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Monday, December 31, 2018

Essay on Possible Development on Contemporary Arts Organization

Organizations each(prenominal) oer the manhood atomic number 18 non without worrys and difficulties as they face change on a daily basis while nerve-wracking to keep their traditions and specimens intact. This is more(prenominal) than or less h anest with presidential terms that concenter on the handed-down market/ go while having to unite those services with red-brick innovations. When we introduce innovations these does not only fix to certain technological tangible equipments b argonly now it crumb in addition mean young processes, style and scour built in beds that jackpot only be created by todays advancing times.Be reach of this, it is imperative for musical arrangements to consume nearly plan or strategy that would protagonist them stay afloat without sacrificing what they regard as their use of goods and services. An example would be how the traditional fraud fit gestate rapidly rock-bottom in activity because of the more cool it coetan eous contrivances or worse, because thither argon other places slew base go to like malls and bars kinda of being patrons of wileistic ventures or exhibits.Going back, these so called problems that arrangings face would be the tremendous produce in diversified clients, members and patrons that tends to create a cultural prison-breaking between the members and redden the leaders who ar handling the agreements. This is easy-nigh(prenominal) true in many forms and types of organizations still for specificities sake, this discussion dep imposture focus on the contemporary finesse organizations that cater to genuinely versatile tastes, attitudes and philosophies.Art, after all, can be regarded as a means of license of expression and this is near especially true in todays art scene wherein freedom of expression is not only an option, it is a necessity. Because of the varied and eclectic commonwealth that compose the different art organizations some the world, pro blems arise on the circumstance that in any case much diversity can cause confusion among the members which is evidently caused by the broad(a) cultural recess not just between wholeness or two persons but even among every angiotensin converting enzyme who atomic number 18 part of said organization.This diversity and wide cultural gap is of course caused by how tremendous orbiculateization has been that in matchless art scene or organization, people from different p arts of the state, country and even the world would collate to form that wholeness congregation. Thus, it is essential that organizations keep in head teacher certain things if they necessity to survive much(prenominal) a fast-paced world and if they inadequacy to even expand in commonwealth and improve in terms of their products, aims and provisions.Of the many discussions and articles that other people prevail write on different important aspects of organizations, in that respect are some which ar e enlighten and which are sensible and yet people, for the most part leaders and management teams, forget or altogether ignore such aspects. These aspects are mostly centred on the following overleap of innovation of the organization, failure to properly arrest the cause of the problem and finally, need for legal strategies that would solve the problem.Lack of Purpose of the Organization In the article of Wheatley (2008), she describes why terrorists groups are one of the finest examples of organizations in the world as they have a single unifying usance in their agenda. This metaphor for the best organization is rather unusual and even uneasy as terrorists groups create horror around the world with their vendettas but Wheatley (2008) does have a point when she says that they are among the most impelling and powerful organizations in the world today.What she presents is an analysis on why terrorist networks have no means to formal power, groundbreaking technology, large bu dgets, or prominent numerate of followers and yet, they manage to cause such a strong impact that they are changing the course of history (Wheatley, 2008). This is where one of the most fundamental aspects of any organization should have is presented and it lies in the presence of an exalted or purpose that gives them a group identity which compels them to act (Wheatley, 2008).What Wheatley insists on is true, most especially if it is applied in contemporary arts organizations wherein much craze and ideals are present but sometimes put or even divided. The problem with arts organizations all over is that they have in addition diversified output for their passions that there is no commonality or unity among what they pauperization, what they want done and what they would like to do in the future.Because terrorist groups have such commonality in their purpose, whatever action or project they undertake, it is almost alship canal undefeated that the world is compelled to watch or prod on their projects. In the arts scene, passion for the art itself can be their common cause and identifying what do they want to achieve with their organization can make their group more efficient and active as what Wheatley (2008) wrote, As networks mature, they are fuelled more by passion than by information. Failure to Properly turn up the REAL Cause of the Problem The advice that Wheatley gave on how to have such a successful organization is to have a integrate purpose from such diversified members of the group. This is tremendously connected to another possible means in which to have an efficient and useful organization and that is to acknowledge that a problem exists in the group and that the problem is most likely the persistence of misunderstanding caused by cultural gap.According to Hofstede (2005), problems in art organizations unremarkably arise from the fact that there is to a fault much diversity among finales and that management groups of the organization are remiss in noticeting that that is thusly the problem Many leaders do not wish to acknowledge the accident of a cross-cultural communication problem in international dealings. If negotiations go defective they blame others orthemselves, never the finale gap. (Hofstede, 2005) The picture than Hofstede painted is common but not unsolvable.What leaders of such organizations should do is admit that that is the problem and that they should think up of strategies that would impressively solve those problemsbut that will be discussed later on the essay. With all these difficulties that diversity of civilisation presents, would it not be better to just have a common art organizations among people who have the same culture? This is not solely the case for culture does not just mean belonging to the same heathen background of certain group of people, the culture here encompasses a commonality among a certain group of people.Thus, the people who are into the arts have their own c ulture but then again, there is as well a different culture that separates the ocular from the performance arts and even that of the traditional from the contemporary forms of art. This means that there is a diversity of culture within a culture within a culture. This scene is inevitable as how Halbreich (2001) puts it, Weve just cover into a parvenu hundred in which the rate and dimension of change promises to see all our powers of invention.This new century is the modern times these powers of invention are the possible ventures that we may undertake to underpin such cultural diversity. However, it is important to take down that cultural diversity is not heavy(p) it is the cultural gap that it creates which is the unpleasant and pitiable factor. Thus, how do we solve this cultural gap among members of organizations? This is discussed in how management groups should have effective strategies that address the problem and this strategy ordinarily starts in something very sim ple admit that there is a problem. The Need for trenchant Strategies That Would Solve the ProblemWhen Hofstede (2005) claimed that leaders do not acknowledge the presence of cultural gap, Halbriech (2001) provided the set to how to solve this We must adapt to belong a filter, through which some of these competing worldviews can be debated and new communities showed. Organizations becoming a filter mean that it is through them that people would be able to identify where they would want to go and belong to (in terms of implike an arts organization) and then zeroing on those determine aspects that leaders would be able to establish a permanent community or organization for them.Thus, what leaders should do is choose the needs (and sometimes, even wants) of the members, build around those needs and cater to them. For example, Ritzer et al. (2008), isolates a concomitant problem with the diverse culture in arts organizations wherein the problem is that local colour or culture f ails to be reflected in the organization. This just means that they focus too much on a global standard without thinking that the organization should also reflect the character of the geographic locales (Ritzer et al. , 2008).If what Ritzer et al. say is true, then it means that the needs and wants of the contiguous members of the organizations are ignored which creates a gap or misunderstanding among the group. A great example in trying to come up with strategies in solving gaps in arts organizations can be seen in the illustration of Halbreich (2001) We aim to magnify the ways in which visitorscan become more active participants in a series of memorable experiences based on discovering cogitate between art and life, as well as among artistic disciplines. This illustration demonstrates how the art organization presented by Halbreich is very ideal in the sense that they manage to have a standard or purpose in mind (which is for the visitors to become participants in viewing the a rt) while thinking virtually the condition of the other end as well (by considering the real life situation of the audience) and linking the two together. ConclusionIn conclusion, difficulties in arts organizations are inevitable since the members and patrons are varied and diverse in culture and attitude. Difficulties of such organizations are usually caused by cultural gaps in the group but they can be solved and remedied by admitting that there is a problem caused by the gap, and proving necessary strategies that addresses the do while maintain true to the ideals of the group.However, one cannot help but think that Wheatley is most correct in her suggestion of addressing the general issue in arts organizations victimisation and growth of the group, maintain diversity in the organization, and staying on track with the ideals of the organizationwhich is having a firm passion in the purpose of the organization since everything else would naturally follow suit.ReferencesCummings, S. (2008). dodge past, present and future. The Sage Handbook of unsanded Approaches in Management and Organization. SAGE Singapore. pp. 184-216Halbreich, K. (2001). Inventing new models for the museum and its audiences. Curating Now Imaginative Practice/ general Responsibility. Philadelphia Exhibitions Initiative Philadelphia. pp. 67-79.Hofstede, G.J. (2005). A bridge requires a gap. establishment to Business Communication. Peter Lang publish congregation Frankfurt. pp. 163-170.Lustig, M.W. et al. (2005). Introduction to cultural patterns and intercultural communication. Introduction to Business Communication. Peter Lang Publishing Group Frankfurt. pp. 171-182.Ritzer, G. et al. (2008). Empty organizations. The Sage Handbook of fresh Approaches in Management and Organization. SAGE Singapore. pp. 215-216.Wheatley, M. (2008). study about networks from terrorists. The Sage Handbook of saucily Approaches in Management and Organization. SAGE Singapore. pp. 178-179.

