Definition and Examples of Parallel Structures

In English grammar, parallel structure  involves two or more words, phrases, or clauses that are similar in length and grammatical form. Also called parallelism. By convention, items in a series appear in parallel grammatical form: a noun is listed with other nouns, an -ing form with other -ing forms, and so on. The use of parallel structures, says  Ann Raimes, helps produce cohesion and coherence in a text (Keys for Writers, 2014).  In traditional grammar, the failure to express such items in similar grammatical form is called faulty parallelism. Examples and Observations Parallel Structures in Proverbs- Easy come, easy go.- No pain, no gain.-  Sometimes you win, sometimes you lose.- One mans trash is another mans treasure.- A bird in the hand is worth two in the bush.Never hurry and never worry!(Charlottes advice to Wilbur in Charlottes Web by E.B. White, 1952)It is by logic we prove, but by intuition we discover.(Leonardo da Vinci)We spend our youth attempting to change the future, and the rest of our lives trying to preserve the past.(Arthur Bryant in Seventy-Seven Clocks by Christopher Fowler. Bantam, 2005)  Humanity has advanced, when it has advanced, not because it has been sober, responsible, and cautious, but because it has been playful, rebellious, and immature.(Tom Robbins, Still Life with Woodpecker, 1980)When success happens to an English writer, he acquires a new typewriter. When success happens to an American writer, he acquires a new life.(Martin Amis, Kurt Vonnegut: After the Slaughterhouse. The Moronic Inferno. Jonathan Cape, 1986 )A good ad should be like a good sermon; it must not only comfort the afflicted—it also must afflict the comfortable.​(Bernice Fitz-Gibbon, Macys, Gimbels, and Me: How to Earn $90,000 a Year in Retail Advertising. Simon and Schuster, 1967)If you are idle, be not solitary; if you are solitary, be not idle.(Samuel Johnson, quoted by James Boswell in The Life of Samuel Johnson, 1791)Read not to contradict and confute; nor to believe and take for granted; nor to find talk and discourse; but to weigh and consider.(Francis Bacon, Of Studies, 1625)Those who write clearly have readers; those who write obscurely have commentators.(Attributed to Albert Camus)I had been short, and now I was tall. I had been skinny and quiet and religious, and now I was good-looking and muscular. It was Sally Baldwin who brought me along, told me what to wear and do and think and say. She was never wrong; she never lost her patience. She created me, and when she was done we broke up in a formal se nse, but she kept calling me.(Jane Smiley, Good Faith. Alfred A. Knopf, 2003)The wheels wheeled, the chairs spun, the cotton candy tinted the faces of children, the bright leaves tinted the woods and hills. A cluster of amplifiers spread the theme of love over everything and everybody; the mild breeze spread the dust over everything and everybody. Next morning, in the Lafayette Hotel in Portland, I went down to breakfast and found May Craig looking solemn at one of the tables and Mr. Murray, the auctioneer, looking cheerful at another.(E.B. White, Goodbye to Forty-Eighth Street. Essays of E.B. White. Harper, 1977) Guidelines for Creating Parallel Structures Adjectives should be paralleled by adjectives, nouns by nouns, dependent clauses by dependent clauses, and so on.​WRONG: Your new training program was stimulating and a challenge. (Adjective and noun.)RIGHT: Your new training program was stimulating and challenging. (Two adjectives.) . . .NOTE: Parallelism is especially important in displayed enumerations: POOR: This article will discuss:1. How to deal with corporate politics.2. Coping with stressful situations.3. What the role of the manager should be in the community. BETTER: This article will discuss:1. Ways to deal with corporate politics.2. Techniques of coping with stressful situations.3. The​ role of the manager in the community. OR: This article will tell managers how to:1. Deal with corporate politics.2. Cope with stressful situations.3. Function in the community. (William A. Sabin, The Gregg Reference Manual, 10th ed. McGraw-Hill, 2005)When you write a sentence with a series of clauses, make sure that they start and end the same way. If you dont, you destroy the rhythm youve tried to establish. More important, if you use parallel structures your readers will have a more enjoyable time absorbing and understanding your facts, ideas, and concepts.(Robert M. Knight, A Journalistic Approach to Good Writing. Wiley, 2003)

Few Miles Above Tintern Abbey Essay - 2283 Words

Themes in Lines Composed a Few Miles above Tintern Abbey Full Title: Lines Composed a Few Miles above Tintern Abbey; On Revisiting the Banks of the Wye During a Tour, July 13, 1798. Man and the Natural World This is one of the most important ideas of Tintern Abbey. The speaker of this poem has discovered, in his maturity, that his appreciation of natural beauty has allowed him to recognize a divine power in nature. Wordsworth comes up with this idea in Tintern Abbey, and then really explores and develops it. Nature means several things in the context of this poem: it can mean 1) physical nature, or 2) it can mean the sense of unity or connection between everything, or 3) it can refer to a divine presence in Nature, like Mother†¦show more content†¦Later poems, such as â€Å"Ode: Intimations of Immortality† (1807), imagine nature as the source of the inspiring material that nourishes the active, creative mind. The Splendor of Childhood In Wordsworth’s poetry, childhood is a magical, magnificent time of innocence. Children form an intense bond with nature, so much so that they appear to be a part of the natural world, rather than a part of the human, social world. Their relationship to nature is passionate and extreme: children feel joy at seeing a rainbow but great terror at seeing desolation or decay. In 1799, Wordsworth wrote several poems about a girl named Lucy who died at a young age. These poems, including â€Å"She dwelt among the untrodden ways† (1800) and â€Å"Strange fits of passion have I known† (1800), praise her beauty and lament her untimely death. In death, Lucy retains the innocence and splendor of childhood, unlike the children who grow up, lose their connection to nature, and lead unfulfilling lives. The speaker in â€Å"Ode: Intimations of Immortality† believes that children delight in nature because they have access to a divine, immortal world. As children age and re ach maturity, they lose this connection but gain an ability to feel emotions, both good and bad. Through the power of the human mind, particularly memory, adults can recollect the devoted connection to nature of their youth. SUMMARY LinesShow MoreRelatedLines Written a Few Miles above Tintern Abbey by William Wordsworth597 Words   |  2 Pagesyears. After one of these very long journeys, he came back home, and sat on a hillside a few miles above Tintern Abbey, an old, ruined cathedral. It truly was a long journey. â€Å"Five years have past,† he says. Five years is a long time to be away from home. As he sat there, above the cathedral, he thought a lot about what it was like to come back home. In his poem, â€Å"Lines Written a few Miles Above Tintern Abbey,† William Wordsworth says a lot about the progression of individual life, and the steadyRead MoreCritical Analysis Of Lines Composed A Few Miles Above Tintern Abbey1075 Words   |  5 Pagesother poem of its time, â€Å"Lines Composed a Few Miles Above Tintern Abbey† depicts the struggle that the speaker faces between actual reality and the reality of a memory. Based on his real life experience of returning to the Wye after five years, William Wordsworth attempts to come to terms with how much he has changed and grown as a man in the poem (Lines Composed 248). Through the use of careful diction, â€Å"Lines Composed a Few Miles Above Tintern Abbey† by William Wordsworth describes the strongRead More Lines Composed A Few Miles Above Tintern Abbey Essay668 Words   |  3 Pages In quot;Lines Composed A Few Miles Above Tintern Abbeyquot;, Wordsworth uses imagination to help him and others to live in the physical world peacefully. He recalls playing in Tintern Abbey, a forest nearby there and played in it when he was young. Now he comes back for different reasons. He escapes the world which is individualism and goes to the forest to get away from all the burden. He tells his young sister that she can always come here to get away from her problems as well. In the poemRead More William Wordsworths Lines Composed a Few Miles Above Tintern Abbey2734 Words   |  11 PagesWilliam Wordsworths Lines Composed a Few Miles Above Tintern Abbey Whereas most individuals tend to see nature as a playhouse that should alter and self-destruct to their every need, William Wordsworth had a very different view. Wordsworth perceived nature as a sanctuary where his views of life, love, and his creator were eventually altered forever. The intensity of Wordsworths passion for nature elevated him from a boy into the inspiring man and poet in which he is recognized to be todayRead More Analysis of William Wordsworths Lines Composed a Few Miles Above Tintern Abbey1065 Words   |  5 PagesAnalysis of William Wordsworths Lines Composed a Few Miles Above Tintern Abbey William Wordsworth poem Lines Composed a Few Miles above Tintern Abbey; was included as the last item in his Lyrical Ballads. The general meaning of the poem relates to his having lost the inspiration nature provided him in childhood. Nature seems to have made Wordsworth human.The significance of the abbey is Wordsworths love of nature. Tintern Abbey representes a safe haven for Wordsworth that perhaps symbolizesRead MoreA Few Miles Above Tintern Abbey, By William Wordsworth And On First Looking Into Chapman s Homer1190 Words   |  5 PagesSublime, as the keyword that guides the two major poems, â€Å"Lines Written a Few Miles above Tintern Abbey† by William Wordsworth and â€Å"On First Looking into Chapman’s Homer† by John Keats, has helped both authors to express their genuine feelings. The word â€Å"sublime† is used when you have a great respect and a sense of excellence for something; â€Å"Of such excellence†, the feeling of awesome. The fe eling awesome has a root word of â€Å"awe†, which means the feeling of respect for fear or wonder. The word canRead MoreAnalysis Of Lines Composed A Few Miles Above Tintern Abbey And Coleridge s Frost At Midnight1992 Words   |  8 PagesComposed a Few Miles above Tintern Abbey† and Coleridge’s â€Å"Frost at Midnight† are the two major poems of â€Å"Lyrical Ballad.† Even though these two poems contain different experiences of the two speakers, the similarities are found in the message of the two poems, the language, the tone and the use of illustrative imagery to fascinate the reader’s visual sense. Upon close consideration and reading of these poems, it becomes clearer that they are basically similar poems. In â€Å"Lines Composed a Few Miles aboveRead MoreNature And Time By William Wordsworth1197 Words   |  5 PagesSamuel Coleridge. Thus, to gain a better understanding the Romantic period as a whole, it is useful to focus on the works of William Wordsworth, the period’s flagship writer. To do this, one can conduct a close reading of â€Å"Lines Written a Few Miles above Tintern Abbey† and compare the progression and emphasis of the poem to that of â€Å"Elegiac Stanzas†. In doing so, one can see Wordsworth’s focus on the sublimity of nature and the attributes that are associated with the passage of time. From the very startRead MoreThe Age Of Manufacturing That Preceded The Romantic Movement1387 Words   |  6 Pagesthreat to general freedom of thought, which thus sparked the Romantic Movement. Two poets that romanced nature during this era were: William Wordsworth (1770-1850) and John Keats (1795-1821). â€Å"To Autumn† by John Keats and â€Å"Lines Composed a Few Miles above Tintern Abbey† by William Wordsworth are both comparable and representative of the Romantic Movement. They have separate techniques and application, but are both recognized as significant works of Romanticism. The themes in both poems emphasize natureRead More Analysis of Tintern Abbey by William Wordsworth Essay1052 Words   |  5 PagesAnalysis of Tintern Abbey by William Wordsworth William Wordsworth existed in a time when society and its functions were beginning to rapidly pick up. The poem that he Composed a Few Miles Above Tintern Abbey, on Revisiting the Banks of the Wye, gave him a chance to reflect upon his quick paced life by taking a moment to slow down and absorb the beauty of nature that allows one to see into the life of things; (line 49). Wordsworths Tintern Abbey; takes you on a series of emotional states

