Formation of a Company Under Companies Act, 1956 Essay

A company is an association of both individual and natural persond incorporated under the existing law of a country. in ters of the companies act,1956 it is defined as: â€Å"a company means a company formed and registered under this act or any existing Company†sec 3(1). procedure for formation: ahy seven or more persons or where the company to be formed is a private company,any two or more persons associated for any lawful purpose may by subscribing their names to a memorandum of association and otherwise complying with the requirements of the companies act,1956 in respect of registration,form an incorporated companywith or without limited liability.(sec12) The following ingredients are required for the formation of a company: 1.promoters of the company 2.lawful objective for which they associate themselves. 3.promoters must subscribe their names to the memorandum of the company 4.promoters must comply with the requirements of the companies act,1956in respect of registration which is as follows: a.declaration of compliance in Form1as prescribed in Companies(central Governments)general Rules and Forms1956 executed by any one of the following persons: advocte of a high court or a supreme court,attorney or a pleader entitled to sppear before a high court,a company secretary or a chartered ccountant in whole time practice. b.a stamped and signed copy of memorandum and articles of association. c.notice of situation of registered office in form18 d.formno.32containing particulars of a person th act as managing/wholetime director of the company. e.particulars in favour of one of the subscribers to the memorandum duly executed on a non judicial stamp paper of the requisite value. f. any agreement which the company proposes to enter into with any person g.original true copy of the Registrar of Companies letter intimating about the availability of name. 5.minimum paid up capital must be one lakh rupees for a private company and rupees five lakh for a public limited company. A private ltd company can immediately commence its business after a Certificate of registration is issued by the Registrat after due verification of the documents and on payment of the prescribed fee as specified in ScheduleX., apublic company having a share capital can commence its operations after getting the Certificate of Commencement of business from the registrar.

All Saints – Retail Environment

My Favourite Retail Environment: All Saints Before you enter the shop, All Saints have set their tone. Headless mannequins hang on chains, enclosed by dark grey walls; the window display at the front of the shop is bleak yet the simple nature portrays the beauty of the garments. The surrounding windows are tinted, therefore you can see out but not in; this gives the shop an exclusive feeling, contributing to the individual style of the clothes and the high price tags.The building is the main feature of All Saints which sets it apart from other high street shops; it’s a converted bank, however it’s been renovated to look and feel like a church, this view is gained from entry as you step through the huge wooden doors. The ceilings are high, the arches, pillars and cornices are incredible, the tiled floor is amazing, and the centre of the store has a beautiful round ceiling mural with a balcony surrounding and a trio of gold, goblet type ornaments.The shop is very gothic i n style and having every wall painted a dark grey colour contributes the styling of the clothes and the mood the shop puts you in; it’s like a fantasy world where the Victorian era meets modern Soho or downtown New York. Lighting in the store consists of spotlights on the ceiling pointing down at each fixture or display of clothing; this provides great contrast to the blandness of the colours and also highlights the garments beauty.The spotlights also contribute to the exclusive, almost celebrity feeling as they transform the store into a kind of set, depicting a story, as would be done in a movie. There is a hanging cruciform, created from very bright, stark naked bulbs. This creates a very artistic and creative view and a rock ‘n’ roll feel within the store, allowing the consumer to really understand the innovative and conceptual brand they are purchasing from.The theme of crosses is continued throughout the store and also features on the giant iron crest outsi de the store. The fixtures on the wall are created to be in the shape of a cross and the ends of each arm have a small cross logo. The fixtures are like scaffolding and the display cabinets are giant old wooden tables or big heavy draws and cupboards with huge locks and chains. The displays are incredible with huge butcher style hooks, warehouse style chains and metal, old head neck dummies ripping at the seams and skull candles.The store has depressive modern music playing in a relaxed manner, contributing to the contemporary feel and making the shopping experience more pleasant. There is no ‘perfumed’ smell to the store; yet it has a kind of musk which smells like old vs new. All Saints’ staff is incredibly attentive and great at selling in a non-pushy manner. Overall the store is very open plan; the distressed feel and glamour meets grunge cool is inspiring and that is what makes ‘All Saints’ my favourite retail environment.

The Marginalization of Aboriginals in the Canadian Justice System

The original people to live in Canada have adapted the name Aboriginals. They were here before the European settlers discovered the continent of North America. When the Europeans arrived in Canada they brought with the many technological advances and customs that the Aboriginals did not know. Although you might think that this would be a very great thing for Aboriginals, it was not very good. The Europeans thought that the aboriginals were very hostile and treated them very badly.The Europeans tried to assimilate the Aboriginal’s culture and force them to become like the Europeanss. The Canadian justice system has marginalized the Aboriginals of Canada for many years. For the first couple hundred years there were many wars between the Europeans and the Aboriginals. But then things started to stabilize and the Aboriginals and the European settlers began to trade amongst one another and become more and more dependent on each other.However, beginning in 1964, immediately followin g the Royal Proclamation, the British began to gain more control over the Aboriginals. They signed numerous treaties with the Aboriginals for them to give up their land in exchange for a sum of money and small reserve lands specifically for the Aboriginal people. However the land the aboriginals were given was very poor and had bad soil which made it hard to farm. The idea of residential schools set out in 1846 and was put into action in the late 1890’s by the Department of Indian Affairs.The whole point of residential schools was deculturalization of aboriginals. However the government didn’t put it so bluntly. They would say that the aboriginals are put in a â€Å"white society† to learn how to become â€Å"better† Canadians. Not only did residential schools commit culture genocide but there was also lots of abuse at the schools. For example, estimates suggest that as many as 60% of the students died (due to illness, beatings, attempts to escape, or sui cide) while in the schools.They would be punished if they did not speak English even though many of the children didn’t know how. The schools were also very poorly funded by the government and the children were usually taught physical labour. Many of these issues have been solved and the government is still doing things today to help mend what they have done to the Aboriginals in the past. However Aboriginals are still very affected at what has been done to them. First Nation communities experience higher rates of violence, domestic abuse, sexual abuse: rape, incest, etc. lack of family and community cohesion, suicide, addictions, alcohol, food, health problem: diabetes, heart disease, obesity, poverty, unemployment, high school dropout (63% do not graduate), despair, hopelessness and more. The Aboriginal community has been marginalized by the Canadian Justice system which has affected them greatly. Hopefully the government will do everything they can to help aboriginal peopl e become healthy members of society and keep their cultures and beliefs.

The Great Depression and American isolationism affect on FDR's desire Essay

The Great Depression and American isolationism affect on FDR's desire to take an active role in international affairs in the manner of TR and Wilson - Essay Example According to Michael Leigh, FDR never made any attempt to persuade US public regarding ending of isolation. He also says that FDR had enormous preoccupation with the public opinion. (http://www.foreignaffairs.org/19950501fareviewessay5045/paul-johnson/the-myth-of-american-isolationism-reinterpreting-the-past.html ). This view contradicts the famous fireside chats of FDR to some extent, because he was a humanitarian and the Nazi killings must have worried him. At the same time, he moulded the public opinion towards participation in the war. Initially, that is before the Pearl Harbour, Roosevelt did value the American public opinion which was combined with the caution of Great Depression and American belief in isolationism. "Domestic political problems in the summer of 1937 had made Roosevelt particularly reluctant to risk anything in foreign affairs. The Court fight and the failure to break a series of sit down strikes have seriously ended his middle class support," Datlek (1979, p.14 7). Isolationists thought that alliances could be unsettling, and destabilizing. In President Hoover's opinion they were 'provocative actions' that have 'hitherto always cracked up in war itself'. The horrors of the First World War, Versailles treaty, fear of getting drawn into another war, Great Depression, scare of losing uninhibited decision making were a few causes of isolationism. Isolation had many more reasons and excuses: "Belief that the depression had been caused by W.W.I Belief that Europe was unworthy of our support Pacifism-people who hated and abhorred war Belief that arms manufacturers, bankers had caused war Belief that W.W.I had been a tragic mistake for the U.S " http://www.sagehistory.net/roosevelts/wwii/1920WWII1940.htm FDR initially was more engrossed with the domestic problems and his refusal to peg the value of the US dollar wrecked the International Economic Conference of 1933, to be held in London, which was partially encouraged by Hoover. FDR, instead, maintained Good Neighbour Policy and Pan Americanism and in Buenos Aires Conference, he demonstrated that America was uninterested in domineering weaker nations and he continued economic nationalism and cooperation both. Still, there existed a certain stalemate between an internationalist president and an isolationist congress. He recognised USSR, increased foreign trade hoping to alleviate depression, and his Neutrality Act of 1937 famously hurt Spain and made US a 'silent accomplice of Hitler'. His Quarantine speech in Chicago was intentional; but Americans were too wrapped up in isolationism and events like Panay, plight of China, and even the armament need of Britain and France did not move the Congress, despite President's efforts, though h e eventually succeeded in persuading Congress to send armaments to Britain, which is called America's 'first line of defence'. did not end till the onset of Second World War and the fear of it had slowed down America. FDR had to face this inertia, even though he wanted

To what extent is an individual's vote the result of a multiplicity of Coursework

To what extent is an individual's vote the result of a multiplicity of factors - Coursework Example The political campaigns that are conducted by the different parties during the electioneering period also have their stake in influencing how an individual will cast their vote. It is clear that the voting process must have evolved from when people were voting according to class up to the place where voting is purely based on personal judgment and assessment of the party’s policies and the leader. In doing this, will trace the history of voting in Britain. It is going to cover the alignment era of 1940s to 1970s, giving a keen look at how electioneering activities were ran during that period. The essay will also examine the de-alignment era that began from the 1070s onwards, proceeding the alignment era (Denver, 2007 P. 22). The conclusion of the paper will an analysis of the factors that influence voting in the modern day, and specifically look at some recent elections that were conducted in Britain. During this period, voting in the UK was greatly influenced by such factors as social class, family, local community, gender, age, ethnicity, region and religion (Persson, 2000 P. 54). The era between 1940- 1970 can be referred to one characterized by party identification and class voting. There were mainly two major parties that dominated the party system at that time. These were the Conservative and the Labor Parties. There patterns of voting was relatively stable as there was minimum switching of political allegiance (Weibull, 1987 P. 52 ). The people were not very much inquisitive and they went by the current wave of their fellow mates in the social class. The stability could have been attributed to the image that the voters attached to the party of their choice rather than the policies which it upheld. The affiliates cared really less about the policies. Party identification was mainly obtained from social class, parental political party adherence, and the nature of local commu nity, the region that one

