Carpe Diem in Poetry Essay Example | Topics and Well Written Essays - 750 words

Carpe Diem in Poetry - Essay Example Each path will take him to a very different destination, but from where he is standing at this point he doesn’t know the end result. He is pondering which road is his choice. Should he take the road most travelers take; or should he take the road a little different. He probably anticipates what his future holds, but will always wonder where the other road can carry him. However, if he takes the road expected of him and it doesn’t work out, â€Å"Yet knowing how way leads on to way, I doubted if I should ever come back;† he doubts if he will have the opportunity to make another choice. But yet in the last stanza he made his decision; he took the road that not many take, and apparently it worked out well. As time has moved on, he was not given a chance for another choice. However, he is happy with the outcome of his chosen path. Considering the line, â€Å"I shall be telling this with a sigh,† what does this mean? When the future comes, and I look back on my life and what could have been, did I make the right decision? How could my life have been different if I had taken another path? The fact remains you have to make a decision and no one knows what the outcome. When you come to the end of your life you realize that you don’t know what the right choice is until it’s all over. ... Looking at â€Å"To his Coy Mistress,† Andrew Marvell is truly taken by the beauty of this woman. â€Å"My vegetable love should grow,† he is comparing his love to how you grow to love vegetables. It’s a feeling that sustains the body, mind and soul. He adores this woman and wants to be with her, and he is telling her that he wants to show his heart. He, however, wants to make sure that everything is perfect for them. In the second paragraph, the mood changes a little and he is feeling that time is nearing and he wants to move things along a little quicker. He is afraid that if he waits too long he will not have the chance to be with her and show his love. In the third and final paragraph, he turns back to his feelings for the woman and how deeply he feels. â€Å"Our sweetness, up into one ball; And tear our pleasures with rough strife,† he wants to be with her in whatever life throws at them. In this paragraph Marvell shows â€Å"carpe diem,† to se ize the moment. He is saying that no one knows what life will bring, but that we can seize the present moment and make our own life together. We can grab the fire of life and move forward together. In Robert Herrick’s â€Å"To the Virgins, to Make Much of Time,† he puts it in a very simple form. â€Å"Gather ye rosebuds while ye may,† means to take advantage of youth while you have the chance, don’t wait until you are old and to much time has passed. The rose symbolizes life, and the bud virgins, the cycles of nature that represent the cycles of life. Just as life changes through cycles, youth, adulthood, marriage, children, and death; so does a rose. A rose sprouts buds and produces a flower, and eventually withers and loses it petals. He also states that with youth the, â€Å"blood

Develop Quality Management Project Essay Example | Topics and Well Written Essays - 5000 words

Develop Quality Management Project - Essay Example Project planning is a subset of overall business planning. As Haus (2011, p. 1) states, â€Å"a project management plan is the planning document, capturing the entire project end-to-end, covering all project phases, from initiation through planning, execution and closure†. In project planning, managers define the set of goals and objectives, the results they want to accomplish, and the processes that will take place to reach the results. Along with this, managers also take an estimate of the tools and resources required to complete the project. Project planning in water desalination companies is not an easy task, as it requires a complete synchronization between different business activities. Some of the main steps involved in project planning include defining the approach, sequencing the tasks to be performed, defining dependency between tasks, estimating budget and resources, identifying the tools and techniques required to complete the project, identifying the risks, taking actions to minimize the risks, and ensuring and controlling quality of processes. In this paper, the company will present a project plan for a water desalination company as per PMBOK framework. 2. What Is Water Desalination? According to Duan (2012), desalination means to make seawater free of contaminants and salt. Water desalination refers to the process of removing salts and other minerals from seawater to make it useable for humans. Seawater is not in a form suitable for humans as it contains salt that affects metabolism and causes hallucinations, nausea, and vomiting. Along with salt, seawater also contains aluminum, iodine, potassium, bromine, and substances released from seawater organisms (Underwood n.d.). Therefore, water desalination companies purify seawater in order to bring it in use of humans without any harmful effect. There are different levels of saline in seawater that have the tendency to affect human body, as well as the cost of water treatment. Scientists measu re the level of saline in parts per million (ppm). Seawater usually contains big amount of salt that ranges from 35,000 ppm to 150,000 ppm and even more. As Aintablian (2011, p. 1) states, â€Å"the more concentrated saline is in a body of water, the more energy and effort it takes to desalinize it†. Human beings can only use water which has the saline level of less than 1000 ppm. Such water is also considered safe to use for household and agricultural purposes. Therefore, companies use a number of effective water desalination methods to purify seawater. The water desalination unit deals with the purification of seawater using effective water treatement methods. Some of the famous water desalination methods include reverse osmosis, forward osmosis, electrodialysis, thermal desalination, multistage flash distillation, and multiple effect distillation. Let us now develop a project management plan for the water desalination unit of a water treatment company. 3. Name of the Compa ny The name of the company for which the project management plan will be developed is Crystal Water Company. The company deals with two key water treatment areas, which include wastewater treatment and water desalination. In this paper, the focus will be on the preparation a project plan for the water desalination area. 3. Plans To Be Included In this paper, the company will cover four key areas of project planning which include quality management plan, human resource management plan,

Management Essay Example | Topics and Well Written Essays - 750 words - 7

Management - Essay Example The management theory acts as the frame work for running the business. It is essential in dealing with employees, and in understanding the business environment(Robbins et al.2008). History of management As indicated by Robbins et al. (2008, p. 29), the ancient management practices were implemented in projects such as the construction of the Great Wall of Chinaas well as the pyramids of Egypt which employed thousands of people. During the construction of the Egyptian pyramids, a single pyramid would employ more the 100000 workers for 20 years; hence, someone had to be assigned the task of organizing and controlling the people and the materials to be used. Such activities led to the study of management practices. Robbins et al. (2008, p. 29) further stated that, in 1776, Adam Smith published a book that argued the economic benefits that organizations get from practicing effective management practices such as division of labour and breaking down jobs to narrow tasks, which played a role in increasing the labor productivity, and in enhancing the skills of the workers. The other concept that has played a role in management is the industrial revolution of the18th century in the Great Britain. Industrial revolution was important because it enhanced the use of machinery for production instead of manpower. This made the production of goods more efficient by reducing the finance and time resources used for production. The tasks that were previously taken by human beings were substituted by machines which enhance both accuracy and quality. In the 19th century, there was a major step taken to enhance proper management through the development of formalized management theories which were implemented in large organizations. These were scientific management, general administrative theory, quantitative organizational behavior and contingency. The scientific management theory explains the use of scientific methods to ensure that various tasks are implemented. The scientific theo ry was further enhanced by Fredrick Taylor, Frank and Lillian Gilbreth. Taylor observed that most tasks were executed with neither application of skills nor professional standards; thus, reducing their output to a third of what was expected from a worker. To maximize the application of skills by the workers and increase the production efficiency, workers were assigned tasks according to their abilities and characteristics. Frank and Lillian Gilbreth studied on ways to avoid wastage of the body movements. The study was implemented through the selection of the right tools for the right job so as to optimize work performance. The experiments for this study were done through bricklaying, and by reducing the motions from 18 to 2, a move which proved to be more productive. The four principles of management developed by Taylor were; developing professional techniques for each component of the individual’s work, selecting and training the employees, cooperation with the employees and dividing the responsibilities amongst the management and employees (Robbins et al.2008). The general administrative theorywas developed by Henri Fayol, in an effort to enhance effective management practices by educating managers on ways to execute their tasks and in return achieve positive results. Fayol’s idea was based on creating a suitable working environment and controlling workers to achieve higher productivity. This approach is applicable in any organizational setting. This concept is important in determining

Yes, College is Worth the Money Essay Example for Free

Yes, College is Worth the Money Essay According to College Board, higher earning potential is number one when it comes to benefits of going to college. The median earnings of bachelors degree recipients working full-time year-round in 2008 were $55,700. (Hardy) A lot of current college students say that college is not worth the money, but they are still in college because they know without some type of degree it is going to be difficult to be financially stable and career ready but along with that they will learn some sort of responsibility. To start off, considering the fact that no one wants to struggle and everyone wants to be financially stable a college degree is required. With a college degree you are not always guaranteed a job as soon as you graduate but when you do get in your career field you will always be paid more than a person who just has a high school diploma. On average, the salary given to a person with a with a four year degree is approximately 45,000 dollars verses a lower income coming from someone with just a high school diploma. Studies show that those holding bachelor’s degree will earn about 2.2million dollars in a lifetime and those with a masters, doctorial and professional degrees will earn about 2.67 million, 3.25million and 3.65 million dollars in a lifetime. So, furthering your education will determine you financial stability. Daughtry2 Being career ready is very important before going out in to you designated career field. Going to college will help you become career ready both academically, socially and hands on. Of course coming toschool doing book work is a necessity. Also, you are going to have most likely take courses that are not related to your career and as well as the ones that are your focus. But, all of the course you take will help you in the long run somehow or another, even if it looks pointless it’s probably a class to make you look at life differently. For instance, an Elementary Education major’s  curriculum guide requires a current student to take African American Studies as a freshmen. This class has nothing to do with the chosen major but it will show individuals enrolled in this course so many different things they can use when they start their career. Socially, college has been a major help due to the fact that most freshmen are easily intimidated and shy when they begin college. College professors assign group assignments and various other group activities to help them out. Socializing with peers as well as children, who will one day consume most of my time. Hands on, field experience, is actually for an Elementary Education major going to the classroom and talking with students and reading to them etc. Field experience lets you know if this is what you still want to do and if so it allows you to get hands on experience. In addition, going to college teaches you how to be responsible. For those who have time management issues and problems with procrastination coming to school will show you that if you do not have somewhat of a set schedule you will fail. As a college student you have to learn how to wash your own clothes if you did not already know how, you have to learn how to budget and the biggest thing coming to college you will learn fast is self-discipline. Self-discipline is knowing you have class in the morning so you do not go out with your friends the night before Daughtry3 because you know you are not going to make it to that eight o’ clock. That’s discipline yourself in college, having this practice will have you responsible enough to go out in the work force. Often times though, high school students feel as if college is not for them due to the previous struggles, failures and or experiences they have had in high school. â€Å"Failure is punished instead of seen as a learning opportunity. We think of college as a stepping-stone to success rather than a means to gain knowledge. College fails to empower us with the skills necessary to become productive members of Today’s global entrepreneurial economy.† (Stephens) His point of view is very understandable and realistic. Agreeing with Dale Stephens, Marty Nemko, says too that college is a waste of time.  In an article entitled â€Å"We send too many to college†, Nemko practically states that parents are wasting their money by sending their â€Å"bottom 40 percentile† child to college because they barely made it out of high school so why would you send them to college. â€Å"Even worse, most of those college dropouts leave college having learned little of practic al value and with devastated self-esteem†¦ those people rarely leave with a career path likely to lead to more than McWages.† (Nemko) Going against the idea that college is worth the money the two authors have very valid points. All in all, college is still worth the money and although a lot of current college students say that college is not worth the money, where are they? They are still in college because they know without some type of degree it is going to be difficult to be financially stable and career ready. Coming to college will teach them some responsibilities that they have probably never had to do. College is definitely worth the money. Daughtry 4 Works Cited Kirszner, Laurie G., and Stephen R. Mandell. Practical Argument. 2nd ed. Boston, NY: Print. Hardy, Marcelina. 7 Benefits of Having a College Degree. Yahoo Education. 2013. Web. 23 Jan. 2014.http://education.yahoo.net/articles/benefits_of_higher_education.htm.