China †Economic Development Essay Free Essays

Kimberly Remijan MWH Mr. Harvey The Pros Outweigh the Cons When one thinks of a major Chinese city such as Shanghai or Beijing, images of sidewalks overcrowded with pedestrians, thousands of bicycles lined on the streets and litter spotted throughout public areas may come to mind. However, with the modernization and industrialization China has gone through, urban citizens are now more frequently using public transport, automobiles are increasingly being used more and people are hired to keep streets as clean as possible. We will write a custom essay sample on China – Economic Development Essay or any similar topic only for you Order Now With a little over three decades having past since the major industrial development, China has industrialized at an astonishing rate. This is especially apparent when comparing its much higher industrializing rates to Japan, the UK and the US. With such high rates of growth, there are both negative and positive aspects that come out of such development. Although general health in China is not at its best, post 1980 industrial development has improved the average Chinese citizen’s life tremendously both personally and publically. Through the rush of industrialization, Chinese industry and production has had a negative effect on the health of citizens because of the air pollution from coal, water pollution from factory emissions and the inhumane working conditions for some people. The production of coal, a major industry in China, emits sulfur compounds, carbon and other byproducts into the air, which increases the risks of cancer, lung and heart issues. â€Å"Sulfur dioxide produced in coal combustion poses an immediate threat to the health of China’s citizens, contribution to about 40,000 premature deaths a year† (Bradsher and Barboza). This not only affects the physical welfare of workers but anyone who is exposed to this tainted air. Sulfur dioxide emitted from coal combustion also contributes to acid rain, poisoning bodies of water and vegetation. â€Å"Nearly 500 million people lack access to safe drinking water† (Khan and Yardley). With people running the risk of being dehydrated, it is hard to imagine that they can have a healthy immune system and enough energy to function properly. Also, it is much more difficult to move forward in life without having clean water for hygiene and food urposes. Lastly, the horrendous working conditions for some workers in factories are destroying their health. People work where there are no regards to human safety, and live in overpopulated housing and do not have common household appliances, resulting in about 5,000 deaths annually (â€Å"Great Leap Backward†). This affects the comfort and safety of workers, resulting in physical and emotional unhappiness. Howeve r, even though it true that the health of many is at stake, there are many other effects of industrialization that citizens are benefitting from as well. In the past few decades, citizens have been experiencing the personal benefits of higher income, a growing middle class and wider choice and availability of household appliances and comforts. Many citizens, especially those living rurally, are seeing an increase in income. â€Å"The number of rural poor people decreased from 49. 6 million to 28. 2 million in 2002† (â€Å"China Sees Improvements†). With more money to spare, many people are now able to spend on more, better quality food, hygiene, business, education for their children and other factors that create a life with more opportunities for the present and the future. Also, the middle class has recently been growing and developing. â€Å"China’s growing middle class has made it to the second largest luxury good market in the world† (Rapoza). A growing middle class means that the general economy is improving, and there is higher demand for goods. Factories then need to be created, more jobs are available and there is more production. The lower class gets smaller and the middle and upper class grows, which benefits everyone. This then leads on to household appliances becoming more affordable and available to the population. Household appliances such as TV sets, washing machines and refrigerators became more common, and an increasing number of families acquired computers and cars† (â€Å"China Sees Improvements†). With such comforts being more widely used than in the past, people are able to live more comfortably and happily. The benefits for the common people do not stop here. On a public level, public transportation is no w being frequently used and education as well as heath-care is more available and accessible to citizens. Public transport such as buses, trains, airplanes and boats are being developed and utilized by many. â€Å"China will build or renovate 150 airports†¦harness water routes along major rivers†¦build 20 thousand kilometers of roads†¦and 6,000 kilometers of railways† (â€Å"China to Witness Development†). Going back a few years ago when China mostly used bicycles to get to and from places, this burst of transportation development is huge. Not only is it available to many now but the government also continues to improve such means of transport, which will make business, travel, trading and communication much easier. It gets even better as the government focuses much of its time and money on spreading opportunities for education throughout the country. â€Å"In the nine-year compulsory education, the central government remitted 52 million students from underdeveloped western and central regions their tuition fees and extras† (â€Å"China Economic Growth†). With education being available to all social and economic classes in China, there is opportunity for a great social leap in the future. With proper schooling, young adults are able to be exposed to more job opportunities and are able to support their families and work their way out of poverty. Similarly, there have been efforts made to increase availability and quality of common medical care throughout the nation. â€Å"As conditions of medical care continue to improve, people’s health has come to a higher level with the average life expectancy reaching 71. 8 years in 2002† (â€Å"China Sees Improvements†). With healthcare conditions getting better and people living longer, it is apparent that people’s life standards are improving. Increased life expectancy generally means that there is better hygiene, health and environment than in the past. Through these three effects that have come out of industrialization, it is apparent that the public is affected positively in many ways. Even though the health situation with some Chinese citizens is not at its peak, post 1980 industrial development in China has colossally increased living standards of many on both a personal and public level. People have and are earning more salary, a middle class is emerging and developing and household applications are now more accessible. Additionally, public transportation is more developed and utilized and education and healthcare availability and quality is improving. All these benefits are wonderful, but there is still the matter of people’s health being negatively affected by coal production and the conditions workers go through to produce coal and other goods in factors. Before coming up with conclusions, one must look at this issue in context. First of all, the rate at which China is industrializing is much higher than nations in the past, such as the UK taking 150 years and Japan taking 40 years to completely industrialize. With China’s growth spurt being so huge, there are bound to be some consequences in order to achieve all the other benefits stated previously. Additionally, while still comparing China to past industrial development periods, the UK used to also have bad working conditions in the cities with factories emitting outrageous amounts of pollution. With some time and effort, these conditions improved and more ecofriendly factories and machinery was used. The same goes for Japan and the US. The odds point to China doing the same as well because of the following reasons. With increased education and income, citizens young and old are becoming more aware of their environmental and health situation. Also, with all the efforts the government is putting into healthcare for its people, it is apparent that their wellbeing is being put into consideration. Hopefully this will lead to actions for the long term by eliminating inhumane working conditions and harm to the environment. If China continually seeks the example of other leading countries and keeps in pace with their efforts for the environment, one can see that the benefits of post 1980 industrialization will continue to and grow in outweighing the negatives of the harmful conditions and factories. How to cite China – Economic Development Essay, Essay examples

Shiny Toy Guns free essay sample

â€Å"I cant forget what you have forgotten, all along. Ive never been so alone.† Shiny Toy Guns puts a whole new twist on the genre, Electronica. In comparison to other popular bands with lead female singers, Paramore, Shiny Toy Guns is a lot better because of their lyrics and new sound. Shiny Toy Guns has a very dexterous lyrics and intriguing beats. Their songs come alive when you listen to them, because they are so realistic and relatable. The album, â€Å"We Are Pilots,† is set up in a foldable CD case that has song information, such as who produced what songs and then it has pictures of the band members, Carah Faye, Chad Petree, Jeremy Dawson, Mikey Martin. The first song on the CD is â€Å"You Are The One,† which is followed by, â€Å"Le Disko,† then, â€Å"Starts With One,† â€Å"When They Came For Us,† â€Å"Dont Cry Out,† â€Å"Chemistry of a Car Crash,† next is song number 7 which is â€Å"Waiting,† â€Å"Rain y Monday,† â€Å"Jackie Will Save Me,† â€Å"Shaken,† and lastly â€Å"We Are Pilots. We will write a custom essay sample on Shiny Toy Guns or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page † This album is excellent in its word choice; choice, distorted, invincible, consuming, shattered, sensation, supersonic, etc. One of the songs on â€Å"We Are Pilots,† is â€Å"You Are the One† which starts out with â€Å"Black rose and a radio fire, its so contagious.† This song is about a former couple [a couple that has broken up] and the guy wants to get back together and how he says that shes the one for him and that he will never break her heart again. Hesitantly, she agrees to go back out with him and he breaks up with her again. The song is very realistic and relatable which makes it all the more interesting. Another song on the album is â€Å"Chemistry of a Car Crash† which is about a guy talking about a girl he loves and they are going to break-up, yet they both want to act like nothing ever happened and to cover it up. Although this song is slow compared to some of the other songs on the CD, it still stands out! This song is good for it s story and sound. The song that really stood out was â€Å"Dont Cry Out,† which tells about a girl breaking up with the guy she loves and during, she starts to lose herself. This song is beyond unbelievable when you hear it at first and then during the song the beat sort of changes. What makes the song stand out is its techno beat and vocals which are unbelievably outstanding. Shiny Toy Guns arent like any other band, which mean that you like them or you dont. Also, some of there songs seem as if they all talk about the same thing. But, overall the album â€Å"We Are Pilots by Shiny Toy Guns are a great, aspiring band! Out of 5 stars this CD is 4. This CD would probably be enjoyed by people who like Electronia and amazing lyrics.

Airplane Case Study essay

Airplane Case Study essay Airplane Case Study essay Airplane Case Study essaySouthern Airlines is one of the most successful airlines due to its low-cost strategy. At the moment, the company still holds a strong position in the market, but there is a risk that other low-cost airlines that simulated its model could enhance their position and tighten the competition in the industry. Therefore, Southern Airlines should come prepared to possible challenges associated with the appearance of new rivals, including the increasing competition from the part of companies operating in other segments of the market.At the moment, the bargaining power of suppliers is high, although it is important to place emphasis on the fact that Southern Airlines is totally dependent on Boeing as the only supplier, while there is an alternative company that can also supply aircrafts of the same class, Airbus. The dependence of Southern Airlines on Boeing is almost absolute because it cannot shift to another supplier since such a decision would need the complete r estructuring of the fleet and training of the personnel.The bargaining power of customers is high today because the recent economic recession has had enormous impact on the airline industry and caused substantial financial losses of many airlines because of the drop of the number of customers. In such a situation, Southern Airlines cannot compensate its losses by increasing the price because it has to keep customers interested in services of the company, while the price was always the main advantage of the company over its rivals. This is why today customers are in a privileged position, while Southern Airlines offers them maximum flexibility in booking and changing tickets providing minimal essential services for the lowest price.The threat of new entrants is rather low at the moment, because even those companies that currently operate in the market face substantial difficulties. Therefore, new entrants will have substantial difficulties, if they decide to enter the market right no w, when it is in a steep decline. In such a situation, Southern Airlines puts potential new rivals in a disadvantageous position because they can hardly offer customers lower price, while the price is the determinant factor for many customers today (Calder, 2012). As a result, the company should not worry much about the risk of the appearance of new entrants although there are options of existing companies operating in other segments to develop their low-cost subsidiaries.The threat of substitute products is medium because customers cannot always refuse from flights. Southern Airlines offer faster delivery of customers than any other means of transport, like trains, for instance (Littman, 2002). In such a situation, substitutes are likely to attract a part of customers of airlines, including customers of Southern Airlines, but still customers cannot refuse totally from using services of the company, especially the company offering services at the lowest price in the industry.Thus, t he competitive rivalry within the industry is tight at the moment and Southern Airlines should come prepared to confront the tightening competition. To put it more precisely, Southern Airlines faces the tightening competition from the part of low-cost airlines which simulate its own model and offer similar services at the similar price not only in those markets, where Southern Airlines does not operate, but also in those markets, where the company counts on a large share of the market. In addition, the company faces the threat of airlines operating in other segments developing their low-cost subsidiaries.