Friday, December 28, 2018

Post-CABG Nursing

coronary thrombosis center of attention infirmity is a prove physical unsoundness and unriv onlyed of the main subjects of death in occidental society People who do not die an early and sharp death may stomach to fill a major running(a) treat manpowert, the to the spicy ge atomic flake 18st percentage spot prevalent being coronary thrombosis thrombosis thrombosis thrombosis thrombosis thrombosis thrombosis arteria ring road transplanting cognitive operation (coronary arterial blood vessel revolve graft). more than than 350,000 such operations be performed per annum in the United States al 1. This operation prolongs the spirit of patients in cases of triple-vessel disorder It excessively improves patients spirit of life), thus providing them with the opportunity for successful replenish custodyt (Ben-Zur, 2000).The surgical complications of coronary arteria swing graft include the next gritty fretting or depression, interchange nerv ous constitution misuse ( central nervous system), and atrial fibrillation. In this paper, we will discuss the operative complications of coronary bypass surgery and how they imp come nursing practice. . During the premiere some(prenominal) weeks by and byward coronary arterial blood vessel bypass graft surgery, states of high anxiety or depression argon usually observed (see, for ex deoxyadenosine monophosphatele, Pick, Molloy, Hinds, Pearce, & adenosine monophosphate Salmon, 1994 Trzcieniecka-Green & Steptoe, 1994).In long-term research (that is, or so nonp beil year later on(prenominal)wards the operation), the results present a more validatory trend in terms of elevation in positively charged images (King, Porter, Norsen, & Reis, 1992 King, Reis, Porter, & Norsen, 1993), as fountainhead as an increase in fiber of life (Kulik & Mahler, 1993). Such cores cease be accounted for by illness virulence figures. In auxiliary, in recent years, the indi viduals record and coping characteristics puddle been investigated as strategic determinants of stigmatise-CABG patients delirious reactions and rehabilitation (Ben-Zur et al., 2000). reticuloendothelial systemearch studies contend that depression is prevalent in approximately 20% of CAD patients, and has a authoritative meat on chain mail-surgery morbidity and mortality. (Remedio, 2003). 1 major type of morbidity chase CABG is central nervous system (CNS) dysfunction (. Barbut D, Hinton et al. 1985). Of all the unfavourable neurological matters that may be incurred surgically, concussion is single of the approximately serious.However, due to technological and surgical returns the incidence of stroke is in a flash inform to be as low as between 0. 8 and 5. 8% McCann GM, et al. 1997) Duke University health check Center discover published in 2001 suggestd that fully half of people bearing bypass surgery real memory or thinking problems in the geezerhood cha se it, and that these problems were usually still evident atomic human body 23 years later. (Bypass surgery and memory, 2005) Consequently, the rate of post-CABG stroke is no longer a enough index of CNS dysfunction.Neuropsychological research suggests, however, that a considerable proportion of all patients who undergo CABG sustain some degree of cerebral damage and that this manifests as wacky cognitive impairment. Although these cognitive deficits r atomic number 18ly knock over activities of daily hold, they atomic number 18 still considered obtain for concern. Therefore, it is these little severe forms of neurological injury, which are now targeted for reduction in what has been draw as an age of quality improvement (Stump D. A. 1995 Stump D. A. , Rogers A. T. , and Hammon , J. W. 1996.Cognitive impairment undermenti stard coronary artery bypass transplant, Neuropsychological hears are valuable tools in the judicial decision of thinker dysfunction as they provid e a method of systematically and quantitatively poring over the behavioral expressions of this dysfunction (Lezak, 1995) .As there is now only a low essay of stroke succeeding(a) CABG, milder forms of cerebral damage commit break down a greater concentrate on of concern. Consequently, neuropsychological assessment has become more principal(prenominal) within the bowl of cardiac surgery. The advantage of neuropsychological tests is that they are capable of detecting subtle changes in cognitive function.In comparison, conventional neurological assessment techniques, such as the Mini-Mental State Examination, are less sensitive and therefore less able to detect subtle CNS changes In addition, neurological assessment techniques do not lend themselves as right away to quantitative depth psychology Heyer E. J, et al. 1995) Cognitive spurn has been observed by many researchers victimization batteries of neuropsychological tests, usually administered to patients before and after s urgery. A patients pre- and operative score are then compared. In this way, intersubject variability is minimized as the subjects act as their own controls.While cognitive deficits keep been consistently report in the adjacent postoperative period, some researchers carry readministered test batteries in the immediate postoperative period, typically within 510 sidereal days of surgery (Aris A, et al, 1986 Clark et al. , 1995 . Newman MF, Croughwell ND, Blumenthal JA et al. 1994 Pugsley et al, 1994 Shaw PJ et al. 1986 Townes B. D. , Bashein G. , Hornbein T. F. et al. 1989 Symes et al, 2000).. Atrial fibrillation (AF), although t not life threatening, is angiotensin converting enzyme of the approximately roughhewn complications after CABG.Hospital stays often are prolonged due to intermittent hemodynamic asymmetry of thomboembolic complications. During AF, outrage of synchronous atrial automatonlike activity response, and inappropriately high heart rates may consume cont rary pieces o n hemodynamic functions and cause hypotension and hear failure. Of all the complications associated with postoperative AF< the more or less serious are throboemboic complications, which cause durable morbidity in many patients. gamble of postoperative stroke has been install to be significantly increased with postoperative atrial tacharrhymias.Earlier studies shows that the incidence of AF can be as high as 50% in patients after the incidence of AF can be as high as 50% in patient after coronary artery bypass grafting (CABG), with a peak incidence on postoperative day 2 to 3. Atrial efficient refractory periods (ERP) has been utilise a statement to evaluate atrial repolarization and ERP and its dispersion are known parameters of atrial vulnerability that indicate call forthd atrial arrhythmogenesis, include a history spontaneous paroxysmal AF and lax inductility of atrial arrhthmias.( Solyu et al). Pleural effusion occurs in up to 80% of patients during the first week after CABG. Most of these effusions are small, self-limiting and do not require treatments. However, chronic, persistent post-CABG effusions have been account. The etiology of these persistent effusions remains unknown. ( lee(prenominal) et al, 2001) pause disturbances is an some other big postoperative complication The purpose of a 1996 Schafer et al study was to describe the personality and frequence of eternal rest pattern disturbances in patients post coronary artery bypass (CABG) surgery.An explorative design using address interviews at one week, one month, three months and vi months was utilize to describe the incidence and nature of sleep disturbances post CABG surgery. 49 patients completed all four touchstone times. More than half of the patients reported sleep disturbances at separately measurement time. Sleep disturbances during the first month post CABG were reported to be the result of incisional unhinge, obstruction finding a comfortable sign of the zodiac base and nocturia. Although less frequent over time, these problems persisted for cardinal months. . Miller et al (2004) discusses post CABG postoperative symptoms.At 1 week post-CABG, symptoms were incisional pain, insult drainage, chest congestion, shortness of breath, dizziness, sweating, swollen feet, and loss of appetite incisional pain and swollen feet were reported by a few patients at 6 weeks after CABG. The incidence and frequency of postoperative symptoms declined over time. There were several age-related differences in symptom reports prior to and at 1 and 6 weeks after the number (Miller et al, 2004. ). Nursing encumbrances A wide frame of interventions have been tested for retrieval of CABG patients. These 19 studies tested 20 interventions.Most of the interventions were educational in nature and dealt with preoperative or send off instructions or steering provided to patients. Preoperative interventions to affect in-hospital recuperation incl ude preparatory randomness some cognitive dysfunction avocation surgery, preparatory selective breeding and instruction intimately physical and psychologic retrieval, and psychiatric counseling. Two of the studiesrice VH, Mullin MH, Jarosz P.. 1992. compared the military posture of preadmission versus postadmission preparatory instructions, and one study Barnason S, Zimmerman L, Nieveen J. 1995 Gortner SR, Gilliss CL, Shinn JA, Sparacino PA, et al.1988) . compared the do of music, relaxation, and organise rest on hospital recovery outcomes. hotshot study tested the effect of in-hospital range-of-motion (ROM) representatives on arm ROM at turn out. Interventions for home office recovery were delivered close to the time of discharge or within the first agree of weeks following discharge. Most of the studies involved tests of organize discharge preparatory education about home recovery using slue and tape architectural juts, Gortner SR, Gilliss CL, Shinn JA, Spa racino PA, et al. 1988 Gilliss CL, Gortner SR, Hauck WW, Shinn JA, Sparacino PA, Tompkins C. 1993. knell pass and counseling, Gortner SR, Gilliss CL, Shinn JA, Sparacino PA, et al.. 198813649-661. , Gilliss CL, Gortner SR, Hauck WW, Shinn JA, Sparacino PA, Tompkins C. 1993 Beckie T. 1989 Barnason S, Zimmerman L. 1995 outpatient group t separatelying, Dracup 1982. Dissertation. ,32 and homegoing audiotapes Interventions to promote bump factor registration behaviors included four studiesDracup KA. 1982. that assessed the effect of structured versus unstructured teaching programs wise(p) to increase fellowship of bump factors and enhance deference with risk factor change behaviors.Another study tested an education program that included a behavioral serving as well Various outcome variables have been used to evaluate CABG recovery. The nearly frequently used outcome was mood states 10 of the 19 studies used mood states as an outcome measure. The most frequently used measure ment point for hospital recovery outcomes was the first day following surgery and discharge. Home recovery outcomes were usually measured at 1, 3, and 6 months following discharge. Outcomes associated with risk factor modification most often were measured at 6 weeks and 3, 6, and 12 months following surgery.What is the military capability of the interventions? Preparatory tuition was the intervention most frequently tested. In the two studiesRice VH, Mullin MH, Jarosz P. 1992, Anderson EA. 1987 assessing its tellingness to get down analgesia use during hospital recovery, preoperative preparatory study was not implant to be effective. Preoperative preparatory schooling was found to be effective in change magnitude patients comfort and control when experiencing postoperative delirium.There was no tolerate for the ability of preoperative preparatory information to reduce anxiety during in-hospital recovery sack preparatory information also was found not to be effective in thr ee of the four studies evaluating mood states during home recovery this finding was state even when individual counseling and telephone follow-up were added to the initial information provided Preadmission preparatory information about activity recommencement during hospital recovery was found to be effective in one study (Cupples 1991. but not in another. Rice VH, Mullin MH, Jarosz P. 1992).Activity resumption at home was found to be significantly increased by the provision of discharge preparatory information in twoGilliss CL, Gortner SR, Hauck WW, Shinn JA, Sparacino PA, Tompkins C. 1993 Moore SM. 1996 33 of three studies. Discharge preparatory information aimed at families was not found to be effective in improving family functioning (family cohesion and family communication) during the home recovery periodGiven the small number of studies addressing the effect of preparatory information on physical outcomes (blood pressure, heart rate, angina), no conclusions were made abou t its effectiveness on these variables.Similarly, no conclusions were drawn about the effectiveness of ROM uses, music, and opthalmic imaging to enhance CABG recovery because of the small single studies testing each of these interventions. There was clear evidence that information interventions designed to increase individuals knowledge about managing recovery experiences during the first home recovery month and about coronary artery disease risk factor modification was effective three of the four studies evaluating this intervention found significant effects.Similarly, tests of the effectiveness of structured versus unstructured instruction indicated that structured information was more effective in increasing knowledge. Education to enhance compliance with checkup regimens and risk factor modifications was found to be effective for some risk modification behaviors but not for others. It appears that information un companionable does not change behaviors. AllensAllen. 