Wrongful Convictions - Death Penalty and Innocence Essay

Wrongful Convictions - Death Penalty and Innocence - Essay Example I would much rather risk the former. This, to me, is not a tough call." Professor John McAdams, Marquette University Law is one of the most intricate aspects of socio-political life; it revolves around the life of individuals and helps them coexist in tandem with one another. It is based on a philosophy as talked about by eminent thinkers and its very features emanate a sort of philosophical thinking on the basis of what law exactly is. Law generates human behaviour and is answerable for the actions of the people; it thus control and regulates the manner in which people exist around each other and thus, it poses an intellectual question as to how it carries out the same function. Within a society thus, if people commit crimes or harass others and intrude upon their peaceful living, they are bound to be punished, and since times immemorial, one of the worst punishments that a person may be given is a death penalty. The definition of the term death penalty is ‘putting a condemned person to death’. (Definition - Death Penalty). This means that if a person kills someone, in most cases, he himself will get sentenced to death. At the same time, it is pertinent to note that many countries around the world have abolished the charge of a death penalty to their citizens despite the heinous acts that they may commit. Other countries, for example, India, still make use of the death penalty in the rarest of rare cases. Current trends in the United States of America suggest that the death penalty is administered to people committing crimes ranging from drug trafficking to aggravated murder, and one of the most common forms of the execution involves the use of a lethal injection which has been opposed by numerous human rights groups. In 2011 itself, 43 executions have taken place with the lethal injection (Facts About Death Penalty). However, there are many states within the US, for example, Michigan, Hawaii, and Alaska, which have banned the death sentence altog ether. In America, there is acclaimed public support for death penalties as well because the people believe in truly punishing those that commit grave crimes like murders. Since the 1980s, this trend seems to be in the proposition of the public. Michigan was the first state with an English-speaking government that banned the death sentence for all crimes except for treason. Giving any individual the death penalty is a tough task to process because it involves pin pointing a certain crime onto a person that has shocked all of society; since the punishment depends on the gravity of the crime committed, it is pertinent to understand the reason for giving a death penalty in many parts of the world even today. However, according to personal opinion, the death penalty should only be reserved for the worst crimes and the rarest of rare cases because as discussed within this paper, it is difficult to segregate the innocent people from those that are indeed guilty and wrongfully giving the d eath penalty will result in creating many more criminals rather than fix the society. Causes of Wrongful Conviction Eyewitness error The memory of an individual may be either blurry or deceive him especially when it comes to remembering events that may have occurred in the past, especially with respect to other individuals. In the case of a rape and kidnapping, a man in Florida, Alan Crotzer, was wrongfully convicted to a long time in prison, awaiting a decision when he had not committed a crime at all, despite the eyewitnesses stating the facts as him being the criminal (Stutzman, R). According to the

Nursing Theory Website Paper Essay Example | Topics and Well Written Essays - 250 words

Nursing Theory Website Paper - Essay Example An example was the theory by smith that contradicted the child as the client. she was a nursing theorist who was a veteran in the development of theories that concerned nursing. However, the goal attainment theory is the most popular being featured in major nursing theories. The site that delineates the particulars of the theory is the most accessible. The subject matter is also broader than that of Casey’s model (Imogene, 1987). Most of the nursing books have also come into existence after the advent of the goal attainment theory. Nevertheless, the theories have borrowed from the theory. Books that are reaching the market after the theory include `Imogene King’s nursing theory by Varghese and the Helvie theory books by Carl Helvie. The theorist still serves as an American licensed nurse and also a professor of Nursing at Old Dominion University. The site for her theory is well updated and easy to locate while surfing the web. On the other hand, the site is peculiar in that the theory bases the argument on primary findings from research carried out to peasant persons and consequent education and practice (Jarrà ­n, 2007). Books written after the theory are by people such as Julia B George, Melanie McEwen and Evelyn M Wills. Their books are also readily available and provide good

Structure and Development of Victorian (VELS) Curriculum Essay

Structure and Development of Victorian (VELS) Curriculum - Essay Example The Victorian Essential Learning Standards (VELS) outline what is important for all Victorian students to learn and develop during their time at school from Prep to Year 10. They provide a set of common state-wide standards which schools use to plan student learning, assess student progress and report to parents† (What are the Victorian Essential Learning Standards?, 2009) This paper is briefly analyses the structure and Development of Victorian (VELS) Curriculum The VELS has total six levels classified into two categories; primary school level and secondary school level. Level 1 – Preparatory, Level 2 (Years 1 and 2), Level 3 (Years 3 and 4) and Level 4 (Years 5 and 6) are the primary school levels whereas Level 5 (Years 7 and 8) and Level 6 (Years 9 and 10) are secondary school levels as per the VELS system. All the levels except the preparatory level, assumes to be completed in two years as per this curriculum structure. â€Å"The Victorian Framework is designed to assist families and early childhood professional to guide children’s learning and development from birth to 8 years of age.   It links the five learning outcomes from the national Early Years Learning Framework (0 – 5) with   the learning and teaching in the first stages of the Victorian school curriculum – the Victorian Essential Learning Standards (VELS) from ages 5 to 8 years. It outlines ways to support children’s transitions into and between early childhood education and care and school† (Victorian Early Years Learning and Development Framework: Birth to 8 years (VEYLDF 0-8)) The curriculum is further divided mainly into three brad areas based on the teaching subjects like Physical, Personal and Social Learning. The aim of such classification of curriculum is to achieve a balance between the education, work and life. As per this curriculum strategies the aim of education is making the student capable of succeeds in his further education, future life and work. Skillbeck model of

The study in economic factors affecting on the value of Stock Exchange Literature review

The study in economic factors affecting on the value of Stock Exchange of Thailand Index (SET index) - Literature review Example Ross states that the theory predicts the returns on assets and the other risk factors. The theory allows determining the relationship between return of a portfolio and return of an asset. The theory has been applied to determine macroeconomic factors to determine stock through examining seven macroeconomic variables that are risk premium, industrial production, inflation, market return, consumption, and oil prices. The results depict a positive relation between macroeconomic variables and stock return. The fundamental concept in arbitrage pricing theory is the ‘law of one price’ that is, that the two assets cannot be sold  at different prices. The theory determines simpler version than the Capital Asset pricing model in which one operating system affects the returns. Arbitrage pricing theory determines investor’s preference towards risks. Azzez & Yonezawa (2006) study investigates the empirical evidence for the pricing of macroeconomic factors in the Japanese St ock market using APT model. The model determines pre- and post- bubble period of the stock market and determine the relationship between the macroeconomic factors and stock returns (Azeez & Yonezawa, 2006). The study of Zhu (2012) illustrates the impacts of macroeconomic factor (returns of the energy sector in Shanghai. The main objective of the study id to determine the influence of macroeconomic factors on the stock market, it focuses on the exchange rate, industrial production, bonds, exports, imports foreign reserve and the unemployment rate (Zhu, 2012). Quantitative methodology was adopted to conduct a study, and the data was gathered from secondary sources such as, National Bureau of Statistic of China, People’s Bank of China for a consecutive period of 2005-2011. Arbitrage Pricing Theory has been applied to determine the returns of assets and risks. The finding of the study reveals that the exchange rate, export, foreign reserves and the unemployment rate

Advertising and promotion Essay Example | Topics and Well Written Essays - 3500 words

Advertising and promotion - Essay Example 536). When it comes to a marketer, one of the most important aspects of his business function is value creation through the products or service that he is selling, and it is critically important that the value he created should be communicated to the proposed customers. The messages a marketer has to communicate may vary from firm to firm. It may be about the features, price and other significant elements of the product or service. Marketing communication is a collective term for all different types of messages that are used to establish a brand. The various communication modes are; 1- Advertising: It is non-personal presentation and promotion of ideas, goods or service by the marketer. Advertising is generally defined as spreading of information. 2- Sales Promotion: It involves variety of short-term incentives to encourage trial or purchase of a product or service. 3- Events and experiences: these are company-sponsored activities or programs designed to create brand related interact ions, 4- Personal selling: That is face-to-face interaction with one or more customers for encouraging the purchases. 5- Public Relation: It involves programs designed to promote a product or service, 6- Direct marketing: It is the use of mail, fax, telephone, internet etc to communicate with customers to make them aware of and to promote to purchasing a product or service (Duncan, 2004, p. 7- 12). The Process of Marketing Communication Communication is transmitting, receiving and processing the information. When it comes to the marketing communication, the marketer or communication agency that has been assigned by the marketer attempts to transfer an idea... The intention of this study is marketing communication as basically a marketing function by which business firms attempt to inform, persuade and remind consumers about the products that they want to sell to them. When it comes to a marketer, one of the most important aspects of his business function is value creation through the products or service that he is selling, and it is critically important that the value he created should be communicated to the proposed customers. The messages a marketer has to communicate may vary from firm to firm. It may be about the features, price and other significant elements of the product or service. Communication is transmitting, receiving and processing the information. When it comes to the marketing communication, the marketer or communication agency that has been assigned by the marketer attempts to transfer an idea or message to a receiver in a way that the receiver will be able to process the information being communicated to him. Though gener ally the marketer is the main source for giving the advertising or conducting the promotion activities, more often them marketing department is looking for an agency or organization that can help them in advertising and promotion. Advertising and promotion industry consist of large numbers of organizations such as Television channels, radio stations, new paper companies, film companies, websites and other firms that facilitate bulleting or digital billboard advertising etc.

Principles And Applications Of The Financial Management Assignment

Principles And Applications Of The Financial Management - Assignment Example Constructing new office building now at a cost of $4,000,000 from funds the business currently has; ii. Investing the $4,000,000 until 2017 when the business is ready to start construction of the building, at which time it would either use all of the $4,000,000; or iii. Obtain a bank loan for $2,000,000 to help finance the cost. The returns or expenditures on the various options need to be calculated and assessed in order to arrive at the best decision. The return on investment for the 4 year period is approximately 11 percent which represents a total of $434,872. Table 1 below shows the calculations. Option - Invest the $4,000,000 and construct building in 2017 Year Amount Interest    2013 4,000,000 3.50% 4,000,000 2014 4,000,000    4140000 2015 4,140,000    4284900 2016 4,284,900    4434871.5 Interest accumulated ($4,434,872 - $4,000,000)       434,872 ROI       11% Table 1 This return of 11 per cent is considered low when the inflation rate is taken into considerat ion. The forecasted inflation rate for 2013, 2014, 2015, 2016 and 2017 was 1.7, 1.8, 1.9, 2.0 and 2.2 respectively (IMF 2013). This represents inflation of 9.2% for the 5 year period and 7 percent from 2013 to 2016. (See Table 2 in the Appendix for calculations). Therefore the real return on the $4,000,000 if invested would be 4 percent (11% minus 7%). If the building is constructed in 2017 the estimated value to construct it would be $4,415,252. See Table 2 for additional information. Computation of Value of Building in 2017 Year Amount Rate Value 2013 4,000,000 2.50% 4,000,000 2014 4,000,000 2.50% 4100000 2015 4100000 2.50% 4202500 2016 4202500 2.50% 4307563 2017 4307563 2.50% 4415252 Increase in value       415,252 Table 2 The table indicates that the change in value represents an increase of $415,252. Based on the interest calculated in Table 1 this would suggest that if the $4,000,000 was invested enough interest would be earned to cover the expected increase in the value o f the building.