Marlon Brando, Littlefeather, and the Academy Awards

Marlon Brando, Littlefeather, and the Academy Awards The social turbulence of the 1970s was a time of much-needed change in Indian country. Native American people were in the bottom strata of all socioeconomic indicators, and it was clear to American Indian youth that change was not going to happen without dramatic action. Then came Marlon Brando to bring it all to center stage  - quite literally. A Time of Unrest The Alcatraz Island occupation was two years in the past by March of 1973. Indian activists had taken over the Bureau of Indian Affairs building the year before and the siege of Wounded Knee was underway in South Dakota. Meanwhile, the Vietnam War showed no end in sight despite massive protests. No one was without an opinion and some Hollywood stars are remembered for the stands they would take, even if they were unpopular and controversial. Marlon Brando was one of those stars. The American Indian Movement AIM  came about thanks to Native American college students in the cities and activists on the reservations who understood all too well that the conditions they were living under were a result of oppressive government policies. Attempts were made at non-violent protests - the Alcatraz occupation was completely nonviolent although it lasted well over a year - but there were times when violence seemed like the only way to bring attention to the problem. Tensions came to a head on the Oglala Lakota  Pine Ridge reservation in February 1973. A group of heavily-armed Oglala Lakota and their American Indian Movement supporters overtook a trading post in the town of Wounded Knee, the site of the 1890 massacre. Demanding a regime change from the U.S.-backed tribal government that had been mistreating the reservations residents for years, the occupiers found themselves in a 71-day armed battle against the FBI and the U.S. Marshal Service as the eyes of the nation watched on the evening news. Marlon Brando and the Academy Awards Marlon Brando had a long history of supporting various social movements dating back to at least 1946 when he backed the Zionist movement for a Jewish homeland. He had also participated in the March on Washington in 1963 and he supported the work of Dr. Martin Luther King. He was even known to have donated money to the Black Panthers. Later, however, he became critical of Israel and supported the Palestinian cause. Brando was also highly dissatisfied with the way Hollywood treated American Indians. He objected to the way Native Americans were represented in the movies. When he was nominated for an Oscar for his infamous portrayal of Don Corleone in The Godfather, he refused to attend the ceremony. He instead sent Sacheen Littlefeather (born Marie Cruz), a young Apache/Yaqui activist who had participated in the Alcatraz Island occupation. Littlefeather was a budding model and actress, and she agreed to represent him. When Brando was announced as the winner, Littlefeather took the stage dressed in full native regalia. She delivered a short speech on behalf of Brando declining acceptance of the award. He had actually written a 15-page speech explaining his reasons, but Littlefeather later said that she had been threatened with arrest if she attempted to read the entire speech. Instead, she was given 60 seconds. All she was able to say was: Marlon Brando has asked me to tell you, in a very long speech which I cannot share with you presently because of time but I will be glad to share with the press afterward, that he must ... very regretfully cannot accept this very generous award.And the reason [sic] for this being ... are the treatment of American Indians today by the film industry †¦ excuse me†¦ and on television in movie reruns, and also the recent happenings at Wounded Knee.I beg at this time that I have not intruded upon this evening and that we will, in the future ... our hearts and our understanding will meet with love and generosity.Thank you on behalf of Marlon Brando. The crowd cheered and booed. The speech was shared at a press conference after the ceremony and was published in its entirety by the New York Times. The Full Speech Native Americans had virtually no representation in the film industry in 1973, and they were primarily used as extras while lead roles depicting Indians in several generations of Westerns were almost always awarded to white actors. Brandos speech addressed the stereotypes of Native Americans in films long before the subject would be taken seriously in the industry. In his original speech as printed by the New York Times, Brando said: Perhaps at this moment you are saying to yourself what the hell has all this got to do with the Academy Awards? Why is this woman standing up here, ruining our evening, invading our lives with things that dont concern us, and that we dont care about? Wasting our time and money and intruding in our homes.I think the answer to those unspoken questions is that the motion picture community has been as responsible as any for degrading the Indian and making a mockery of his character, describing his as savage, hostile and evil. Its hard enough for children to grow up in this world. When Indian children watch television, and they watch films, and when they see their race depicted as they are in films, their minds become injured in ways we can never know. True to his political sensibilities, Brando also minced no words about Americas treatment of American Indians: For 200 years we have said to the Indian people who are fighting for their land, their life, their families and their right to be free: Lay down your arms, my friends, and then we will remain together ...When they laid down their arms, we murdered them. We lied to them. We cheated them out of their lands. We starved them into signing fraudulent agreements that we called treaties which we never kept. We turned them into beggars on a continent that gave life for as long as life can remember. And by any interpretation of history, however twisted, we did not do right. We were not lawful nor were we just in what we did. For them, we do not have to restore these people, we do not have to live up to some agreements, because it is given to us by virtue of our power to attack the rights of others, to take their property, to take their lives when they are trying to defend their land and liberty, and to make their virtues a crime and our own vices virtues. Sacheen Littlefeather Sacheen Littlefeather received phone calls from Coretta Scott King and Cesar Chavez as a result of her intervention at the Academy Awards, congratulating her for what shed done. But she also received death threats and was lied about in the media, including allegations that she wasnt Indian. She was blacklisted in Hollywood. Her speech made her famous literally overnight and her fame would be exploited by Playboy magazine. Littlefeather and a handful of other Native American women had posed for Playboy in 1972, but the photos were never been published until October 1973, not long after the Academy Awards incident. She had no legal recourse to contest their publication because she had signed a model release. Littlefeather has long been an accepted and highly respected member of the Native American community despite lingering speculation about her identity. She continued her social justice work for Native Americans from her home in the San Francisco Bay area and worked as an advocate for Native American AIDS patients. She committed herself to other health education work as well and worked with Mother Theresa doing hospice care for AIDS patients.

Defining Law Essay Example | Topics and Well Written Essays - 1500 words

Defining Law - Essay Example Undoubtedly, to be of use, most rules or systems of rules require a method of enforcement, whether the method be remedial in nature, such as a civil judgment, or a penal sanction imposed in a criminal matter. John Austin, a proponent of the social fact thesis of legal positivism, contends that the primary distinguishing feature of a legal system is whether its rules can be enforced (1995). Austin argues that a rule of law in society is legally valid if and only if that rule is commanded by the society's sovereign and is backed up with the threat of sanction, or enforcement (1995). As such, it is Austin's position that the essential element of a law is whether someone has the ability to sanction its noncompliance. Austin's position seems tenable. Indeed, without enforcement, laws have no effect. To ensure compliance, and in the absence of any moral obligation to obey a law, an absence which we must presume, a law must impose a consequence for a violation. Even the rules that govern the application of law, such as rules of procedure, require some sort of sanction for a breach. A prominent philosopher of law, H.L.A. Hart, has suggested that Austin's position on enforcement is clear when applied to those laws that restrict our behavior, but is inapplicable to the set of rules that grant us the power to create rights and obligations, such as contracts and wills (1994). Even those rules, however, are "enforced" through sanction, to wit, the threat of litigation and the possibility of voiding, for example, a created document should it contain a flaw. And the essence of such litigation, indeed the very root of its existence, is that law is subject to interpretation. Ronald Dworkin, a pillar of modern legal philosophy, believes that adjudication is and should be interpretive (1982). According to Dworkin, judges should look to the "political structure of their community" when deciding hard cases by, first, ensuring that their interpretation is in accordance with the community's existing legal practices, and, second, that the interpretation is presented in the best moral light (1982). As such, Dworkin posits that a law is specifically characterized by its language, the facts to which the law must be applied, and the best moral application of that law given the social practices of a particular community. The idea that law is a set of rules subject to interpretation was also recognized by the legal realist movement. Inspired by John Chipman Gray and Oliver Wendall Holmes, and reaching its analytical peak in the 1920s and 1930s, legal realism contradicted legal formalism by asserting that judicial decision making is guided far more frequently by the political and moral insights of the judge rather than by legal rules (Himma, 2006). Legal formalism embraced the concept that a judge's decision, or holding, would always logically follow from the legal rule being applied to a particular set of facts, leaving little or no room for interpretation (Himma, 2006). The realist model asserts the opposite extreme, claiming that (1) any matters worth litigating are thereby divisive enough to require interpretation of the applicable rules, (2) judges make new law in exercising discretion when deciding legal disputes, and (3) when deciding

The EasyJet strategic management process Assignment

The EasyJet strategic management process - Assignment Example Strategic management is a major aspect that cannot be overlooked in order to attain the objectives in any given company. Being undertaken by top level managers, this paper covers the three essential stages involved in strategic management. These include strategic analysis, strategy formulation and strategy implementation. During the strategic analysis process, firms make appropriate choices that act as guidelines during the next stages This paper covers the strategies that EasyJet Airline, a British based firm has adopted thus making it to attain a competitive edge in the airline industry. This paper depicts selection of the best courses of action as the key aspect during the strategy formulation process. Similar to the use of environmental scanning tools including PESTEL and SWOT in the strategic analysis, managers in EasyJet among other local and international companies also use the tools during strategy formulation. The third stage covered by this paper is the strategy implementat ion. During this stage, organizations translate the plans as set in the previous stages into actions that are focused at attaining the objectives. Strategic Management Process 1.0 Introduction Strategic management entails analyzing the primary initiatives that are undertaken by firm’s top level managers on behalf of other stakeholders including the shareholders and employees among others. Some of the notable initiatives that are involved in the strategic analysis include evaluation of firm’s internal and external environments as well as monitoring the use of resources within a company. Additionally, it entails establishing the vision and the mission of an organization, objectives as well as developing policies that are geared towards achieving the set objectives. In order to ensure that the roles of strategic management are effectively attained, it is imperative for managers to maintain a balanced score card. This is a tool that is used to evaluate the entire performan ce of an organization and its progress towards achieving the goals as outlined by the top level management team. As local and international firms engage in investing in their resources including workers to meet the stiff competition in the market, strategic management has been one of the issues that have not been overlooked (Kotler and Kevin, 2009). One of the major companies that have embarked on adopting of strategic management policies is EasyJet Airline Company. EasyJet Airline Company is a Britain based airline company that enjoys more than 600 routes in 30 countries. Being headquartered in London, the company employs more than 8,000 employees who are responsible for spearheading its services in the international market. EasyJet was established and launched in 1995 by Stelios Haji-Ioannou, a renowned businessman. In the airline industry, EasyJet has acquired a competitive edge based on its effective marketing strategies that involves providing prioritizing safety and strong tea m work that ensures the company policies are attained. It is vital to note that the company has achieved key positions in major markets that include London Stansted, Paris Charles De Gaulle, Rome Fiumicino, London Gatwick, London Southend and London Luton among others. Another aspect that has made the company to attain a competitive position is the acquisition of rival companies. In this way, the company capital base and marketing strategies have been boosted to a significant level. Some of the notable firms that EasyJet has acquired include TEA Basle, London Stansted-based Go, GB Airways among others. This paper will discuss the three major processes of strategic management that includes strategic analysis, strategy formulation and strategy implementation in relation to the EasyJet Airline

Franchising Business Term Paper Example | Topics and Well Written Essays - 1750 words