The American Constitution Essay -- United States Constitution

The American Constitution The basis of all law in the United States is the Constitution. This Constitution is a document written by "outcasts" of England. The Constitution of the United States sets forth the nation's fundamental laws. It establishes the form of the national government and defines the rights and liberties of the American people. It also lists the aims of the government and the methods of achieving them. The Constitution was written to organize a strong national government for the American states. Previously, the nation's leaders had established a national government under the Articles of Confederation. But the Articles granted independence to each state. They lacked the authority to make the states work together to solve national problems. After the states won independence in the Revolutionary War (1775-1783), they faced the problems of peacetime government. The states had to enforce law and order, collect taxes, pay a large public debt, and regulate trade among themselves. They also had to deal with Indian tribes and negotiate with other governments. Leading statesmen, such as George Washington and Alexander Hamilton, began to discuss the creation of a strong national government under a new constitution. The United States is a republic that operates under a federalist system. The national government had specific enumerated powers, and the fifty states retain substantial endowment over their citizens and their residents. Both the national government and the state government are divided into three different branches, executive, legislative, and judicial. Written constitutions, both federal and state, form a system of separated powers. Amendment, in legislation, is a change in a law, or in a bill before it becomes a law. Bills often have amendments attached before a legislature votes on them. Amendments to the Constitution of the United States may be proposed in two ways: (1) If two-thirds of both houses approve, Congress may propose an amendment. The amendment becomes a law when ratified either by legislatures or by conventions in three-fourths of the states. (2) If the legislatures of two-thirds of the states ask for an amendment, Congress must call a convention to propose it. The amendment becomes a law when ratified either by the legisl... ... juries in some states may have as few as 6 members. The jury or judge hears the evidence for and against the defendant and then reaches a verdict. If the individual is found guilty, the judge pronounces sentence. If the defendant is found not guilty, he or she is released. In most cases, the judge determines the sentence for a defendant convicted of a crime. The judge imposes punishment that he or she feels will best serve both the offender and society. Laws may provide a maximum and a minimum sentence according to the crime involved. In some cases, the recommendation of the jury determines the sentence that may be given to the offender. The judge may put a convicted offender on probation to protect the individual from the harmful effects of being imprisoned with experienced criminals. A lawbreaker who is on probation remains free but must follow certain rules. A probation officer assigned by the court supervises the individual's conduct. A probationer who violates any of the rules of his or her probation may be sent to prison. Some judges require offenders to repay their victims, either with money or by working for them without pay.

School Lunch

Dear Mr. I have coming to this school since 7th grade and has seen no progress at all, with the lunch. I’m sorry for saying this but this food is NASTY! It seems like its been frozen for 300 years, then cooked. Seriously, are you guys trying to kill us? Since we’re not use to this cooking, we’re not eating it as much. So try thinking of adding a couple of new foods while you read this letter. Some students at EMS has financial issues that they are dealing with at home. As a result no student would be buying school lunch. Also they may have not gotten accepted to have free lunch like I do.Another reason is the student may think the lunch the lunch look or taste disgusting. So you would expect the student to not even bother with the school lunch. Others say that the reason why they don’t eat the lunch is they’re not hungry once lunch time comes. Either it was because they ate a big breakfast or they just don’t eat as much. Now think about it wh en they eat breakfast its probably around 7:00 or 7:30. That’s 5 hours until the next meal is offered to them, if they can do that then they must be a superhero or something.Another huge problem is that the nutritional part about the food. I don’t know if you have heard about this statistic. In order to have as many chicken, beef, and pork. Chemical labs clone the meat in order for us to have as much as we do now. Basically when we are eating meats at school that is cloned. The chemicals may have all different types of unhealthy stuff in it. That makes it taste like the real thing. Now who would like to eat chemicals? Not me, because I thought chemicals were dangerous for you.Alright this topic is something I can relate to, because of being a certain amount of pounds overweight. And the way these ladies cook that pizza has death written all over it. Only because it s just so greasy, usually some of us we take a napkin and wipe the grease of the pizza. And when weâ€⠄¢re done the whole napkin is damp with grease. As a result of that is being diagnose with diabetes, high blood pressure, or high cholesterol. Living with a person that’s a diabetic and has high blood pressure and high cholesterol also.Cannot be fun because, you have to watch what you eat or else you will go into a diabetic coma. I’ve witnessed a person in a diabetic coma and it is scary because they just drop whatever they’re doing and fall. For the students that likes more of a variety to their meals. You could add a salad bar, fruit bar, alternate lunches, different types of the same food. So they wouldn’t have to just choose one thing and move on. Who wants to do that every single day NOBODY! Then the thing that we hate is that we have the same lunch choice almost every tow weeks in a row.Come on we are children we like to try new things not just the same old things. Another solution is that you can bring some of the kids background culture to the lun ch. But not no lasagna or Italian chicken feast because of some kids having Italian ancestors. Also to could just bring foods from around the world to just let us experience the world just by eating lunch at a middle school. At the beginning of the paragraph I was talking about adding a salad bar. Me personally I love salad to death. I mostly eat a salad with all of my meals that I eat. But sometimes it doesn’t happen.To me its just nothing but a blend of vegetables with some salad dressing. You could also serve different fruits because I know that many people eat fruit and loves it. Or you could just hand out surveys to see what we like to eat the most or the least. So it just wouldn’t be just this one big hassle, for only one choice of meal. As a result of you reading this letter. I hope you had at least a thought about making changes to the school lunch menu. If you do that, then I guarantee you that these changes will have students ‘wanting’ to go to l unch, with a smile on their faces. To EAT!

Mycenae and Agamemnon Essay

Mycenae lies about 90 kilometres south-west of Athens. From around 1600BC-1100BC Mycenae was a highly wealthy and influential city, dominating much of southern Greece. The Mycenaean Era was named in reference to the city. THE DISCOVERY OF MYCENAE It was Heinrich Schliemann who first completely excavated the city of Mycenae. The controversial archaeologist was searching for evidence that Agamemnon, the king who led the Greeks to fight Troy in the Trojan War. Schliemann was determined to prove that the Trojan War was a real event; in fact his career was based around his desire for this. After failing to find any definitive evidence in his search for Troy, he turned to Mycenae. In 1841 another archaeologist had found and restored the Lion Gate that marks the entrance to the city of Mycenae, but Schliemann was the first to systematically excavate the entire site. He believed that the Homeric tales described actual historical events and used his discoveries at Mycenae to back this up. DISOVERIES MADE AT THE SITE Discovered in Grave Circle A by Schliemann’s team, a dagger shows the militaristic values of the Mycenaean’s. From the weapons buried with most of the bodies found, we can deduct that the Mycenaean’s were not a peaceful people. They revelled in fighting, as shown by the violent motifs on their stelae and decorative weapons. Most graves featured full sets of weapons, both real and decorative. We can assume that life for the men of Mycenae would have had a heavy focus on fighting , with men of higher status being shown as brave fighters. This is also shown through the architecture of the city, particularly the Cyclopean walls. These huge walls show a need for a defensive attitude, which demonstrates the Mycenaean’s military attitude. On this dagger there is a depiction of a lion hunt, which shows that the Mycenaean’s hunted for sport. This further reflects the aggressive principles of the city. Double axe and bull motifs show a Minoan influence in Mycenaean culture. Within the graves in Grave Circle A there were many objects that had been made in Mycenae but in Minoan style. This reflects an appreciation for Minoan design and an obvious link through trade and travel between Minoan Crete and Mycenae. Later the former would be conquered by the latter. In Mycenae there would have been trading of goods from Minoan Crete and an admiration of the techniques, since they were implemented in wares produced within Mycenae. The graves themselves also shed light upon burial practises and status in Mycenae. The graves themselves are shaft graves, 4 metres deep with the dead placed in a cist at the bottom along with many decadent grave goods. The Grave would sometimes be marked with a stone Stele at ground level. These stelae would be used to depict things like chariot scenes, showing the heroic nature of the deceased buried below. The grave goods showed the status of the deceased, with gold and weapons showing a higher status. This shows that burial was not only a valued practise, but also reflected status and worth, depending on what you were buried with. The so-called â€Å"Nestor’s Cup† was a particularly important discovery for Schliemann. His team recovered the vessel from Shaft Grave IV and Schliemann identified it as the â€Å"Cup of Nestor† as written about in the Illiad. However the cup differs from Homer’s description in number of handles, the design of the birds, and size. It also is from the wrong time to have been used in the Trojan War according to some critics. However, this didn’t discourage Schliemann from his firm belief in the Homeric tales. This is one of the many discoveries Schliemann made that he believed contributed to proving that the tales detail historical events. CONTROVERSIES Within a shaft grave V Schliemann discovered a skeleton with a gold mask covering his face- a face which he believed was that of the legendary Agamemnon. However, in recent years critics have developed more and more arguments to the effect that the mask may be a hoax. William Calder gives the following reasons for his sceptical nature towards Schliemann’s find: The features of the mask are inconsistent with the other masks found; Schliemann had considered making fakes of the gold he found at Troy to give forgeries to give to the government; contemporaries of Schliemann allege that he planted artefacts to later â€Å"discover† them; the excavations at both Mycenae and Troy had been closed just a few days after the discovery of the gold, suggesting that he was expecting to find these treasures and nothing else; excavations were closed for 2 days shortly before Schliemann found the mask, what could Schliemann have been doing; Sophia allegedly has a relative in Athens that was a goldsmith; No other Mycenaean grave has anywhere near what was discovered in shaft grave V; Schliemann had claimed he had excavated other finds elsewhere, when it was later revealed that he had bought them. David Traill suggests that perhaps the Agamemnon mask wasn’t manufactured, but found from a later tomb. Both of his appeals for a scientific examination of the mask have been denied by the Greek authorities. In response to Calder and Traill many argue that their claims are unfounded and lack any scholarly backing, and have their own arguments in response. They insist that Schliemann was carefully monitored by Greek authorities throughout his excavation, which both Calder and Triall admit to in their own publishing. Kenneth Lapatin explains that the days where Calder alleged Schliemann had time to get a mask made, were before any masks had been found yet. Although he does admit it is possible the mask may have been â€Å"enhanced† after it was discovered. Both sides of the debate present both personal opinions and insinuations mixed in with actual fact. Considering the dishonest nature of Schliemann it is easy to believe he planted the mask. But when considering the work at Mycenae alone, there is no undoubtable evidence to suggest that he was dishonest about that particular find, only rumour and hearsay. From the collections of circumstantial suggestions put forward by Triall and Calder, their theories become increasingly believable. However, some parts of their arguments seem reminiscent of conspiracy theories, so perhaps it’s best to take the mask as an important –if disputed- archaeological find, but not proving the existence of Agamemnon. BIBILOGRAPHY http://library.thinkquest.org/25245/archaeology/mycenae.html http://www.ancient-wisdom.co.uk/greecemycenae.htmhttp://mycenae-excavations.org/about.html http://www.historywiz.com/agamemnon.htm http://odysseus.culture.gr/h/3/ eh351.jsp?obj_id=2573 http://www.uark.edu/campus-resources/achilles/age/myceneans.html http://www.archaeology.org/9907/etc/calder.html http://www.archaeology.org/9907/etc/lapatin.html http://en.wikipedia.org/wiki/Grave_Circle_A,_Mycenae http://www.archaeology.org/9907/etc/traill.html http://www.ancientgreece.com/essay/v/greek-life-as-depicted-in-homers-epic-the-odyssey/ http://www.archaeology.org/9907/etc/dema.html http://www.greek-thesaurus.gr/Mycenaean-weapons.html