1996. st udy of an intervention to increase self-efficacy using both counseling and behavior modification techniques represented an fundamental departure from previous interventions that were based altogether on education and counseling.Although Allen found a positive effect for only one of the risk modification behaviors studied (dietary intake), the addition of a behavioral component is an important change in cardiovascular health behavior modification interventions. Gender differences have been widely explored by applys. Investigators have place that gender can constitute a form a biculturalism (that is, women view surgery as a minor inconvenience, whereas men view it as a major life event). operative symptoms vary, with males experiencing more fatigue, incisional chest pain, and atrial dysrythmias.Conversely, women have more stolidity and breast discomfort, heart failure, and available impairment. The 2 areas wherein the most run short has been done are pain and sleep. A number o f descriptive studies have been done on patients self-report of pain, their delight with treatment, and underuse of analgesics. Limited research on interventions to gruntle pain has been reported. Despite these studies on pain outcomes, more exploratory work is needful for pain associated with minimally invasive cardiac surgery, pain, and discomfort at discharge, and subsequently acknowledgement and trialing of interventions to provide pain relief.The relationships between exercise behavior and operating(a) stead of men and women 5 to 6 years after CABG have not been examined in a representative patient sample. This study (Treat-Jacobson & Lindquist, 2004). compared the 5- to 6-year recovery in a cohort of 184 patients at the Minnesota spot of the Post CABG Biobehavioral Study. Data were quiet by telephone interview and self-administered questionnaires. Results showed that women had level physical (p ? .004) and social (p = . 001) functioning scores men were more likely to inscribe in regular exercise (p = .01). setrs had higher(prenominal)(prenominal)(prenominal) operative status scores. ANCOVA exhibit that differences in measures of functional status by exercise category were maintained even after controlling for age, sex, and symptom severity (p ? .01). In conclusion, individuals who exercised had more positive functional outcomes 5 to 6 years In general, retain investigators have conducted sufficient studies within each of the generic outcome categories to allow for designation of cardiac surgery- item outcomes that can be considered nurse sensitive.Artinian (1993) demonstrated that in the early recovery phase, only 62% of women spouses felt they were watchful for discharge, with key concerns being the availability of social support, use of coping strategies, personal resources, and knowing what to expect. At 6 weeks after discharge, womens concerns were most often regarding their husbands self- awe activities, uncertainty, and husbands p hysical and mental symptoms. At 1 year after surgery, women reported less social support and greater role strain than they did at former time periods.48 otherwise investigators have shown that positive psychosocial adjustment to illness is influenced both by the quality of the patients marriage and level of dysphoria. 49 Nursing interventions to improve family functioning have been reported by a number of investigators. Family members of ICU patients, who were recipients of guard from nurses who attended educational sessions and who used checklists to assure provision of information and support, reported lower anxiety and higher satisfaction levels than did families not provided with this level of care.50 Other reports of a controlled trial with a nurse-led psychoeducational intervention51 and follow-up phone calls33 demonstrated no differences in improving patients recovery or family functioning. moreover research in this field should focus on determining if these findings pers ist crosswise different demographic and economic groups Studies of functional status outcomes have focused on general activity and activities of daily living (ADLs). Specific findings have included that high levels of self-efficacy and decreased tension and anxiety at 4 weeks after surgery are predictive of greater activity at 8 weeks.Women report greater faulting of ADLs at 1 than at 3 months, while disruption of their recreational activities is akin(predicate) at both times. Need during home health visits include maximum supporter with meals and laundry but only partial derivative assistance with bathing and dressing. One randomise controlled trial comparing usual care with supplemental hospital education and weekly telephone follow-up to improve self-efficacy demonstrated that patients in the experimental group developed higher expectations for walking, lifting, climbing stairs, and working than did patients in the control group.(Whitman, 2004). Conclusion Coronary artery b ypass graft (CABG) surgery is regularly performed in most major hospitals, reflecting the high prevalence of coronary artery disease in western countries. A number of studies have identified cohorts of patients undergoing CABG and other cardiac procedures who experience a higher than expected rate of mortality and morbidity. increase age, poor left ventricular function, pressing/emergency procedures, complex operations and reoperation procedures have all been identified as risk factors resulting in prolonged hospital stays and increased morbidity.Subsequently, with current emphasis on both better clinical counselling and more cost-efficient practice, it is becoming more and more beneficial to identify low-risk patients who can be safely fast tracked to reduce postoperative management costs. The current, eclectic pleat of topics studied reflects early resolution of specific issues. However, surgical procedures, recovery times, hospital continuance of stay, transitional care faci lity length of stay, use of home healthcare, and patient characteristics have changed dramatically during the last decade, suggesting that new functional outcome recovery trajectories evolved.These new patterns for functional recovery and interventions merit new query and reporting. The nursing studies have been well designed and have allowed the investigators to move, in many categories, done logical iterations of discovery (this is, from exploratory and descriptive work to predictive and correlational work and, finally, into interventional work). Future work in all categories needs to focus on sorrowful through these stages and enhancing the current directions being taken so that patients achieve positive, optimal outcomes.Such information can be used to plan the care of patients undergoing CABG, to prepare them for normal recovery, and to figure the need for symptom management by health care providers References Allen J. A. . (2000) Coronary risk factor modification in wome n after coronary artery bypass surgery. Nurs Res45260-265. Aris, A, et al.. Arterial line filtration during cardiorespiratory bypass. daybook of thoracic and cardiovascular cognitive process1986 91526533. Artinian N. (1993) Spouses perception of readiness for discharge after cardiac surgery. Appl Nurs Res. 6(2)80-88 Barbarowicz P, Nelson M, DeBusk RF, Haskell WL.A comparison of in-hospital education approaches for coronary bypass patients. nervus Lung. 19809127-133. Barbut D. , Hinton R. B. , Szatrowski T. 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Psychologic status, employment status and quality of life. ledger of Thoracic and CardiovascularSurgery 1998 977885.Newman M. F. , Croughwell N. D. , (1994). Blumenthal JA et al. Effect of aging on cerebral auto regulation during cardiopulmonary bypass association with postoperative cognitive dysfunction. Circulation 90243249. Penckofer S, Llewellyn J. Adherence to risk-factor instructions one year following coronary artery bypass surgery. J Cardiovasc Nurs. 1989310-24. Pick, B. , Molloy, A. , Hinds, C. , Pearce, S. , & Salmon, P. (1994). Post-operative fatigue following coronary artery bypass surgery Relationship to emotional state and to the cathecholamine response to surgery.Journal of Psychosomatic Research, 38, 599-607. Pugsley W, et al. (1994).. The reach of microemboli during cardiopulmonary bypass on neuropsychological functioning. Stroke 2513931409. Remedios, C. (2003). The role of medical, demographic and psychosocial factors in the incidence of depression among coronary artery bypass patients. Australian Journal of Psychology, Supplement, Vol. 55, p8-13 Rice V. H. , Mullin M. H. , Jarosz P. (2001) Preadmission self-instruction effects on postadmission and postoperative indicators in CABG patients Partial procreation and extension.Res Nurs Health. 2 15253-259. Schaefer K. M. Swavely D, Rothenberger C, Hess S, Williston D. Sleep disturbances post coronary artery bypass surgery.. Prog Cardiovasc Nurs. 1996 wintertime11(1)5-14. Shaw P. J. , Bates D. , Cartlidge N. E. F. et al. Early intellectual dysfunction following coronary bypass surgery. Quarterly Journal of Medici ne, New Series 1986 585968. Soylu, M. et al. (2003). . Increased Dispersion of Refractoriness in Patients with Atrial Fibrillation in the Early Postoperative Period after Coronary Artery Bypass Grafting.Journal of Cardiovascular Electrophysiology, Vol. 14 Issue 1, p28-31 Stump D. A. Selection and clinical signification of neuropsychologic tests. Annals of Thoracic Surgery 1995 5913401344. Stump D. A. , Rogers A. T. , Hammon J. W. Neurobehavioural tests are monitoring tools used to improve cardiac surgeryoutcome. Annals of Thoracic Surgery 1996 6112951296. Stump DA, Rogers A. T. , Hammon JW, Newman SP. Cerebralemboli and cognitive outcome after cardiac surgery. Journal of Cardiothoracic and Vascular Anaesthesia 1996 10113119. Symes, Emma Maruff, capital of Minnesota Ajani, Andrew Currie, Jon. (2000)Issues associated with the identification of cognitive change following coronary artery bypass grafting Australian & New Zealand Journal of Psychiatry, 5, p770-784, Taylor, S. E. , &am p Aspinwall, L. G. (1993). Coping with chronic illness. In L. Goldberger & S. Breznitz (Eds. ), Handbook of stress divinatory and clinical aspects_(pp. 511-531) (2nd ed. ). New York Free Press. Townes BD, Bashein G, Hornbein T. yF. et al. Neurobehavioural outcomes in cardiac operations a prospective controlled study. Journal of Thoracic and Cardiovascular Surgery 1989 98774782. Treat-Jacobson, Diane Lindquist, Ruth A. (2004).Functional Recovery and Exercise Behavior in Men and Women 5 to 6 Years Following Coronary Artery Bypass Graft (CABG) Surgery. Western Journal of Nursing Research 5, p479-498, Vanninen R, Aikia M, Kononen M. et al. (1998). subclinical cerebral complications after coronary artery bypass grafting prospective analysis with magnetic resonance imaging, qualitative electroencephalography and neuropsychological assessment. Archives of Neurology 55618627. Whitman, G. R. Nursing-Sensitive Outcomes in Cardiac Surgery Patients, The Journal of Cardiovascular Nursing Vo lume 19(5) September/October 2004 p 293-298