Franchising Business - Term Paper Example On the other hand a franchise is a business where the owners or the franchisers sell their business rights to third parties called franchisees. Some of the big franchises are McDonalds, UPS and Subway [Purvin, 2008]. While investing in a franchise, the franchisee is required first to pay a fee to acquire the rights to the business, training and equipment required for that franchise. This is in terms of an ongoing payment according to how they will agree. As it can either be monthly or even on a quarterly basis which is a percentage of the gross sales for the business. The franchiser will direct the franchisee on the way to open another replica franchise but will not have such rights or powers as would have had had he opened his own business. After the signing of the contract, the franchisee will go on and open up a replica of the operation of the franchise business, in the direction of the franchiser. The franchisee therefore, will not possess as much in terms of control over the bus iness operation as he/she would have over theirs, but may benefit from investing in an already-established brand. It is important to note that the franchiser does not only enjoy the right to dispose the products but also to use the processes that have already been set in place by the business or franchiser and therefore is required to keep the processes, the logo and also the signs and the uniforms. Though this is true, the franchisee is to remain independent owner of the business. To begin a franchise, it will be important for the franchiser to contact a franchise attorney who will assist in making a viable franchise decision. Franchising allows one to grow the business quickly due the simultaneous opening of several units. The franchisee needs to provide the operators with ongoing support even though he technically does not own the franchise in cases like the obtaining of finances and in finding the site locations for the franchises. The first franchises were actually started in t he 19th century and some of the world’s famous and fast growing businesses are franchises. These include the companies like the McDonalds. Types of franchises 1. Business to business service In this type, the managers and the retail side share some of the characteristics. The franchise manages the operations part but does the selling. Is out to handle the customers and to sign their contracts but not to handle the day in the day out operations like receiving phone calls some of these like that of consultants can actually be done at home. 2. Retail franchise This involves itself with walk in retails services and therefore can sell the products of the company during the retail hours. This involves printing, food communication and fashion. These types of franchises need adequate staffing due to the many operations but they are owner operated. 3. Investment franchise In this franchise, a lot of capital is invested by the franchisee in the high cost franchise systems. The franchis ee operates this at arms length where a management team operates this on his behalf. The franchisee normally has a lot of experience in managing a large team. Examples of these are the restaurants and hotels. 4. Management franchise This is where the franchise is responsible of managing and coordinating the team of operatives and the

History Of The Hotel Industry Tourism Essay

History Of The Hotel Industry Tourism Essay The hotel industry is any types or forms of business which relates to providing accommodations in lodging, food and beverage and a vast variety of services that are interrelated and organised which are intended for public service. Hotels offer enormous range of guests services such as banqueting, conference and fitness, sport and facilities, beauty spas, bars, sophisticated restaurant and others. The hotel sector consists of more than 15% of all the people who worked in the hospitality sector. Hotels falls into a number of different categories which includes the glamorous five-star resort international luxury chains, trendy boutiques, country house, conference, leisure or guest houses. This very dynamic sector offers good quality accommodation, great variety of food and beverage, together with other services for all types of customers. The hotel sector is always striving to offer excellent customer service throughout its operations. History of the Hotel Industry The hospitality industrys history can be traced back by the end of 1700s in the Colonial Period. This industry has been the subject of important development over the years as it has faced many obstacles such as the World Wars, the great depression, the industrial revolution and other social changes. However, the hotel industry as seen today in its modern concept took place in the 1950s and 60s. The idea of renting an accommodation to visitors appeared since ancient times, and the modern concept of a hotel as we know started 1794, when the  City Hotel opened in New York City; the City Hotel was claimed to be the first building designed exclusively to  hotel operations. Other similar hotel operations follow the trend and appeared in other cities such as Philadelphia, Baltimore and Boston in 1809.   The 1760s  industrial revolution has much lead to the emerging of hotels everywhere, mainly in England, Europe and in America. The advent of new ways of transportations, hotels and resorts outside of major cities was built in the countryside and began promoting their scenery and other attractions. The concept of the vacation was developed and available to more and more of the population. In the 1920s, the construction of hotel took a boom phase where many well-known hotels were opened. As from that period a flow of famous hotels flooded in America and the rest of the world with prominent brand such as Radisson, Marriot, Hilton and more others. Organisations representing hotels worldwide The Tourism industry worldwide has generated billions for recipient countries, making the tourism industry one of the most successful sectors in international trade in services. Often facing economically difficult times there has been the creation of several world organisations to monitor progress, promote and developed sustainable tourism in the hotel industry. The following are some of the world organisations representing the tourism and travel industry: i) World Tourism Organisation (UNWTO) The (UNWTO) is one of the United Nations agencies, which is accountable for the advancement of responsible and sustainable tourism. Being the Word leading organization in the tourism sector, UNWTO promotes tourism as a mean for economic growth, development and environmental sustainability and offers the monitoring and assistance to the hotel sector in creating market knowledge and promotes competitive global tourism policies. ii) International Hotel Restaurant Association (IHRA) The  IHRA is an international association representing the welfares of hotel  and  restaurant industries. IHRA main members are national hotel and restaurant associations which are located worldwide. Their main mission is the monitoring of international agencies in the tourism industry. It comprises of 300,000 hotels and 8 million restaurants, this represents 60 million people who worked in the sector and raise more 950 billion USD yearly iii) HSMAI Hospitality Sales Marketing Association International The HSMAI is the largest international association of travel sales and marketing professionals. The association have over 4,000 members from different travel and tourism organisations including hotels, resorts, airlines, cruise lines and others in 31 countries worldwide, with the purpose of improving sales and marketing, education and management skills in the hospitality organisations worldwide. iv) The  World Travel Tourism Council  (WTTC) The WTTC is a global authority which caters for the economic and social impact of Travel Tourism. Its main aim is to support sustainable growth in the industry, while working in collaboration with different governments and international institutions to generate employments, to boost exports and to bring prosperity. Growth of Hotel Industry Worldwide The rise in levels of  income  and standard of living  but also coupled with an increase in  leisure time has been especially beneficial to the tourism industry. The advent of  technological progress particularly through higher capacity cruise ships and aircrafts,  computerized reservation systems, better road transport facilities have played key roles in the global growth of hotel industry. Moreover, improved productivity has been encouraging to the industry by aiding to reduce costs and making travel and tourism products more accessible and affordable. As competition in the industry increases worldwide, the customers have reap great benefits in terms of   lower prices  coupled from a wider choice  as the organizations have to  differentiate their products  from the crowd to attract niche market but also to struggle to enhance and improved the quality of their services. Implementing new strategies to marketing and promotion and innovative products are increasing the demand for destinations. The  governments as a facilitator, fund provider and legislator  have also had played its part on the development of the industry.   New consumer needs and attitudes  have also driven the growth of specific segments, for instance new tourism concept such as medical tourism and ecotourism are booming. Moreover, the increased  level of economic activity  which has led to an upsurge in business travel and also the rising tendency of international movement. In fact, even though there is the presence global economic challenges, the developments of hotels keep progressing, with additional innovative rooms being injected into global room supply by independent hotels and hotel chains. Statistics According to the UN World Tourism Organisation, in 1950 the international tourist arrivals was at 25 million in 1950 is now set to surpass 1 billion by end of 2012, with an 1.8 billion worldwide arrival by 2020. In the beginning of 2012, the World Travel Tourism Council (WTTC) estimates that global growth for the Travel Tourism of 2.7%, slightly downgraded from the 2.8% than that was expected for the industry. The trend for Travel Tourism figures has been positive for the beginning of 2012 and has exceeded anticipations from the start of the year. Global tourist arrivals have progressed to 4.9% in the year 2012 from January to June, whereas airline passenger traffic is up 6.8%, and hotel occupancy rates are growing in most markets. In the year 2011, the Travel Tourism industries accounted for 255 million jobs globally generating 9 per cent of world GDP while generating billions for host economies; explaining why this industry plays a significant role in global investment and economic growth. Statistics unveiled by the World Tourism Organization (WTO), in 2008 shows than an estimated 924 million worldwide tourist arrivals, shows an increase of 1.76% compared to 2007. In 2009, international tourist arrivals experience a fall of 882 million, representing a worldwide drop of 4.4% over 2008. The world destinations witnesses a total of 600 million arrivals, and tourist arrivals in the whole world fell by 7% in the beginning of year 2009, but the trend have been rather been steady in recent months. These recent results and combined economic data, confirms UNWTOs initial forecast a 5% fall in global tourist arrivals during the year 2009. Moreover, the global tourism in 2011 increases by 4.4%, attaining $980 million international tourist arrivals. The estimation for 2012 according to the UNWTO expects a grow in the sector but at somewhat a lower rate, but allows to touch the reach of 1,000 million international tourists by the end of 2012.

HIV Essay -- Health, Diseases, AIDS

The HIV virus is a complex mix of various epidemics within several countries and regions of the world. It is unquestionably the most crucial public-health crisis of our time. Research has extended our understanding of how the virus reproduces, controls, and hides in a contaminated person. Even though our perception of pathogenesis and transmission of the virus has become more refined and prevention options have lengthened, a cure or protective vaccine remains intangible. In 1981, The New York Times published a detailed article about an outbreak of an unusual form of cancer among gay men in New York and California. It was primarily referred to as the â€Å"gay cancer†, but medically known as Kaposi Sarcoma. Around the same time, emergency rooms in New York City began to receive a large number of apparently healthy young men who presented with fevers, flu like symptoms, and a pneumonia called Pneumocystis. About a year later, the Centers for Disease Control (CDC) linked the i llness to blood and gave it the term Acquired Immune Deficiency Syndrome (AIDS). In that first year over 1,600 cases were diagnosed with close to 700 deaths (3). HIV is a lentivirus, and like all viruses of this kind, it attacks the immune system. Lentiviruses are in turn part of a bigger group of viruses known as retroviruses. The name 'lentivirus' literally means 'slow virus' because they take such a long time to create any unfavorable effects in the body. They have been found in plenty of different animals, including cats, sheep, horses and cattle. However, the most appealing lentivirus in terms of the investigation into the origins of HIV is the Simian Immunodeficiency Virus (SIV) that affects monkeys, which is believed to be at least 32,000 years old(7). Sc... ...ments from the national level down to the community level to put into action immediate prevention programs based upon education, behavioral modification, and treatment of those infected with HIV. No vaccine has proved successful in preventing HIV. So the epidemic continues to spread, mainly among underprivileged and marginalized populations: the poor, people of color, people in prison, injection drug users, and men who have sex with men. Many do not understand they are infected and innocently transmit the virus to others. Unawareness, prejudice, and lack of access to healthcare is fueling the outbreak. Therefore, health professionals have a critical role in screening, testing, and educating patients, families, and communities. Health professionals can also teach by example, through offering nonjudgmental, sympathetic care to those affected by this deadly virus.

