prevalence of emergency events in British dental practice and emergency management skills of British dentists. Resuscitation 41(2):159-167. Hung WW, Ross JS, Boockvar KS, Siu AL (2011). Recent trends in chronic disease, impairment and disability among older adults in the United States. BMC 11(1):1-12. Marks LA, Van Parys C, Coppens M, Herregods L (2013). Awareness of dental practitioners to cope with a medical emergency: a survey in Belgium. Int Dent J 63(6):312-316. Muller MP, Hansel M, Stehr SN, Weber S, Koch T (2008). A state-wide survey of medical emergency management in dental practices: incidence of emergencies and training experience. EMJ 25(5):296-300. Nelson RL (1985). Hypoglycemia: fact or fiction? Mayo Clin Proc 60(12):844-850. Shih T-H, Xitao Fan (2008). Comparing Response Rates from Web and Mail Surveys: A Meta-Analysis. Field Methods 20(3):249-271. Statistics New Zealand (2015). 2013 Census QuickStats about people aged 65 and over. Wellington: Statistics New Zealand. Tobias J, Leder M (2011). Procedural sedation: A review of sedative agents, monitoring, and management of complications. SJA 5(4):395-410. Author details: C L Hong BDS. Department of Oral Rehabilitation, Faculty of Dentistry, University of Otago, PO Box 647, Dunedin 9054. A W Lamb BDS. Dental and oral health department, Level 10, Wellington Hospital, Riddiford St, Newton, 6021. J M Broadbent BDS, PGDipComDent, PhD. Department of Oral Rehabilitation, Faculty of Dentistry, University of Otago, PO Box 647, Dunedin 9054. H L De Silva BDS, MS, FDSRCS, FFDRCSI. Department of Oral Diagnostic and Surgical Sciences, Faculty of Dentistry, University of Otago, PO Box 647, Dunedin 9054. W M Thomson BSc, BDS, MA, MComDent, PhD. Department of Oral Sciences, Faculty of Dentistry, University of Otago, PO Box 647, Dunedin 9054. Table 1. Comparison of respondents sociodemographic characteristics with those of the New Zealand (NZ) dental profession. Dentist (%) Dentists in NZ dental profession a (%) Other OHPs (%) Other OHPs in NZ dental profession a (%) Sex Male Female 140 (60.6) 91(39.4) 1347 (64.6) 738 (35.4) 9 (7.4) 112 (92.6) 54 (4.3)c 1191 (95.7)c Age Less than 50 50 and over 104 (45.6) b 124 (54.4) b 1220 (58.5)b 865 (41.5) b 68 (56.2) 53 (43.8) 881 (61.1) 561 (38.9) Country of qualification New Zealand Other 184 (81.4) b 42 (18.6) b 1456 (69.8) b 629 (30.2) b 112 (92.6) 9 (7.4) NR NR a Dental Council of New Zealand (Workforce Analysis 2011-2012) b p c Excludes clinical dental technicians NR: not reported Table 2. Incidence of medical emergencies by practitioner type. Emergency event Number of GDPs reporting during a one-year period (%) Number of specialists reporting during a one-year period (%) Number of other practitioners reporting during a one-year period (%) Mean number of events for per reporting practitioners (sd) Total number of events reported (max) Vaso-vagal syncope a 71 (36.0) 10 (37.0) 1.5 (12.8) 3.3 (6.0) 313 (50) Hyperventilation a 40 (20.3) 3 (11.1) 1.2 (10.3) 3.5 (5.1) 185 (25) Angina pectoris (chest pain) 2.4 (12.2) 5.0 (18.5) 1.0 (0.9) 1.7 (1.3) 51 (5) Swallowed foreign body 2.9 (14.7) 3.0 (11.1) 1.2 (10.3) 1.8 (2.2) 79 (12) Epileptic seizures (grand mal) 1.7 (8.6) 4.0 (14.8) 3.0 (2.6) 1.8 (2.0) 43 (10) Hypoglycemia 4.4 (21.3) 7.0 (25.9) 3.0 (2.6) 3.7 (3.7) 192 (15) Myocardial infarction 0.3 (1.5) 1.0 (3.7) 0.0 (0.0) 1.3 (0.5) 5 (2) Respiratory depression 1.0 (5.1) 5.0 (18.5) 0.0 (0.0) 6.0 (6.4) 90 (80) b Allergic reaction to a drug 2.8 (14.2) 5.0 (18.5) 2.0 (1.7) 3.2 (4.6) 112 (20) Anaphylaxis 9.0 (4.6) 4.0 (14.8) 0.0 (0.0) 1.7 (1.4) 5 (5) Overdose (eg of anesthetic) 4.0 (2.0) 2.0 (7.4) 1.0 (0.9) 1.4 (0.8) 10 (3) Circulatory depression or collapse 4.0 (2.0) 2.0 (7.4) 2.0 (1.7) 2.1 (1.6) 17 (5) Stroke (cardiovascular accident) 3.0 (1.5) 1.0 (3.7) 0.0 (0.0) 1(-) 4 (1) Inhaled foreign body 2.0 (1.0) 0.0 (0.0) 1.0 (0.9) 1 (-) 3 (1) Acute asthma 7.0 (3.6) 1.0 (3.7) 2.0 (1.7) 1.8 (1.3) 18 (5) Hyperglycemia