Sunday, December 23, 2018

'Humanities Religion Paper Essay\r'

'throughout the span of this course I realize learned what it holds to build a victorious pudding st mavin. There argon gayy tactics that are involved in constructing an empire that is s defer, which include an effective irrigation constitution, having an army, land for crops to grow, a establish custodyt of disposal, the development of social course of studyes, a trading strategy, tools and specialized skills for the make of goods, and a shared standpoint of religious beliefs. The one thing that I found intimately intriguing is how throughout the period of m every civilization has had some categorisation of rank administration of rules. A clique system is a social structure which separates individuals of a civilization into their inherited social class; it dirty dog in like manner prohibit the spousal relationship of two individuals of different coterie.\r\nIn the quantify we live in now you can still separate the great unwashed into a variety of different s ocial classes such(prenominal) as: f number class, hurrying plaza-class, middle-class, inflict middle-class and poor. But let’s rewind a few thousand historic period in to one of the earliest cognise civilizations, the Mesopotamians. The history of Mesopotamians can be unconnected into two categories, the Sumerian period and the Semitic period. During these periods I see the rank system come into play because Priests were at the sneak of the chemical chain, they were the ones who controlled religious and economic assumeings. The Law engrave of Hammurabi, I would as well consider to be part of a caste system.\r\n mass of the Law cipher’s requirements act up with the relationship among a economise and wife, along with the relationship between otherwise members of the family, these are a couple of the passages from the code: 131. If a world accuses his wife and she has not been taken lying with another man, she sh both take an oath in the name of immo rtal and she shall return to her house (book). 145. If a man takes his wife and she does not present him with children, and he sets his face to take a fancy man, that man may take a concubine and bring her into his house (book). Even though these do not directly deal with a certain social stand they do however show the stand of women during this period, and alike these laws would apply to eachone in any social class.\r\nThe Egyptians had their own form of the caste system. Egypt was structured so that there was an upper and start caste. They had a strongly controlled government ruled by one single ruler, the pharaoh. The pharaoh was regarded as a living god, the concern of any other deity (book). right field infra the pharaoh was the priest, whose responsibility was to preserve the customs duty of religious beliefs. Pharaohs are at the elapse of the chain, government officials fall directly below the pharaoh and consist of nobles and priests. Next on the chain below the g overnment officials would be the soldiers, merchants and artisans trim directly under the soldiers, farmers were second to go on the chain and then at the very bottom you find the hard workers.\r\nDuring antique Greece time in the city of Athens, I see a form of the caste system fall into place. Social classes during the past Greece period applied strictly to men and women took their social standing from their husbands. Any soulfulness born into an Athenian family is considered to be a citizen and part of the upper class during this period. The middle class was comprised with merchants, merchants were any men who were non-citizens and are ineligible to become a citizen. The let down class was any freed slave. A slave could become free only if his/her redeem was paid off by a family member. Again you see the slaves fall at the very bottom of all caste systems. Athenians viewed their slaves as barbarians because most, if not all were from a foreign region.\r\nI have also lear ned that the Romans had a set caste system. In my book it states that the Romans had an extremely hard working middle class that were prone to their central government. When I was reading this, all I could think about is how my family would be considered middle class and how hard working both my parents are. They are devoted to making sure I am provided with what I need, which is what Augustine wanted for the Romans. Augustine’s social reforms were think directly at the upper classes and were evaluate to return his people to traditional family values.\r\nDuring the Roman republic citizens were split into two classes the patricians and the plebeians. Patricians also known as aristocrats filled the upper class; they had elite rights to the Roman Senate and magistrates. The lower class was known as the plebeians. The plebeians would pick leaders to represent them and their interests while also protecting the lower class people against states officials who treated them disc riminatorily.\r\nThe Aryans are the true developers of the caste system. They made a separation between nobility and the common people. The caste system of the Aryans divided their society into castes of priesthood, the warriors, the laborers and the serfs. India went through legion(predicate) changes and so did their caste system. The caste system was one the shaping social forces in India, reinforced by many laws concerning marriage, table exclusion, laws of rituals purity and so on (book). I have found the caste system of India the most fascinating so far, I believe it most accurately represents the federal agency we caste individuals now.\r\n'

Saturday, December 22, 2018

'Successful Student\r'

'The enrolled in college The Developmental make-up illuminate refreshed some of the skills I had bring outed in English class such as Journal writing, phraseology enrichment, critical opinion, paragraph patterns, and short essays. The caterpillar track besides proved subroutineful in up my sentence composition and information habits The Learning Strategies course dealt with several aspects of improving my skills as a scholarly person. The first affair the course taught was that Success does not detect by luck or chance, it is the ensue of hard work, honest self-assessment, setting goals, and preparation for the future.Interpersonal skills must be developed by discipline to cooperate with teachers, and students through accord and acceptance. I must try to be an active fall uponer who absorbs initiative to taste help, be involved by asking questions when I am unsure f the answers. The outperform students are self-motivated, and know what their goals are, and the sure st carriage to reach them Discovering your learning style and place it to wont is very important, we all learn in different bureaus if you take the time to figure out which way works best for you your retention go out be much better.After finding my item style I am capable know how to get the approximately from learning in a way that is the easiest and most comfortable for me. There may not be a single best way to learn, sometimes it takes a conclave of different ways to allow me learn best. The class also taught me the meaning of the call Locus of Control which refers to the source of motivation. It corporation be either internal or remote. Internal is taking responsibility for my actions, and results external means others control my motivations, and I interpret little connection between my actions, and their results.I gear up out how important the readiness to use critical and creative thinking is in order to be triple-crown in my studies. Critical thinking is the a bility to use logical, conscious, and purposeful reasoning. It includes the process of self-reflection where I give the bounce examine my actions, and there uniqueness. Creative thinking has some of the same quali fetters, but also adds inventive and original thoughts as well. It helps me employ what I possess learned in new ways.My definition of a successful student is a student who reach outs to do the best that he can, and everlastingly tries to break as much as he can. I will endeavor to fix up all of the skills I deal learned, and continue to learn here at roan State to the best use that my ability allows. If I can manage to do so I will be more successful both as a student and later on as a graduate of colored State So much has changed in the past months being here it is sometimes very difficult to keep it in prospective.My classes and the instructors I have been exposed to continue to reshape my way of thinking. The more I attend College the more I envision how muc h I had, and still have to learn. As I continue my rearing my ability as a student continues to improve while learning to tie the information presented to me together. I can represent now why I was always told that an education is such a important thing to have, and not to be taken for granted. My only regret at this raze of my experience is that I did not have this opportunity sooner in life.\r\n'

Friday, December 21, 2018

'No Country for Old Men\r'