Early Intervention Reducing Recidivism Among Children

Early Intervention reducing recidivism among children and adolescent offenders Student number: s2875363 Student name: Kate O’Reilly Course name: CCJ10 Introduction to Forensic Psychology Enrollment: External, Griffith University Course convener: Dr. Myesa Knox Mahoney Course tutor: Domanic De Andrade Date due: Wed 23rd Jan 2013 Word count: 1430 It has been widely acknowledged that crime has consequences for individuals and society (Ou & Reynolds, 2010).So it has been widely accepted that children and adolescents with antisocial behaviour are a societal problem (Helmond, Overbeek & Brugman, 2012). Antisocial behavior is characterised by violent offences such as robbery and assault causing harm to not only its victims but to society as well (Helmond, Overbeek & Brugman, 2012). Society pays the price for crime not only in loss of personal effects and medical costs but also in the cost of incarceration to the tax payers (Ou & Reynolds, 2010).It is the antisocial behaviour, that is targeted in early interventions, in an attempt to diminish delinquency (Hollin & Palmer, 2009). Studies have been undertaken that provide evidence that intervention is effective and benefits the whole of society (Ou & Reynolds, 2010). In this essay, focus will be drawn specifically to intervention and it’s part in curbing recidivism in juvenile offenders.The impact of early intervention for young offenders will be explored in detail, and some examples of early interventions, how and why they work, will be examined and this research will support the success of early interventions and their effectiveness in fighting recidivism. In exploring the rationale of young offenders we uncover reasons why early intervention can lessen the rate of recidivism and in some cases effectively quell re offending. Research has been conducted showing that the brains growth does not stop before at least the early twenties (Buchen, 2012).This means that adolescents are far more likely to act befor e considering the consequences, they are impetuous, and easily influenced by their peers (Buchen, 2012). Now more than ever campaigners for youths are working towards less punishment and more importantly far more opportunity for intervention or rehabilitation (Buchen, 2012). Research into crime has shown that criminal activities occurring in adulthood have been found to follow a youth’s career of criminal activity and antisocial behaviour, developing into an adult re-offender, (Ou & Reynolds, 2010).Youth offenders show predictors early in life that include the sex, race and ethnicity of the juvenile, as well as aggression, and antisocial behaviour in childhood (Ou & Reynolds, 2010). They can be coerced to offend simply because of stressors in their lives (Sealock & Manasse, 2012). In some cases studies have enabled prediction of delinquency that can then allow prevention of youth involvement in the juvenile justice system all together, (Sealock & Manasse, 2012).Where this is not the case and a young person is incarcerated, early intervention is required to curb re-offenders. Mentally ill juveniles will offend three times as often as other juveniles, and for these offenders imprisonment can be fruitless causing significant increase in symptoms instead of reversing environmental damage and improving their skills as it is intended (Erickson, 2012). This puts them further at risk are mentally ill juveniles, for whom demanding life events, such as loss of job or family breakdown, will often lead to violence as a response (Markowitz, 2011).For these mentally ill youths social opportunities can be limited, they will have difficulty finding a job, stable accommodation and a support network (Markowitz, 2011). There often limited opportunities for intervention before the fact (Markowitz, 2011). Because of this some offenders tend towards homelessness and crimes of survival such as shoplifting and trespassing, some committing these non-violent crimes as a way of s eeking intervention they would not otherwise have access to (Hinday, 1997).Symptoms of mental illness include; impulsivity and impaired judgment and can cause already hotheaded youths to act in antisocial ways (Hinday, 1997). A form of intervention that continually arises in research looking at young offenders is the use of cognitive behavioural therapy or modification. Cognitive Behavioural therapy is founded on social learning, and adopts the theory that offenders have learned unsuitable ways of behaving due to their environment (McGuire, 2003).Many intervention plans include this type of treatment, sometimes coupled with psychiatric treatments (Jones, Chancey, Lowe & Risler, 2010). Cognitive behavioural techniques encourage offenders to think through a situation, instead of ensuing their immediate response. A reaction that can often be impetuous and self-centered attitudes that increase the likelihood of anti-social behavior (McGuire, 2003). In cognitive behavioural therapy an of fenders learning is conditioned, they are trained to eradicate maladaptive actions (McGuire, 2003).Cognitive, rehabilitation or intervention programs aim to bring changes to youth offenders (Jones et al. , 2010). Young adults, who spend time incarcerated, carry with them a high likelihood of recidivism when they return from correctional facilities and attempt to transition back into society, (James, Stams, Asscher, De Roo &Van der Laan, 2013). Research has provided a variety of reasons as too why juveniles find it so difficult when re engaging with society, one important reason explained by James et al,. 2013) is that not only are they coming to terms with the challenges of relocation from a juvenile facility back into every day life but they are doing this while simultaneously coping with the move from adolescents into adult hood. Helmond et al. , (2012) Discusses an intervention program constructed by cognitive-behavioural therapy called EQUIP, a program designed to communicate to young antisocial offenders who would be reintegrating into society, ways of acting and thinking responsibly. The EQUIP program is used in correctional facilities all over the world.EQUIP incorporates a positive peer culture in which parties want to support others due to developing feelings of responsibility for them. The main focus of EQUIP is to address mental misrepresentation, deficiencies, and social and moral skills (Helmond et al. , 2012). A private not-for-profit agency, Hillside in the US, is a provider of intervention services for mentally ill young people and their families or guardians (Jones et al. , 2010). This program includes community-based services and a residential treatment facility, which treats participants under a program called Interpersonal Skills Program (Jones et al. 2010). Treatment through this program includes structured framework, group therapy and individual therapy as well as family therapy (Jones et al. , 2010). Hillside’s program works on co gnitive behavioural treatment focusing on mental distortions, managing and assessing risk as well as avoiding situation leading to relapse (Jones et al. , 2010). For those adolescents in the justice system who require treatment for substance abuse, this can be a form of early intervention as offenders can be sent to juvenile drug court (Nissen & Pearce, 2011).Substance abuse treatment programs in collaboration with the juvenile justice system provide this method of intervention where youths are educated and put through an intensive program of rehabilitation as opposed to incarceration (Nissen & Pearce, 2011). High recidivism amidst adolescents has encouraged the government to provide funding from the government to develop and maintain re-integration as intervention, following the lack of success using probation-only in the attempt to prevent adolescents re-offending (Nissen & Pearce, 2011). James, et al. (2013), found that this type of program referred to as after care has had great success when starting a program during incarceration and when aimed at youths with a high risk of re-offending. Another successful after care program was developed by the Robert Wood Johnson foundation and is called Reclaiming Futures (Nissen & Pearce, 2011). The program Reclaiming Futures deploys affirmative youth development and leadership building and efforts on leadership expansion in the community, a community that can offer assistance to bridge life in incarceration to life in society through constructive growth activities (Nissen & Pearce, 2011).Something that Reclaiming Futures does well is bring together suitable intervention and the needs of the adolescent offenders, and this provides an empathetic network around young people with the result being rarer occasions of violations when in parole (Nissen & Pearce, 2011). Early interventions have been found to reduce the rate of recidivism when they target young offenders. As evidence suggests a career criminal is likely to beg in offending as a child, not suddenly as an adult.Therefore intervention that targets change of behaviours, physically and mentally at an early age, prove effective. Intervention is successful at an early age because medically, an individual’s brain does not stop developing until their late twenties. As a result, adolescents can react impulsively to situations, leading to antisocial and criminal behaviour then ultimately to prosecution. The chances of this situation arising are heightened in mentally ill youths however, by incorporating the various approaches of early intervention a program can be planned base on an individual needs assessment.This plan is determined by the offence committed, and requirements of the youth, and allows positive outcomes to be achieved. All research suggests that the affirmative results are the product of early interventions. References Buchen, L. (2012). Science in court : arrested development. Nature, 484(7394), 304-306. DOI:10. 1038/484304a E rickson, C. D. (2012). Using Systems of Care to Reduce Incarceration of Youth with Serious Mental Illness. American Journal of Community Psychology, 49(3-4), 404–416. DOI 10. 1007/s10464-011-9484-4 Gibbs, J. C. , Potter, G.B. , Barriga, A. Q. & Liau, A. K. (1996). Developing the helping skills and prosocial motivation of aggressive adolescents in peer group programs. Aggression and Violent Behavior, 1(3), 283-305. DOI:  10. 1016/1359-1789(95)00018-6   Helmond, P. , Overbeek, G. & Brugman, D. (2012). Program integrity and effectiveness of a cognitive behavioral intervention for incarcerated youth on cognitive distortions, social skills, and moral development. Children and Youth Services Review, 34(9),1720–1728. DOI:  10. 1016/j. childyouth. 2012. 05. 001 Hiday,  V. A. 1997). Understanding the connection between mental illness and violence. International journal of law and psychiatry, 20(4), 399-417. DOI:  10. 1016/S0160-2527(97)00028-9   Hollin, C. R. & Palm er, E. J. (2009). Cognitive skills programmes for offenders. Psychology, Crime & Law, 15(2-3), 147-164. DOI:http://dx. doi. org/10. 1080/10683160802190871   James, C. , Stams, G. J. J. M. , Asscher, J. J. , De Roo, A. K. & Van Der Laan, P. H. (2013). Aftercare programs for reducing recidivism among juvenile and young adult offenders: A meta-analytic review.Clinical Psychology Review, 33(2), 63–274. DOI:  10. 1016/j. cpr. 2012. 10. 013   Jones, C. D. , Chancey, R. , Lowe, A. & Risler, E. A. (2010). Residential Treatment for Sexually Abusive Youth: An Assessment of Treatment Outcomes. Research on Social Work Practice. 20(2), 172-182. DOI:http://dx. doi. org/10. 1177/1049731509333349     Markowitz, F. E. (2011). Mental illness, crime, and violence: Risk, context, and social control. Aggression and Violent Behavior. 16(1), 36–44. DOI:  10. 1016/j. avb. 2010. 10. 003   McGuire, J. (2003).Offender  Rehabilitation  and  Treatment  Effective Programmes an d Policies to Reduce Re-offending. Retrieved from http://www. swin. eblib. com. au. ezproxy. lib. swin. edu. au/patron/FullRecord. aspx? p=146239&echo=1&userid=znHAXBQDThLw9bSY1Xo67Q%3d%3d&tstamp=1358851968&id=4B65141F70B1486C0EA05198C182C8FA6D56A7DB Nissen, L. B. & Pearce, J. (2011). Exploring the implementation of justice-based alcohol and drug intervention strategies with juvenile offenders: Reclaiming Futures, enhanced adolescent substance abuse treatment, and juvenile drug courts.Children and Youth Services Review, 33, 60–65. DOI:  10. 1016/j. childyouth. 2011. 06. 014   Ou, S. ,& Reynolds, A. J. (2010). Childhood predictors of young adult male crime. Children and Youth Services Review, 32(8), 1097–1107. DOI:  10. 1016/j. childyouth. 2010. 02. 009   Sealock, M. D. & Manasse, M. (2012). An uneven playing field: The impact of strain and coping skills on treatment outcomes for juvenile offenders. Journal of Criminal Justice, 40(3), 238–248. DOI:  10. 1016/j. jcrimjus. 2012. 02. 002

The Environment In Which Planning Processes Take Essays - Management

The Environment In Which Planning Processes Take Essays - Management The Environment In Which Planning Processes Take Place May Have An Important Effect On How The Process Is Conducted The ubiquity of change social, economic, political, technological and attitudinaland the accelerated pace by which it is occurring demand a serious and imaginative response on the part of business if they want to thrive over the next several years, let alone the next decade or 100 years. Strategic planning is highly selective, sets priorities, and does not constitute a comprehensive review of the organization's activities (Eadie, 1993; Shea, 1997). It does identify the strategic issues facing the organization. Strategic planning should be a constructive, consensus building activity that focuses on the health of the organization. If no strategic plan is adopted the disadvantages are: Loss of competitive edge. Crisis management - reactive rather than proactive. Diverse directions and redundancy. At the mercy of outside influences. Strategic planning begins with the definition or analysis of mission, and cannot proceed until there is mission consensus among all planning participants. Mission analysis identifies the spectrum of customers the organization will serve, the broad categories of products and services it will produce, and the way it will measure success. Once a customer base is defined, the next step in strategic planning is to develop a clear understanding of the characteristics of the groups or classes of customers in this customer base. Once this understanding is established, the organization can then define potential customer requirements extending over the planning horizon. Leading organizations have found that it is wise to include customers in the planning process to increase the confidence level of the strategic plan. The best organizations have extended the strategic planning process to include all major supplier organizations as well. When suppliers and customers are included in the planning process, the concept of value-chain management becomes viable. The value-chain is a series of value-added activities and processes that begin within suppliers' organizations and extends through to customers' organizations. An organization exists within, and must successfully operate within, an external environment over which it has little or no control. Strategic planning attempts to understand the current environment by collecting and analysing data; and then to describe a potential future environment by reasoning techniques, plotting trend lines, searching for potential paradigm shifts, and utilizing simulation techniques. Usually, the future environment is described as a series of potential scenarios that will be obtained if certain specified conditions occur. Given a well-developed scenario, it is possible for strategic planners to develop a recommended organizational response for that scenario and thus, provide planning guidance that can be used to develop annual business plans. The annual business plans will then have the effect of moving the organization in the desired direction. Given enough time and