Best Celebration I Ever Had Essay Example for Free

Best Celebration I Ever Had Essay Graduation day, boy what a day. Man I’d have to say is that that was by far the most nerve-racking day ever. Up to this point in my lifeline of my history. Many thoughts were racing through my head. All the parties, family showering you with gifts. I couldn’t hardly sleep the night before because of the anixety of not having the choice of never having to go back to school again. Actually it was probably more of a relief for the faculty and staff because, I was the last Beckert running through the hallways. Of course out of the two of us in the family, my brother was a real angel. I was always the one who was made an example of in school and always into mischief all the time. Of course ,what do you expect when you come to school drunk and told to go home. As i got up for graduation day my palms were sweatty all day. I took three showers to keep cool , but then I realized I was only graduating. It wasn’t like I was winning a million dollars or going on the show, â€Å"Deal or No Deal†. When I arrived at the school, we gathered in the cafeteria and waited for the music to start so we could walk, for the last time, out of Tri-Valley High School as a student. I looked out of the corner of my eye and one of my teachers was waving his hand to tell me that I needed to come talk to him real quick. So, ran over and asked,† What’s going on Mr Rotella†. He replied ,noting I need to grace you with some information and you can take any way want to. At first I looked around and thought it was going to be something bad. So I listened. And it was advice on life from a teacher that had been through alot. He said, â€Å"Aaron remember, life is like a roll of tiolet paper†. Iwas dumbfounded by this statement. Then i said,† what do you mean by this Mr.Rotella†. He Replied, â€Å"you can mke your life short and wasteful, or you can make it long and useful†. I started to laugh inside to myself about it. He looked at me and said, â€Å"what is so funny†. I replied, â€Å" I’ve never thought that i would compare my life to roll of tiolet paper†. He looked at me and was telling to think about i t while. So I thought ,as I walked across the front yard of Tri-Vallley High School. It slowly started to sink in and I think it had hit me when I walked across the stage to receive the achievement that was worth the time invested. Right before I got ready to send my cap into the air, it finally dawn on me what he was trying to say. The simile hit me out of nowhere like as if Mike Tyson had blindsided me. Mr.Rotella was simply trying to lead me in the right direction. That’s why he was stating that it was up to me to make the choice. Just like the simile that he was portraying to me in the classroom. Needless to say, I took his advice. Oh yes i took his advice, and let me say I used that roll of toilet paper. But ,he never did state specifically that couldn’t have more than one roll. Meaning that I have had to â€Å"purchase† a few rolls, since the day I walked across the front lawn of Tri-Valley High School. I’m sorry no one can make one roll of toilet paper last ten years. I have though in the last ten years, educated that same thought on a lot of people and just like me they all did the same thing at first. They would giggle and then about twenty minutes later it would hit them. That look of â€Å"wow that’s an extremely deep thought†. My ten year reunion is coming up and I’m sure the rebutle to the teacher will be quite amusing. Hopefully since I have gained a few years. Maybe he will bestow another simile upon me to think about for another few years. At least I took one piece of information out with me when I hit them doors for the very last time.

Changing Scene Of Healthcare Adminstration

Changing Scene Of Healthcare Adminstration This paper will focus on the changing scene of the healthcare environment. The health care industry is a challenging and gruesome environment. Healthcare providers must ensure that patients are provided with the best care. There are many challenges that managers face in an environment that change on a daily basis. Healthcare managers must be ready to face take on these changes so that their organizations maintains a competitive edge. Organizations continue to pursue new challenges so that they can compete in the global marketplace, they often conclude that multidisciplinary teams are needed to develop innovative products and services and respond to customers interested in a broad range of products and services (Liebler McConnell, 2008). When a manager is taking on a new task of managing split departments he or she must be able to lead and communicate effectively. A lack of communication can be the main cause a manager fails in their new role. Multidisciplinary teams provide a structure for bringing together employees with the diverse technical backgrounds needed for these tasks. The increasing popularity of team-based organizational structures reflects the widely shared belief that teamwork offers the potential to achieve outcomes that could not be achieved by individuals working in isolation (Liebler McConnell, 2008). Healthcare managers that are in charge of split departments must determine what goals the department will need to meet. This can be done through carefully analyzing the specific attributes and qualities of the department. Senior level managers should establish team leaders that can ensure department employees have the necessary resources they need to accomplish the mission. As they restructure around multidisciplinary teams, however, many organizations are discovering that teams do not always produce the desired results. Even when teams fulfill their potential, team members and their organizations may experience unanticipated negative side-effects, such as unproductive conflict and high turnover (Liebler McConnell, 2008). Below is a list of task and responsibility that split level department managers will need to conduct, due to changes within the organization. Approving more time cards Conducting a larger number of performance appraisals Providing senior employees with leadership responsibilities over teams Establishing a diverse environment Setting performance measures for the employees to meet Creating new performance standards Creating new position descriptions Creating a travel schedule so that management can visit employees at other facilities. Healthcare managers conduct the following task listed above on a daily basis and these task will change when the new managers is responsible for multidisciplinary departments. The managers will have to understand the basic foundation of each specialty that he or she is responsibility within their department. Employees will need to receive diversity training on an annual or semi-annual term. Managers will need to determine ways in which grievances can be solved without disrupting the work-flow of the organization. The main goal is for a split department manager to achieve is to ensure the mission and the objectives of the organization is achieved while maintain customer and patient satisfaction. What does this split-department situation do to your efficiency as a manager and how can you compensate for this change? A manager that is new to operating a split-department can have a low efficiency rate at first. The reason being is that the manager might not understand his or her new role and responsibility. Managers will need to undergo transitional training. This training can be for a month, so that when the new manager takes over their new role, they have a clear understanding of the requirements; they will need to be successful in the new position. The efficiency of the department can also be determined by the number of supervisors the employee reports too. In many cases, when there is more than one manager, giving the employee guidance on task it can become confusing for the employee and may lead to a deficiency in work performance. Unity of command is increasingly regarded as something of a theoretical ideal in that in many instances it is being abandoned in favor of split-reporting relationships in which a single subordinate reports to two or more superiors (Jacobs, Smith, Street, 2006). The ability to maintain a split department that has a high efficiency rate will be based on the managerà ¢Ãƒ ¢Ã¢â‚¬Å¡Ã‚ ¬Ãƒ ¢Ã¢â‚¬Å¾Ã‚ ¢s communication and leadership skills. Managers who do not communicate with their employees will never witness high efficiency levels within their department. Newly appointed split department managers will have to deal with resistance. Resistance to change will never be completely eliminated. In many cases employees will need to be flexible and adapt to change as change occurs within the organization. It is critical that managers have full knowledge and understanding of what is happening and why it is happening are the strongest forces the manager can bring to bear on the problems of resistance to change. On what specific management skill should the newly appointed split department manager be concentrating? A newly appointed split department manager must possess excellent communication skills. Communication skills are critical in a healthcare organization. Effective communication is about sending a message to a receiver that is clear and understandable. When the receiver does not understand the message being sent the task being requested cannot be successful completed. Communication in the healthcare environment is critical and can be the determination of life and death for a patient. When information is not passed along correctly patient may receive the wrong prescription or they may have surgery performed on the wrong site. It is important that managers inform employees of the importance of providing accurate and clear communication. In a recent survey of recruiters from companies with more than 50,000 employees, communication skills were cited as the single more important decisive factor in choosing managers. The survey, conducted by the University of Pittsburghà ¢Ãƒ ¢Ã¢â‚¬Å¡Ã‚ ¬Ãƒ ¢Ã¢â‚¬Å¾Ã‚ ¢s Katz Business School, points out that communication skills, including written and oral presentations, as well as an ability to work with others, are the main factor contributing to job success (Mulrennan, 2010). Case: In need of improvement Operating deficiencies can deter the progress of the organization. It is critical that managers identify problems as they occur so that they can be resolved at the lowest level. The reason for the massive restructure is so that the department can account for items that are being provided. The following measures listed below will be implemented immediately and management will work as a team to ensure these measures happen in a timely manner. The next re-evaluation of the department will be conducted in 30 days. The following measures will be taken in order to improve the current structure of the department. A justification will be written as to why another processing aide is needed. The current work load will be analyzed to determine whether the justification for another processor is appropriate. An inventory management program that is replicated from the department of veteran affairs regulations will be created. Only a 30 day inventory level will be maintained in stock. The inventory specialist and the manager will conduct an inventory every month. Appropriate re-order levels will be set so that items will not complete run out. Management will develop a plan for organizing the current work environment so that space can be utilized effectively. Once the new guidelines are implemented, managers must monitor the implementation of the change to ensure it will work long-term. A new work method, dependent for its success on willing adoption by individual employees, can be introduced in a burst of enthusiasm only to die of its own weight as the novelty wears off and old habits return. New habits are not easily formed, and the employees need all the help the manager can furnish through conscientious follow-up (Liebler McConnell, 2008). Classic management functions Manager at all levels have five basic management functions that they must follow in order to successful operate an organization. These functions have been used for many years and have enable managers to be successful. When these functions are used incorrectly organizations will suffer from lack of productivity. Planning is the first management function. This is a critical function and involves developing the mission and what goals the organization is going to accomplish. Managers must plan for the success of the organization by evaluating all areas of the organization. Through this evaluation managers will be able to determine what areas are weak and strong. An example of planning would be when healthcare managers are moving an entire department to another floor. Managers will need to plan the move with engineering and IT so that work stations and furniture gets moved to the correct location (Marquis, Huston, 2008). Planning the move of an entire department will require constant communication on the immediate supervisorà ¢Ãƒ ¢Ã¢â‚¬Å¡Ã‚ ¬Ãƒ ¢Ã¢â‚¬Å¾Ã‚ ¢s part. He or she will need to keep employees constantly informed on the status of the move. Organizing is the second management function. Mangers will need to use the organizing function when trying to plan effectively. When managers are planning to move one department to another floor, they must create a timeline so that the move will be organized according to a schedule. This timeline will provide employees with a start and end date of the move. Manager can also organize a schedule on what section will be moving first and who will be moving last. Staffing is the third management function. It requires filling and keeping filled with qualified people all positions in the business. Recruiting, hiring, training, evaluating and compensating are the specific activities included in the function (Marquis, Huston, 2008). Managers will need to ensure they are interviewing and hiring qualified candidates for the positions they have vacant. An example of staffing is when a logistic manager is conducting performance appraisals on his or her employees. Managers who conduct performance appraisal will be keeping employees informed on the progress they have been making while working for the organization. Directing is the fourth management function and requires influencing peoples behavior through motivation, communication, group dynamics, leadership and discipline. It is critical that managers have excellent leadership and communication skills. Senior level managers who have the responsibility of directing junior mangers will need to communicate with them on a regular basis, so those employees are aware of the organizations status. Healthcare managers can also provide leadership training to those mid-level managers who might be having a difficult time leading and communicating with their employees. The purpose of directing is to channel the behavior of all personnel to accomplish the organizations mission and objectives while simultaneously helping them accomplish their own career objectives. An example of directing is when a team leader directs their subordinate to accomplish a task within a specific timeframe. In order for the manger to be successful with direct leadership authority they must provide the employees with the necessary resources they will need to accomplish the mission. Controlling is the fifth management function. Managers can develop performance standards in order to implement this function. Controlling is a four-step process of establishing performance standards based on the firms objectives, measuring and reporting actual performance, comparing the two, and taking corrective or preventive action as necessary. Managers are responsible for controlling the daily operations of their departments. In many cases when an employee cannot control a problem from erupting they will normally involve their manager. All managers must have the capability of solving problems that may arise within the organization. Since planning is an active pursuit, how can doing nothing be indicative of planning to fail? Managers are required to plan for worst case scenarios. When managers do not plan for the problems they may foresee in the future they have set the organization up for failure. The reason being is that when these problems occur managers will not know how to handle or solve the problems. Therefore the problem will escalate and may eventually cause harm on the organizations operations. What is one legitimate example of organizing that the department manager may never encounter or may perhaps encounter only once in a great while? And one example of organizing that the department manager may employ multiple times in a normal workday? The department manager may have to organize an event that will allow multiple disciplines to come together and work on their customer service or team building skills. An example of organizing that the department manager may employ multiple times in a normal workday is when a manager organizes the employeeà ¢Ãƒ ¢Ã¢â‚¬Å¡Ã‚ ¬Ãƒ ¢Ã¢â‚¬Å¾Ã‚ ¢s workload for that day or the next day. What is the management function most closely associated with teaching, guiding, and motivating workers? Directing is the management function that is closely associated with teaching, guiding and motivating others. It is important that managers provide guidance and direction over their employees so that the daily task of the organization can be accomplished in a timely manner. In conclusion the healthcare industry is constantly changing. Healthcare managers must train their employees to adapt to change so that productivity can continue to increase. The five management functions that were explained earlier can be used to strengthen any organization from the ground up. Communication and leadership skills are essential if managers are going to succeed in training and maintain a workforce that can satisfy patients and employees.