Dell’s Strategic Management Plan Essay -- Computers, Business

Dell, Inc. got its start in 1984 when Michael Dell, a University of Texas student, began building computers for fellow students under the company name PCs Limited (Edwards, 2007). Within the next decade, Dell experienced phenomenal success by pursuing growth through catalog and corporate sales (Hunger, 2006). Dell made technology affordable and in doing so became a fierce competitor in the computer technology industry. However, the company’s disorganized structure could barely support their impressive growth. There are three specific measures of performance that I would have incorporated into Dell’s strategic management plan if I were leading Dell. Furthermore, I would include behavior and output controls in the control system to regulate organizational activities to ensure that they are consistent with company standards of performance. Dell, Inc. pursued an aggressive growth strategy which was met with equally aggressive customer demand. Dell delivered a quality product for a reasonable price and this value that Dell created for their customers was initially unmatched by rival computer companies. In fact, Dell saw this as an opportunity to expand their product line to include items such as printers and software. The company’s sales increased from $389 million in 1989 to $2.9 billion in 1993 (McGraw, 1994). However, the management structure did not grow with the company (McGraw, 1994). Financial results were not analyzed properly and the company was not being strategically managed (Hunger, 2006). Dell’s management team decided to slow their growth initiatives in part by eliminating retails sales of their products (Hunger, 2006). This decision created three distinct problems for the company. First, customers were unhappy that t... ...nagement (6th ed.). Mason, OH: South- Western Cengage Learning. Edwards, O. (2007, August). Baby Dell. Smithsonian, 38(5), 34-36. doi: 131320451 Hunger, D. J. (2006). Dell, Inc. In T. L. Wheelen & J. D. Hunger (12th ed.), Strategic management and business policy (pp. 31-1 – 31-5). Upper Saddle River, NJ: Prentice Hall. Matthews, J. R. (2011). Assessing organizational effectiveness: The role of performance measures. Library Quarterly, 81(1), 83-110. Retrieved from EBSCOhost. McGraw, D. (1994). The kid bytes back. U.S. News & World Report, 117(23), 70. Retrieved from EBSCOhost. Rogers, B. (2006). High performance is more than a dream - it's a culture. T + D, 60(1), 12. Retrieved from EBSCOhost. Wheelen, T. L., & Hunger, J. D. (2012). Strategic management and business policy: Toward global sustainability (13th ed.). Upper Saddle River, NJ: Prentice Hall.