Never share this information at work

Never share this information at work Networking is what gets you in the door, but building real relationships with coworkers is what keeps you there and earns you respect. And you can’t really connect to people- even colleagues- if you don’t open up and share every once in a while. But sometimes the bonding goes too far. When sharing becomes oversharing, you can erode any credibility you’ve built up in a workplace. Here are a few things smart and successful people make a rule of never  bringing up in the workplace.How much you hate your coworkersNo matter how terrible Bob in Sales is at his job, it’s not something you can talk about with your coworkers- even your friends. Unless you’re talking to your best non-work friends or your partner, there’s no cause to broadcast someone’s ineptitude. Be kind. Take the high road. And for that matter, don’t smack talk about your boss or how much you hate your job either.PoliticsBy far the easiest way to alienate someone is t o casually discuss politics. Things are quite simply too fraught these days. A haphazard comment here or there could really lose you points. In general, it’s best not to mix office and politics in general- tense times or not. You never know where someone (or the cubemate quietly listening) stands. If others are talking politics, listen and smile and step outside.  How much you makeEven if you’re sharing your salary to commiserate with other low-level earners, you never know what those people might be making. It could be even less than you. Don’t run the risk of humblebragging. And definitely don’t outright brag. First of all, nobody cares. Second, they’ll just assume you’re a materialistic jerk.Your sex life†¦ or anybody else’sReally, there’s no reason to divulge any details about what goes on in your bedroom. Or worse- to speculate about what might or might not go on in someone else’s. It’s just gossip, wh ich is never a good idea. Plus, it’s likely against company policy. You just never know when you might make someone feel uncomfortable, so respect work and personal boundaries.Your ongoing job huntIf you’re job hunting because you’ve outgrown your position or you just plain hate your job, that’s fine. Keep it on the DL. Nobody wants to be friends with the kid who doesn’t even want to be on the playground with the other kids.Your online presenceUnless you become actual friends with a coworker, it’s best to keep your social media networks separate. LinkedIn is great for work friends, but keep your Facebook and Twitter and Instagram to people who won’t be annoyed by your vacation photos of margaritas and tequila shots.Offensive jokesAgain, anything off-color is probably going to get you in trouble with your human resources department. If you have a racist, misogynist, or intolerant joke in your pocket, do yourself a favor and keep it to yourself. You  will offend someone and people  will think less of you. Is it really worth the forced laughter?Your dreams of a promotionIt’s fine to covet rungs above yours on the ladder. It’s not fine to tell people that you’re out to unseat your coworker or your boss. The news will definitely get back to that person, ruining a relationship for good. And whether or not you get your way, you won’t have the respect of everyone around you.Personal dramaYou might be having problems at home, or in your relationship, or with your health. Save intensely personal tales for your besties and your therapist. At the very least, save them for lunch hour with one or two close work friends, not your water cooler buddy. Work is not the place to be blabbing about your issues and emotions- it’s a professional setting, no matter how casual the office and how kind the people.

Answer All Questions Essay Example | Topics and Well Written Essays - 1750 words

Answer All Questions - Essay Example 150). In a scatter plot diagram, the more two variables are highly correlated; the data points would cluster closer around an imaginary line. For perfect correlation, the data points fall on the straight line. b. A very strong correlation: The degree of relationship between two variables is measured by the correlation coefficient. The stronger the relationship between the variables, the closer the coefficient would move to either +1.00 or -1.00. When the measure of correlation moves closer to either of these two values, it is said that a very strong correlation exists between the two variables. c. Null correlation: Two variables are aid to have null correlation is there is no correlation between them. This happens in case of comparing two variables that are not at all related to one another. The correlation coefficient is 0.90 approximately. The variables under consideration are sales and advertisement. The value of correlation is 0.90 which implies that there exists a strong positive correlation between the variables. The result shows that the advertising made by the company has a positive effect on its sales. The sales are boosted owing to the advertisement. iii) a. The regression model is a multiple regression model and has four independent variables. The dependent variable is the number of copies sold. The only significant value obtained is between the number of pages and the number of copies sold, which is 0.13

Business Strategy Essay Example | Topics and Well Written Essays - 3500 words

Business Strategy - Essay Example It was through this that Apple Incorporated was finally able to come up with its Mac (Macintosh) product line that started to create a name by itself. Integrated with this product line is an Operating System that also struggled to compete with Microsoft. It was not therefore easy for Apple Incorporated to establish its name due to the fact that its industry is home to fierce competition among its key players. However, as competition continues to grow, Apple Incorporated nowadays is able to come up with different product lines such as iPhones and iTunes, iPad, Apple TV, Xserve, professional software application, Mac OS X and iOS operating systems, and other service and support offerings. This is an indication of a never-ending quest for innovative products that continue to help customers address their needs that can only be found from consumer technology products. Apple Incorporated has correspondingly gained big market share in iPhones. Apple’s market share for smart phones in 2008 was 12.9 percent which eventually what made the company as the third largest manufacturer in the world for the said product line (Marino et al., 2010). In the midst of a very tough competition, everything for Apple Incorporated is a matter of creating a need for its product line. ... Company analysis Today, Apple Incorporated operates globally with its products distributed through out its ‘retail and online stores, direct sales force, third party cellular network carriers, wholesalers, retailers and value-added resellers’ (New York Times, 2011). This implies that Apple is into aggressive marketing efforts prior to achieving its competitive advantage. This is an integral part of a global strategy in which the benefits primarily include economies of scale or product replication, the opportunity to serve global customers, exploiting international resources, and the access and integration of knowledge from multiple locations (Grant, 2010; Johnson et al., 2008). This is a matter of giving more ample opportunities for Apple to discover further competitive strength in its industry through the maximisation of its operation and resources, which eventually needs to be worked out. Global companies are known to diversify their operation and find the right combin ation of resources for their competitive advantage (Feist, 1999). In this way, it is necessary for them to reach certain level of achievement in their industry and that is to go for global strategy. The opportunities are great but there are also corresponding higher risks. Apple Incorporated has remarkably taken different approaches prior to achieving a significant market share and eventually enduring on a very tough competition and risks. In May 2010, Apple Incorporated becomes the world’s most valuable company by outperforming the software giant Microsoft based on its stock value. This is an indication that Apple’s strategic moves have paid off over time and its continuing operation in its industry is a significant

Wu zholiu's orphan of asia and taiwanese students studying in japan Essay - 1

Wu zholiu's orphan of asia and taiwanese students studying in japan - Essay Example ndaries of history and literature and through a discussion of comparison between Taiwanese and Japanese literature try to understand the effect that history has on literature. Orphan of Asia was written by a writer facing the crisis of identity that was just as common to any other Taiwanese. The book was written during 1943, two years before Taiwan attained independence. The book belongs to the period when Taiwan was a colonized country, and it generates just as much empathy for Taiwan as a literary work describing Hiroshima and Nagasaki event would generate. Belonging to a period when Taiwan, Japan, and China indicate much more openness in their relationships, the literary work forces its readers to think about human nature and their unending quest to gain power. The literary works also lay before us the option of choosing a peaceful and non-discriminatory path in contrast to the one that leads to capturing power (or rather power capturing us). The work also indicates how different people can be within their own country. Some people prefer to remain loyal to the serving master and thus gain their master’s ‘blessings’ while other prefe r to do what’s right which often goes against the way of the master. However, the only thing binding the people is their nationality in the same way that the thread binding Westerners and Easterners is ‘being human’. Wu Zhouliu was born in 1900 and after completing his education in a kÃ… gakkÃ…  (public school), he went to Taipei Teachers College. Later he joined a kÃ… gakkÃ…  as a teacher but left the job because of discrimination against Taiwanese. He went to China and became a reporter for a newspaper, he was afraid to come back to Taiwan as the Japanese officials suspected him. However, during the Pacific wars he had to return to Taiwan, as he feared Chinese wrath. He was not able to live peacefully as long as Japan continued its colonization. He died in 1976, because of a serious cold condition, at the age

Human Trafficking Essay Example for Free

Human Trafficking Essay Human trafficking is a very prevalent issue in today’s societies throughout the world. Human trafficking is the illegal trade of human beings for the purposes of commercial sexual exploitation or forced labor. The extremely high demand for sex and cheap labor are two of the leading factors in the expansion of human trafficking. Despite efforts from various individuals and organizations, millions and millions of men and women are illegally traded each year. Many agree that human trafficking is a horrific injustice but fail to acknowledge the underlying conditions that enable the growth of this industry. The various reasons most individuals fail to think deeper than the surface issues to address the underlying issues are discussed in depth in The Sociological Imagination by C.Wrighr Mills. Until the underlying issues are acknowledged and corrected, more and more humans will be illegally traded. According to The Sociological Imagination, many problems of society are overlooked because the issues do not directly impact the individual’s life. Many individuals do not make the connection between their own life and the big picture, in this case the relevance of human trafficking. They fail to see that although human trafficking may not directly impact one’s life, the illegal trade of humans may indirectly impact their life. The humans illegally traded, not only face sexual and labor exploitation but many are forced into marriage. Others are forced to become street beggars or child soldiers. In some of the worst cases the humans trafficked are killed and their organs are sold on the organ black market. Individuals not aware of these alternate forms of human trafficking usually fail to see how common it is and do not see the indirect impact human trafficking may have on their life. Another condition enabling the construction and expansion of human trafficking on the global scale are the efforts to stop human trafficking are being concentrated on the wrong principles. Organizations like SafeHorizon, Called to Rescue, Coalition Against Trafficking in Women and Deborah’s Gate all focus on rescuing individuals from trafficking or helping individuals assimilate back into society after being trafficked. I acknowledge these are very useful tactics but these organizations are only addressing the victims after they have been traumatized instead of addressing the underlying issues of why there is human trafficking and developing ways to prevent it. Some of their efforts should be transferred to implementing procedures or strategies that prevent individuals from becoming victims instead of for after they become victims. The corruption of government officials and police force in countries where human trafficking is most prominent, also play a large role in the growth and expansion of human trafficking in certain regions. Bribes are taken so certain businesses are not investigated or raided. These businesses are known to illegally trade human beings but they are allowed to continue their illegal actions. Authorities are aware certain individuals are partaking in human trafficking but merely look the other way. Until this changes or the corrupt government officials and police officers are removed from power, the number of humans illegally traded will continue to rapidly grow. But even honest government officials and police officers face difficultly in combating human trafficking. Human trafficking is such a lucrative business because of the high demand for sex that even when authorities are able to apprehend individuals who are trading humans illegally, new individuals pop up and pick up where they left off. Another obstacle authorities face is that many individuals who are involved in human trafficking operate at such a small scale, it is very difficult to know about their actions. Numerous individuals illegal trade humans in small rural homes or small businesses and keep their actions very discrete. Authorities trying to end human trafficking face almost insurmountable odds. The Sociological Imagination touched on the idea that individuals feel trapped by the problems of today. They are unable to look beyond the immediate troubles and issues. Humans are too consumed with the struggles off everyday life to invest time in correcting large-scale social injustices. Individuals feel as if their vision and powers are limited to the smaller scale of their jobs, family and neighborhood. This idea is another condition enabling the construction and expansion of human trafficking on a global scale. If one feels as if they are powerless and cannot change or do not have the time to change large scale issues, then change is not brought about. One individual can make change no matter how big or small the injustice they are trying to combat is. Until one internalizes and begins to believe they can make a difference, their efforts usually are consumed by irreverent problems of everyday life. Another condition enabling the construction and expansion of human trafficking is that many individuals are distracted from the larger social injustices. The media chooses which stories to shed light upon and in turn decide the importance of issues. If an individual is exposed to the same story numerous times, they are inclined to believe that story is more relevant and important than a story that receives less coverage. Some forms of media purposely give more coverage to celebrity drama or irreverent issues to distract individuals from the larger issues. The larger issues can more easily be swept under the rug if â€Å"the people† are not addressing them. If the horrors and alarming statistics of human trafficking where displayed in the media more often, people would be more inclined to correct the conditions that enable the construction and expansion of human trafficking. The Sociological Imagination opened my mind to the conditions that prevent individuals from dealing with the troubles and issues that matter. Individuals are seldom aware of the intricate connections between the patterns of their own lives and the course of the world. Because they do not make this connection most individuals cannot cope with their personal troubles in an efficient enough way to be aware of the structural transformations that lie beneath them. Sociological Imagination is having the ability to grasp reality by putting everything into perspective to make sense of the non-sense by thinking below the surface. Until more individuals possess this sociological imagination, things will not change.