Nurse-led Respiratory Syncytial Virus Immunisation

Nurse-led Respiratory Syncytial Virus Immunisation Respiratory syncyital virus in pre-term babies. Setting up a nurse led clinic to give Synagis (immunisation) with implications for nursing practice. From the neonatal nurses view point. Introduction The respiratory syncytial virus is identified as a labile paramyxovirus which produces a histologically characteristic effect of causing fusion of human cells in tissue culture – hence the term â€Å"syncytial†. It is commonly sub-classified into types A and B. The B strain is generally asymptomatic in the majority of the population whereas the A subtype tends to produce the more severe illnesses which tend to predominate in the majority of clinically significant outbreaks (Bar-on ME et al 1996). It has an incubation period of 4-6 days and the infection typically lasts from 7-14 days, but does occasionally last up to three weeks. If it becomes necessary to hospitalise a child with respiratory syncytial virus infection, the admission period is typically 5-7 days.(Hentschel J et al 2005) Contagion in the form of virus shedding is its highest levels during days 2-4 of the illness but the active viral particles will continue to be shed for up to 14 days after the clinical onset of symptoms. The respiratory syncytial virus is known to affect both upper and lower respiratory tracts although the most clinically significant manifestations arise in lower respiratory tract infections, bronchiolitis and pneumonia being perhaps the most significant. Bronchiolitis is a particularly severe illness in the pre-term infant by virtue of the fact that it causes very significant small airways obstruction. (Sigurs N et al 1995) The respiratory syncytial virus is currently the commonest identified cause of lower respiratory tract infections in children under the age of three world-wide. Serological studies have identified that, at least in the UK, that virtually all children will have had at least one episode of infection by the age of three. In the infant and neonate age groups, it is currently the numerically largest cause of both pneumonia and bronchiolitis (Krilov L R et al 1997), and is also thought to play a role (as yet not fully understood), in the aetiology of both asthma and chronic obstructive airways disease.(Pullan C R et al 1998) For those patients who have concurrent immunodeficiency states it is a very significant cause of both morbidity and mortality (Long C E et al 1995) Clinical presentation In our considerations here we shall confine our discussion to those clinical manifestations common in the neonatal group and accept that the comments made do not necessarily apply to those older children and adults who may also contract the virus. The respiratory syncytial virus is currently the commonest cause of pneumonia in young children with the greatest preponderance in the under three age range. (Jeng M-J et al 1997) The initial phases of an infection are generally characterised by symptoms of a transient upper respiratory tract infection such as runny nose, watery eyes and mild pyrexia. This typically progresses to produce symptoms of cough, wheeze (although this may be absent in the neonate), high pyrexia, dyspnoea, central cyanosis – characterised by a bluish tinge to the skin, lips and fingernails, increased respiratory rate and occasionally visible utilisation of the accessory muscles of respiration and sub-costal retraction, all of which indicate lower respiratory tract involvement. (Brunell P A 1997). In severe cases it can progress to the point of respiratory failure. In the context of our discussion here, these developments can be extremely dangerous in the pre-term infant who has significantly smaller airways than older children or adults, and also less in the way of respiratory reserve, so that any embarrassment of the respiratory function is of proportionally greater clinical significance. (Graham S M et al 2002) Particular risk factors for a severe bout of the disease are: Prematurity Young age (especially those less than six weeks old) Pre-existing heart conditions (congenital malformations) Pre-existing lung conditions (bronchopulmonary dysplasia and cystic fibrosis ) Immune system malfunction Low socio-economic status and especially those who live in Overcrowded housing conditions Passive exposure to cigarette smoke Day care or childcare attendance Presence of older children in the same household Lack of innate immunity from failure to breast feed. (after Thompson et al. 2003) Mode of infection After each bout of infection the body develops a degree of immunity to the virus. This is less of a factor in the neonate, whose immune system has not developed to the same degree as in the older child. In the pre-term infant , the immune response is (in practical terms) almost non-existent. In any event the immunity is never complete as the virus is capable of subtle mutations of its protein coat which allows it to partially evade the immune system. Re-infections are common but they do tend to be less severe than the original attack. (Panicar J, et al 2004) The mode of spread is through droplet spread and from direct contact with infected nasal or oral fluids. It can enter the body most easily through the epithelial surfaces of the eyes and nose. Epidimiology The respiratory syncytial virus produces characteristic patterns of infection which are epidemics of up to five months duration. They typically occur in the winter months and records show (since 1990) that they typically begin in the time span between October to mid-December with a marked peak in January and February. In the UK, the respiratory syncytial virus is responsible for about 125,000 episodes of hospitalisation (Leader S et al 2002).and about 2,500 deaths (NCHS 2002). These factors are of particular importance in our considerations when we are considering the timing of any protection programme. These figures translate into the fact that 20% of all hospital admissions for lower respiratory tract infections are due to respiratory syncytial virus infections, and if looked at as an annual incidence rate, admission for respiratory syncytial virus infection is currently 28.3 per 1,000 infants and 1.3 per 1,000 for children under the age of 4 years. (Muller-Pebody B et al 2002) The highest rate of clinically significant infection occurs at ages between 2 and 6 months with a significant peak in the 2-3 month age range. Respiratory syncytial virus is typically brought into the home by an older (school age) child who then passes it onto the younger child in the family. In child care and crà ¨che facilities it is quite common to observe 100% infection rates in both children and staff. On a practical note, respiratory syncytial virus infection has also been seen to spread throughout a hospital environment infecting patients and staff alike. (Shay, D K et al 2001), We shall specifically consider the implications of vaccination later in this essay, but there are other issues of prevention that require examination. We have already discussed the mode of common infection through the respiratory and ocular epithelial surfaces. It follows that there are certain measures which, while not eradicating the possibility of spread, will certainly help to reduce it. In the home environment, it is sensible to frequently wash hands after coming into contact with nasal or oral secretions and before handling a young child. Frequent handwashing will reduce the risk of contamination by direct spread. School age children should be kept as separate as practically possible from a neonate if they have symptoms of a â€Å"cold†. Sneezing into a handkerchief will also help to reduce the possibility of droplet transmission. In its droplet form, the virus will live on household surfaces for many hours and is therefore still capable of transmission. In terms of the work of the neonatal community nurse, such patient education should be seen both as part of an empowerment and education programme every bit as much as a prophylactic measure for the neonate. (Hogston, R et al 2002). In the more controlled environment of a hospital, it is possible to institute barrier measures if there is significant risk such as the immuno-compromised patient or the child at risk with congenital heart disease. Frequent pre-touching hand washing is essential to help prevent cross transmission (Ng D K et al 2000). Specific preventative treatments Palivizumab ( or Synagis – Trade name) is a medication that is commonly given to infants at highest risk of complications of respiratory syncytial virus infection, for example those who were born prematurely or those with chronic heart and lung disease. It is given by monthly injection through the at-risk winter months and provides significant levels of protection. This protection however, is comparatively short lived and has to be repeated on a yearly basis until the child is judged to be no longer at high risk of significant sequelae of infection. (PPTI 2005). It is also extremely expensive. (see on). Palivizumab is the first of what may become a series, of monoclonal antibodies, which have been developed to specifically target and combat one specific infection. Its current indications include prevention of serious lower respiratory tract disease caused specifically by the respiratory syncytial virus. There are currently a number of papers that have studied its safety and efficacy in a number of situations such as bronchopulmonary dysplasia (BPD), infants with a history of premature birth (≠¤35 weeks gestational age), and children with hemodynamically significant CHD. (Meissner H C et al 1999), Technically it is a humanised monoclonal antibody of IgG1k type which is produced by recombinant DNA methods. It targets an A antigenic site of the F-protein covering of the virus. It is primarily derived from human antibody sequences and has two light and two heavy chains with a molecular weight of about 148,000 Daltons. The viability of nurse-led respiratory syncytial virus immunisation programme. >From the literature and the evidence that we have presented so far we can point to the fact that the respiratory syncytial virus is a significant risk to neonates, especially those who have significant risk factors for the development of lower respiratory tract complications. (Berwick D 2005) Although we specifically have not considered treatment in this essay, we should note that, in the context of a discussion on the role of prophylaxis, that the treatments available for neonate infection with respiratory syncytial virus are severely limited. In the words of Jon Friedland, an eminent professor of infectious diseases in London: Treating respiratory syncytial virus bronchiolitis remains a good example of therapeutic nihilism — nothing works except oxygen. Adrenaline, bronchodilators, steroids, and ribavirin all confer no real benefit. (quoted in Handforth J et al 2004) If we accept that this is the case and we also accept the significant morbidity and mortality rates quoted earlier in this essay, then it clearly makes sense to consider the role of prophylaxis in respiratory syncytial virus infections. It clearly therefore also makes sense to consider what active measures can be taken in order to try to reduce the possibility of infection or prevent the damaging and serious sequelae of infection. Sadly, this is far from straightforward. One could reasonably hope that a immunologically based vaccine would have been developed to help with this problem. Despite the fact that the first formalin inactivated respiratory syncytial virus vaccine was developed over forty years ago, progress in this field appears to have been painfully slow. Recently published literature on the subject of the effect of vaccines against respiratory syncytial virus found that there was no significant benefit conferred in terms of preventing either the infection or the complications. (Simoes E A et al 2001). We should note that this was not a small study but a meta-analysis of five major studies on the subject and therefore has considerable weight if we are considering an evidence base for our findings. (Green J et al 1998). If we accept the premise that a successful respiratory syncytial virus vaccine should be able to prevent severe lower respiratory tract disease and the morbidity consequent upon it, and should also ideally protect against both A and B strains of the virus, we would also have to postulate that it would have to be given directly after birth in order to prevent immediate primary infection form the environment. In general terms, this presents the nub of the problem as neonates have very poorly developed immune response mechanisms and the bulk of their immunity is passively derived form the trans-placental maternal antibody production and the immunoglobulins present in the maternal milk. (Kim H W et al 1969). Active immunisation in very early life proves to be fruitless, as the immature neonatal immune system cannot generally produce either an adequate T-cell response or effective antibody levels. It is also the case that the maternal antibodies themselves, also interfere with the infant’s ability to mount an antibody response of its own. (Clements M L et al 1996) In order to combat these problems there are a number of immunological strategies currently under investigation. One strategy is to vaccinate the mother during the third trimester in order to try to boost the naturally occurring antibodies and thereby increase the natural passive immunity. This is unlikely to give significant immunity beyond the first six weeks of birth unless the child is breast fed, in which case the immunity would last for longer (see below). It would however, have the advantage of protecting the most vulnerable individuals at a critical time. Initial trials of this method using a purified F protein subunit vaccine was found to be safe in a trial of 35 third trimester vaccinations. (Munoz FM et al 2003). The trial showed a disappointing, but detectable, response and the infants had increased IgG against respiratory syncytial virus up until 9 months of age. Clearly this strategy would be ineffective against children born with a significant degree of prematurity and who therefore, are at greatest risk A second approach was tried with live attenuated genetically modified vaccine. This approach was found to work in adults and older children but could not be sufficiently attenuated to produce a safe and sufficient response in neonates. (Piedra P A 2003). The third approach