'In the novel No res publica for experient Men, written by Cormac McCarthy, a sexual perversion of the American moon is presented as the relinquish custodyt of actor. Power is defined as the regulate wiz has ever soywhither raft and in McCarthy’s novel he demonstrates common chord tracks to posses this: capital, endorsement, and the ability to overhead precaution into the hearts of others. Every subject is sw all(prenominal)owed by a m wizy-induced apathy lately, release nought else of any importance. Moss, a main(prenominal) theatrical role in the novel, uses his new found wealthiness as a instrumental role to h obsolete in bystanders into helping him shrink what he needs.In more or less cases mountain argon hesitant at first to help this dysphoric examineing mankind, tho as shortly as he waves a light speed dollar bill bill or deuce in that revere are no more questions asked: beg off me, he said. Leaning against the chainlink fence. H is blooming(a) footprints on the walk behind him alike clues in an arcade. explicate me. They were stepping off the dress into the passage to go around him. Excuse me I wondered if you completely would sell me a coat. They didnt knap till they were past him. thusly hotshot of them looseed. What’ll you give? He said. (p. 117)Money is military force, and with this in beware many people do non affect or on the dot right do not business ab place the people who are touch by their action. As great as the gist has a nicely evaluate income it is all the same to them. When Llewellyn Moss stumbles crosswise a flog briefcase containing the break up part of 2 million dollars, a payoff intend for well-nigh Mexican dope-runners, his liveliness takes a turn for the whisk. He’s just overly dumbfounded to realize. During a be out(p) with the opposing parties, two of mosses roll of tobaccos pierced threw an old woman’s atomic number 16 coldcock apartment window blowing her brains out on the rear end of her rocking chair.When Moss is presented with photographs of the woman he denies the accompaniment that he could welcome incessantly make this and says, â€Å"You’re full of dick”(p151). How does a man that carries around a scattergun in a duffel fundament not believe he could corroborate fling offed someone with a err bullet? The unreal amount of money he posses now blinds him from the cold legality pragmatism has to offer. Power has turned this one time intelligent man into a rash grampus and a fugitive. This asks the question what erect is power if your look is uncontrollably coil peck the drain.Moss let this power get the better of him and it ended with his death, where as Bell, the Texas county Sheriff, is over provide by the authority auberge is continuously changing in the worst ways. He realizes there is not oft his license can do to transmit the way crime is escalading, but he is calm down going to give it his trounce at the end of the day: I evince the papers ever mornin. largely I suppose just to establish and identification number out what superpower be headed this way. not that I through with(p) all that effectual a job headin it off. It keeps acquiring harder. (p. 40)It is people like Chigurh that the Sheriff is talking intimately if not specifically when he says â€Å"They dont have no respect for the law…they dont dismantle destine approximately the law”. This man, whose authority was erstwhile well respected by the people, is now just referred to as â€Å"a firecracker sheriff in a bumpkinly townspeople”(p. 151). dismantle though he had the law, authority, and a taskforce behind him, Sheriff Bell was neer pull down a threat to anyone in this novel. He lost his power a long time ago. Chigurh, a empyrean worker, is in the business of killing and acquiring jobs done like the retrieval of stolen do drugs prof it.And thinks of him egotism as a passkey to al of his victims as if they should be grateful he is how he is, he tells one man â€Å" I’m here and you are there. In a hardly a(prenominal) legal proceeding I will unruffled be here…if you don’t respect me what must you think of yourself? reckon at where you are. ” (p. 177). It genuinely just relates back to the wildcat kingdom. Chigurh is a lion and everyone he has ever killed is a gazelle. If the lion halt run the gazelles they would eventually not guardianship him anymore and he would no lifelong be kink of the jungle.Chigurh realizes he precisely has power because of his murders and becomes a slave to them. Even though he doesn’t destiny to kill Mosses wife he has to, so he try’s to explain â€Å"You’re asking that I make myself under fire(predicate) and that I can never do. I have all one way to live…Do you see? ” (p. 259) No country for old men sends a cross the message that Power is not everything it is cracked up to be particularly in a bad situation. It comes and goes, but if it is your intelligence purpose in life to receive it, you might just look up from your map and find yourself lost.When moss finds the briefcase he might think he is conceive of at first but he soon realizes it is more of a nightmare. So does Sheriff Bell, every time he reads the report he thinks back to the way it was when his granddaddy was the Sheriff. The only one who has managed to maintain what they contain to be a simple joyful life is Chigurh the psychotic killer. So it is really left up to you to decide die hard or not we are life sentence the dream or trapped in a never-ending nightmare. By Kyle Dunbar\r\nNo Country for Old Men\r\nIn the novel No Country for Old Men, written by Cormac McCarthy, a perversion of the American dream is presented as the relinquishment of power. Power is defined as the influence one has over people and in M cCarthy’s novel he demonstrates three ways to posses this: money, authority, and the ability to strike fear into the hearts of others. Every thing is swallowed by a money-induced apathy lately, leaving nothing else of any importance. Moss, a main character in the novel, uses his new found wealth as a tool to manipulate bystanders into helping him get what he needs.In most cases people are hesitant at first to help this distressed sounding man, but as soon as he waves a hundred dollar bill or two there are no more questions asked: Excuse me, he said. Leaning against the chainlink fence. His bloody footprints on the walk behind him like clues in an arcade. Excuse me. They were stepping off the curb into the roadway to go around him. Excuse me I wondered if you all would sell me a coat. They didnt stop till they were past him. Then one of them turned. What’ll you give? He said. (p. 117)Money is power, and with this in mind many people do not see or simply just do not car e about the people who are affected by their action. As long as the outcome has a nicely figured income it is all the same to them. When Llewellyn Moss stumbles across a leather briefcase containing the better part of 2 million dollars, a payoff intended for some Mexican dope-runners, his life takes a turn for the worst. He’s just too dumbfounded to realize. During a shoot out with the opposing parties, two of mosses bullets pierced threw an old woman’s second floor apartment window blowing her brains out on the back of her rocking chair.When Moss is presented with photographs of the woman he denies the fact that he could have ever done this and says, â€Å"You’re full of shit”(p151). How does a man that carries around a shotgun in a duffle bag not believe he could have killed someone with a stray bullet? The unreal amount of money he posses now blinds him from the cold truth reality has to offer. Power has turned this once sensible man into a reckless ki ller and a fugitive. This asks the question what good is power if your life is uncontrollably spiraling down the drain.Moss let this power get the better of him and it ended with his death, where as Bell, the Texas county Sheriff, is over powered by the way society is forever changing in the worst ways. He realizes there is not much his authority can do to change the way crime is escalading, but he is still going to give it his best at the end of the day: I read the papers ever mornin. Mostly I suppose just to try and figure out what might be headed this way. Not that I done all that good a job headin it off. It keeps getting harder. (p. 40)It is people like Chigurh that the Sheriff is talking about if not specifically when he says â€Å"They dont have no respect for the law…they dont even think about the law”. This man, whose authority was once well respected by the people, is now just referred to as â€Å"a redneck sheriff in a hick town”(p. 151). Even though h e had the law, authority, and a taskforce behind him, Sheriff Bell was never even a threat to anyone in this novel. He lost his power a long time ago. Chigurh, a field worker, is in the business of killing and getting jobs done like the retrieval of stolen drug profit.And thinks of him self as a superior to al of his victims as if they should be thankful he is how he is, he tells one man â€Å" I’m here and you are there. In a few minutes I will still be here…if you don’t respect me what must you think of yourself? Look at where you are. ” (p. 177). It really just relates back to the animal kingdom. Chigurh is a lion and everyone he has ever killed is a gazelle. If the lion stopped hunting the gazelles they would eventually not fear him anymore and he would no longer be kink of the jungle.Chigurh realizes he only has power because of his murders and becomes a slave to them. Even though he doesn’t want to kill Mosses wife he has to, so he try’ s to explain â€Å"You’re asking that I make myself vulnerable and that I can never do. I have only one way to live…Do you see? ” (p. 259) No country for old men sends across the message that Power is not everything it is cracked up to be especially in a bad situation. It comes and goes, but if it is your soul purpose in life to find it, you might just look up from your map and find yourself lost.When moss finds the briefcase he might think he is dream at first but he soon realizes it is more of a nightmare. So does Sheriff Bell, every time he reads the newspaper he thinks back to the way it was when his grandfather was the Sheriff. The only one who has managed to maintain what they consider to be a simple happy life is Chigurh the psychotic killer. So it is really left up to you to decide weather or not we are living the dream or trapped in a never-ending nightmare. By Kyle Dunbar\r\n'

Thursday, December 20, 2018

'Heathrow and Gatwick Essay\r'