Reviving Ophelia essays

Reviving Ophelia essays The book is called Reviving Ophelia: Saving the lives of Adolescent Girls by Mary Pipher, Ph.D 1. Why did the author write this book? Mary Pipher wrote this book for a number on reasons. One of her goals was to educate her readers about the difficulties and struggles that almost every adolescent girl must conquer to find her true self. Dr. Pipher wanted to know why so many girls are in therapy in the 1990s? Why are there more self-mutilators? Why are drugs and alcohol so common in the stories of seventh graders? Why do so many girls hate their parents?(Preface). These are just a few things that Pipher uncovers as she touches in the minds of the young girls themselves. These are questions that we should all have a better understanding for. I believe she wrote the book to also encourage parents through this time as well as their children. She wants people to be aware of the unfortunate issues that society in condoning. This book will hopefully help protect at least some of the girls in the future and will also bring awareness to them. She wanted to show how much more oppressed girls are today. Dr. Pipher knows how uneducated parents, friends, and teachers can be in dealing with young girls because our world today is completely different from what it was twenty or even fifteen years ago. She offers many helpful suggestions and ways to save the lives of these girls. 2. What did you learn from reading this book? I learned so much that I am not too sure where to start. The first thing I realized was how tough girls have it nowadays. It sounds so much more complicated now than when I was in junior high, which was not very long ago. Before reading the book I had noticed that society, with television, movies, magazines, etc., is not influencing people in a positive direction, but I try to ignore it and see the lies that we are told everyday. However, I c ...

Philosophers Stone Essays

Philosophers Stone Essays Philosophers Stone Essay Philosophers Stone Essay The camera angle now changes to a close up of the boy. He looks in the mirror to where his mother was standing, and touches it. His facial expressions demonstrate that hes trying to hold back his tears. Perhaps he is trying to make himself look like a big boy, who doesnt really need his mum anymore.  There is a parallel to be made here between this scene and another well known to children. In Harry Potter and the Philosophers Stone there is a moving episode where Harry sees his dead parents in the mirror. He reaches out to them but then they are gone. The film preceded this Cancer advert but clever advertisers recognize the power of association. They know that children watching this appeal will be reminded of their favorite film and will instantly bond with the advert. It might even encourage them to draw their parents attention to it. Association of the product with a well-known media star or event is a well-used technique. The advert now diverts to a family who has been treated by the Cancer organisation. The mother in this scene is brushing her hair; its quite a normal thing to do, the family doesnt look affected by cancer at all. The children are talking the background of the three shot camera angle. The phone number appears on the screen, whilst the voiceover says Please call 0800 316 4000 and give 2 a month to Cancer Research UK. At this point the advert is telling the viewer to contribute a small donation and magnify the result. The colours in the background are warm and pleasant, associated with life and security. The mother says to one of her children come here and hugs her child with strength and love. The hug becomes a kiss and a hug again; this is showing to the viewer the strength of their relationship. This also implies openness and a need to communicate to children about cancer. It blows away previously held myths that cancer is infectious or has a stigma attached to it. Text is printed across the screen à ¯Ã‚ ¿Ã‚ ½2 a month will help us cure cancer faster these are a few short words which will help the viewer to develop an understanding for the uses of the small contribution. Most adverts tend to leave the advert with a key point, or name so that the viewers will remember the product advertised when they next go shopping. The Cancer Research UKs advert finishes with the mother and daughter hugging. The background has a mirror that reflects the light, and warm colours to show the life and future the family has together. The advertisement here is stressing the effectiveness of the product, that is, Cancer Research UK would make good use of your contribution. In my opinion, the advertisement is successful because it shows two scenes that are both similar and contrasting. Both portray family life with a mother and child. However the fundamental difference is life and death. In one scene the mother dies of cancer. In the other the mother survives. The inference is that the person who can really make the difference is the viewer. A modest donation of à ¯Ã‚ ¿Ã‚ ½2 a month is a small price to pay to alleviate the viewers guilt, to buy hope and find an effective cure for cancer. The advert empowers the viewer to act in a positive way and this is an appealing message. It also implies that as one in three of us will develop cancer at some point in our lives, and therefore it would be a good and wise investment.  This is a beautifully crafted advert that stimulates the senses of sight, sound, and touch. As such, it makes a lasting impression especially as a potential giver can contribute to a happy ending.

13 High Paying Non Office Jobs

13 High Paying Non Office Jobs Okay, so you don’t want to sit behind a desk for the rest of your life.  The good news is: there are plenty of good jobs that don’t require 40 hours a week in front of a computer. And some of them pay really well. Here are 13 of the highest-paying jobs out there for anyone who just can’t sit there staring at their screen a moment longer.1. Mail CarrierWork for the postal service, sorting and delivering mail. Median annual pay: over $58k.2. BoilermakerConstruct and assemble boilers and other such structures. Median annual pay: around $60k.3. First-Line SupervisorSupervise construction trades and extraction workers. Make median pay of roughly $62k per year.4. Subway OperatorOperate a subway car (or a streetcar or elevated commuter train). Median income: over $63k per year.5. Signal or Track Switch RepairerMake sure all the systems, switches, and section lines are running smoothly in a rail system. Median pay: nearly $64k per year.6. Farm or Ranch ManagerCoordinat e the management and operation of agricultural businesses. Computer importance: only 41 out of 100. Median annual salary? over $64k.7. Power-Line Installer or RepairerWork in electrics installing or repairing cables or power systems.The median pay is well over $66k per year.8. Transportation InspectorInspect and monitor transportation equipment, vehicles, systems, etc. (for everything except aviation) to make sure safety standards and regulations are met. The median pay is almost $71k per year.9. Ship EngineerSupervise and coordinate the activities of a ship’s crew below and above decks. Median pay: almost $73k per year.10. AcupuncturistTrain to treat people using this ancient Chinese remedy. You could make almost $75k per year.11. Ship, Boat, or Barge MateSupervise or coordinate crew activities aboard numerous kinds of vessels. You can make almost $77k per year in median pay.12. Anesthesiologist AssistantAssist anesthesiologists in and out of surgery and monitor patient stat us and care. The median pay is high: over $98k per year.13. OBGYNIf you can get yourself through med school and become an obstetrician/gynecologist, you can make a whopping $187k+ median annual pay.