was to try live recombinant viral vectors which expressed respiratory syncytial virus proteins. Thus far, the results have been disappointing both in terms of immunogenicity and there are also safety concerns with iatrogenic oncogene activation. (Haller A A et al 2003) In terms of our potential nurse run clinic, all of these options have very significant drawbacks and none are therefore likely to represent a realistic immunisation option. Clarke (S J et al 2000) suggest that although huge strides have been taken with a number of vaccine products – especially the live attenuated vaccines, it will probably be a minimum of another decade before routine effective vaccination becomes widely available. It is perhaps because of this failure to present a solution of a vaccine that has caused researchers to examine other avenues of investigation for workable prophylactics. A line of investigation into passive immunity with IV hyperimmune globulins against respiratory syncytial virus has shown positive results in initial trials against preventing severe forms of respiratory complications in high risk children (Groothuis J R et al 1999). This particular formulation can only be given intravenously and therefore is of limited use outside of a hospital environment. It is clearly of no use in a community setting. The other line of passive immunity has developed into the intramuscular form of IgG humanised monoclonal antibody described above (palivizumab). Clinical trials already published have already shown that monthly injections of palivizumab in high risk infants have been able to reduce the hospital admissions for respiratory syncytial virus-related disease by more than 50% (IRSVSG 1998). This was a well designed double-blind placebo controlled randomised study and, in addition to apparently demonstrating its efficacy, it also showed an impressive safety record. This particular formulation appears to have a very good side-effect profile and clinical experience appears to confirm the initial trial results. Given the fact that respiratory syncytial virus places a heavy financial and economic burden on the NHS, a 50 % reduction in these levels is quite substantial. Cost-effectiveness is clearly a major question in any consideration of a national vaccination programme and studies elsewhere in Europe, (Roeckl-Wiedmann I et al 2003) have called into question the costings and have therefore also called into question the need for further evaluation. These considerations are given further credence if we consider the fact that if we take as a marker the number of hospital laboratory reports of respiratory syncytial virus, there appears to be a marked downward trend in the UK between 1990 and 2003. (Fleming D M et al 2003). It may be that there are other active factors here such as changes in clinical or laboratory practice, but it would appear to reflect a definite downward trend. This comment is actually given further credence when one considers the epidemiological data from the primary health care sources which also show a fall in acute respiratory infections over the same period. (Neuzil K M et al 2000) Passive immunisation is currently considered to be the best option in terms of providing immunity in the community although many authorities consider that it is currently only an option for the high risk infant. In the terms of our consideration here for a nurse run immunisation clinic, we should consider a set of guidelines, (that were actually produced in the USA), which could be adopted as they are based on the current best evidence available. (AAP 2003) The guidelines suggest that passive immunisation (palivizumab ) should be currently considered for premature infants born at less than 32-35 weeks gestation or for infants younger than 2 years with chronic lung disease. Although this is clearly a rational view, we have to note that it is based upon American statistics and American costings and is applicable primarily to American culture. It does not imply that the recommendations are necessarily transferable to the UK situation. The NHS has been more cautious. The current NHS guidelines were considered and formulated by the joint committee on vaccination and immunisation of the Department of Health. (JCVI 2002). Their report notes that: Palivizumab seems safe, well tolerated, and effective in reducing admissions to hospital, but it remains very expensive, at a cost of around  £2500 for five doses over the season for respiratory syncytial virus. In the UK, the statistics seem to suggest that readmission rates associated with respiratory syncytial virus infection-related bronchioliitis show that palivizumab is only cost effective if it is used in infants born prematurely with chronic lung disease and receiving oxygen at home (which is actually a very expensive undertaking in any event). (Feltes T F et al 2003). If this opinion is taken in conjunction with the suspicion that the rates of respiratory syncytial virus infection are actually falling, this will actually weight the cost-effectiveness argument further against the use of palivizumab. It is noted that a more recent study of palivizumab in infants who have congenital heart disease has been completed, but the information collected is insufficient in terms of readmission rates, morbidity and cost-benefit analysis, to allow a confident recommendation for use in this population. (Feltes T F et al 2003) The neonatal nurse’s viewpoint. In this essay we have considered much of the current literature on the subject of community immunisation for respiratory syncytial virus. There is little doubt that the virus represents a significant threat to a small proportion of neonates and a minor threat to the rest. (Crowe JE Jr 1995). It is also clear from the evidence that the prospect of active immunisation of the at risk groups has been aggressively pursued over a time scale of about four decades with very little in the way of positive practical results. In essence, this means that the only realistic prospect of giving the at-risk neonate a degree of protection against the respiratory syncytial virus, is by means of increasing the levels of passive immunity. We have considered the role of the only viable therapeutic agent in this area (palivizumab), and have come to the conclusion that the evidence base for its use is sound if it is given on a monthly basis through the winter months when the at risk populations are at greatest risk of significant morbidity, and indeed mortality. Against this statement we have to weight the cost-effectiveness of what is a very expensive agent. (Handforth J et al 2000). The neonatal community nurse therefore finds herself ideally placed to act as the gatekeeper in this role. By virtue of her position of having direct contact with each of the neonates in her community, she is probably the most optimally places member of the primary healthcare team to assess and oversee the administration of palivizumab to those at greatest risk. (Scally G et al 1998) The mechanics of the enterprise will inevitably vary from practice to practice, but the elements of any recall system will be an up to date age/sex register, a forward planning facility and good communications with the antenatal services so that prospective candidates can be assessed at the earliest opportunity. The multidisciplinary nature of the modern primary healthcare team is ideal for communication of this nature and the neonatal nurse should be able to optimally utilise the recall facilities of the practice in order to ensure maximal compliance once the decision to treat has been made. (Yura H et al 1998) On the positive side there is the fact that Nurse led clinics, in general terms, have been proven to work both effectively and efficiently in many other areas. On the negative side we have the practical situation that the current recommendations from the Joint Committee on Vaccination and Immunisation that the current evidence base supports the view that palivizumab should only be offered to babies in the Group I classification, which currently includes babies under the age of two years with severe chronic lung disease, on home oxygen during the RSV season. This represents about 500 babies a year nationally. Common sense would indicate that there is absolutely no practical rationale for setting up any form of clinic in primary care for this number of babies on a national basis. Even if this recommendation was extended to include those babies in Group II (those with chronic lung disease but not on home oxygen), this would only add another 1000 to the national total and again, clearly there would be absolutely no rationale for setting up a local clinic base for this type of work load. (Netten A et al. 2000) The Committee’s reasoning for offering palivizumab to the Group I babies was on the evidence that it would be likely to reduce hospitalisation by a factor of 40% and thereby be cost effective. The Committee also suggested that these guidelines should be reviewed if a more effective and cheaper vaccine became available. If we consider, for the sake of argument, that such a vaccine has become available and that it is both practical and National policy to set up such vaccination clinics, we can consider the leads given by papers that report experiences in other areas of childhood vaccination. Nesbitt (A et al. 1997) give a very informative overview of the practical difficulties involved in setting up a Hepatitis B vaccination clinic. They point to the problems of trying to reach the most vulnerable and potentially isolated individuals in the community and highlight the need for specific nurse initiated home visits to the persistent absentees to the clinic. (Nesbitt A et al. 1995) They also highlight the difficulties in trying to get a level of immunity in a population that is constantly turning over. It requires a very high degree of vigilance on the part of the nurse running the clinic to ensure that all new arrivals are incorporated into the recall system with complete efficiency and without delay. On a slightly tangential subject, the whole issue of the nurse-led clinic was reviewed and assessed for overall effectiveness and cost effectiveness by Raftery (J et al. 2005). This paper demonstrated, beyond doubt that nurse led clinics could be both effective and very cost effective. This particular paper looked at the role of the clinic in the prevention of heart disease in the adult population, which is clearly not directly applicable to our considerations here, but the important relevant considerations are that the autonomous nurse led clinic can work very effectively with auditable results that can demonstrate both positive health benefits and an efficient and cost-effective use of a nurse’s time. (Polsky D et al. 1997) One of the interesting points raised in this paper which was also directly transferable to a nurse led immunisation clinic was that the increased costs noted also included an element for increased prescribing for intercurrent morbidity that was discovered at the time of the assessment. This is a factor that is likely to be translated into increased costings for the vaccination clinic, as many mothers are likely to save up questions and minor degrees of pathology if they know that they are having an appointment with the practice nurse. (Lancaster T 2003). This may well be translated into increased prescribing costs. Taking a holistic view however, one would hope that these costs would not be incurred without good reason and therefore one could conclude that it would be for the greater good of the patient in the long run and therefore presumably justified. (Benger J R et al. 2005) Considering all of these issues one can see that the viability of the nurse led clinic, certainly in the areas of RSV vaccination, is totally dependant on the development of an effective and cheaper vaccine. 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J Pediatrics 2003;143: 532-40 Fleming DM, Ross AM, Cross KW, Kendall H. 2003 The reducing influence of respiratory tract infection and its relation to antibiotic prescribing. Br J Gen Pract 2003;53: 778-83. Graham SM, Gibb DM. 002 HIV disease and respiratory infection in children. Br Med Bull 2002;61: 133-50 Green J, Britten N. 1998 Qualitative research and evidence based medicine. BMJ 1998; 316: 1230-1233 Groothuis JR, Simoes EAE, Levin MJ, Hall CB, Long CE, Rodriguez WJ. 1999 Prophylactic administration of respiratory syncytial virus immune globulin to high-risk infants and young children. N Engl J Med 1999;329: 1524-30 Haller AA, Mitiku M, Macphail M. 2003 Bovine parainfluenza virus type 3 (PIV3) expressing the respiratory syncytial virus (RSV) attachment and fusion proteins protects hamsters from challenge with human PIV3 and RSV. J Gen Virol 2003;84(Pt 8): 2153-62 Handforth J, Friedland JS, Sharland M. 2000 Basic epidemiology and immunopathology of RSV in children. Paediatr Respir Rev 2000;1: 210-4 Handforth J, Mike Sharland, and Jon S Friedland 2004 Prevention of respiratory syncytial virus infection in infants BMJ, May 2004; 328: 1026 – 1027 Hentschel J Berger T M Tschopp A et al 2005 Population-based study of bronchopulmonary dysplasia in very low birth weight infants in Switzerland. Eur J Pediatr 2005 May;164(5):292-7. Hogston, R. Simpson, P. M. (2002) Foundations in nursing practice 2nd Edition, London: Palgrave Macmillian. 2002 IRSVSG 1998 The Impact-RSV Study Group. Palivizumab, a humanized respiratory syncytial virus monoclonal antibody, reduces hospitalization from respiratory syncytial virus infection in high-risk infants. Pediatrics 1998;102: 531-7 Jeng M-J, Lemen RJ. 1997 Respiratory syncytial virus bronciolitis. Am Fam Physician. 1997;55:1139-1146. JCVI 2002 Joint Committee on Vaccination and Immunisation. Minutes of the meeting held on 1 November 2002. www.doh.gov.uk/jcvimins01nov02.htm (accessed 31.3.06) Kim HW, Canchola JG, Brandt CD, Pyles G, Chanock RM, Jensen K, et al. 1969 Respiratory syncytial virus disease in infants despite prior administration of antigenic inactivated vaccine. Am J Epidemiol 1969;89: 422-34 Krilov LR, Mandel FS, Barone SR, Fagin JC and The Bronchiolitis Study Group. 1997 Follow-up of the children with respiratory syncytial virus bronchiolitis in 1986 and 1987: potential effect of ribavirin on long term pulmonary function. Pediatr Infect Dis J. 1997;16:273-6. Lancaster T. 2003 The benefits of nurse led secondary prevention clinics continued after 4 years. Evid Based Med 2003;8: 158 Leader S. Kohlhase K. 2002 Respiratory syncytial virus-coded pediatric h