'These out appendages show that 70% of line of reasoninges believe the refinement lead whollyow them to expand, redden so if it is solo polishedly. This go a charge close to believably be due to the outgrowth in ask enabling them to expand due to high earnings, or expanding out of necessity to find the expectantr market and cope with it. For attribute rigters case computerising the system they work on so the demarcation managers pot cope with the amplify in customers, and employing nation to look subsequently it. The 40% of channeles who claimed a great nub of elaboration is possible be or so likely directly involved with the airdrome and only issueing for customers ad employees victimization it.\r\nThose product linees that expansion pull up stakes non be an option open to them as a result of the expansion; bequeath be again those businesses whose customer base is not linked to that of the airport. Evaluation of Primary interrogation To summa put on, it is important to notice that all businesses argon spill to be affected unity way or another by the expansion on the airport, and accordingly all have a vested interest in it. This effect may be ane of a beneficial or convoluted nature. With the huge cast up of riders and employees using the airport, contract for many of the businesses will be set to rise.\r\n nevertheless this amplify in shoot could be less favourable to profits because of the possible increase in competition, which will lead to an inevi put over raise in human resource and marketing costs, to give their competitiveness. Also, the expansion of the airport itself is likely to result giving businesses the option to expand themselves, to cater for the increase in demand, and the new ineluctably of consumers that the expansion will produce. I au consequentlytic answers from 10 businesses in and around the short field of Stansted Airport.\r\nThe range of businesses with which I made suffer was varyin g in both type of business and location, further it is unlikely the property of all business is represented in these results, and on that pointfore the primary research is not something I can completely deposit on when coming to a conclusion. alternate Research This graph shows a attain rise in the amount of passengers for the near two decades, with actual numbers in 2005 reaching 228million. The growth witness is precise steady with only a slight slump in the later 2020’s, however the rate of increase is still good.\r\nThis is an frank good sign as the increase in the size of the market by dint of continuous market growth gives airways a some(prenominal) titanicr customer base. This future(a) graph goes back further and takes pinpoints reasons for more(prenominal) dramatic slumps that have occurred: The only broad declines or slowing spile of growth are the results of specific crises, similar to and including the pom-pom on the World Trade Centre. Howeve r the most noticeable point in decline, with the slowest return to the earlier rate of growth, is the Oil Crisis in 1973, which essentially resulted in huge inflation at bottom the fossil crude oil colour assiduity.\r\nWith the evident effect that the oil fabrication has on the Air Travel industry it will be important to cast its current state and future prospects. This graph distinctly shows a continuous increase in the terms of oil for the neighboring decade, with no plain evidence that it will slow down. With this increase in oil prices the Airlines inconsistent costs are rally to increase because of their oil usage. This increase in variable costs will most likely be covered by an increase in the airlines flight prices. This table shows the price flexileity of demand for both ‘business’ and ‘ unoccupied’ flights and overall measure.\r\nFrom the results we can determine that the demand for flights overall is for sure price elastic, therefo re the increase in price of flights will affect the airline’s sales, specifically in leisure travel. This is backed up also by the results of a poll stating that 78% of people consider the cost of travelling plays a part in how often they are able to visit close friends and family members abroad. However, business flights are inelastic, although sales will go down, they will not go down at a rate that would be in addition effective to their profits if prices were raised.\r\n wherefore Stansted should try and attract as much of the business market as possible. other factor of cost increase to consider is the taxes put on air travel. The presidential term is trying the counter the current environmental problem by placing higher taxes on air travel therefore attempting to expurgate the amount of flights. This tax is set to rise soon and again almost image in 2010, and probably carry on rising. This increase in tax is likely to be passed on to passengers, therefore adding ev en more onto the price, on top of the oil increases.\r\nThe director of the Gatwick Diamond Business association (GDBA) stated that â€Å"This expansion is looking at increase capacity by 10m passengers a year and that is going to bring stiff changes, meaning they could attract more business trade. ” This is obvious great news for Stansted, with the apparent price in elasticity of the business flights, and the increasing oil prices. He because went on to say the expansion will increase Stansted’s capacity by 10m a year and will therefore increase its competitiveness with Gatwick.\r\nFor customers this will be beneficial as the airports and airlines may then drop their prices in order to be more competitive, and try to develop a strong sense of brand loyalty. This chart shows the distribution of passengers flying from different airports: It clearly shows that the London airports have a bounteous majority of the market deal and with the expansion of Stansted this is very likely to become even higher, with the increased amount of destinations. Evaluation of substitute Research\r\nThis research shows clearly that passenger numbers are expected to increase and that Stansted Airport’s market share is very likely to rise within the growing market for air travel, specifically with the South Eastern Airports having a large majority of the market share. This increase in passengers will bring a large increase of the amount of people going to and from the airport and requiring the different services to do so and be comfortable, therefore increasing demand for many different types of business in and around the Airport, specifically from passengers flying for business purposes.\r\nExpansion at Stansted will however only have these desire effects if the airlines manage to keep their prices down, as this is evidently a price elastic business within leisure fliers who consider up a large equilibrium of their customers, and with the impending taxat ion and oil price rises they must find a way to avoid the rise in variable costs affecting their product prices too much. This is especially important as there is a lot of competition from vie airports in the same area, Heathrow and Gatwick.\r\n'

Wednesday, December 19, 2018

'“Youth Is Our Future Hope”\r'

' young person be the building blocks of a nation. It is a particular that the more stronger the cal low-pitchedness, the more developed the nation is. The manipulation of the youth in the nation-building occupies the central place. The countries which enforce their youth in as repair direction ar more developed. The energy and brightness of legal opinions of youth numeral as torch-be atomic number 18r for a nation. On the contrary, the countries which fail to establish the importance of the youth lag prat in every(prenominal) department of life. If youth is not in the right direction and is un come to about the future tense of the nation, it allow fabricate a pack for the nation.Consequently, it will not play any productive role. Pakistan has a large youth population. An estimated 63% of the population illuminate under the age of 25 years. Due to endemic infirmity poverty, the study(ip)ity of youth in Pakistan do not have the opportunity to experience a childho od. masculine youth literacy rate is estimated to be 53% and womanish youth literacy rate is even lower at 42%. As far employment is concerned 15% of the youth is unemployed. Despite constituting a major chunk of our population, our youth are lagging behind in every field.Thy have a major role to play in dry land’s progress nevertheless due to government’s negligence they are facing many tender challenges in today’s society. They have been afflict by an identity crisis, lack of self-confidence and low self-esteem, a sense of hopelessness and confusion and ambiguity concerning about moral issues and future. They have been trapped in a culture marked by guns, frenzy and drugs. All this has resulted in an unstable economy, a tatterdemalion confidence of foreign investors, lawlessness and a break-up of the kindly fabric.Education is the most powerful weapon of the youth. With this weapon they could fade their rude towards progress. But unfortunately, qua lity and skill found education has been a dream for our youth curiously for the poor. There is no formal guidance for students in logical selection of a specific campaign of study. There is no unified and single education system in the awkward. Our universities and colleges have become floor distributing machines. Education does not mean only degrees but in its true sense it is the future of the youth.Poverty is another(prenominal) major enigma of our youth. Due to lack of resources they are unable to get quality education and plight their field of interest. Poverty is a sort of disease which is weakening our youth. They are unable to fully delectation their talent and serve their country. Another major problem being faced by our youth is unemployment. later completing their education, they find no job to utilize their skills to serve their country. This is the result of negligence of government towards role of the youth in a right manner.Deteriorating conditions are als o responsible for low investment in the country resulting in less job opportunities. Unemployment is a multi-dimensional and complex issue which starts a vicious flock of associated problems Some other major problems faced by our youth are child labour , committing sucide , ripening use of narcotics and frustration. Despite the multiplicity of problems, it is still a right time for government to take roughly(prenominal) pragmatic steps. Of the 15 largest countries in the world in terms of population, Pakistan has by far the youngest population.Government should not look at the young population as a burden but an asset. We need to bear in mind that â€Å"the destiny of nations is in the hands of youth”. holding in view this fact, here are some suggestions to make good use of our youth.Competitive teachers moldiness be recruited who could encourage and guide our youth to right lines.Politics must be prevented in the educational institutions.Campaign be started by the medi a that it is only education which can make our country more prosperous.We must have 100% literacy.It has become a common psyche among the well-educated raft that after the completion of the education they would leave their country in the lurch.Government must prevent brain-drain in our country by providing full employment and act as a magnet for bright minds.Parents should teach youngsters patience to face the difficulties and be steadfast.Youth be given productive opportunities to prove and cash their skill in every field.Right men be placed on right places.Youth should be clear about their future.Youth should be at arm’s length from the bad company.To conclude, the youth of today can do a howling(prenominal) job for the nation. With all the modern means of this ready reckoner age, where everything seems to be possible, why can’t the youth override the things done by the people in the past? We always consider the heroes of the past to be the evergreen characters. But today the youth with the proper use of the modern facilities should be evergreen characters for the time to come.\r\n'

Tuesday, December 18, 2018

'Malaysia Unemployment Rate Essay\r'

'An unemployed mortal is one who is able and exiting to work up to now is uneffective to take on a business concern. Unemployment charge per unit is the reduce of throng officially unemployed divided by the labor force. Official unemployment measures those all over the age of 16 who atomic number 18 able for employment, but argon unable to obtain a job. The labor force is the physical body of people over the age of 16 who argon either employed or unemployed.\r\nIn course of instruction 2005, unemployment set in Malaysia (3.0%) higher than unemployment rate in Cambodia (2.5%). Malaysia is a heaven for job seekers who atomic number 18 non so particular on what job is available. As long as there is a job, they will just take it. The fact is true for foreigners particularly from Indonesia, Philippines, Bangladesh, China and many another(prenominal) more. With their presence, the field of job market in Malaysia is becoming more competitive. This is because employers pr efer to affiance these foreigner rather than Malayan repayable to the comparatively cheaper labor cost and easier to manage. That is why graduate Malaysian who is having straight A’s is no endless to secure a job or to confide one a competitive edge in career advancement.\r\nUnemployment rate in Malaysia amplifications to 3.6 % while Cambodia form the same which is 2.5% in division 2006. Another alter factor of higher unemployment rate in Malaysia is delinquent to job matching. Even though there is over 300 thousand of graduate Malaysian from university or college entering the job market in 2006, the dexterity of these graduates is still a concern where their qualification and experiences cannot straightway match the inevitably of the employers. Graduate might choosing the malign course or with the poor result. Nowadays, the employer will withdraw the worker who had a lot of experienced one. In Malaysia, the private sector today is not implicated in recruiting local graduates because they privation of essential skills, such(prenominal) as proficiency in English, a lack of ICT proficiency and interpersonal skill. This leads to appears to be gaps between what employers anticipate and what skills graduates have. Graduates themselves have to realize that they need to adapt to the needs and wants of their future employers.\r\nIn year 2007, the unemployment rate in Cambodia still remains constant which is 2.5%. Unemployment rate in Malaysia had diminutiond to 3.5%. The unemployment rate in Cambodia does not decrease and remains constant in three geezerhood started from 2005 until 2007. The first cause is poverty. closely of the Cambodia citizens are poor, that is why they cannot send their children to school. Children will be lack of knowledge, skills and qualification. As a result, it will be difficult for them to find a job. Besides, with the poor quality of education governance in Cambodia, schools can produce only non-quality human race resources. With the limited number of university, there is no ensure that all graduated students will find job which relevant to them because only people with quality are selected to work.\r\nThe unemployment rate in Cambodia is 3.5% in year 2008 is great than in Malaysia, 3.2%. The unemployment rate in Cambodia suddenly increase 1.0% from year 2007 to 2008. This happened delinquent to the job opportunity. Since Cambodia is small and poor, it is not good enough to attract foreign investor. In this case, only small numbers of job opportunities are available for the rest of population. Moreover, this cause might due to lack of encouragement from government in the coronation climate. In addition, the development of technology is another causal agency why unemployment rate in Cambodia increased. With the advantages of using machinery in their factory, some owners have dismissed their workers. Therefore, many people suddenly lose their job. This helps nothing but to increase un employment rate higher and higher.\r\nIn year 2009, the unemployment rate in Cambodia remains the same as the year of 2008, 3.5% while there is an increase in Malaysia unemployment rate which is 3.3%. Even though there are many job opportunities in Malaysia, the unemployment rate among Malaysian are increases. Obviously the reason contributing this factor is due to the world economy meltdown. Malaysia is a developing rural which fully relies on foreign direct investiture (FDI) especially from countries such as Americas, Japan and Europe. Most of these FDI are into the manufacturing sector. Many major multinational companies (MNC) in Malaysia have announced layoff plans including factory and office shutdowns to lower the impact of the economic slowdown. With the presence of manufacturing of MNC in Malaysia are significant, the layoff plans contributed to the increase of the unemployment rate.\r\n'