What are the most important economic concepts that determine the Essay

What are the most important economic concepts that determine the structure of the construction industry - Essay Example nstruction industry, several factors of production are involved and they include, but are not limited to capital, raw materials, and labor (Myers, 2008). All the resources employed in the construction industry play a significant part towards the delivery of standardized and quality products. The allocation of the related resources to an activity is done based on the concept of increased efficiency and matching output levels. For example, the amount of labor available for a set project is subject to financial constraints as well as the availability of the labor in the market. Financial constraints dictate the price and cost of labor and as such, the construction industry is subject to external and internal forces. This introduces the second main economic concept concerned with the examination of external and internal constraints. External constraints or forces relate to outside influences, not in the control of the construction sector such as support services provided by banking and insurance institution (Myers, 2008). The construction sector relies to some extent on the availability of financial support in capital formation from banking institutions and has to develop its structures around financial requirements and standards. External support systems such as the access to insurance are important in the mitigation of the sector from probable risks. Risks in the sector vary according to the type of construction involved and the possible losses could have fatal financial as well as legal implications on the construction sector. However, external factors should not be viewed as limiting factors in the development of concrete structures in the construction sector, but as elements promoting the development of the construction sector. The internal forces influencing the structure of the construction sector are reliant on the allocation and distribution of scarce resources. The participants of the construction sector engage in continued evaluation of internal resources

Find a web site about a vernacular dance forms. It could be anything Essay

Find a web site about a vernacular dance forms. It could be anything to do with ethnic, folk, ballroom, jazz, or tap dancing - Essay Example Shopping is divided into videos, music, books, gift cards, and customer service. The classifieds section offers a partner search and a dancewear section, while the directory offers teachers, studios, dance locations, vendors, services, clubs and teams, organizations, and other dance sites. The forum, or message board, is comprised of just about any topic that the reader may think of, as well as some others that may not be imagined. People can ask anything about anything related to dance. The site itself is full of a wide variety of information, and the information is arranged in a useful and easy to navigate manner. While the content provided is clear and concise, the site itself leaves much to be desired in terms of design. The site itself tried to appear fancy, though the colors, the fonts, and the attempts at adding sparkles to the fonts just end up making it look tacky. The videos themselves attempt to show the dances in a professional manner, however, the people look cheesy and fake, instead of like people who are genuinely interested in dancing; the overlaid text at the beginning of the videos is the same tacky fonts that are in use on the homepage of the site itself. If the site used something other than XHTML and javascript, the site could be done in a far more professional manner. Likewise, if the forum was to use phpBB instead of javascript, it would offer a far more professional look and feel. Overall, the site itself has a host of valuable information, and it is presented in an easy to use and easy to navigate manner, however, the style of the site leaves much to be desired. Ballroom dancing is supposed to be elegant and beautiful, and a poorly designed site tends to not only detract from that, but also shows disrespect to the art

Al Qaeda and the US Strategy for Combating Terrorism Assignment

Al Qaeda and the US Strategy for Combating Terrorism - Assignment Example Gallaher’s take on this issue of patriot movement is that of several stages, but he clarifies that it has no clear indication on the point in time when it occurred first. There are two major themes that stand out in this issue despite there being a misunderstanding between scholars and political analysts. The themes are; firstly, the origin of the movement is related directly to the current destruction of the welfare of the modern state particularly in the rural areas of America. The other is the political economy’s formation of the groups that mobilize themselves for movements. A series of movements have happened like in the 1790s, there were whiskey rebels, like in Kentucky, Pennsylvania, North Carolina, and Ohio. Patriot movement is said to have first emerged in the legacy of Roosevelt’s deal that occurred between the state and producers and the subsequent fallout. Informants have on several occasions cited the New Deal by Roosevelt as the beginning of the pro blems that currently exist in America. One of the cases that may have come from this deal is the Agricultural Adjustment Act (AAA) Movements that were antigovernment continued to escalate. The magnitude of the patriot movement organizations increased a big deal and in accordance to Wright, the number of groups for the patriot movement rose from 224 in the year 1995 to a high number of 858 in 1996. However, after the year 1996, there was a steady decline from this number of 858 to as low as 194 groups in the early 2000s. Arresting of group leaders is highly seen to be the cause of the decline. (Wright, 2007 p202)   There are extremist pools that are still in existence which include remaining parts of racial supremacist communities, patriot movements, and other newer movements. They have proliferated antigovernment movements as well as theories of racial conspiracy. There are publications that exist like, â€Å"The Turner Diaries and the Myth of the Six Million† that still co ntinue to bring about anti-semantic extremism and racial extremism as well. (Buxton and Provenzo, 2010 p316) In the USA, there exists hate-mongering kind of groups of reform and extreme right seeking. There are quite a good number of Dissident Right Social types of movements such as patriot movements and religious groups like the Christian movement. The Extreme Right Dissident Right movements have been considered the same by scholars. Racism movements are grouped under Extreme Right movements. Patriotic movements and armed citizen  militias are included under the same kind of movements; Dissident Right movements for social purposes and thus patriotic movements could breed terrorism. (Berlet, 2011) In the USA the Nazi group is not a new thing since they were there in the 1920s. They were part of the NSGWP (National Socialist German Workers Party) of the US. It also merged with another Tentomia society so as to come up with German-American Bund. They (these groups) got to higher lev els of popularity in the 1930s which was rather considered controversial. They faded during the times of the Second World War. They were abandoned due to the forced dismantling of the same. As the 21st century set in, Neo-Nazi groups have cropped up together with white separatist, white supremacist, anti-semantic as well as fascist groups. These are said to be allies and share a lot in common to the Nazism ideologies.

Managing Change in Healthcare Essay Example | Topics and Well Written Essays - 2750 words

Managing Change in Healthcare - Essay Example Some of the most favored approaches that have been preferred are cycle-time reduction, process engineering, and total quality management (TQM), with which companies have tried to flatten the organizational structure [3]. However, structural change programs on its own are likely to fail as they do not account for the human element, which actually forms the structure. Change management must work towards removing fear, cynicism, and defensiveness from the minds of the people. In the healthcare sector of US, the practice of midwifery was almost eliminated by concerted effort of university educated physicians [11]. The changes in perceptions about the profession of midwifery and its reinstatement into the healthcare industry, started in 1939, with the Frontier Nursing Service and has since then passed through various changes and reconstruction [11]. To enhance the performance of an organization it is important to improve the performance of the individuals and groups that comprise that organization. When organizations set new goals, they must also take care to see that the employees are made aware of these new goals well in advance or better still the company can set the new goals after consulting the employees. The employees must be backed by timely and adequate infrastructure to attain the goals; proper feedbacks and timely interventions must be integrated into the system. The Midwives Alliance of North America (MANA) was formed in 1982 and the struggle and persistent effort of the initial women of the midwifery profession has enabled it to get a legitimate status in 33 states of the country [11]. Managing Change - The Impact of Relevant Theory on the Change Process Aims Technological development has ushered in changes across organizations and our personal world. In the midst of these changes to better and sophisticated machines, it is important to remember that people form the basis of organizations. Technology makes structured and repetitive work easy while people use their intelligence to think, create, and solve. The major change today is the transformation of the work force from an information worker to an information user or what can be better described as a knowledge worker. Peter Drucker in his 'The New Society of Organization' has said, that the world economy is transforming to a knowledge society, where knowledge is the primary resource for the economy and for the individuals. In such an economy, according to Drucker, the competitive advantage comes not from the research and development of technology but from the skill and expertise of the knowledge workers, who form the organization [2]. The legitimacy of midwifery as a practice was established by the vision and persistence of the traditional midwifery experts, who encouraged self regulation in the next generation. Their efforts paid off and by the 1980's the standards of practice and certification began to be established in one state after another. The Midwives Alliance of North America (MANA) was formed in 1982, to help the movement gain support and legitimacy [11]. Issues Affecting Change and Personal Behavior Healthcare organizations are different from other organizations, as they involve something beyond business. According to

How can English Government Gain Trust Article Example | Topics and Well Written Essays - 1500 words

How can English Government Gain Trust - Article Example According to the report  in the view of many scholars it is the prime duty of the government to gain an adequate level of public trust because governmental bodies are fundamentally supposed to guard the interest of people. If the general public has not been able to trust government officials anymore then it simply means that government has failed in terms of representing interests of the public. However it is also important to note that ordinary people cannot decipher the level of government’s ability to fulfill public interest and therefore the duty of evaluating governmental machinery’s tendency to serve the public lies with political analysts, writers and other intellectual persons such as religious scholars.  This paper outlines that  the prevailing law and order situation in the society is considered as an effective measure of government’s power to protect public interests. Moreover the financial well-being of each and every citizen can also be taken a s a mean of determining governmental effectiveness. Additionally citizens trust those governments that provide them with state of the art medical services at an affordable price.  The governmental bodies can do that by bettering the overall law and order situation of the society and it is also expected to sponsor sporting musical and cultural events in a particular society.  The e-mechanism causes the problems of people to resolve quickly that fosters trust and respect for the government.... Additionally citizens trust those governments that provide them with state of the art medical services at an affordable price. Based on the above argument government can win public trust by offering an ample amount of job and business opportunities while it has to provide healthcare and safety services as well. According to Offe the governments should work towards providing the citizens with a fulfilling life (42). The governmental bodies can do that by bettering the overall law and order si tuation of the society and it is also expected to sponsor sporting musical and cultural events in a particular society. Levi added that the role of government in terms of releasing the citizens from a job and work stress is a significant indicator of growing social activities in the community (6). Silcock identified electronic form of government as an ideal way of providing public services because in this way the governmental issues are run with the help of computerized and automated system. The e-mechanism causes the problems of people to resolve quickly that fosters trust and respect for the government (88). According to Wang and Wart the governments that involve citizens in the decision making process will reap more trust than those that follow an authoritative style of governance (268). Thus the decentralized chain of command can really help the government in fostering trust within people. Nevertheless it is interesting to know that those governments that follow the raw public o pinion in order to devise policies tend to fail because the mere public viewpoint is a crude way of policy development. The governments are suggested to invite the opinion of experts before making critical decisions.  