Chaucers Canterbury Tales Essay - The Strong Wife of Bath

The Strong Wife of Bath       Alison of Bath as a battered wife may seem all wrong, but her fifth husband, Jankyn, did torment her and knock her down, if not out, deafening her somewhat in the process. Nevertheless, the Wife of Bath got the upper hand in this marriage as she had done in the other four and as she would probably do in the sixth, which she declared herself ready to welcome. Alison certainly ranks high among women able to gain control over their mates.    The Wife of Bath's personality, philosophy of sexuality, and attitude toward sovereignty in marriage obviously are offered as comedy. When Chaucer's short poem addressed to Bukton, who is about to marry, recommends that he read the Wife of Bath regarding "The sorwe and wo that is in mariage" (ed. Benson, p. 655), he has to mean the domination, real or attempted, or the nagging, of the husband by the wife, that is sure to follow his wedding. Why else recommend the Wife of Bath for the edification of a bridegroom-to-be? And how could such an admonition be meant as anything but jest?    The Bukton piece leaves Chaucer's present-day audience wondering whether he and Philippa, married in 1366, had lived happily ever after. Unfortunately, the Chaucer Life-Records tell us nothing personal such as this. As for Chaucer himself, although he uses the autobiographical first person pronoun, his allusions to domineering and/or nagging wives are presented through the voices of his persona and of the pilgrim narrators of the Canterbury Tales, of whom the persona is one, all as likely to be fiction as to be fact. Chaucer remains inscrutable regarding his own marriage.    What, then, are we to make of the Bukton piece; of Alison of Bath and her anti-Pauline vi... ...st wife in the world. One would expect the married men hearing this to chuckle. But, needless to say, Chaucer's audience included women as well. In that day, when all marriage was Pauline at least in theory, and permanent sacramentally as well as legally, both "archwives" and "sklendre" had promised to obey. Women could join the laughter at this old chestnut because the shrew was some other woman. Of course good Christian wives never nagged their husbands.    Works Cited Chaucer, Geoffrey. The Riverside Chaucer. Ed. Larry D. Benson. 3rd edn. Boston: Houghton Mifflin, 1987. Crow, Martin M., and Clair C. Olson, eds. Chaucer Life-Records. Oxford: Oxford UP, 1966. Skeat, Walter W., ed. Complete Works of Geoffrey Chaucer. 2nd ed. 6 vols. Oxford: Clarendon, 1899; rpt. 1972. Woolf, Rosemary. The English Mystery Plays. Berkeley: U of California P, 1972.

Made to Order Hero Essay -- essays research papers fc

Made to Order Hero   Ã‚  Ã‚  Ã‚  Ã‚  Many times in life we encounter an individual that touches us in some profound way. The relation of this individual to the person they are influencing is as diverse as the personal experiences that causes this admiration. This individual, or hero, can impact and totally change the direction of someone's life. A hero can be anyone, from a professional athlete, to a public service figure, to a relative or parent. Each hero is defined by an individual's definition of what a hero is and should be. The definition of a hero has not always been this liberal. As time and the world have progressed so has the definition of the word hero. The poems Beowulf and Sir Gawin and the Green Knight are shining examples of how the definition of a hero can change. Using these two poems I will demonstrate the fact that the standards that need to be met, or the heroic code, is an ever-changing definition that evolves and adapts with the progression of time.   Ã‚  Ã‚  Ã‚  Ã‚   Beowulf and Sir Gawain are both considered heroes by their peers, but they must both conform to a different set of standards to maintain their identity as a hero. Each set of standards seems representative of the times in which each story takes place. The story of Beowulf takes place before the story of Gawain, in a time that is more primitive and violent era, a time when manhood and heroism were defined by the way of the sword and not the way of the word. Gawain on the other hand, appears to dwell in a place and time that puts more emphasis on honoring one’s word and not on proving ones self with a weapon. Beowulf can be considered pre-Christian, thus naturally he followed a more barbaric, violent code. Gawain seems to abide by the Christian code of values, possibly influenced by the church and the Bible. Gawain seems to make an effort to be more noble and less like a savage. This is proven throughout the Gawain poem as the setting and attire appear far more sophisticated and proper than in the Beowulf poem. â€Å"Perhaps the repeated emphasis on complex design and lavish display is enough to imply a date towards the end of the century† (Vantuono XVII). The end of the 14th century places Gawain in a time that had been influenced by the Christian belief, therefore explaining why he tends to follow a heroic code that places emphasis on being proper, kno... ...its me here;   Ã‚  Ã‚  Ã‚  Ã‚  So did our covenant stand In Arthur’s court last year- Wherefore, sir, hold your hand! (Longman 2327-2330) Gawian makes his mark as a hero of the Arthurian period by standing by his word even though he had several opportunities to run away and hide from the Green Knight. Gawain knew that dishonor was far more devastating than any death could ever be, thus making Gawain a hero to those around him.   Ã‚  Ã‚  Ã‚  Ã‚  Both Beowulf and Gawain were heroes to those they lived with. Beowulf became a hero by having no fear, facing all adversity without apprehension. Beowulf fights in order to be a hero. Gawain, on the other hand, establishes his place as a hero by living by a more Christlike code. He hunts down the Green Knight in order to fulfill his promise, even though he knows it means his death. This makes him a hero to those in King Arthur’s court. Works Cited Damrosh, David. The Longman Anthology of British Literature. Vol 1. â€Å"Beowulf† and â€Å"Sir Gawain and the Green Knight†. Addison-Wesley Educational Publishers. 2003 Vantuono, William. Sir Gawain and the Green Knight. University of Notre Dame Press. Notre Dame, IL. 1999 Made to Order Hero Essay -- essays research papers fc Made to Order Hero   Ã‚  Ã‚  Ã‚  Ã‚  Many times in life we encounter an individual that touches us in some profound way. The relation of this individual to the person they are influencing is as diverse as the personal experiences that causes this admiration. This individual, or hero, can impact and totally change the direction of someone's life. A hero can be anyone, from a professional athlete, to a public service figure, to a relative or parent. Each hero is defined by an individual's definition of what a hero is and should be. The definition of a hero has not always been this liberal. As time and the world have progressed so has the definition of the word hero. The poems Beowulf and Sir Gawin and the Green Knight are shining examples of how the definition of a hero can change. Using these two poems I will demonstrate the fact that the standards that need to be met, or the heroic code, is an ever-changing definition that evolves and adapts with the progression of time.   Ã‚  Ã‚  Ã‚  Ã‚   Beowulf and Sir Gawain are both considered heroes by their peers, but they must both conform to a different set of standards to maintain their identity as a hero. Each set of standards seems representative of the times in which each story takes place. The story of Beowulf takes place before the story of Gawain, in a time that is more primitive and violent era, a time when manhood and heroism were defined by the way of the sword and not the way of the word. Gawain on the other hand, appears to dwell in a place and time that puts more emphasis on honoring one’s word and not on proving ones self with a weapon. Beowulf can be considered pre-Christian, thus naturally he followed a more barbaric, violent code. Gawain seems to abide by the Christian code of values, possibly influenced by the church and the Bible. Gawain seems to make an effort to be more noble and less like a savage. This is proven throughout the Gawain poem as the setting and attire appear far more sophisticated and proper than in the Beowulf poem. â€Å"Perhaps the repeated emphasis on complex design and lavish display is enough to imply a date towards the end of the century† (Vantuono XVII). The end of the 14th century places Gawain in a time that had been influenced by the Christian belief, therefore explaining why he tends to follow a heroic code that places emphasis on being proper, kno... ...its me here;   Ã‚  Ã‚  Ã‚  Ã‚  So did our covenant stand In Arthur’s court last year- Wherefore, sir, hold your hand! (Longman 2327-2330) Gawian makes his mark as a hero of the Arthurian period by standing by his word even though he had several opportunities to run away and hide from the Green Knight. Gawain knew that dishonor was far more devastating than any death could ever be, thus making Gawain a hero to those around him.   Ã‚  Ã‚  Ã‚  Ã‚  Both Beowulf and Gawain were heroes to those they lived with. Beowulf became a hero by having no fear, facing all adversity without apprehension. Beowulf fights in order to be a hero. Gawain, on the other hand, establishes his place as a hero by living by a more Christlike code. He hunts down the Green Knight in order to fulfill his promise, even though he knows it means his death. This makes him a hero to those in King Arthur’s court. Works Cited Damrosh, David. The Longman Anthology of British Literature. Vol 1. â€Å"Beowulf† and â€Å"Sir Gawain and the Green Knight†. Addison-Wesley Educational Publishers. 2003 Vantuono, William. Sir Gawain and the Green Knight. University of Notre Dame Press. Notre Dame, IL. 1999