Cardiovascular Disease

Cardiovascular Disease Cardiovascular Disease Introduction This paper utilizes qualitative data drawn from a series of focus group discussions with patients living with coronary heart disease which explored their understanding of and adherence to a prescribed monitoring and medication regime. These findings are drawn upon in order to contextualize, from the patients perspective, the outcomes of the Departments of Healths Coronary Heart Disease National Service Framework strategy. The paper focuses attention on the consequences of this regulatory approach to clinical and risk management for those patients already living with coronary heart disease. Case Study Patient is 59 yrs old and had a myocardial infarction 2 years ago. He is obese, a smoker and poorly motivated. The case exemplifies many of the difficulties that frequently arise in managing cardiovascular disease, and suggests potential avenues for improving outcomes through the application of a disease management programme. The Coronary Heart Disease National Service Framework By the mid 1980s, it had been generally accepted by most clinicians that there was strong evidence to support the existence of a linear relationship between cholesterol levels and cardiac mortality (Shaper et al. 1985, Stamler et al. 1986), and that therefore lowering total cholesterol levels would reduce the risk of individuals developing coronary heart disease. This opened the way to the process of establishing a recommended cholesterol threshold level at which treatment should be instigated (Leitch 1989). Since then, the trend has been towards setting ever-lower threshold targets for treatment for those designated as being at high risk of developing coronary heart disease and for those already living with the disease. In 2000, the Department of Health published its Coronary Heart Disease National Service Framework which set out 12 standards for the prevention, diagnosis and treatment of the disease (Department of Health 2000). The National Service Framework standard Number 3 recommended that GPs identify and develop a register of diagnosed patients and those patients at high risk of developing coronary heart disease. Dietary and lifestyle advice (what the document terms ‘modifiable risk factors) was to be offered to these patients, and their medication reviewed at least every 12 months. It was also recommended that statins be prescribed to anyone with coronary heart disease or having a 30% or greater 10-year risk of a ‘cardiac event, in order to lower their blood cholesterol levels to less than 5 mmol/l or by 30% (which ever is greater). These recommendations were vigorously promoted when they were incorporated into the new General Medical Services contract that came into operation in 2003. The relative performance of an individual Primary Care Organization in meeting each of these indicators attracts points on a sliding scale that are then converted into payments for individual GPs. In relation to the management of patients with coronary heart disease, higher payments are received if a Primary Care Organization increases the percentage of patients with coronary heart disease who have their total serum cholesterol regularly monitored, and whose last cholesterol reading was less than 5 mmol/l (Department of Health 2004a). The most recent Department of Health progress report on the National Service Framework argues that the massive growth in statin therapy since 2000; ‘. . . is one of the most important markers of progress on the NSF, and was directly saving up to 9,000 lives per year (Department of Health 2005: 19). Statin prescriptions have been rising at the rate of 30% per year since 2000, and in 2004/5  £750 million was spent on statins, equivalent to some 2.5 million people on statin therapy in England (Department of Health 2005). In July 2004, low doses of statins became available over the counter without prescription for the first time, for those at moderate risk. The Public Health Discourse(S) Of Cardiac Risk The application of risk discourses in the field of public health (or more precisely the ascription of health risk to particular behaviours) as conceptualized within those elements of the risk literature most influenced by Foucauldian notions of governmentality, are seen as serving to construct the socially recalcitrant as distinct from the responsible citizen (Foucault 1977, Turner 1987, Lupton 1995). In a similar way, Dean (1999) argues that once risk has been attributed to particular health behaviours, the distinction is then drawn within public health policies between ‘active citizens who are perceived as able to manage their own heath risks, and ‘at-risk social groups who become the object of targeted interventions designed to manage these risks. Two distinct dimensions or approaches to the conceptualization and public health management of cardiac health risks also emerge from an examination of the ‘guiding values and principles which inform the Department of Healths Coronary Heart Disease National Service Framework (Department of Health 2000).While one approach (described below as the ‘epidemiological model of risk) largely conforms to the individualized ‘at-risk discourse, a second discourse (described below as the ‘social model of risk) which is much more concerned with health risk at a social and material level can also be discerned within the National Service Framework. These two distinct and arguably competing discourses of risk point to a complexity in current public health policy that might not be anticipated from a reading of the governmentality literature alone. The first conceptualization of cardiac risk within the Coronary Heart Disease National Service Framework is one that can be termed the ‘social model of health risk. This model essentially reflects a socio-economic understanding of the determinants of population health, and draws attention to the importance of addressing material, social and psychological risk factors in addition to the known biological factors in heart disease. In the National Service Framework, this social model is reflected in the endorsement (albeit at a rhetorical level) of an interventionist role for the state in addressing these wider determinants of the disease: ‘The Governments actions influence the wider determinants of health which include the distribution of wealth and income. A wide range of its policies will have an impact on coronary heart disease including social and legal policies and policies on transport, housing, employment, agriculture and food, environment and crime (Department of Health 2000: Section 1, Para 17). There is also an explicit acknowledgement that these risk factors disproportionately disadvantage particular sections of society, demonstrated in the higher incidence of coronary heart disease among the manual social classes. It is also acknowledged that there is inequity in health service provision; ‘. . . there are unjustifiable variations in quality and access to some coronary heart disease serv ices, with many patients not receiving treatments of ‘proven effectiveness (Department of Health 2000: Section 1, Para 13). This formal acknowledgement of the governments role in addressing the wider social and economic influences on cardiac health risk could to some degree be said to conform to Becks (1992) notion of the ‘risk society; wherein many of the health risks faced by the population are a consequence of unchecked scientific and industrial ‘progress. Beck asserts that in response a greater public awareness or ‘reflexivity of risk has emerged which reflects a shift from ignorance or private fears about the unknown to a widespread knowledge about the world we have created. The question of whether a reflexivity concerning the social and environmental factors associated with cardiac risk can be discerned in a patients own discourses of cardiac risk is something that will be explored in the discussion below. The second risk discourse emergent within the National Service Framework (Department of Health 2000) is one which reflects a predominantly epidemiological understanding of health risk. In this model, the relative risk of an individual developing heart disease is based upon a calculation of the mean values associated with certain ‘lifestyle behaviours such as smoking, diet and exercise that are drawn from aggregated population data for heart disease incidence. This is a statistical approach that all too often perceives such calculated health risk factors as being realities or causative agents in their own right, often with little acknowledgement of the social and material context of these health behaviours. Nevertheless, it is on the basis of this epidemiological model of health risk that the Department of Health has confidently set national guidelines that now require General Values and principles underlying the CHD National Service Framework Nine stated values underlying development of national policies for CHD Provision of quality services irrespective of gender, disability, ethnicity or age. Ready availability of consistent, accurate and relevant information for the public. Consideration of health impact in regard to social and legal policies and policies on transport, housing, employment, agriculture and food, environment and crime. Public health programmes led by health and local authorities to ensure targets for CHD are met. Reduction in health inequalities. Resources will be targeted at those in greatest need and with the greatest potential to benefit. Evidence-based. CHD policies are to be based on the best available evidence. Integrated approach for the prevention and treatment of CHD in health policy, health promotion, primary care, community care and hospital care. Maintenance of ethics and standards of professional practice. Recognition of the importance of voluntary organizations and carers at home in addressing CHD. Four stated principles underpinning the CHD NSF . Reducing the burden of CHD is not just the responsibility of the NHS. It requires action right across society . The quality of care depends on: ready access to appropriate services ii. the calibre of the interaction between individual patients and individual clinicians iii. the quality of the organization and environment in which care takes place. . Excellence requires that important, simple things are done right all the time. . Delivering care in a more structured and systematic way will substantially improve the quality of care and reduce undesirable variations in its provision. Practitioners to identify and monitor ‘high risk patients and to prescribe the recommended drug treatment regime. It can be argued that this regulatory or ‘managerialist approach to clinical decision-making constitutes a challenge to the discretion that has been traditionally enjoyed by general practitioners in relation to the clinical management of patients. This second ‘official discourse of health risk could be seen as indicative of the regulatory and surveillance forms of governmentality identified within Foucauldian social theory. From this perspective, those social groups whose health behaviour or lifestyle are seen to fall outside the acceptable bounds of self-management then become constructed as ‘at-risk. These are social groups who are seen to, ‘deliberately expose themselves to health risks rather than rationally avoiding them, and therefore require greater surveillance and regulation (Lupton 1995: 76); once identified these groups and individuals then become subject to various health promotion or ‘health improvement initiatives. Implicit in such forms of governmentality as applied within health policy interventions designed to manage risk are a set of assumptions about the nature of human action predicated on the notion of the ‘rational actor model. Jaeger, Renn, Rosa and Webler (2001) have argued such models of rationality operate at three levels of abstraction. In its most general form, it presupposes that humans are capable of acting in a strategic fashion by linking decisions with actions. That is, human beings are goal-orientated who have options available from which they are able to select a course of action appropriate to meeting these goals. The second level of abstraction which the authors term the ‘rational actor paradigm, and which is the level at which rationality is probably understood by policy-makers, contains the following assumptions: all actions are individual choices; individuals can distinguish between ends and means to achieve these ends; individuals are motivated to pursue t heir own self-chosen goals when making decisions about courses of action/behaviour; individuals will always choose a course of action that has maximum personal utility, that is it will lead to personal satisfaction; individuals possess the knowledge about the potential consequences of their actions when they make decisions. Finally, that rational actor theory is not only a normative theory of how people should make decisions about in this case health behaviour, but is also a descriptive model of how people select options and justify their actions (Jaeger et al. 2001: 33). Many of these rational actor assumptions underpin and inform the Coronary Heart Disease National Service Framework. Such assumptions manifest themselves in a seemingly unproblematic approach to the promotion of ‘risky health behaviour change which plays down the influence of culture, habitus and the material basis of group socialization. This uncritical rationality also threatens the sustainability of the National Service Framework strategy in other ways. The social psychological and sociological literature see the notion of ‘trust as constituted through two dimensions, the deliberative or rational and the affective or non-rational. As Peter Taylor-Gooby (2006) has pointed out in his work on the problematic of public policy reform, the rational deliberative processes associated with the achievement of greater efficiency in the provision of public services have unwittingly served to undermine the non-rational processes that contribute to the building of trust in public institutions and in public sector professionals. In this context, the National Service Framework will need to build trust both in terms of the presentation of the biomedical evidence for the effectiveness of statins and other cardiac drug interventions, as well as the more affective elements associated with the belief that the national targets are designed with the best interests of patients in mind rather than being driven by financial considerations alone. Significantly, given its centrality to a ‘disease