Managing Change in Healthcare Essay Example | Topics and Well Written Essays - 2750 words

Managing Change in Healthcare - Essay Example Some of the most favored approaches that have been preferred are cycle-time reduction, process engineering, and total quality management (TQM), with which companies have tried to flatten the organizational structure [3]. However, structural change programs on its own are likely to fail as they do not account for the human element, which actually forms the structure. Change management must work towards removing fear, cynicism, and defensiveness from the minds of the people. In the healthcare sector of US, the practice of midwifery was almost eliminated by concerted effort of university educated physicians [11]. The changes in perceptions about the profession of midwifery and its reinstatement into the healthcare industry, started in 1939, with the Frontier Nursing Service and has since then passed through various changes and reconstruction [11]. To enhance the performance of an organization it is important to improve the performance of the individuals and groups that comprise that organization. When organizations set new goals, they must also take care to see that the employees are made aware of these new goals well in advance or better still the company can set the new goals after consulting the employees. The employees must be backed by timely and adequate infrastructure to attain the goals; proper feedbacks and timely interventions must be integrated into the system. The Midwives Alliance of North America (MANA) was formed in 1982 and the struggle and persistent effort of the initial women of the midwifery profession has enabled it to get a legitimate status in 33 states of the country [11]. Managing Change - The Impact of Relevant Theory on the Change Process Aims Technological development has ushered in changes across organizations and our personal world. In the midst of these changes to better and sophisticated machines, it is important to remember that people form the basis of organizations. Technology makes structured and repetitive work easy while people use their intelligence to think, create, and solve. The major change today is the transformation of the work force from an information worker to an information user or what can be better described as a knowledge worker. Peter Drucker in his 'The New Society of Organization' has said, that the world economy is transforming to a knowledge society, where knowledge is the primary resource for the economy and for the individuals. In such an economy, according to Drucker, the competitive advantage comes not from the research and development of technology but from the skill and expertise of the knowledge workers, who form the organization [2]. The legitimacy of midwifery as a practice was established by the vision and persistence of the traditional midwifery experts, who encouraged self regulation in the next generation. Their efforts paid off and by the 1980's the standards of practice and certification began to be established in one state after another. The Midwives Alliance of North America (MANA) was formed in 1982, to help the movement gain support and legitimacy [11]. Issues Affecting Change and Personal Behavior Healthcare organizations are different from other organizations, as they involve something beyond business. According to

Wegener's Granulomatosis Research Paper Example | Topics and Well Written Essays - 2250 words

Wegener's Granulomatosis - Research Paper Example Wegener’s granulomatis has no known cause and although it affects people at any age, it usually affects the young or adults at their middle age. Fatigue, loss of weight, fever, shortness of breath, bloody sputum, joint pain, and inflammation in the sinuses are the common symptoms of Wegener’s granulomatosis. Several literatures are reviewed in this paper. Among patients with Wegener granulomatosis, narrowing of the lumen with some evidence of vasculitis resulted from thickened or fibrotic laryngeal wall. In some cases, granulation tissue replaces the mucosal lining of the larynx. Hence, laryngoscopy must be carefully performed to avoid bleeding from granulomas and dislodgement of ulcerations tissue among patients whom suspected diagnosis of Wegener granulomatosis is noted. Wegener’s granulomatosis is a fatal disease when it is not diagnosed and treated properly since it presents in various forms and deceives as manifestations of other diseases. Annotated Bibliogr aphy 1. Tanna, et al., (2011) Otolaryngologic Manifestations of Wegener Granulomatosis (WG) This article discusses that it is common to have otolaryngologic manifestation among patients with Wegener granulomatosis, and usually presents as nasal, sinus, ear, or tracheal manifestations in about 70 percent. The symptoms of otolaryngologic manifestations are oftentimes misdiagnosed as infectious or allergic in etiology and generally precede the pulmonary or renal involvement. On the other hand, up to 80 percent of nose and paranasal sinuses are involved in WG and in its early stage, are often misdiagnosed as chronic rhinitis or sinusitis. Mucosal edema with obstruction, rhinorrhea, ulceration, crusting, and epistaxis are common nasal signs and symptoms observed in WG. It is mentioned in this article that necrotizing granulomatous inflammation of upper and lower airways, small arteries and veins systemic vasculitis, and focal granulomatous are known as the classical triad of full  œ blown granulomatosis. However, it is noted that it does necessarily involve all three areas and organ systems. Hence, both could be limited and systemic variations may include in the head and neck alone; head and neck and pulmonary; and head, neck, pulmonary and renal, which can be indolent or rapid in its clinical course. Its constitutional signs and symptoms, which are common but dominate rarely the clinical picture, include fever, loss of weight, and fatigue. 2. Goritsas, C., Paissios, N., Trigidou, R., and Delladetsima, J. (2010). Hepatic Involvement in Wegener’s Granulomatosis: A Case Report. This paper talks about the hepatic involvement in a patient diagnosed to have Wegener’s Granulomatosis. This is a case report of a 58 year old man, Caucasian Greek presenting with dry cough, fever, bilateral alveolar infiltrates, and acute hepatitis. The patient was diagnosed with Wegener’s granulomatosis after a lung biopsy, and its diagnosis was supported by anti-p roteinase-3 anti-neutrophil cytoplasmic antibodies present. Liver biopsy indicated a â€Å"presence of mild non-specific lobular hepatitis and periodic acid-Schiff positive Lafora-like inclusions in a large number of his liver cells.† Patient had remissions of chest x-ray findings and liver function test after being treated with prednisone and cyclophosphamide. The authors of this paper concluded that there is an etiological link between hepatitis and

Attendance Monitoring Information System Essay Example for Free

Attendance Monitoring Information System Essay The Project READ resulted from individual and group studies and experiences of ePerformax staff members in the course of working with potential recruits. Their research yielded the following realities which aroused concern: While there were a lot of better paying jobs for Filipinos who had a good command of the English language, there were not enough Filipinos who could qualify. Job seekers who come from middle income means and higher had better chances to land good jobs because they are more proficient in English and can help themselves to more books to improve themselves. Job seekers who learned English at a younger age tend to have little trouble adjusting to global standards and communication challenges. The younger one develops English skills, the higher the chances of success later on in life. Monetary assistance to the poor tend to be short-lived and non sustaining, but providing them skills for self-help gave them a chance for a better future. Cultivating English proficiency and access to books may provide a solution. Brief History of the company ePerformax Contact Centers BPO (eP) is a joint venture between TDG and ePerformax Contact Centers USA. As one of the first contact centers in the Philippines in 2002, eP provides high-performance customer service and BPO to a strategic group of US Fortune 500 companies. eP provides English speaking inbound customer service, sales support and BPO via voice calls, email and chat supporting client’s customers from the US, Canada and Australia.. eP’s sister company, the Global Communications Management Academy, provides the essential training and skills to prepare Filipinos for a job in the country’s highly-regarded BPO industry supporting global companies. Services Offered and its description They seek to partner with their clients to manage their program from a business perspective to achieve their goals and vision. They think like we think†¦ strategically and financially with a keen focus on the business today and an eye on the future. This means they understand the need to be responsive and proactive. They don’t wait for you to tell us to make improvements. They suggest improvements to us and work with the team to make them happen. Simply put, customer experience involves customer service, plus making sure the customer is fully satisfied at every point where he or she comes into contact with the organization. That’s a never-ending process of listening to the customer, servicing the customer, learning from the customer and improving for the customer. That’s how they view their client partnerships. PERFORM in ePerformax: P – Passion Persuades The entire ePerformax team is driven to be the best. Every employee is compensated based on their ability to achieve the KPMs that are aligned with their client’s business objectives. They make analytics common practice at all levels of management to give their managers the tools to understand the dynamics of our business in order to know what’s really working, what’s not and why, and what to do to positively influence performance. At ePerformax they have a driving desire to be the best. E – Empowerment Leads Their analytical processes take the guess work out of making solid decisions, and their team members are empowered to take action and manage the business as if it were their own. Armed with the data, analytical tools and proper training, their team can proactively address both challenges and opportunities, manage risks, improve efficiencies, reduce costs through elimination of unnecessary work, and identify patterns in the vast amounts of available data to take corrective actions that result in continuous improvements. At ePerformax they don’t wait to be told which direction to go. They lead the way. R – Resourcefulness Rocks Resourcefulness and empowerment go hand-in-hand. To maximize their analytical capabilities management not only needs to make decisions, but also have the resourcefulness to implement them. This is yet another point of differentiation they believe contributes to their ability to outperform other competitive vendors. Every aspect of the operation requires creativity in identifying valuable data and organizing resources to deliver results. Their managers are trained and empowered to be resourceful in their roles. At ePerformax they don’t accept limitations. They find solutions. F – Flexibility Thrives Another key point of differentiation is the speed at which they respond to their client’s changing needs. Their job is to make it easy for their clients to make the necessary adjustments to their business even if they don’t make it easy for the team. It is because of their size and small number of clients, they are able to deliver speed boat responsiveness. They are also one of only a few companies that has implemented a compressed, 48-hour work week for agents. That means they pay their staff for 8 hours above the 40 hours of productive time each individual is scheduled. That allows flex time for coaching, training and taking calls if needed to support services levels. At ePerformax they’re not easily rattled. They accept the need for change. O – Optimism Prevails This is an important component of their ability to meet and exceed our objectives. In order to be optimistic, they start by being realistic. They look at every action they are planning for the worst case scenarios and by doing so they are then able to minimize risk and focus on success. Optimism, properly managed is a catalyst for change. And in a constantly changing industry and a continuous improvement culture, change is what ultimately drives results. At ePerformax they believe in the potential of every team member. R – Results – Orientation Wins They know that hard work and hard results are different and they believe in achieving the hard results. They work with their clients to ensure that their KPMs are directly aligned with their business objectives. And they adopt a single-minded focus to achieving those objectives. By focusing their efforts on the KPMs at all levels of the organization, they develop clarity of purpose, momentum and a methodology for prioritization of the work needed to be done to get the desired results. At ePerformax they understand the difference between hard work and hard results. They always go for hard results. M – Motivation Succeeds Every action has a consequence and when the positive consequences outweigh the negative consequences, they motivate the performance they want to achieve. As such, we see a critical need for their business culture, disciplines, accountabilities and incentives to be aligned with their clients. We monitor our results constantly to ensure they are motivating every individual to contribution. In doing so, they have been able to develop a high-performing team that wants to win for their clients. That gives their clients the assurance that they are aligned with them. And that’s motivating to everyone. Objective The objective of this visit in ePerformax is to know how they seek to partner with their clients to manage their program from a business perspective to achieve their goals and vision.