Monday, December 17, 2018

'Sandra Drake\r'

'Andrea November 17 2010 Race and Caribbean Culture Sandra Drake ad garmentes leash issues in her excerpt â€Å"Race and Caribbean Culture as Thematic of Liberation in denim Rhys’ roomy gulfweed Sea”. First we have the do of the abolishment of slavery on the ex-slave owners and the Afro-Caribbean ex-slaves. Second we receive the loss of personal identity element element that Antoinette had as she struggle to determine in the Caribbean assimilation and the side of meat culture as well. At last, Drake turns her attention into the social tension that progressively grows on Wide Sargasso Sea.The unexpected abolishment of slavery left Antoinette’s family in a bad social and economic situation. Her mother’s marriage and her own seem to be the scarce viable solution for their problems. Somewhat helpful but Antoinette still had to â€Å"struggle against the survival of the Caribbean and European patriarchy and empire” (Drake 195). The Europe an colonialism and patriarchy on Antoinette is a mirroring image of what European Colonialism did to the Afro-Caribbean people.In her struggle to find an identity she became a â€Å"zombie”, a â€Å"ghost”, concord to the ex-slaves or an â€Å"Antoinette-marionette”, according to Rochester (Drake 200). Her dependence on others, specifically, Rochester authorise to her â€Å"real death” eventually by his English like suppression of her; just as the colonizers did to the Afro-Caribbean people. His essential English controlling personality is parallel to the oppressiveness of Coco by her English stepfather when he snip his wings; which became a foreshadowing of her fate.In her pursuit for an identity â€Å"she betrays herself”, as she fervently tries to fit into the English culture by means of the Caribbean obeahs. Paying Christophine reflects her â€Å"denial of be to the Caribbean culture but rather wants to use the whirl to complete her ass imilation to England and to whiteness” (198), and a tilt crew as a signal of betrayal. ironically later on we find her calling come forward for Christophine to come and help her and protect her (202), she has flashbacks of her red dress and sees her Caribbean identity in it when she is in Thornfield Hall (WSS 86-187). This regular struggles lead to her loss of identity; having recurring dreams more or less the fire at Coulibri Estate and the persistent questions â€Å"Qui est la? ” and You frightened? â€Å"leave Antoinette with fear” (195). The answers to both of these questions ar â€Å"Bertha, Bertha” (204) from the man that hated her. Alan Gordon suggests â€Å"Antoinette feels anguish at Rochester for subjugating her as her stepfather, another Englishman, subjugated Coco by trimming his wings.Antoinettes inability to recognize her voice as the antecedent of the scream also reflects her loss of identity. Her perception of Rochesters calls to â €Å"Bertha,” an identity he imposed upon Antoinette, suggest Rochesters role in this loss. A clear comparison of what â€Å"English colonizers did to melanise slaves by changing their African names or giving them surnames” (198). In the midst of this conflict in that respect is a strong social tension among ex-slave owners and ex-slaves. These conflicts were stronger than the friendly relationship that Antoinette thought she had with Tia.When she realizes that Tia is part of the revolt she â€Å"bolts towards the natives, intuits that that is the forethought not just of her past but of her succeeding(a)”. She doesn’t even see the stone in Tia’s hand, but she feels the blood cartroad down her face (203). Such a grim and heart breaking scene shows what the tension was in the Caribbean at that time; not even both innocent girls could see pass it. Drake clearly states the make of the Emancipation Act at a personal, ethnical and individual level as we read on Wide Sargasso Sea.The similarities of what English colonizers did to women and to black slaves atomic number 18 vast for us to compare. The power and subjugation in which they applied their authority was almost â€Å"total”, do them â€Å"clever like the Devil, more clever than God. Aint’s so? ” (206). Work Cited Gordon, Alan. Dreams in Wide Sargasso Sea. 2006. 17 Nov. 2010 http://www. victorianweb. org/neovictorian/rhys/gordon14. html. Drake, Sandra. Criticism. Wide Sargasso Sea. By Jean Rhys. New York: W. W. Norton ;amp; Company Inc. , 1982. 193-206.\r\n'

Saturday, December 15, 2018

'Job dissatisfaction Essay\r'

'1.What symptom(s) in this case suggest that something has departed wrong?\r\nIn this case, there atomic number 18 a hardly a(prenominal)(prenominal) symptoms clearly stated that something has g wholeness wrong for this tack together. These symptoms flock be classified into two main areas; one is the forbid feedback from the clients and a nonher one if from its own employee’s railway line dissatisfaction.\r\nAs stated in this case, the node services business has grown doubled in the past five years as the break downment of applied science anyowed employees to investigate most software and computer hardware strategy faults from the center through remote monitoring. However, as the business grows, there are possibility of increase exit load and pressure that causes the rise of those negative feedbacks from both customers and employees.\r\nFirst of all, the symptoms that suggested something had gone wrong includes the comp any was unable to live up through their customer’s expectation. This is shown by the increasing complaints regarding poor woodland service by customers. Customers have gossiped that employees seem impersonal to the client’s chore, non enthusiastic in assisting and serveing them. Besides, they excessively commented that they are receiving slow retort to their problem where solving their moment requires the involvement of more(prenominal) than one department. This might payable to poor number ply. Moreover, their customer also commented that employees are pretermiting of knowledge regarding client’s unique information technology ashes infra coordinate.\r\nThere are more symptoms universe detected in employee side which include increase in employee resignations above industry average and employee referrals travel rare. Employees are complaining about monotonous work where the work is insufficiencying in diversity and interest. Employees also commented that they are precipitous from the consequences of their work, where the out abide by of their service is not made known to them. Conflicts that frequently occur among employees with various departments also a symptom that showing book action must be taken by the concern. Employees also complaining about the stress train are increasing when serving dissatisfied clients.\r\nIt is clearly that the company is experiencing some growth; however, the focusing necessarily to find a solution to solve the arising issue where their employees are lacking of motivation in their job. However, the executive team’s decision to raise net profit crops for its customer service staff and the vested profit-sharing propose does not improve the employees’ work performance or customers’ satisfaction. 2.What are the main causes of these symptoms?\r\nThe main cause of these symptoms is the lack of motivation among customer service employees. As consort to the results of employee observe and informal commen ts abandoned by employees, we basis conclude that most of the employees do not endure their job satisfaction. This is the main factor for the lack of plight in doing their task, ended with poor performance in their customer service. The work effectiveness is strongly affect by employees’ work motivation and job satisfaction.\r\nThe lack of motivation among customer service staff is caused by several factors which include the boredom from monotonous work, feels disconnected from the consequences of their work, conflicts with some other departments and the stress serving unhappy clients. totally of the above causes are leading to job dissatisfaction among employees which thence driving poor quality service to their customers. They are lacking of common object in their task.\r\nThe analogy surrounded by those factors and motivation level among employees rouse be explained by the theorise Characteristic Model. According to Job Characteristic Model, five core job dime nsions, accomplishment variety, task identity, task significance, autonomy and feedback from job, produce lead psychological states among employees and lead to higher level of intrinsic work motivation, job satisfaction and work effectiveness. From the employee survey and informal comments, it is clear that the job is lack of variety and lacking of feedback from job.\r\nIn addition, problem within the structure of the company make conflicts between departments. This might due to lack of proper channel of chat from the beat of query have been made by customer and the ticket is issued until the problem has been resolved. Besides, high quit rate and lower productivity among refreshful employees is another source causing poor quality service to customers.\r\nThe general scenario does not improve but turned score instead when the oversight takes the wrong approach in solving the problem by rising employees pay. The problem and causes of the poor quality service is not been canv ass and identified, thus there is no positive sham by just rising pay rate to customer service staff. This can be save discussed as ineffectiveness of reward. The reward given is not linked to the work performance; as the results, employees do not experience the positive emotions even when they absorb higher pay or incentive from the vested profit-sharing plan. 3.What actions should Yakka technical school executives take to correct these problems?\r\nYakka tech executives should take few actions in order to correct these problems. These actions mainly rivet on three parts, first is on boosting up employees job satisfaction to increase their job motivation. Secondly, the management should implement a infract and more drum system for the flow of query between departments. Thirdly, the Yakka Tech executives should reconstruct the reward system in order to improve reward effectiveness. These problems must be properly addressed and analyzed before the company implements new solut ions. Management shall gather more information regarding the factors causing employees job dissatisfaction which results in poor quality service.\r\nproductiveness among employees is strongly related to their job engagement and job motivation. As in this case, the executives should establish a goal setting plan in order to help employees have a clear goal on their job which help in motivating the employees. By setting a precise goal can also help to motivate employees to stay in track. In addition, the executives can establish a feedback system to promote communication between management and staff. decorate a regular employee survey, group meetings or other feedback system to enable employees to share their thoughts to the management. This is to allow the management to detect those areas that need improvement to have better employee engagement.\r\nAn organized system is vital in any organization in order to promote debonnaire work flow. Yakka Tech should implement a better and mor e organize system to solve the communication problem between departments and the flow of query between departments. A clear procedure of work flow should be set and made known to all departments that involve in addressing customer’s problem. Moreover, adapted training for new employees and ongoing training for employee is important. This is to come on employees skills up-to-date and increase productivity.\r\nReconstruct the reward system to promote reward effectiveness. The rates of pay do not increase productivity, but employee engagement does. The executives should come out a better incentive organization to motivate their employees. For example, reward is given to employee who receives good comment from their customer or annual bonus is given to the team when the complaints rate is lower than the benchmark. The reward given should be always linked to the employee performance and the management should provide relevant reward the valued by their employee.\r\n'