management strategy, neither the Coronary Heart Disease National Service Framework (Department of Health 2000) nor the NHS Improvement Plan (Department of Health 2004b) which sets out the governments priorities Coronary heart disease and the management of risk 363 for primary and secondary healthcare up to 2008, attempts to define the use of the term ‘risk, and by extension ‘higher risk. Nevertheless, the conception of risk that shapes the practical interventions proposed within both these strategy documents is clearly the epidemiological one that is described above. In the past, such public health interventions have been largely concerned with bringing about health behaviour change, however now the strategy would appear to be less focused on encouraging greater responsibility for the ‘self management of cardiac risk and more on ensuring compliance with clinical management regimes of monitoring and drug treatme nt. Optimising Care Through Disease Management In the last 15 years, there have been dramatic advances in the pharmacotherapy of heart disease, most notably the introduction of angiotensin converting enzyme (ACE) inhibitors. (Jaeger et al. 2001: 33) Unfortunately, numerous studies have suggested that ACE inhibitors are substantially underutilised in heart disease patients. Moreover, there are a multitude of factors which may confound heart disease management heart disease virtually never occurs in isolation, and comorbidities such as hypertension, diabetes, coronary artery disease, chronic pulmonary or renal disease and arthritis occur frequently. The presence of these comorbid conditions may interfere with heart disease management in several ways. In PATIENTs case, pre-existing renal insufficiency may have contributed to her intolerance to ACE inhibitors. In addition, her use of NSAIDs could promote salt and water retention and antagonise the antihypertensive effects of her other medications. (Jaeger et al. 2001: 33) Multiple comorbidities may also result in polypharmacy, which, in turn, may compromise compliance and lead to undesirable drug interactions. Adherence to dietary sodium restriction is often problematic (as in patients case), particularly in older individuals who are either not responsible for preparing their own meals, or who rely heavily on canned goods and prepared foods. Depression, anxiety and social isolation are common in patients with heart disease, and each may interfere with adherence to the heart disease regimen or with the patients willingness to seek prompt medical attention when symptoms recur. Similarly, the high cost of medications may limit access to therapy in patients with restricted incomes. Physical limitations, such as neuromuscular disorders (e.g. stroke or Parkinsonism), arthritis and sensory deficits (e.g. impaired visual acuity), may compromise the patients ability to understand and comply with treatment. Finally, cognitive dysfunction, which is not uncommon in elderly heart disease patients, may further confound heart disease management. Impact on Clinical Outcomes Despite the widely publicised effects of ACE inhibitors, b-blockers, angiotensin receptor blockers and other vasodilators on the clinical course of heart disease, morbidity and mortality rates in patients with established heart disease remains very high. heart disease is the leading cause for repetitive hospitalizations in adults, and in 1997 Krumholz et al. reported that 44% of older heart disease patients were rehospitalised at least once within 6 months of an initial heart disease admission. Remarkably, this rate was no better than that reported in several prior studies dating back to 1985. (Krumholz et al. 1998) From the disease management perspective, it is important to recognise that the majority of heart disease readmissions are related to poor compliance and other psychosocial or behavioural factors, rather than to progressive heart disease or an acute cardiac event (e.g. myocardial infarction). Thus, Ghali et al. reported in 1988 that 64% of heart disease exacerbationswere attributable to noncompliance with diet, medications or both and that 26% were related to environmental or social factors. Similarly, in 1990 Vinson et al. (Vinson, 1995) found that over half of all readmissions were directly attributable to problems with compliance, lack of social support, or process-of care issues, and these authors concluded that up to 50% of all readmissions were potentially preventable. More recently, Krumholz et al, reported that lack of emotional support among older heart disease patients was a strong independent predictor of adverse outcomes, including death and hospitalization Rationale and Objectives The above considerations provide the rationale for a ‘systems approach to heart disease management. The objectives of this approach are as follows: To optimise the pharmacotherapy of heart disease in accordance with current consensus guidelines. (Vinson, 1990) To maximize compliance with prescribed medications and dietary restrictions. To identify and respond to any psychological, social or financial barriers that might interfere with compliance with the prescribed treatment regimen. To provide an appropriate level of follow-up through telephone contacts, home visits and outpatient clinic visits. To enhance functional capacity by providing an individualized programme of exercise and cardiac rehabilitation. To enhance self-efficacy by helping the patient and family understand that heart disease can be controlled, largely through the patients and familys efforts. To reduce the frequency of acute heart disease exacerbations and hospitalizations. To reduce the overall cost of care. The Disease Management Team Although the composition of a disease management team may vary both from centre to centre and from patient to patient, a suggested list of team members are given below: nurse coordinator or case manager dietitian social services representative clinical pharmacist physical therapist/occupational therapist exercise/rehabilitation specialist  · home health specialist patient and family primary care physician cardiologist/other consultants. Each team member provides their own unique expertise and/or perspective, and these are then woven into an integrated package tailored to meet each individual patients needs, expectations, and circumstances. Importantly, not all patients will require the services of all team members, and it is therefore essential to identify a team leader. In most cases, this will be the nurse coordinator or case manager, who, in addition to being the patients primary contact person and educator, is also responsible for coordinating the efforts of other team members, including the selective activation of appropriate consultations on an individualized basis. In addition to the team itself, several other components are essential for effective disease management. First, the patient and family should be provided with comprehensive information about heart disease, including common etiologies, symptoms and signs, standard diagnostic tests, medications, diet, activity, prognosis and the role of the patient and family in ensuring that heart disease remains under control. This information should be provided in a readily understandable patient-friendly format and several patient-oriented heart disease brochures are now commercially available. In addition to these materials, the patient should be given a scale (if not already owned) and a chart to record daily weights, an accurate and detailed list of medications supplemented by medication aids if needed (e.g. a pill box), and specific information about when to contact the nurse, physician, or other team member in the event that questions or new symptoms arise. In this regard, the importance of establishing an effective one-on-one nurse-to-patient relationship cannot be overemphasized, as this interaction will often be critical to the early diagnosis and effective outpatient treatment of heart disease exacerbations. Patient Perspective While the above studies indicate a beneficial effect on costs, hospital readmissions, etc., they do not address concerns related to the patients perspective on this interdisciplinary care. What issues are important to the patient, and what the advantages are to the patient of participating in an heart disease disease management programme? In recent years, it has become increasingly evident that it is insufficient to merely provide high quality medical services. In a competitive market, it is essential that the patient is also satisfied with the medical encounter, both in terms of the process of care as well as the clinical outcomes. Healthcare is an industry, and like all industries, customer satisfaction is critically important. However, unlike most industries, which deal with a tangible product, the healthcare industry deals with a multifaceted service, the myriad qualities of which are difficult to quantify. As a result, the assessment of patient satisfaction is often complex, and the development of a valid and universally accepted instrument for measuring patient satisfaction has been elusive. Despite these problems, several patient satisfaction questionnaires have been developed, (Garg, 1995) and these have been helpful in defining those issues which are important to patients, and in identifying specific concerns that patients often have with respect to current approaches to healthcare delivery. (Garg, 1995) Factors which have been consistently shown to play a pivotal role in determining patient satisfaction include: communication, involvement in decision- making, respect for the individual, access to care and the quality of care provided. (Philbin, 1996) Not surprisingly, problems in each of these areas are frequently cited as factors which diminish patient satisfaction. Several components of the heart disease disease management system will be of direct assistance in answering patients questions and helping her cope with this new and frightening diagnosis. In particular, the nurse case manager will establish an effective rapport with the patient and her family, and provide an ongoing source of information and emotional support. The patient education brochure and other printed materials will help answer many of Patients questions and assist in relieving some of her anxieties. The nurse, clinical pharmacist and physician (s) can provide detailed information and teaching about the medications used to treat heart disease, and the dietitian can directly address the dietary questions and provide an individualized diet that takes Patients current dietary practices and food preferences into account. The social service representative can assist patient with any financial concerns she may have, make provisions to ensure an adequate social support network, and serve as an additional source of emotional support. The physical therapist or exercise specialist can help in providing recommendations about activities and in the development of an exercise or rehabilitation programme. The nurse case manager, social service representative, home care specialist, and physician will provide assistance to patient in making the transition from the hospital back to the home environment, and they also will ensure a high level of follow-up care. Perhaps most importantly, the comprehensive care provided by the disease management team will reassure patient that she truly is being cared for, and that all of her needs and concerns are being met. Invariably, this will lead to a high level of patient satisfaction. In addition, in the case of patient there is good reason to believe that implementation of a disease management programme at the time of her initial hospitalization may have eliminated the need for a second hospitalization. (Young, 1995) To the extent that patient might have to pay for some of the costs of readmission (e.g. deductible or copayment), the disease management programme would also save her money, a benefit which is universally viewed in a favorable light. And finally, based on compelling data from recent clinical trials, optimizing Patients medication regimen should translate not only into an improved quality of life, but also into increased survival. Conclusion In summary, heart disease management systems provide a win-win-win situation. They are a ‘win for the providers, because they improve clinical outcomes and quality of life. They are a ‘win for the payors, because effective disease management programmes decrease health care expenditures. And they are clearly a ‘win for the patients, who reap multiple benefits, including improved quality of life and well-being, enhanced self-efficacy due to a greater sense of health control, improved exercise tolerance and functionality, increased survival (as a result of more optimal utilisation of heart disease medications), and, in some cases, reduced out-of-pocket expenditures. References Department of Health (2000) National Service Framework for Coronary Heart Disease (London: DoH). Department of Health (2004a) GMS Statement of Financial Entitlements (SFE) 2004/5 (London: DH). Department of Health (2004b) The NHS Improvement Plan: Putting People at the Heart of Public Services Cm 6268 (London: The Stationary Office). Department of Health (2005) The Coronary Heart Disease National Service Framework: Leading the Way-Progress Report 2005 (London: DH Publications). Foucault, M. (1977) Discipline and Punish: The Birth of the Prison (London: Allen Lane). Garg R, Yusuf S, for the Collaborative Group on ACE Inhibitor Trials. Overview of randomized trials of angiotensin-converting enzyme inhibitors on mortality and morbidity in patients with heart failure. JAMA 1995; 273: 1450-6 Ghali JK, Cooper R, Ford E. Trends in hospitalization rates for heart failure in the United States, 1973-1986. Evidence for increasing population prevalence. Arch Intern Med 1990; 150: 769-73 Jaeger, C., Renn, O., Rosa, E. and Webler, T. (2001) Risk, Uncertainty, and Rational Action (London: James James/Earthscan). Krumholz HM, Butler J, Miller J, et al. Prognostic importance of emotional support for elderly patients hospitalized with heart failure. Circulation 1998; 97: 958-64 Leitch, D. (1989) Who should have their cholesterol concentration measured? What experts in the United Kingdom suggest. British Medical Journal, 298(6688), 1615 1616. Lupton, D. (1995) The Imperative of Health: Public Health and the Regulated Body (London: Sage). Philbin EF, Andreou C, Rocco TA, et al. Patterns of angiotensin-converting enzyme inhibitor use in congestive heart failure in two community hospitals. Am J Cardiol 1996; 77: 832-8 Redfern, J., MacKevitt, C. and