Pathophysiology of sepsis | Case Study

Pathophysiology of sepsis | Case Study Thomas, a 70-year-old man, admitted to hospital with a five-day history of coughing with yellow-green sputum, pyrexia, rigors, poor appetite, mild chest pain and increasing difficulty of breathing. The initial observations are: Neurological: Altered neurological status, GCS 11/15. Agitated and confused. Cardiovascular: Sinus tachycardia, HR 135bpm. Hypotension, 90/45 mmHg. Respiratory: Tachypnoeic, RR 35bpm. Decreased saturation while receiving 6L O2 through Hudson mask. Metabolic: Febrile, 39 degree Renal: Oliguric with 20ml/hr urine output. Indwelling catheter (IDC) was inserted. The blood test revealed that the patient was suffering from hypernatremia, hyperkalaemia, hyperglycaemia, elevated urea, poor creatinine, increased WCC and low platelet count. The ABG indicated that Thomas was experiencing combined respiratory and metabolic acidosis. Thomas was finally diagnosed as sepsis complicated by the right middle lobe streptococcus pneumonia. He required intubation and invasive ventilation support. In this case study, the pathophysiology of sepsis will be discussed and the mechanism of synchronised intermittent mandatory ventilation (SIMV) volume control ventilation mode will be explained. Sepsis is defined as the dysregulated inflammatory response caused by severe infection (Neviere 2015). It has the interchangeable definition as Systemic inflammatory response syndrome (SIRS) while the SIRS is resulted by a suspected or confirmed infectious source (Neviere 2015). The concept of SIRS was first introduced by the American College of Chest Physicians (ACCP) and Society of Critical Care Medicine (SCCM) in 1992 (Kaplan 2014). It is characterised by two or more following symptoms. They are fever of high than 38 degree or hypothermia; tachycardia; tachypnoea or partial pressure of arterial carbon dioxide (PaCO2) less than 32 mmHg; deranged white cell count of more than 12,000/Â µL or less than 4,000/Â µL (O’brien et al. 2007). Associated with Thomas’s symptoms, it is clear to see that he was definitely experiencing sepsis. It is because that he was febrile up to 39 degree, tachycardic with heart rate of 135 bpm, and had increased respiratory rate of 35bpm as w ell as the elevated leucocytes count of 14,000 per microliter. The clinical signs are related to the inflammation process which is activated by the body immune system. Due to the severe infection, a large number of proinflammatory mediators are released which in turn result in the serial inflammatory reaction and extensive tissue damage (Neivere 2015). It is reported that SIRS can lead to high mortality rate because of high occurrence of SIRS induced multiple organ dysfunction syndrome (MODS) (Singh et al. 2009). In the following paragraphs, the pathophysiology of sepsis/SIRS will be more comprehensively examined. The pathophysiology of SIRS is complex. There are a few elements that need to be emphasised. They are acute stress response, inflammatory process and cytokine storm. Firstly, stress response is the acute phrase reaction when the body tries to defence against the threatening triggers. Those triggers are also known as ‘stress’. Stress can be caused by daily life events, environmental factors or physical illness (Better Health Channel 2012). In Thomas’s case, the stress response is initiated by infection. Under the influence of stress, the body steady state is disrupted. To maintain the homeostasis, the stress response is activated to reverse the body balance and redistribute the oxygen and energy to maintain the function of vital organs (Kyrou et al. 2012). Hypothalamus plays a vital role in processing the distress signals (Seaward 2015). Once it senses the stress, it triggers the activation of sympathetic nervous system. The sympathetic nervous system then stimulates the adrenal gland to produce epinephrine. It is also known as adrenaline. The adrenaline can lead to increased heart rate and myocardial contractility; dilated pupils and bronchi; peripheral vasoconstriction; accelerated respiratory rate; decreased digestive activity and increased production of glucose from liver (Seaward 2015). In addition, stress can also activate another pathway of stress response. That is the hypothalamic-pituitary-adrenal (HPA) axis (Seaward 2015). It means the stress triggers the release of corticotrophin-releasing factor (CRF) from anterior hypothalamus. The CRF then promotes the pituitary gland to produce adrenocorticoid trophic hormone (ACTH). The ACTH stimulates the production of cortisol and aldosterone through the adrenal cortex. Those corticosteroids can result in increased metabolism, sodium and water retention (Seaward 2015). Therefore, it is obvious that Thomas was under the effect of stress. He was tachycardic, tachypnoeic and slightly hyperglycaemic due to the effect of sympathetic nervous response. He was oliguric because of the acute kidney injury secondary to the vasoconstriction. His hypernatremia status can be contributed by the impact of aldosterone. He had poor oral intake can be cause by the suppressed digestion function. Secondly, the inflammatory cascade plays an essential role in the pathophysiology of systemic inflammatory response syndrome. Sagy et al. (2013) summarised the inflammation mediator related mechanisms in the systemic inflammatory response. It is indicated that the excessive release of pro-inflammatory mediators result in the inflammation, inhibit the function of compensatory anti-inflammatory response, and compromise the immune system eventually (Sagy et al. 2013). Cytokines are the essential components of immune system. Bone et al. (1992) explained that the local cytokines are activated immediately after an insult in order to repair the wound and initiate the innate immune system. Because of the release of local cytokines, a small amount of cytokines go into the circulation. This promotes the production of growth factor and adhesion of macrophages and platelets to help with the recovery of the local damage. However, when the infection is severe and the homeostasis is unable to be restored, cytokine storm occurs. More specifically, cytokine storm is formed from a complex progression. Cytokines are made up by macrophages, monocytes, mast cells, platelets and endothelial cells, which are the initial immune defensive components (Plevkova 2011). The multitude of cytokines can soon induce the cytokine tissue necrosis factor-alpha (TNF-a) and interleukin-1 (IL-1). Those two elements result in the removal of nuclear factor-KB (NF-KB) inhibitor. This in turn prompts the production of more proinflammatory mediators, such as IL-6, IL8 and interferon gamma (Plevkova 2011). In other words, cytokines stimulate the production of immune cells, which in turn induce more cytokines in the circulation. The cytokines have a great impact on the body, including direct or indirect contribution of mortality in SIRS. TNFa is discovered causing fever, abnormal haemodynamic values, low white cell count, increased liver enzymes and clotting problems (Jaffer et al. 2010). IL-1 is reported having connection with fever, haemodynamic abnormality, loss of appetite, general weakness, headache and neutrophilia (Jaffer et al. 2010). IL-6 is found having strong relationship with fever and impaired lung function as well as acting a determinant of severity of SIRS and mortality rate (Jaffer et al. 2010). The massive accumulation of cytokines can cause widespreading vasodilatory effect. It is because the cytokines stimulate the release of vasodilators such as nitric oxide (Sprague and Khalil 2009). Additionally, cytokines promotes adhesion of the immune cells and the endothelial cells, which in turn leads to leaky endothelium and loss of fluid from intercellular space to extracellular space (Sprague an d Khalil 2009). Moreover, the cytokines cascade can also lead to the clotting disorder. It is because of the high concentration of fibrinogen in the inflammation process (Esmon 2005). The fibrinogen is converted from thrombin, which is generated by tissue factor. Tissue factor is a substance that is expressed by the surface of white cell. It can also be induced by TNFa and endotoxin from the infection (Esmon 2005). The fibrinogen can be transferred into fibrin which in turn forms clots. As the excessive amount of fibrin in the inflammation status, it can result in extensive clotting disorder. To sum it up, it can be concluded that Thomas’s fever is highly likely related to the release of TNFa, IL-1 and IL-6. IL-1 could be one of the contributors of his poor appetite and elevated white cell count. IL-6 could worsen Thomas’s existing affected lung function. Thomas had increased white cell count can be contributed by the immune response and IL-1. The hypotension is related to the vasodilation effect. Due to the hypotensive, the kidney perfusion dropped and then led to the acute kidney failure and poor urine output. The acute kidney injury may affect the elimination of potassium so that Thomas was found having high potassium level. The low platelet count could be related to the massive production of cytokines and damaged endothelium. In the next section, the synchronised intermittent mandatory ventilation volume control will be explained as Thomas’s mechanical ventilation management. The synchronised intermittent mandatory ventilation (SIMV) is commonly used in ICU. With the volume control mode, the patient is given the ventilation support with a set tidal volume during the mandatory breaths (Deden 2010). To provide the effective ventilation support, there are a few specific values that need to be set up for the SIMV volume controlled mode. They are tidal volume and respiratory rate. The tidal volume refers to the amount of oxygen delivered by the ventilator or the amount of oxygen the patient breathes voluntarily. The respiratory rate is set up for mandatory breaths. In the SIMV volume controlled mode, the ventilation is trigger by the ventilator or patient self. It means the actual respiratory rate can be upon the preset rate (Goldsworthy and Graham 2014). There is a window of time for the ventilator to sense the patient’s inspiratory effort. This trigger window helps avoid the ventilator deliver the oxygen when the patient exhales (Deden 2010). If the p atient is able to trigger the ventilation within the time frame, the patient-triggered mandatory breath is induced. After reaching the demand tidal volume, the inspiratory phrase ends and expiratory starts. Between each mandatory breaths, the patient is able to initial own spontaneous breath, the breathing volume and length depend on the patient’s respiratory effort (Pierce 2007). If the patient is heavily sedated and unable to initiate the spontaneous breath within the trigger window, the machine-triggered mandatory breath will be activated to provide constant ventilation support according to the set respiratory rate and tidal volume (Deden 2010). Once the ventilator delivers the demand tidal volume, the inspiratory cycle ends and expiratory phrase starts until the next scheduled inspiratory cycle. If the patient’s attempt of breathing is not strong enough to trigger the patient-triggered mandatory breath, the assisted synchronised breath will be provided to achieve t he desired the tidal volume. Like the other mode, the inspiratory cycle ends once the set tidal volume is delivered (Deden 2010). It is believed that Thomas would be beneficial from the SIMV volume controlled mode. It is because that SIMV mode could help him reduce the work of breathing, especially when he was in the high energy-consuming septic status. In addition, due to the SIMV mode, the ventilator allows him to have extra breath to blow off the accumulative carbon dioxide. This can improve his acidosis. Moreover, because of the systemic inflammatory response syndrome and severe pneumonia, his lungs could be stiff and fragile secondary to the inflammation effect and accumulation of cytokines. The volume controlled ventilation acts as a protective strategy to avoid the ventilator related complications, such as volutrauma. It is recommended not to set the tidal volume more than 8-10ml/kg (Deden 2010). In conclusion, sepsis is a systemic inflammatory response syndrome resulted by the infection. The stress response, inflammation reaction and cytokines play essential roles in the progression of SIRS. As SIRS can cause high mortality rate, it is vital to control the infection and manage the widespreading inflammation as well as providing appropriate support to treat the symptoms. In Thomas’s case, the volume controlled synchronised intermittent mandatory ventilation would be the better option of managing his severe pneumonia and respiratory distress. Reference Better Health Channel 2012, Stress, viewed 12th March 2015, http://www.betterhealth.vic.gov.au/bhcv2/bhcarticles.nsf/pages/stress Bone, RC, Balk, RA, Cerra, FB, Dellinger, RP, Fein, AM, Knaus, WA, Schein, RM Sibbald, WJ 1992, ‘Definitions for sepsis and organ failure and guidelines for the use of innovative therapies in sepsis. The ACCP/SCCM Consensus Conference Committee. American College of Chest Physicians/Society of Critical Care Medicine’, Chest, vol. 101, no. 6, pp. 1644-1655. Deden, K, 2010, Ventilation modes in intensive care, Dragerwerk AG C0. KGaA, Germany Esmon, CT 2005, ‘The interactions between inflammation and coaulation’, British Journal of Haematology, vol. 131, no. 4, pp. 417-430. Goldsworthy, S Graham, L 2014, Compact Clinical Guide To Mechanical Ventilation : Foundations Of Practice For Critical Care Nurses, New York, NY Jaffer, U, Wade, RG Gourlay, T 2010, ‘Cytokine in the systemic inflammatory response syndrome: a review’, HSR Proceedings in Intensive Care Cardiovascular Anaesthesia, vol. 2, no.3, pp. 161-175. Kaplan, LJ 2014, Systemic inflammatory response syndrome, viewed 19th March 2015, http://emedicine.medscape.com/article/168943-overview#a0101 Kyrou, I, Chrousos, Kassi, E Tsigos, C 2012, Stress, Endocrine physiology and pathophysiology, viewed 12th March 2015, http://www.endotext.org/chapter/stress-endocrine-physiology-and-pathophysiology/#h23 Neviere, R 2015, Sepsis and the systemic inflammatory response syndrome: Definition, epidemiology and prognosis, viewed 19th March 2015, http://www.uptodate.com/contents/sepsis-and-the-systemic-inflammatory-response-syndrome-definitions-epidemiology-and-prognosis O’brien, JM, Ali, NA, Aberegg, SK Abraham, E 2007, ‘Sepsis’, The American Journal of Medicine, vol.120, no.12, 1012-1022. Pierce, LNB 2007, Management of Mechanically Ventilated Patient, 2nd edn, Saunders Elsevier, London Plevkova, J 2011, Systemic inflammatory response syndrome, viewed 24th March 2015, http://eng.jfmed.uniba.sk/fileadmin/user_upload/editors/PatFyz_Files/Handouty/angl/Systemic_inflammatory_response_syndrome_2011.pdf Sagy, M, Al-Qaqaa, Y Kim, P 2013, ‘Definitions and pathophysiology of sepsis, Current Problems in Paediatric and Adolescent Health Care, vol. 43, no. 10, pp. 260-263. Seaward, BL 2015, ‘Physiology of stress’, Managing Stress, Jones Bartlett Learning, Burlington, MA. Singh, S, Singh, P Singh, G 2009, ‘Systemic inflammatory response syndrome outcome in surgical patients’, Indian Journal of Surgery, vol.71, no.4, pp. 206-209. Sprague, AH Khalil RA 2009, ‘Inflammatory cytokines in vascular dysfunction and vascular disease’, Biochemical Pharmacology, vol. 78, no. 6, pp. 539-552. 1 Ying Hu 76898