Friday, December 14, 2018

'Gwendolyn Brooks and Edwin Arlington Robinson Essay\r'

'Gwendolyn brook and Edwin Arlington Robinson are two out of many okay poets that gain written inspiration poetry that has had an impingement on our country. Gwendolyn digest achieved success at an former(a) age. Brooks is best neckn for her lyrical name of urban poetry, much(prenominal) as the poem â€Å"We certain nerveless”. Brooks was the first African-American writer to win the Pulitzer Prize for her poetry with the poem, â€Å"Annie Allen”. Edwin Arlington Robinson was the first individual ever to receive the Pulitzer Prize in 1922. Robinson’s poetry did not capture the attention of the unexclusive until he was almost 50 years old. electric chair Theodore Roosevelt discovered some of his poetry. He was so move that he offers him a clerk position at the New York Customs House. â€Å"We Real self-possessed” by Gwendolyn Brooks and â€Å"Richard Cory” by Edwin Arlington Robinson demonstration how two authors equate/contrast in the ir poems as it relate to sadal culmination in death, the usage of first somebody plural, and study pass to the indorser.\r\nâ€Å"We Real Cool” demonstrates how it relates to sad determination in death, the usage of first mortal plural, and learning message to the reader. The poem relates to tragic ending in death. These teenagers explain how they engage in activities such as playing pool, drinking, and sinning. Though they believe they have everybody else fooled, they know themselves that the behavior will eventually black market to death. The poem is written in first mortal plural. It allows the pool players to speak for themselves and not allow the reader to draw their own assumptions. Also â€Å"We Real Cool” sends a learning message to the reader. The message that Brooks sends out is that what seems cool in someone else’s eye, isn’t cool in another, and it can put out to a destructive life. â€Å"Richard Cory” demonstrates how it related to tragic ending in death, the usage of first soulfulness plural, and learning message to the reader.\r\nThe poems relate to tragic ending in death. Richard Cory is very successful in the view of the peers alone in his own self judgment, he is undermanned to fulfill his purpose in life. So therefore, he commits suicide. Secondly, first person plural was not utilise in the poem. The town people are talk about how they view Richard Cory. They do not know his personal struggles and only see the human perspective that he shows. They admire him and are quite envious of him. Thirdly, in the poem of â€Å"Richard Cory”, is sending a message that you cannot judge a book by its cover. sightly because someone appears happy and wealthy does not think about that they are truly happy with their lifestyles. What one may perceive may be an allusion to the eye. Furthermore, a person must get to know a person to understand the views and thoughts.\r\nIn conclusion, â€Å"We Real Cool” by Gwendolyn Brooks and â€Å"Richard Cory” by Edwin Arlington Robinson demonstration how both authors contrast/contrast in their poems as it relate to tragic ending in death, the usage of first person plural, and learning message to the reader. We observed that â€Å"Richard Cory” is straight forward, demand and has plenty of descriptions unlike the poem â€Å"We Real Cool”, that requires the reader to use their imagination. However, both poems rhyme. Both poems talks about the importance’s of education of how the advantages of staying in school can get you far or how it can hinder your life. Even though both authors were born in different time era, they both share the same struggles and disadvantages.\r\n'

Thursday, December 13, 2018

'Review for the World That Trade Created\r'

'In cunning routes and otherwise greed wizard to delirium. This was demonstrate through thraldom, piracy, and have got of ivory and opium. African slavery began from greed; Europeans needed labor to fuel their braggy transaction productions and manufacturing of the considerd goods. Mesoamerican slavery and destruction was ca drilld by the Spanish conquistadors in their infamous quest for gold, god, and glory. through with(predicate) greed the conquistadors decimated an entire civilization to obtain their gold.\r\n nevertheless the British and Dutch reaped many economic benefits of this by chance even without knowledge of where their wealthiness had come from. Piracy, in any case fueled by greed, began as small bands, further eventually transformed into jumbo companies of merged raiders. The demanding affair of ivory and opium came from greed and addiction. They became key â€Å"luxury” items for loaded Europeans, and it was the incentive for wars and violenc e. Pommeranz demonstrates throughout chapter five that greed led to violence.\r\nGold, God, and Glory positioned everything in the beginning. The Spanish enslaved the Aztecs when they conquered them to attend to them with carbohydrate production rates, increasing their profit. The Spanish in like manner attempt to convert the Aztecs to Catholisism, and if they rebelled, they were forced into slavery in the name of God. Lastly, they were immensley proud because they managed to conquer the Aztecs, claiming the shoot follow through as their own while in any case beginning the use of slavery.\r\nSlavery was also pertinnent later in bill when the Dutch, seeking revenge upon the Spanish while also being enticed by the wealth sugar trade brought, conquered a port in Brazil, controling the sugar trade. However, they did non have enough slaves to take advantage of the sugar, so although they argue it at first, travelled to African ports and obtained slaves by exchanging luxury goo ds for human lives. Although the Portuguese regaiined control of the sugar production in Brazil, the Dutch still use the advantages of slavery in Africa and the exploitation of human lives that were non theirs to control.\r\nLastly, Robinson Crusoe eventually learned to abandon his ideas of self sufficiency and rejection of luxury, and entered into the slave trade, enticed by the wealth it would bring him. forward corporations, there were family ties. Blood was the medium that bound unitedly the many companies of the era. One example of such a family company was Samuel Rosenfelder’s fur trading house. As Rosenfelder added to his company, he also prepared his son pocket to take over the company in the future. Eventually, slime would continue passing the company to his three sons.\r\nHowever, by the 1600s, there was an obvious advantage to using corporations to stand business. Corporations were impersonal alliances that provided a logical and easy commission to do bus iness on a largeâ€globalâ€scale. The first corporations were anonymous with wide distributions of power and not really necessary until the railroad breeze through in the 1830s. However, these corporations gave birth to something useful at the time: corporate raiders. With the amount of sea trade that was happening, corporate raiders became the new pirates.\r\nMade of refugees, criminals, runaways, and mercenaries, corporate raiders are referred to as â€Å"multinational, multiethnic, democratic bands of sea rovers. ” Although they had less dignity and were more(prenominal) violent than â€Å"traditional” pirates, corporate raiders were often prefer in the eyes of the law, signifying government’s sake in trade. After all, trade was a reproductive source of income. As the greed and available wealth grew, so did violence on the seas. The history of trade has taught us a lesson about greed, and the horrors it can lead to.\r\nGreed for products often leads towards violence. Two outstanding examples of this were the run of Great Britain’s greed for Chinese Tea, and fag Leopold’s desire to begin an ivory market. drug-addicted on the imported Chinese Tea, British plenty had little to offer in return. Struggling to rise compensation for their needed beverage, the British discovered the advantages of trading opium for tea. Easily seducing the Chinese with a cheep option for compensation, their greed for tea only grew.\r\nBecoming roaring with their trading situation, the British were infuriated when the Chinese attempted to stop the Opium Trade. Finally resulting in battles between the British and Chinese, (know as the Opium Wars), the British were guaranteed their tea, and granted what they wanted, at the embody of violence. pouf Leopold II, the monarch of Belgium. Having a lack of colonies, powerfulness Leopold’s only hope for new dirt would be in Africa. He began to show touch in Africa by proper an adv ocate for prohibited slave trade and other issues thus becoming popular among the African eople. Building roads, hospitals, and other stem the African population began to acquire a arduous trust for him. Starting his turn on Africa, King Leopold began to use African mercenaries in 1879 to control the Kongo. His reasons for this were to control much drop in Africa and declare the seized land â€Å"his” property. Gaining wealth from the trading the abundant ivory, his greed for land and tusks only grew. Natives were eventually brutalized, ears and limbs were severed off of those that opposed him.\r\nAfter leaving piles of dead elephants for the natives to discard, his soldiers sailed down the congo river shooting the Lunda, or Mongo for sport. King Leopold’s greed for wealth from ivory trade brought awful violence to the people of Africa, and caused a decrease in the elephant population. Both the trade of tea, and ivory caused greed for those who want it, and when the threat of a stop to the trade presented itself, violence was the only answer, today we can see the alike(p) pattern carrying out as it did hundreds of years ago, as greed for oil grows.\r\n'