Fishing from heaven

The frost clung to the surroundings as I made my way down the old crooked path. It was early morning and the sun was attempting to wedge its way through the clouds: it remained ice cold. There was little life to be seen – most animals were hidden away from the dangers and cruelty of winter. They had collected their food and were snuggled away ready to sleep the months through. At that moment I wished I could join them. Why couldn’t I run away and hide until I was ready to face life again? As I trod over the cold granite with the fellow mourners I could see nothing of happiness. Everything hung in dismay as if even nature knew this was a wretched and lonely place. I imagined the gloomy individuals walking this route over the decades. It was a path that had to be travelled but very few were ready or willing to face its destination. Instead we all hoped something would suddenly change and that our fate would be reversed. The daunting doors appeared ahead and I made my way inside along with the others – all of us coated in black. I shivered, no longer because of the temperature but rather fear, as I made my way inside the thick stone walls. The mighty roof towered over me shadowy and oppressive. I found my pew and sat down alone to wait. The tranquilising smell of burning incense combined with my tired state almost lulled me to unconsciousness but a stern voice suddenly called for the beginning of the service and I turned to face the altar. It was covered in a white cloth which hung loosely over the sides clearly too big. A cross made up the centrepiece and a candle stood on either side. I’d never been to a church before but I knew granddad had. I imagined him looking at this cross and, like me, wondering why life had to happen the way it did. The music sounded and they began to enter – the robed man and the six friends of my grandfather. I only knew one of them. They had gone to school together and granddad would always tell stories of their misbehaving – tricking the teacher and missing classes. I saw his friend dim with dread no longer a schoolboy with a future of brightness ahead. His head hung low as he made his way down the aisle. The lid of the coffin was lifted and his face tightened as he saw his friend for the last time. Granddad’s face was withered and frail, his lips rose pink and dry. They had dressed him in his favourite suit especially for the occasion. His body lay stiff, fragile and delicate – but strangely imposing. This was not how I remembered him. Vulnerability and helplessness had overcome him. His intelligent being was hidden – deposed by death. * * * It was a spring morning and the lake glistened in the sun. Not a ripple disturbed the perfect reflections. The smell of freshly painted wood hung in the air as the boat entered the water. Its green body caused it to appear like a lily-pad against the still expanse. I was trembling with excitement: I had never been on a boat before. We lived in the town where buildings filled the landscape. It was only when I came here on holiday that I got to see the amazing aspects of nature so forgotten in cities where cars and buses have taken over. First grandfather gave me a rod. He smiled as I looked at this alien object with uncertain eyes. He loaded the reel, explained how to make a blot knot, stuck on the tiny squirming pinkie and cast into the distance. He stressed the importance of doing this properly so as to avoid whipping your neighbour or startling the surrounding fish. Looking at granddad I stared intently at the thick folds throughout his face, his hunched over body and the shadows b eneath his eyes. As he cautiously scanned the horizon he noticed my attention had wavered and stared right into my soul seemingly extracting my thoughts. â€Å"Ethan, old age is nothing to fear but something to grasp with open arms and imagine the life past and still to come. You must remember that. This moment will pass but the memory remains forever and that’s what we hold on to even when death arrives.† I turned away not sure what he meant and focused back on my fishing. My line went taut and I was pulled back to the present. The fish wriggled desperately trying to free itself from the cruel spike threatening its life. It was helpless against my strong grasp. My determination to impress granddad and the weak power of the fish enabled me to reel the rod all the way in. I had caught a fish – a trout! It was avocado green speckled pink. I knew little of the types of fish but granddad told me it was a Yellowstone Cutthroat Trout native to this area. He smiled proud of what I had gained. * * * I wept bitter with regret as the pastor began to talk of grandfather’s life in such a dispassionate way. He knew nothing of the love I felt for him, of the kindness grandfather showed or of the suffering he endured in his last years. I wished I could have stood up and conjured up something which may have done him justice rather than this monatomic drone of weddings, birthdays and jobs. This was not all that my grandfather was. He was more than this. The room silenced as the pastor took to his seat. The roof of the coffin was replaced and the congregation bowed their heads remembering the man in their own way. I saw, not the cold lifeless face that had been laid before me this morning but the bright and warm-hearted glow from that fishing day. I saw him in his heaven with doves fluttering above a crystal ocean full of the most beautiful creatures.

Still Separate, Still Unequal By Jonathan Kozol - 1121 Words

The essay â€Å"Still Separate, Still Unequal†, written by Jonathan Kozol, discusses the actuality of intercity public school systems, and the isolation and segregation of inequality that students must be subjected to in order to receive an education. Jonathan Kozol illustrates the grim reality of the inequality that African American and Hispanic children face within todays public education system. In this essay, Kozol shows the reader, with alarming statistics and percentages, just how segregated Americas urban schools have become. He also brings light to the fact that suburban schools, with predominantly white students, are given far better funding and a much higher quality education, than the poverty stricken schools of the urban neighborhoods. Jonathan Kozol brings our attention to the obvious growing trend of racial segregation within America’s urban and inner city schools. He creates logical support by providing frightening statistics to his claims stemming from h is research and observations of different school environments. He also provides emotional support by sharing the stories and experiences of the teachers and students. His credibility is established by the author of Rereading America by providing us with his collegiate background. This is also created from his continual involvement with isolated and segregated educational school systems and keeps tone sincerity throughout his essay. Within the essay, Still Separate, Still Unequal, Jonathan Kozol’s argument isShow MoreRelated`` Still Separate Still Unequal `` By Jonathan Kozol999 Words   |  4 PagesIn Jonathan Kozol â€Å"Still Separate Still Unequal† the author discusses how education for inner city school kids greatly differs from white school kids. â€Å"Schools that were already deeply segregated twenty-five or thirty years ago are no less segregated now† (Kozol 143). Although in 1954 the popular court case Brown vs Board of Education should have ended segr egation in schools. The author shows how â€Å"the achievement gap between black and white children continues to widen or remain unchanged,† (KozolRead MoreEssay about â€Å"Still Separate, Still Unequal† by Jonathan Kozol699 Words   |  3 PagesIn the essay â€Å"Still Separate, Still Unequal† by Jonathan Kozol, the situation of racial segregation is refurbished with the author’s beliefs that minorities (i.e. African Americans or Hispanics) are being placed in poor conditions while the Caucasian majority is obtaining mi32 the funding. Given this, the author speaks out on a personal viewpoint, coupled with self-gathered statistics, to present a heartfelt argument that statistics give credibility to. 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