Class, Socialization, and Politics Essay -- Political Socialization an

Elections are at the core of the American political system. They are the way we choose our government, the source of government authority, and a means by which the people can influence public policy. For most Americans, voting is the only form of political participation. Essential questions to ask concerning these issues are: Who votes and why? What influences people to become voters? And what influences how they vote? It is important to approach these issues from a sociological standpoint addressing such matters as socialization and social stratification. Socialization is a gradual process that takes place as we grow up. It is the process that aids in developing attitudes and opinions that allow us get along within a society. These beliefs affect the political views we hold later in life. Through social agencies such as family, schools, peers, and media we become aware of social rules and develop a social identity. (Introduction to Sociology Pg. 96) A product of this development is political socialization, which is the process of learning political attitudes and behaviors. The idea of political socialization helps in providing the answers to the questions concerning who votes. It aids in explaining how and why people participate in politics. The strongest agent in political socialization is the family. What this means is that most children adopt beliefs similar to those held by their parents. Therefore most people will believe in and vote for issues that are important to members of their family’s. The extent to which an individ ual is involved in the political process is shaped by his or her family’s level of involvement. For example, a child is less likely to vote if they are raised by parents who don’t regularly go to the polls on Election Day. Children of course, don’t always copy their parents’ political learning’s, but are often heavily influenced by them. As a result, most people end up favoring the political party that their parents generally identify with. Social Characteristics also affect how an individual will participate in politics. Whether a person is young or old, black or white, rich or poor, northerner or southerner will have a heavy impact on his or her political opinions and behavior. Class may be just as important in shaping people’s political opinions and behaviors. The term social class refers to one of the systems of structured... ...rank of middle class tend to have a much lower level of involvement in politics while those who rise above the line feel quite the opposite. Granted there will be deviant cases that can on some level disprove these theories. But on the grand scale, class remains as the supreme cause of such severe division among the attitudes expressed by the American people. Bibliography 1.)  Ã‚  Ã‚  Ã‚  Ã‚  Hammond, John L. The Politics of Benevolence: Revival Religion and American Voting Behavior. Norwood, New Jersey: Ablex Publishing Corporation, 1979. 2.)  Ã‚  Ã‚  Ã‚  Ã‚  Doppelt, Jack C. and Shearer, Ellen. Non-Voters: America’s No Shows. Thousand Oaks, California: Sage Publications Inc., 1999 3.)  Ã‚  Ã‚  Ã‚  Ã‚  Bailey Jr., Harry A. and Katz, Ellis. Ethnic Group Politics. Columbus, Ohio: Charles E. Merrill Publishing Company, 1969. 4.)  Ã‚  Ã‚  Ã‚  Ã‚  Houtman, Dick. Class and Politics in Contemporary Social Science. New York: Walter de Gruyter Inc., 2003. 5.)  Ã‚  Ã‚  Ã‚  Ã‚  Catt, Helena. Voting Behavior: A Radical Critique. London: Leicester University Press, 1996. 6.)  Ã‚  Ã‚  Ã‚  Ã‚  Giddens, Anthony, Duneier, Mitchell, and Appelbaum, Richard P. Introduction to Sociology: Fourth Edition. New York: W.W. Norton & Company Inc., 2003.

Psychoanalytic Personality Assessment Essay

Psychoanalytic theory was developed by Sigmend Freud. It is a system in which unconscious motivations are considered to shape normal and abnormal personality development and behavior. Psychoanalysis is commonly used to treat depression and anxiety disorders. Freud’s Psychosexual Theory of Development explains that if there was a conflict in a stage and not resolved that person would be fixated. Carl Jung’s Analytic Psychology is according to the mind or psyche. Alfred Alder’s Individual Psychology is the importance of each person’s perceived niche in society. Freud’s work is now the most heavily cited in all of psychology. Most of Freud’s patients did not need treatment so he resorted to using hypnosis. He used the technique of free association in order to understand the causes of mental and physical problems in his patients. Dreams to him were saw as pieces and hints of unconscious. The problems of inner conflict and tension are found in dreams. There are three structured parts in the mind according to Freud. The three parts are id, ego, and superego. Freud’s and Jung are compared by using unconscious sexuality in their theories. The id, das es in German means the it; it operates according to the demands of the pleasure principle to reduce inner tension. Ego is the Latin word for I. Personality that deals with the real world according to the reality principle to solve real problems. Superego rules over the ego and parts are unconscious, though it constrains our individual actions. Freud looked for meaning in minor connections thoughts and behaviors. Now 100 of years later there are no three levels id, ego, and superego. Freud was correct in concluding that certain parts of the mind are not subject to conscious awareness. His theories opened new approaches to human nature and psychotherapy. Carl Jung theory is divided into three parts just as Freud’s theory is. The three are unconscious, personal unconscious, and collective unconscious. Freud and Carl embody the sense of self for unconscious. Personal unconscious are thoughts and urges that are unimportant at the present. This contains past (retrospective) and future (prospective) material to be compensated to have a balance. Collective unconscious is comprises a deeper level of unconsciousness and is made up of powerful emotional symbols called archetypes. Archetypes are derived from the emotional reactions of our ancestors. Carl Jung was interested in the deepest universal aspects of personality and expanded ideas of the unconscious to include emotionally charged images and expanded ideas of all generations. He also gives the concepts of complexes meaning emotionally charged thoughts and feeling on a particular them. Another thing is he describes personality as being comprised of competing forces pulling against one another to reach equilibrium. Alfred Adler focused on the social world and its identity. Adler and Freud’s differences were in the origin of motivation. Freud theory was based on prime motivations that were built on pleasure and sexuality. Adler’s theory is based on motivations that are more complex. Adler was much more concerned with social conditions and saw the need to take preventive measures to avoid disturbances in personality. He believed personality problems can be avoided by using detailed knowledge about individuals to construct healthier social environment. Personality typology based loosely on Greek notions of the bodily humors. He believed in positive goal oriented and nature of human kind. There are two characteristics that I agree with which are: Jung’s personal unconscious and Alder’s superiority complex. There are two characteristics that I disagree with which are: Freud’s latency stage and Alder’s collective unconscious. Psychosexual Development has five stages: oral stage, anal stage, phallic stage, Oedipus complex, Electra complex, latency stage, and genital stage. Oral stage is where we satisfy our hunger and thirst. Anal stage is where we feel relief when defecating. Phallic stage is where adolescents focus on genitals. Oedipus stage is where a young boy wants to kill his father to marry his beloved mother. This is the opposite for girls in the Electra complex. Latency stage is where adolescents focus more on academics and friendships. Genital stage is where marks the beginning of an adult life of normal sexual relations, marriage, and child-rearing. Challenges from the outer environment and from our inner urges threaten us with anxiety; there are three defense mechanisms that I can relate to very well. The three are reaction formation, displacement, and rationalization. The processes that the ego uses to distort reality to protect itself are called defense mechanisms. Reaction formation is the process of pushing away threatening impulses by overemphasizing the opposite in one’s thoughts and actions, e.g. Josephine was a classmate of mine in 2008. A lot of my peers in that year were exposing themselves to be either gay or lesbian. Josephine’s religious and outspoken background made her very judgmental towards her peers. Ultimately, the summer of 2009 being in the spotlight of high school she had a girlfriend. Displacement is the shifting of the target of one’s unconscious fears and desires, e.g. Jason and I get into arguments all the time just as any normal couple. The dishes were not washes like I had asked. For some reason my frustration was at an all-time high. The dog tipped over the trash can in the kitchen and in the bathroom. Not to mention the dog feces in the living. I had enough so I kicked my dog, Charles. Rationalization is a mechanism involving post-hoc logical explanations for behaviors that were actually driven by internal unconscious motives, e.g. I want to move back home so that it will be easier for the baby and I just know it would be so much easier and a better opportunity for me to concentrate on school, but the underlying is that I just want to leave my current home. In conclusion, psychoanalytic theory was developed by Freud. This is a system in which unconscious motivations are considered to shape normal and abnormal personality development and behavior. Both Freud and Jung believed ego played a huge part in personality and the unconscious sexuality. Adler and Freud’s theory differed by the origin of motivation. Freud believes in prime motivations were pleasure and sexuality. Adler believes in human motivations that are more complex. Like Jun Adler believed in the importance of the teleological aspects, or goal-directedness of human nature. Difference in Freud’s and Adler’s philosophies was that Adler was much more concerned with social conditions. He saw the need to take preventive measures to avoid disturbances in personality. In all of these theories helped open new approac hes to human nature and psychotherapy. References Friedman, H. S., & Schustack, M. W. (2011). Personality. Classic Theories and Modern Research (5th ed.). Retrieved from University of Phoenix eBook Collection database.