Intelligence Definition and Measurements Essay -- Intelligence

Psychologists have differed on the definition for intelligence and how to measure intelligence. In this paper the definition of intelligence and how it is measured will be discussed by comparing and contrasting the two intelligence tests and two achievement tests chosen from the Mental Measurement Yearbook. The intelligence tests chosen were the Primary Test of Nonverbal Intelligence (PTONI) and the Test of Memory and Learning, 2nd ed., (TOMAL-2) and the achievement tests chosen were the Basic Achievement Skills Inventory (BASI) and the Differential Ability Scales, 2nd ed. (DAS-II). The measures of the intelligence tests will be evaluated for reliability, validity, normative procedure, and bias, and then compared with the achievement tests. Definition of Intelligence According to Cohen and Swerdlik, (2010), â€Å"Intelligence is a multifaceted capacity that manifests itself in different ways across the life span but in general included the abilities and capacities to acquire and apply knowledge to reason effectively and logically, to exhibit sound judgment, to be perceptive, intuitive, mentally alert, and able to find the right words and thoughts with facility, and to be able to cope with and adjust to new situations and new types of problems† (p. 277). This definition is very broad but inclusive. Professionals in psychology have different definitions and personal biases that make a standard definition difficult. Some professionals believe intelligence is observable but others believe life experiences influence and develop intelligence and form information to deal with future situations. Various psychologists, behavioral specialists and lay people have different definitions or ideas of what intelligence is. A widely accepted defini... ...ogy.about.com/od/cognitivepsychology/p/intelligence.htm Cohen, R.J., Swerdlik, M.E. (2010). Psychological testing and assessment: An introduction to tests and measurement (7th ed.). New York: McGraw Hill. Ehrler, D. J., & McGhee, R. (2008). Primary Test of Nonverbal Intelligence. Retrieved from EBSCOhost. Elliott, C. (2007). Differential Ability Scales-Second Edition. Retrieved from EBSCOhost. Gredler, G. R. (1999). The twelfth mental measurements yearbook/The thirteenth mental measurements yearbook (Book). Psychology in the Schools, 36(1), 79. Retrieved from EBSCOhost. Net Industries and its Licensors. (2011). Racial Difference-Standarized Tests and Race. Retrieved from http://social.jrank.org/pages/529/Racial-Differences-Standardized-Tests-Race.html Reynolds, C. R., & Voress, J. (2007). Test of Memory and Learning, Second Edition. Retrieved from EBSCOhost.

Jesus as Messiah, Prophet and Son of Man

Jesus, being both divine and human, is attributed the roles of Messiah, prophet and Son of Man.   The three roles are distinct from each other but the role of Messiah is the most controversial of the three because of the difference between Judaic expectation and Jesus’ interpretation of the role.   On the other hand, the roles Prophet and Son of Man are more easily acceptable by any culture or religion as they view the historical Jesus, but each is no less important.   Jesus’ prophetic role enables him to become a direct messenger from God, and his humanity provides empathy with human attitudes and feelings.   His humanity also emphasizes that his ability to feel pain contributes to the reality of his sacrifice during his suffering, and death by crucifixion.Jesus is the Son in the Holy Trinity and this gives him the identity of God incarnate, being both human and divine.   Though through Jesus’ omniscient messianic role, the prophetic role is already ex pected, there are aspects about his ministry that distinguish the role of Messiah from the role of prophet.   Moreover, while these are divine facets of Jesus, his identity as the Son of Man, or being truly human, is equally important because it gives more importance to his sacrifices, especially his death by crucifixion.   Meanwhile, Jesus complies with the general description of the prophesied Judaic Messiah (Croatto, 2005, p. 464), having been born as a descendant of David, but the Jews   are expecting more in terms of a Messiah who will save his people from physical bondage.Jesus is recognized more as the Messiah rather than a prophet, because it is through being the Messiah that he is able to save while as a prophet he merely foretells what is to come, like many other prophets.   However, Jesus’ role as Messiah has become the most controversial of his facets.   The Jewish people are more ready to accept Jesus as a fully human prophet than being the actual Messi ah because of the different expectations attached by the Jews to the role of Messiah: â€Å"All the prophets affirmed that the Messiah will redeem Israel, save them, gather their dispersed, and confirm the commandments.But he caused Israel to be destroyed by the sword, their remnant to be dispersed and humiliated† (Wolf, 2001, p. 370).   In their great suffering, the Jews have longed for a Savior that will fight physically in order to save them, like a much more powerful version of human kings.   Jesus, on the other hand, has come to die for people’s sins, to save the soul instead of the body. His messianic role also involves healing.   â€Å"Jesus’ miraculous deeds in Matthew, therefore, are replete with eschatological significance and point to Jesus’ messianic identity† (Cousland, 2003, p. 770); people have waited for a Messiah who can heal.   There are many instances in the bible which refers to Jesus’ healing of physical afflicti ons along with spiritual ones.He has raised people from the dead, has cured life-threatening diseases and has released demons from the bodies of those afflicted both spiritually and physically.   He therefore, has demonstrated apt evidence that support his messianic identity.   Nevertheless, in a time of conflict and doubt, this is not apparent to people who have hungered for someone who can liberate them and have waited for so long for the fulfillment of a prophesied warrior who will bring about justice and peace.   As a result, Jesus has been tagged as a â€Å"Messianic pretender† (Wolf, 2001, p. 370).Jesus’ role of Prophet is prevalent in the Gospel of Luke.   Though overshadowed by his Messianic role, it is a more tangible role that is also supported by prophecy, particularly in Deuteronomy.   Jesus is described as the â€Å"new Moses† and a â€Å"Teacher† (Croatto, 2005, p. 454).   It is also important to know that Jesus has described him self as prophet in Luke 13:33, and is a healer-preacher like the prophet Elijah.   As a prophet, the historical Jesus is compared to past prophets like Moses and Elijah. â€Å"The prophet Jesus is the paradigm for the Christian prophetic mission.To see Christ, the Messiah, as heavenly king and monarch is not very suitable today, because of so many sad experiences of many monarchies in our world† (Croatto, 2005, p. 465).  Ã‚   This means that during these times, the image of Jesus as prophet is more important.   It can become a practical framework for modern prophets or missionaries intent in spreading the word of God.   In today’s world, monarchs and other political leaders are regarded with some trepidation or criticism.   The Jews of Jesus’ time may be longing for a Messiah who will rule as a king but today’s people will want to hear a preacher or to go to a healer.   Croatto’s statement can also mean that Jesus’ interpretation of his role of Messiah through his work as prophet and healer is a good manifestation of messianic identity.As has been mentioned earlier, Jesus’ role of Son of Man, or being truly human, adds to the magnitude of his works.   It is curious then to know the implications if Jesus’ come to the world of his people as a purely divine Messiah without a true understanding of the human condition, instead of becoming God turned Man.   In becoming the Son of Man, he fully empathizes with his people but it also means that he is not the warrior king that everyone has been expecting from a divine Messiah.   Furthermore, Jesus has become truly human to become a good example to his people of what it is to be truly human.   â€Å"The essence of divinity is fully realized humanity.   Therefore, only God is truly human, and the task set before human beings are to become human as God is human†¦Jesus serves as our model of true humanity† (Burkett, May 2002, p. 43).J esus is Messiah, Prophet and Son of Man, human and divine, and these aspects of his role in the world is emphasized by his preaching and healing.   Though Jesus is not the Savior that the Jewish people have expected, his Messianic role and prophetic mission are supported by the Scriptures.   His Messianic role is manifested in his healing, his prophetic mission through his teachings and his humanity through a direct understanding of the human condition.References:  Ã‚  BIBLIOGRAPHY   l 1033   Burkett, D. (May 2002). Our Man Jesus. Christian Century , 43-46.Cousland, J. (2003). Book Review: Messiah, the Healer of the Sick: A Study of Jesus as the Son David in  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   the Gospel of Matthew. Journal of Biblical Literature , 768-771.Croatto, J. S. (2005). Jesus, Prophet like Elijah, and Prophet Teacher like Moses in Luke – Acts. 451-465.Wolf, A. J. (2001). Jesus and the Jews.