World Bank

Reform internal Goverance A. Introduction: â€Å"The World Bank has undergone significant change in its purpose and membership since its inception in 1944† (world bank, 2003). As a result, there are many people criticize regarding its current governance and accountability. They are discussed that bank’s governance system is undemocratic, largely because borrowing countries that are impacted the most by bank projects have minimal voice in bank’s decisions about loan and projects and the selection of the bank president is unilateral. The World Bank also lack of transparency in its decision making.And then, critics argue the bank’s members are unaccountable. â€Å"In April 2010, Management presented a set of operational and institutional reforms aimed to enhance the overall effectiveness, efficiency, legitimacy, and accountability of the WBG† (WB, 2010). Some of these reform areas have direct implications on the governance of the institution, from the perspective of Board / Management relations, institutional accountability, and relations with external stakeholders. AS a result the Bank uses the methods to solve the current problems, such as reforming the voting system and presidential selection and makes the bank’s accountability.B. Governance: â€Å"Since the World Bank was established over 60 years ago, its role in supporting economic and social development has expanded and deepened with changes in the global context and the evolution in the financial architecture†(Jeff, 2007). The focus on strengthening internal governance systems and structures is driven by external and internal forces. There is little of bank basic structure has been altered, even though the World Bank’s members have been changed considerably.The main problem of the World Bank’s governance is that developing country has weak link with bank’s decision making process, because they do not have their own executive director. â €Å"The World Bank’s internal governance mechanisms reflect the political and power relation which dominated World Bank’s politics in the decades following World War II. The five large shareholders in the Bank is the United States, Japan, Germany, the United Kingdom, and France which maintain more than two-thirds of the voting power, effectively ensuring that decision reflect the policy views of America and western Europe†(Leech, D. 2003)). Developing countries influence on the Board of Executive Directors is limited. â€Å"The remaining 16 Board seats are split among 177† (Leech, D. (2003), this has the consist with large number of individual countries. People suggest two ways: one is reforming current voting system, and another is selecting the bank’s president. 1. Reforming voting system: Many people argue the bank’s current voting system. When the executive board makes decision about loan or other policies, voting is not based on one vot e per country rule. Voting power is weighted and is based on a country’s quota†(Leech, D. (2003). Under the current quota, â€Å"each country has base of 150 votes, the country which has good economic can add votes, it means one additional vote for each share of stock held by that country, which depend on that country’s relative economic and financial strength†(Daniel Kalinaki, 2002). For example, United State is a large shareholder, and it holds 16. 4% votes (see table below). Member of the country that holds large shares has more power than the poor country during decision making process.Unfortunately, the developing countries need more loans, but they have the least amount of voting power to make loan decision. The quota system dictates that a handful of developed countries hold a majority of shares, these members are able to dominate the bank’s decision making process. Table: Voting Weights and Voting Powers in the Governors Member countries hav e suggested proposal for reforming the voting system to Increase representation of the borrowing countries. Double majority voting is one reform that may enhance developing countries’ participation. Under this system, decision would require to pass by two majorities that are majority of shareholder votes and majority of developing countries votes†(World Bank Group, 2003). This would give developing countries more opportunities to say what they want to say, because decision would not pass without support with a majority. And this system also allows the industrialized donor countries and the developing recipient countries to assert their claims. 2. Selection of the World Bank President The selection of president is another argument relating to bank governance. The board of governors selects the president for a five year, renewable term†( Jeff powell, 2007). According the bank’s Article of Agreement state: â€Å"Executive Directors shall select a president wh o shall be chief of operating staff of the bank and shall conduct, under the direction of the Executive Directors, the ordinary business of the bank†(World Bank Group, 2003), â€Å"the Board of Executive Directors selects the President, in practice the head of the Bank is selected by the United States while the head of the IMF is selected by Europe†( David Theis, 2010).This gentleman's agreement between the US and Europe reduces the legitimacy and credibility of the World Bank. No clear procedures exists for ensuring the qualifications of a candidate, nor does a process exist for other member states to review and question appointments. The World Bank President should be selected through an open and transparent process. Now, many people and the global expert and world bank employees disagree the way the president choice and argue that the selection process should be a democratic, not only focuses on one country.They think that United States is no longer valid to be presi dent because the united state account for 16% of the world bank’s share now, it does not play a dominate role in world bank. It is also unfair that united state hold a monopoly over the World Bank’s leadership. Many people give the advice to the World Bank for changing in the selection process. The one way they support is selecting process should be open and based on merit.They believe that opening up the selection process will ensue among qualified candidates’ and it also like a competition, which help the World Bank to get qualify president. The way is simulate new voting system. The new president should pass double majority. This means the president should be approved by a majority of the member countries and group of countries representing majority. This gives everyone opportunity to select who is the best president. The World Bank responses the working group and makes suggestion for selection process. The working group advice (1) the selection should overse e cannot focus on single country. (2) They should have a specific standard for choose candidates. (3) Every country has opportunity to provide candidates†(Daniel Kalinaki. 2002). The most important is candidate that was selected should have more experience and qualifications, and the selection process should be open and transparent. C. Accountability Critics argue that the Bank is unaccountable to its members, because they have charter which is immunity from lawsuits.The bank’s charter grants the bank immunity to the extent that member countries or persons who can not sue the bank about it do not follow its police. And it is fail to make it more accountable. Therefore, many people advice that the bank need to improve their accountable. If the bank cannot show their accountable, the member countries cannot trust what the bank does. As a result, the bank develop many horizontal accountability mechanisms which including the operation evaluation department, the department o f institutional integrity. 1. TransparencyWhile the Bank's internal governance structures minimize the ability for developing countries to engage, the lack of transparency in decision making reduces the effectiveness of external stakeholders to engage in Bank affairs. The lack of Board transcripts leaves stakeholders with no way of knowing where individual Executive Directors stood on issues. This reduces their ability to effectively advocate their position. â€Å"In 1933, the Bank restricted public access to almost every type of document that related to bank’s project. Consequently, people do not know bank’s lending operation, nd they do not know where their money is going†(Jeff powell, (2007) Public scrutiny harm the bank’s decision making and effect its deliberation, the reason why they do is they think that the bank does not have the rights to disclose the documents. It is borrowing country’s property. When the number of public scrutiny and cri ticism increase, the bank attempts to increase its transparency. The bank has expanded the information that allows public to access. As we can see, the bank uses its website to show public what it is doing and publish more research to people.The website that bank published shows the thing it will do, and annual report and presentation. The bank starts to improve transparency policy and create operations manual, and this change make the bank is more accountable to their member countries. It also creates many mechanisms to enhance horizontal accountability, which means department can check the abuses by other department. 2. Dual Feedback Performance Dual feedback performance is an important part to improve governance structure and accountability framework of WBG (World Bank Group).The feedback system is agreed by the executive directors, and it will be a part of WBG’s governance and accountability with next presidential selection round. The main object of Dual feedback performa nce is creating a dynamic relationship between Board and Management to improve in governance and effectiveness of the Board and president. A Committee on Governance and Administrative Matters (COGAM) Working Group composed of Board and Management representatives was established to work on developing a framework for the dual feedback performance of the Board and President. COGAM discussed a report from the Board members of the Working Group and endorsed the report as a significant input to continued work on the framework, which would be taken up by a renewed, integrated Board-Management Working Group in the next term of the Board† (World Bank Group, 2003). Dual feedback Performance can help each other to measure their performance and it can cause the governance of the bank more reliable. Each of department monitor other’s action and the bank will be dependable, because everyone is under the control, and there is less collusion between the departments.The Board and presid ent wish to begin with a structured conversation on their respective effectiveness, measure against the institutional achievement as captured by the corporate scorecard. Conclusion: To improve the World Bank internal governance and ensuring the consistent with Department for International Development’s own objective, reform must take place at The Bank to achieve transparence and responsibility. An improved policy on information discloses would foster transparency and enables stakeholders to hold the Bank and their representatives to account.Improved selection procedures for the President alongside more equitable control among member states on the Board of Executive Directors would expand ownership of the organization to developing countries thereby increasing legitimacy and enhancing credibility and effectiveness and developing countries more opportunities to show their opinions. An improvement of Dual feedback performance helps the World Bank has more accountability to all d epartments; each of department can monitor each other and everything they is under the control.