Globalization or Cultural Imperialism Essay

The archetype of hea and then imperialism is non a in the raw sensation. The conceit of winning the police wagon and minds of a nonher residential atomic number 18a via exporting set and pagan tendencies dates back to at least the Roman Empire (Rothkop 1). The basic concept of cultural imperialism is that a stronger, usu everyy big and with to a ampleer extent military might, has forced its socialization on a nonher nation, usu altogethery a sm all tolder and little g everyplacenmentally healthy nation. heathen imperialism clear be all deliberate, as a conscious hunting expedition of the to a great extent potent club, or as an unintended consequence of the big societys action mechanisms.Generally, those who use the term cultural imperialism use it as insult against the larger nation. The claim is that cultural imperialism, whatever ms besides referred to globoseisation, is deadly to smaller coatings around the adult male, including the destruction o f the native nicetys, rows, nourishments and art forms. This paper leave alone examine the claim that this is a detrimental effect and determine if globalisation is a negative force on the orb or an acceptable transgress of an inter matterly awargon introduction.ethnical imperialism involves lots more than than simple consumer goods it involves the dissemination of ostensibly Ameri screwing principles, such as freedom and democracy. though this process might sound large-hearted on the surface, it masks a frightening lawfulness many floricultures around the human argon gradually disappearing due to the raise influence of corporate and cultural America. The motivations lav American cultural imperialism parallel the justifications for U. S.imperialism passim history the desire for access to extraneous foodstuffs and the be double-dealingf in the superiority of American culture. (Galeota 1) The prime(prenominal) discussion of cultural imperialism in the mainstrea m discussion of political science began in the 1970s in relation to Latin America (Tomlinson 36). The definitions of cultural imperialism appear to head for the hills along a continuum. On the one side, on that point be quite speciate and polemic definitions of cultural imperialism as the control of early(a) cultures by products of the U. S.culture industry. On the other hand, there atomic number 18 more formal and abstract definitions corresponding Shillers which states that cultural imperialism is the sum of the processes by which a culture is brought into the modern cosmea administration (Hamm 3). But then what does it actually cerebrate? The short version is that the unite States exports of everything from movies to McDonalds argon destroying domestic cultures around the solid ground. The long-acting argumentation is that cultural imperialism is part of the victimisation process, a inherent aspect of development. take on out which of these theories is the ac tual reality of the process is a sociological argument that has been raged for n betimes twoscore years. The first question is whether the exporting of American culture is responsible for the destruction of indigenous cultures around the globe. To determine this, we must first go out at the track eternize of history and use it as a measuring stick. When the term cultural imperialism began to come root in the 1970s it was universally applied to mean the impact, primarily by American media, on the remainder of the homo. date it was initially applied primarily to Latin America and other regions where the united States displayed a colonial type relationship with the rising nations, it would later be applied to the American media domination oecumenic and credited/ unredeemed for everything from the d throwfall of Soviet communism to the revolt of slope as the primary language of business global. (Dunch 302). But this argument postulate to be placed in a historical conte xt. The Soviet Union brute(a) in part because a approximated in(p) society cannot compete in the reading Age. These countries exit f be no relegate.They urgency notion no further than their declare elites to know this. (Rothkop 4). man American media is hot worldwide, many of the countries which brook adopted English as an decreed language in conjunction with their native culture are former British colonies, part of the great empire. It may be, then, that mickle who were once citizens, loth or otherwise, of the British Empire fork over assimilated that portion of their history into their issue identity and the loss of historical culture has more to do with the history of conquering nations than the worldwide media.(Dunch 304). And, as Rothkop points out, it is the tuition Age that is do the difference. Further complicating the question is the discussion of what scattered cultures are under consideration. Certainly, traditional determine collect changed worl dwide, merely nowhere more so than in the joined States itself. The clownish was founded largely by religious, agrarian mint seeking to be free from state-sponsored trust and the only one of those things that is still exemplar of American society is the desire to keep off state-sponsored religion (Dunch 308).Who then is to be satanic for the deterioration/changes in American society? The possibility exists of course, that American media has take down influenced its own culture, drawing it away from its Puritanical roots, besides another explanation would be that this is the innate(p) progression of civilization. No longer are we the nomadic hunters and gatherers of prehistory or eve the agrarian societies that we once were (Chilcote 81). Perhaps, the destruction of these indigenous cultures is in detail a come across away from prehistory to a modernization.That is not to say that there are not things being lost and that this loss does not profoundly affect society, it d oes. However, evidence that the break up should be placed on the preponderance of American-based fast food chains worldwide or an international love adept-valued function with Greys Anatomy calculates weak, at best. Likewise, the discussion and blame of the American culture for the loss of indigenous languages as well seems far-fetched. Americans cannot even agree on a single language of their own.While countries around the world often fetch standards adopting a native language as one of their official languages, the United States as a undivided does not recognize a national language. In New Zealand, Maori is recognized as an official language as is cheat in the United Kingdom, protecting the indigenous languages. According to the U. S. Census Bureau, there are major portions of several states where as much as 25 per centum of the universe of discourse does not speak English in the home and in some split of Alaska, Colorado, California, Arizona, Texas, New Mexico and Flor ida more than 50 percent of the existence is non-English speaking (Census 2000).It would then seem off to hold the United States responsible for the decline of native languages around the world when the sylvan does not even follow out English-speaking within its own borders. some other oft thrown brick in the debate about cultural imperialism is the concept that the proliferation of American fast food around the world is trail to a decline in the native foods of some regions. The concepts centers on the idea that somehow the existence of McDonalds core that muckle have stopped take whatever their native culinary art is in favor of a quarter muser and fries.But despite their prevalence worldwide, McDonalds is by no way of life self-coloured everywhere. In India, for example, where the great majority of the population is Hindu, the traditional Big Mac has been replaced by a lamb and chicken and there is a vegetarian burger, the McAloo Tiki (Adams 1). If American fast food were the demise of national cuisines, why would the plug-in ever vary from one country to the next? But here are just a few variations on the traditional American McDonalds carte du jour served worldwide In fish-loving Norway, they have the McLaks, a sandwich made of grilled pinkish-orange and dill sauce. In parts of Canada, have a lobster dinner with the McLobster lobster roll. Pardon me McHomard (in French). japan totally reinvents McDonalds with its Ebi Filet-O (shrimp burgers), Koroke Burger (mashed potato, cabbage and katsu sauce, all in a sandwich), Ebi-Chiki (shrimp nuggets) and Green Tea-flavored trill In Israel, McDonalds has 3 cosher restaurants where cheeseburger and dairy products are not served because Judaic Law forbids serving the child cow/beef in its mothers milk dairy. They have McShawarma, meat in a pocket bread bread roll (Adams 1)The accusation then that America is destroying international cuisine with the exportation of American fast food companies is a bit like saying that Chinese food as made in China is the same as Chinese food made in America. Food, lie civilization, educates and suits. As more things fit on tap(predicate) around the world, local cuisine adapts. Oftentimes, the cuisine was dictates by a local prevalence of certain foods, spices, etc. and now with refrigeration and shipping techniques evolving, so can the local foods.Another criticism some scholars have of globalization is that it destroys local art forms, however again, the international community has taken action to protect international indigenous art. Furthermore, the globalization of the world environment has meant that there are more markets for international art, giving greater exposure to the traditional arts and artists. To debate that globalization is destructive to the artistic community is a broad statement with no real basis (Winslow 711).Ultimately all the critics of globalization, who use loaded terms like cultural imperialism to descr ibe what might be a natural process, point to factors that may be just part of the natural development process. globalisation may be a nature function of the go along frontwards into the data age. Globalization has scotchal roots and political consequences, exclusively it also has brought into focus the power of culture in this global environment the power to hold back and to divide in a time when the tensions between integration and separation push at every moment that is applicable to international relations.The impact of globalization on culture and the impact of culture on globalization merit discussion. The homogenizing influences of globalization that are most often condemned by the unexampled nationalists and by cultural romanticists are actually positive globalization promotes integration and the remotion not only of cultural barriers but of many of the negative dimensions of culture. Globalization is a vital step toward some(prenominal) a more stable world an d better lives for the concourse in it (Rothkop 1)The problem is that people are not willing to study that the economical power of the United States is difference to mean that it plays an important role in globalization. That the economic development of globalization has to rove around the economic powerhouses. Instead of blaming the changing world culture on the economic domination of the United States, countries need to smell at the valuable consequences of the process. The best potency affect of globalization is a untested understanding of other cultures and their interrelatedness to our own.Language, religion, political and legal systems, and social customs are the legacies of victors and marketers and reflect the judgment of the marketplace of ideas end-to-end best-selling(predicate) history. They might also rightly be seen as living artifacts, bits and pieces carried forward through the years on currents of indoctrination, popular acceptance, and unthinking adhere nce to old ways. shade is utilize by the organizers of society politicians, theologians, academics, and families to chitchat and ensure order, the rudiments of which change over time as need dictates.It is less often acknowledged as the means of releaseing inhumanity and warfare (Rothkop 2) The question becomes is the finish to move to a world culture a bad thing? And, if the tell is that it helps do away with potential sources of negate then it might be a good thing. The easiest way to make the argument in favor of globalization is to look at the cost of culture in the 20th carbon. Before we even discuss the individuals who lost their lives because of cultural conflicts, lets talk about the entire groups lost.As a reminder of the toll that such conflicts take, one need only look at the 20th centurys genocides. In each one, pass offers used culture to fuel the passions of their armies and other minions and to justify their actions among their people. One cardinal Armenia ns tens of millions of Russians 10 million Jews, Gypsies, and homosexuals 3 million Cambodians and hundreds of thousands of Bosnians, Rwandans, and Timorese all were the victims of culture whether it was ethnic, religious, ideological, tribal, or nationalistic in its origins. (Rothkop 3).The hope then is that as the Information Age leads to international globalization that culture as point of contention leading to war can be avoided. Inevitably, the United States has taken the lead in this break it is the indispensable nation in the commission of global affairs and the leading producer of information products and services in these, the early years of the Information Age. (Rothkop 4). While some people fear this will lead to a homogenous world, sociologists assure that it will not happen with 6 million people on the planet.The key though will be to allow globalization to bring people together alternatively of simply creating a new reasonableness for warfare economics. Though the United States does brag the worlds largest, most powerful economy, no business is completely live up to with controlling only the American market American corporations want to control the other 95 percent of the worlds consumers as well (Galeota 2) As the at a time Third conception countries emerge and become a larger part of the global market place, the question will be whether the United States can maintain its economic superiority.It is in the general interest of the United States to encourage the development of a world in which the fault lines separating nations are bridged by shared interests. (Rothkop 5) The fear becomes that economic development will be the next issue to create international incident. Indeed, just as the United States is the worlds restore remaining military superpower, so is it the worlds only information superpower. While Japan has become quite agonistic in the manufacture of components integral to information systems, it has had a negligible impa ct as a manufacturer of software or as a force after part the technological revolution.Europe has failed on both fronts. Consequently, the United States holds a position of avail at the moment and for the foreseeable future. (Rothkop 5) The United States clearly wants to maintain this position of economic superiority and other countries will render to take it over. However, if the worlds nations can learn a form of economic interdependence that goes beyond the borders, then the world may be able to find a way to continue to evolve and to improve conditions for all citizens.As the worlds economies go beyond national borders, the wealth of the world can be more evenly distributed and all people can live happily. The reality of cultural imperialism or globalization is that it is a fact of life, not something that can be mystic from or condemned. Civilization is progressing and globalization is part of that progress. Is it destroying indigenous societies, via their art, culture, lan guage and cuisine? likely not. Are those cultures adapting to the world of the 21st century? Yes, they are.The world is completely different that it was and to be a part of it, cultures must adapt with it. Those who chose not to can attempt to cfall back their borders and minds to the progress that is going on elsewhere, but the reality is that they are cursing themselves and their people to life less rich. While it is practical that shutting out the world can preserve outmoded traditions and cultures, it also restricts the natural processes of life. When life is not allowed to grow, it begins to die. The same with culture.If it is not allowed to grow and develop into a new world order, it will regress and lose the benefits of technology and modern science. WORKS CITED Adams, Beatrice. McDonalds Strange Menu Around the World July 19, 2007. Census Data, (2000) declination 2, 2007. Chilcote, Ronald H. Globalization or Imperialism? Latin American Perspectives Vol. 29, No. 6, Glob alization and Globalism in Latin America and the Caribbean (Nov. , 2002), pp. 80-84 celestial latitude 2, 2007 Dunch, Ryan. Beyond heathenish Imperialism pagan hypothesis, Christian Missions, and Global Modernity. 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